Display options
Share it on

Oncol Lett. 2017 Dec;14(6):7993-7999. doi: 10.3892/ol.2017.7189. Epub 2017 Oct 16.

Combined pitavastatin and dacarbazine treatment activates apoptosis and autophagy resulting in synergistic cytotoxicity in melanoma cells.

Oncology letters

Abeer Al-Qatati, Saeb Aliwaini

Affiliations

  1. Faculty of Applied Medical Sciences, Al-Azhar University, Gaza 1277, Palestine.
  2. Department of Biological Sciences and Biotechnology, Faculty of Sciences, Islamic University of Gaza, Gaza 108, Palestine.

PMID: 29344241 PMCID: PMC5755017 DOI: 10.3892/ol.2017.7189

Abstract

Melanoma is an aggressive skin cancer and its incidence is increasing faster than any other type of cancer. Whilst dacarbazine (DTIC) is the standard chemotherapy for metastatic melanoma, it has limited success. Statins, including pitavastatin, have been demonstrated to have a range of anti-cancer effects in a number of human cancer cell lines. The present study therefore explored the anti-cancer activity of combined DTIC and pitavastatin in A375 and WM115 human melanoma cells. Cell survival assays demonstrated that combined DTIC and pitavastatin treatment resulted in synergistic cell death. Cell cycle analyses further revealed that this combined treatment resulted in a G1 cell cycle arrest, as well as a sub-G1 population, indicative of apoptosis. Activation of apoptosis was confirmed by Annexin V-fluorescein isothiocyanate/propidium iodide double-staining and an increase in the levels of active caspase 3 and cleaved poly (ADP-ribose) polymerase. Furthermore, it was demonstrated that apoptosis occurs through the intrinsic pathway, evident from the release of cytochrome c. Finally, combined DTIC and pitavastatin treatment was demonstrated to also activate autophagy as part of a cell death mechanism. The present study provides novel evidence to suggest that the combined treatment of DTIC and pitavastatin may be effective in the treatment of melanoma.

Keywords: apoptosis; autophagy; dacarbazine; melanoma; pitavastatin

References

  1. Int J Mol Sci. 2014 Nov 10;15(11):20607-37 - PubMed
  2. Anticancer Drugs. 2013 Sep;24(8):835-45 - PubMed
  3. Autophagy. 2011 Jan;7(1):107-8 - PubMed
  4. Oncogene. 2012 May 10;31(19):2412-22 - PubMed
  5. Cytometry A. 2007 Jan;71(1):8-15 - PubMed
  6. Eur J Cancer. 2011 Jul;47(10 ):1476-83 - PubMed
  7. Mol Cancer Ther. 2011 Sep;10(9):1533-41 - PubMed
  8. Atherosclerosis. 2006 Aug;187(2):301-8 - PubMed
  9. Biol Pharm Bull. 2006 Apr;29(4):634-9 - PubMed
  10. Sci Rep. 2014 Dec 23;4:7593 - PubMed
  11. Cancer Treat Rev. 2007 Dec;33(8):665-80 - PubMed
  12. Biochem Pharmacol. 2013 Dec 15;86(12):1650-63 - PubMed
  13. Cancer Lett. 2015 Feb 1;357(1):206-18 - PubMed
  14. N Engl J Med. 2014 Nov 13;371(20):1933-5 - PubMed
  15. Biol Pharm Bull. 2012;35(1):10-7 - PubMed
  16. Oncogene. 2013 Aug 15;32(33):3789-97 - PubMed
  17. J Immunother. 2010 Apr;33(3):272-8 - PubMed
  18. Eur J Pharmacol. 2011 Nov 30;670(2-3):356-64 - PubMed
  19. J Clin Oncol. 2004 Jun 1;22(11):2092-100 - PubMed
  20. Cancer Chemother Pharmacol. 1999;44(3):249-52 - PubMed
  21. Oncology (Williston Park). 2009 May;23 (6):488-96 - PubMed
  22. J Neurosurg. 2009 Mar;110(3):594-604 - PubMed
  23. Mol Cancer Ther. 2007 Feb;6(2):762-72 - PubMed
  24. Breast Cancer Res Treat. 2010 Jan;119(1):137-44 - PubMed
  25. J Clin Oncol. 2006 Oct 10;24(29):4738-45 - PubMed
  26. Cell Death Dis. 2012 Nov 15;3:e420 - PubMed
  27. Anticancer Res. 2012 Jul;32(7):2735-45 - PubMed
  28. PLoS One. 2012;7(1):e30312 - PubMed
  29. Eur J Pharmacol. 2011 Mar 1;654(1):17-25 - PubMed
  30. Carcinogenesis. 2007 Dec;28(12 ):2657-63 - PubMed
  31. Cancer Lett. 2013 Feb 1;329(1):9-16 - PubMed
  32. J Biol Chem. 2011 Aug 12;286(32):28200-9 - PubMed
  33. Cancer Biol Ther. 2012 Jan 15;13(2):77-84 - PubMed
  34. Cell Death Dis. 2011 Sep 01;2:e199 - PubMed
  35. Clin Cancer Res. 2009 Feb 15;15(4):1126-32 - PubMed
  36. Oncogene. 2006 Aug 7;25(34):4798-811 - PubMed

Publication Types