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Mol Clin Oncol. 2016 Mar;4(3):399-404. doi: 10.3892/mco.2016.725. Epub 2016 Jan 07.

Sensitivity of ovarian cancer cells to acetaminophen reveals biological pathways that affect patient survival.

Molecular and clinical oncology

Stephen H Bush, Sharon Tollin, Douglas C Marchion, Yin Xiong, Forough Abbasi, Ingrid J Ramirez, Nadim Bou Zgheib, Bernadette Boac, Patricia L Judson, Hye Sook Chon, Robert M Wenham, Sachin M Apte, Christopher L Cubitt, Anders E Berglund, Laura J Havrilesky, Johnathan M Lancaster

Affiliations

  1. Department of Women's Oncology, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
  2. Translational Research Core, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
  3. Cancer Informatics Core, H. Lee Moffitt Cancer Center and Research Institute, Tampa, FL 33612, USA.
  4. Duke University Medical Center, Durham, NC 27710, USA.

PMID: 26998291 PMCID: PMC4774474 DOI: 10.3892/mco.2016.725

Abstract

Experimental and epidemiological data support the potential activity of acetaminophen against ovarian cancer (OVCA). In this study, we sought to confirm the activity of acetaminophen in OVCA cell lines and to investigate the molecular basis of response. A total of 16 OVCA cell lines underwent pretreatment (baseline) genome-wide expression measurements and were then treated with and analyzed for acetaminophen sensitivity. Pearson's correlation analysis was performed to identify genes that were associated with OVCA acetaminophen response. The identified genes were subjected to pathway analysis, and the expression of each represented pathway was summarized using principal component analysis. OVCA acetaminophen response pathways were analyzed in 4 external clinico-genomic datasets from 820 women for associations with overall survival from OVCA. Acetaminophen exhibited antiproliferative activity against all tested OVCA cell lines, with half maximal inhibitory concentration values ranging from 63.2 to 403 µM. Pearson's correlation followed by biological pathway analysis identified 13 pathways to be associated with acetaminophen sensitivity (P<0.01). Associations were observed between patient survival from OVCA and expression of the following pathways: Development/angiotensin signaling via β-arrestin (P=0.04), protein folding and maturation/angiotensin system maturation (P=0.02), signal transduction/c-Jun N-terminal kinase (JNK) pathway (P=0.03) and androstenedione and testosterone biosynthesis and metabolism (P=0.02). We confirmed that acetaminophen was active against OVCA cells

Keywords: acetaminophen; c-Jun N-terminal kinase pathway; molecular signaling pathways; ovarian cancer; paracetamol

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