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2018 ; 9
(ä): 143
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Multifactorial Modes of Action of Arsenic Trioxide in Cancer Cells as Analyzed by
Classical and Network Pharmacology
#MMPMID29535630
Dawood M
; Hamdoun S
; Efferth T
Front Pharmacol
2018[]; 9
(ä): 143
PMID29535630
show ga
Arsenic trioxide is a traditional remedy in Chinese Medicine since ages.
Nowadays, it is clinically used to treat acute promyelocytic leukemia (APL) by
targeting PML/RARA. However, the drug's activity is broader and the mechanisms of
action in other tumor types remain unclear. In this study, we investigated
molecular modes of action by classical and network pharmacological approaches.
CEM/ADR5000 resistance leukemic cells were similar sensitive to As(2)O(3) as
their wild-type counterpart CCRF-CEM (resistance ratio: 1.88). Drug-resistant
U87.MG ?EGFR glioblastoma cells harboring mutated epidermal growth factor
receptor were even more sensitive (collateral sensitive) than wild-type U87.MG
cells (resistance ratio: 0.33). HCT-116 colon carcinoma p53(-/-) knockout cells
were 7.16-fold resistant toward As(2)O(3) compared to wild-type cells. Forty
genes determining cellular responsiveness to As(2)O(3) were identified by
microarray and COMPARE analyses in 58 cell lines of the NCI panel. Hierarchical
cluster analysis-based heat mapping revealed significant differences between
As(2)O(3) sensitive cell lines and resistant cell lines with p-value: 1.86 ×
10(-5). The genes were subjected to Galaxy Cistrome gene promoter transcription
factor analysis to predict the binding of transcription factors. We have
exemplarily chosen NF-kB and AP-1, and indeed As(2)O(3) dose-dependently
inhibited the promoter activity of these two transcription factors in reporter
cell lines. Furthermore, the genes identified here and those published in the
literature were assembled and subjected to Ingenuity Pathway Analysis for
comprehensive network pharmacological approaches that included all known factors
of resistance of tumor cells to As(2)O(3). In addition to pathways related to the
anticancer effects of As(2)O(3), several neurological pathways were identified.
As arsenic is well-known to exert neurotoxicity, these pathways might account for
neurological side effects. In conclusion, the activity of As(2)O(3) is not
restricted to acute promyelocytic leukemia. In addition to PML/RARA, numerous
other genes belonging to diverse functional classes may also contribute to its
cytotoxicity. Network pharmacology is suited to unravel the multifactorial modes
of action of As(2)O(3).