Colorectal cancer (CRC) is a global pressing healthcare priority. Dysregulation of the IL6/JAK2/STAT3 and p53/caspase downstreaming pathways are significantly involved in the progression of CRC, and mainly affecting apoptosis. Discovery of new anti-cancer agents is laborious, time consuming, and costly with obvious socioeconomic burden. In the present study, we are proposing new molecular insights on the anti-proliferative and apoptotic therapeutic effects of nitazoxanide (NTZ) on CRC. NTZ is FDA-approved thiazolide antiparasitic agent, which has excellent safety and pharmacokinetic profiles. The molecular docking study revealed that NTZ has better binding affinity and docking score against JAK2 and BCL2 proteins compared to 5-Fluorouracil, which is the standard drug for treatment of CRC. The current in vitro work on a human HCT116 cell line displayed that NTZ had lower IC50 value (11.20 µM) than 5-flurouracil (23.78 µM), and NTZ induced a statistically significant down-regulation of IL6/JAK2/STAT3. NTZ also modulated significantly the p53/caspases-dependent signaling pathways, leading to enhancement of apoptosis and an increase of DNA fragmentation. Moreover, NTZ regulated the Bcl-2 gene family and promoted the loss of mitochondrial function which was depicted by release of cytochrome c (Cyt c), and caspase activation in apoptotic HCT116 cells. Additionally, NTZ was able to reduce the expression of VEGF in CRC cell line, which needs future thorough molecular investigations. In conclusion, our findings provided a novel evidence that NTZ could be a dual potential IL6/JAK2/STAT3 signaling inhibitor and p53/caspases-dependent pathway activator in CRC cell line. These potentials support further exploratory molecular researches targeting the therapeutic roles of NTZ in CRC; individually and simultaneously with current approved chemotherapeutic regimens.

译文

大肠癌(CRC)是全球紧迫的医疗保健重点。 IL6 / JAK2 / STAT3和p53 / caspase下游通路的失调与CRC的进展密切相关,并且主要影响细胞凋亡。发现新的抗癌药费力,费时且成本高昂,并且具有明显的社会经济负担。在本研究中,我们正在就硝唑尼特(NTZ)对CRC的抗增殖和凋亡治疗作用提出新的分子见解。 NTZ是FDA批准的噻唑类抗寄生虫剂,具有出色的安全性和药代动力学特性。分子对接研究表明,与5-氟尿嘧啶相比,NTZ对JAK2和BCL2蛋白具有更好的结合亲和力和对接分数,5-氟尿嘧啶是治疗CRC的标准药物。目前在人类HCT116细胞系上进行的体外研究表明,NTZ的IC50值(11.20 µM)比5-氟尿嘧啶(23.78 µM)低,并且NTZ诱导了IL6 / JAK2 / STAT3的统计学显着下调。 NTZ还显着调节了p53 /胱氨酸蛋白酶依赖性信号通路,导致凋亡增加和DNA片段化增加。此外,NTZ调节Bcl-2基因家族并促进线粒体功能的丧失,其表现为细胞色素c(Cyt c)的释放以及凋亡的HCT116细胞中胱天蛋白酶的活化。此外,NTZ能够减少CRC细胞系中VEGF的表达,这需要进一步的分子研究。总之,我们的发现提供了一个新的证据,即NTZ可能是CRC细胞系中双重潜在的IL6 / JAK2 / STAT3信号抑制剂和p53 /胱氨酸蛋白酶依赖性途径激活剂。这些潜力支持了针对NTZ在CRC中的治疗作用的进一步探索性分子研究;单独并与当前批准的化疗方案同时进行。

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