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氨清除剂与谷氨酰胺合成酶抑制剂鸡尾酒疗法靶向mTOR/β-连环蛋白和MMP-14以维持氮稳态并治疗肝癌

Ammonia scavenger and glutamine synthetase inhibitors cocktail in targeting mTOR/β-catenin and MMP-14 for nitrogen homeostasis and liver cancer.

作者信息

Elmetwalli Alaa, Nageh Aly, Youssef Amany I, Youssef Magda, Ahmed Mohamed Abd El-Rahman, Noreldin Ahmed E, El-Sewedy Tarek

机构信息

Department of Clinical Trial Research Unit and Drug Discovery, Egyptian Liver Research Institute and Hospital (ELRIAH), Mansoura, Egypt.

Microbiology Division, Higher Technological Institute of Applied Health Sciences, Egyptian Liver Research Institute and Hospital (ELRIAH), Mansoura, Egypt.

出版信息

Med Oncol. 2023 Dec 29;41(1):38. doi: 10.1007/s12032-023-02250-z.

Abstract

The glutamine synthetase (GS) facilitates cancer cell growth by catalyzing de novo glutamine synthesis. This enzyme removes ammonia waste from the liver following the urea cycle. Since cancer development is associated with dysregulated urea cycles, there has been no investigation of GS's role in ammonia clearance. Here, we demonstrate that, although GS expression is increased in the setting of β-catenin oncogenic activation, it is insufficient to clear the ammonia waste burden due to the dysregulated urea cycle and may thus be unable to prevent cancer formation. In vivo study, a total of 165 male Swiss albino mice allocated in 11 groups were used, and liver cancer was induced by p-DAB. The activity of GS was evaluated along with the relative expression of mTOR, β-catenin, MMP-14, and GS genes in liver samples and HepG2 cells using qRT-PCR. Moreover, the cytotoxicity of the NH3 scavenger phenyl acetate (PA) and/or GS-inhibitor L-methionine sulfoximine (MSO) and the migratory potential of cells was assessed by MTT and wound healing assays, respectively. The Swiss target prediction algorithm was used to screen the mentioned compounds for probable targets. The treatment of the HepG2 cell line with PA plus MSO demonstrated strong cytotoxicity. The post-scratch remaining wound area (%) in the untreated HepG2 cells was 2.0%. In contrast, the remaining wound area (%) in the cells treated with PA, MSO, and PA + MSO for 48 h was 61.1, 55.8, and 78.5%, respectively. The combination of the two drugs had the greatest effect, resulting in the greatest decrease in the GS activity, β-catenin, and mTOR expression. MSO and PA are both capable of suppressing mTOR, a key player in the development of HCC, and MMP-14, a key player in the development of HCC. PA inhibited the MMP-14 enzyme more effectively than MSO, implying that PA might be a better way to target HCC as it inhibited MMP-14 more effectively than MSO. A large number of abnormal hepatocytes (5%) were found to be present in the HCC mice compared to mice in the control group as determined by the histopathological lesions scores. In contrast, PA, MSO, and PA + MSO showed a significant reduction in the hepatic lesions score either when protecting the liver or when treating the liver. The molecular docking study indicated that PA and MSO form a three-dimensional structure with NF-κB and COX-II, blocking their ability to promote cancer and cause gene mutations. PA and MSO could be used to manipulate GS activities to modulate ammonia levels, thus providing a potential treatment for ammonia homeostasis.

摘要

谷氨酰胺合成酶(GS)通过催化从头合成谷氨酰胺促进癌细胞生长。该酶在尿素循环后从肝脏清除氨废物。由于癌症发展与尿素循环失调有关,因此尚未对GS在氨清除中的作用进行研究。在此,我们证明,尽管在β-连环蛋白致癌激活的情况下GS表达增加,但由于尿素循环失调,它不足以清除氨废物负担,因此可能无法预防癌症形成。在体内研究中,共使用了165只雄性瑞士白化小鼠,分为11组,用对二乙氨基苯(p-DAB)诱导肝癌。使用qRT-PCR评估肝脏样本和HepG2细胞中GS的活性以及mTOR、β-连环蛋白、MMP-14和GS基因的相对表达。此外,分别通过MTT和伤口愈合试验评估氨清除剂苯乙酸(PA)和/或GS抑制剂L-甲硫氨酸亚砜胺(MSO)的细胞毒性以及细胞的迁移潜力。使用瑞士靶点预测算法筛选上述化合物的可能靶点。用PA加MSO处理HepG2细胞系显示出很强的细胞毒性。未处理的HepG2细胞划痕后剩余伤口面积(%)为2.0%。相比之下,用PA、MSO和PA + MSO处理48小时的细胞中剩余伤口面积(%)分别为61.1%、55.8%和78.5%。两种药物联合使用效果最佳,导致GS活性、β-连环蛋白和mTOR表达下降幅度最大。MSO和PA都能够抑制mTOR(肝癌发展中的关键因子)和MMP-14(肝癌发展中的关键因子)。PA比MSO更有效地抑制MMP-14酶,这意味着PA可能是靶向肝癌的更好方法,因为它比MSO更有效地抑制MMP-14。通过组织病理学损伤评分确定,与对照组小鼠相比,肝癌小鼠中发现大量异常肝细胞(5%)。相比之下,PA、MSO和PA + MSO在保护肝脏或治疗肝脏时均显示肝损伤评分显著降低。分子对接研究表明,PA和MSO与NF-κB和COX-II形成三维结构,阻断它们促进癌症和导致基因突变的能力。PA和MSO可用于操纵GS活性以调节氨水平,从而为氨稳态提供潜在治疗方法。

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