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2017 ; 7
(6
): 1447-1462
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The antihelminthic drug niclosamide effectively inhibits the malignant phenotypes
of uveal melanoma in vitro and in vivo
#MMPMID28529629
Zhou J
; Jin B
; Jin Y
; Liu Y
; Pan J
Theranostics
2017[]; 7
(6
): 1447-1462
PMID28529629
show ga
Uveal melanoma (UM) is a lethal intraocular malignancy with an average survival
of only 2~8 months in patients with hepatic metastasis. Currently, there is no
effective therapy for metastatic UM. Here, we reported that niclosamide, an
effective repellence of tapeworm that has been approved for use in patients for
approximately 50 years, exhibited strong antitumor activity in UM cells in vitro
and in vivo. We showed that niclosamide potently inhibited UM cell proliferation,
induced apoptosis and reduced migration and invasion. p-Niclosamide, a
water-soluble niclosamide, exerted potent in vivo antitumor activity in a UM
xenograft mouse model. Mechanistically, niclosamide abrogated the activation of
the NF-?B pathway induced by tumor necrosis factor ? (TNF?) in UM cells, while
niclosamide elevated the levels of intracellullar and mitochondrial reactive
oxygen species (ROS) in UM cells. Quenching ROS by N-acetylcysteine (NAC)
weakened the ability of niclosamide-mediated apoptosis. Matrix metalloproteinase
9 (MMP-9) knockdown by shRNA potentiated, while ectopic expression of MMP-9
rescued, the niclosamide-attenuated invasion, implying that MMP-9 is pivotal for
invasion blockage by niclosamide in UM cells. Furthermore, our results showed
that niclosamide eliminated cancer stem-like cells (CSCs) as reflected by a
decrease in the Aldefluor(+) percentage and serial re-plating melanosphere
formation, and these phenotypes were associated with the suppressed Wnt/?-catenin
pathway by niclosamide in UM. Niclosamide caused a dose- and time-dependent
reduction of ?-catenin and the key components [e.g., DVLs, phospho-GSK3? (S9),
c-Myc and Cyclin D1] in the canonical Wnt/?-catenin pathway. Additionally,
niclosamide treatment in UM cells reduced ATP and cAMP contents, and decreased
PKA-dependent phosphorylation of ?-catenin at S552 and S675 which determine the
stability of ?-catenin protein, suggesting that niclosamide may work as a
mitochondrial un-coupler. Taken together, our results shed light on the mechanism
of antitumor action of niclosamide and warrant clinical trial for treatment of UM
patients.