Acessibilidade / Reportar erro

Wharton's Jelly Mesenchymal Stem Cells Derived Secretome Inhibits Colorectal Cancer Cell Growth Via Suppressing Mitophagy

Abstract

The anti-cancer effects of Wharton's jelly mesenchymal stem cells (WJSC)-derived secretome (WJSC-S) have been demonstrated in previous studies. However, the anti-cancer mechanism of WJSC-S in tumor suppression remains largely elusive. This study investigated the cytotoxic impacts of WJSC-S by evaluating autophagy and mitophagy on a colon carcinoma cell line (HT-29 cells). The HT-29 cells were treated with 100 µg/mL WJSC-S with or without mitochondrial division inhibitor-1 (Mdivi-1) for 24 hours. MTT test and DAPI staining had used to determine the impacts of WJSC-S on the viability and apoptosis rates of the cells. Mitochondrial membrane potential (ΔΨm), reactive oxygen species (ROS) formation, and expression of autophagy and mitophagy-related genes (Parkin and PINK1) had evaluated. Protein levels of the Parkin, PINK1, and LC3-II/LC3-I ratio were also evaluated. WJSC-S reduced ΔΨm and survival of the cells while ROS level and apoptosis index significantly increased. WJSC-S raised the expression of Parkin and reduced PINK1 expression in the HT-29 cells. WJSC-S could also decrease the expression of Beclin-1, ATG5, and ATG12 genes and reduce the LC3-II/LC3-I ratio. Mdivi-1 could enhance WJSC-S impacts on the cancer cells. These findings show that WJSC-S prevents the proliferation of the HT-29 cells and elevates HT-29 cell death by suppressing the mitophagy process.

Keywords:
secretome; mesenchymal stem cells; colon cancer; autophagy; mitophagy

HIGHLIGHTS

WJSC-S suppresses mitophagy in colon cancer cells

WJSC-S suppresses autophagy in colon cancer cells

WJSC-S reduces ΔΨm and survival of the colon cancer cells

WJSC-S increases ROS level and apoptosis index in colon cancer cells

INTRODUCTION

Colorectal cancer is responsible for about 900,000 death every year [11 Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics. CA 2022 Jan 12; 72(1): 7-33. https://doi.org/10.3322/caac.21708
https://doi.org/10.3322/caac.21708...
]. The rate of colon cancer in patients under 50 years has enhanced in recent decades. Despite conventional treatments, the mortality of this cancer is high due to metastasis and drug resistance [22 Patel SG, Karlitz JJ, Yen T, Lieu CH, Boland CR. The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection. Lancet Gastroentrol Hepatol. 2022 Jul; 7(7):262-74. https://doi.org/10.1016/S2468-1253(21)00426-X
https://doi.org/10.1016/S2468-1253(21)00...
]. Therefore, exploring the new anticancer drugs and their molecular mechanism can help to treat this cancer.

Previous researchers have shown the anti-cancer impact of mesenchymal stem cells (MSCs) on various malignancies [33 Koellensperger E, Bonnert LC, Zoernig I, Marmé F, Sandmann S, Germann G, et al. The impact of human adipose tissue-derived stem cells on breast cancer cells: implications for cell-assisted lipotransfers in breast reconstruction. Stem Cell Res Ther. 2017 May 25; 8: 121. https://doi.org/10.1186/s13287-017-0579-1
https://doi.org/10.1186/s13287-017-0579-...

4 Purnamawati P, Pawitan JA, Rachman A, Wanandi SI. Effects of umbilical cord-and adipose-derived stem cell secretomes on ALDH1A3 expression and autocrine TGF-ß1 signaling in human breast cancer stem cells. F1000Research. 2018; 7: 249. https://doi.org/10.12688/f1000research.13609.1
https://doi.org/10.12688/f1000research.1...
-55 Serhal R, Saliba N, Hilal G, Moussa M, Hassan GS, El Atat O, et al. Effect of adipose-derived mesenchymal stem cells on hepatocellular carcinoma: in vitro inhibition of carcinogenesis. Word J Gastroentero. 2017 Feb 7; 25(5): 567. https://doi.org/ 10.3748/wjg.v25.i5.567
https://doi.org/...
]. Wharton’s jelly-MSC (WJSC) inhibits the progression of different cancers in humans and rodents, such as breast, lung, and pancreatic cancer cells [66 Yuan Y, Zhou C, Chen X, Tao C, Cheng H, Lu X. Suppression of tumor cell proliferation and migration by human umbilical cord mesenchymal stem cells: A possible role for apoptosis and Wnt signaling. Oncol Lett. 2018 Jun; 15(6): 8536-44 https://doi.org/10.3892/ol.2018.8368
https://doi.org/10.3892/ol.2018.8368...

7 Ganta C, Chiyo D, Ayuzawa R, Rachakatla R, Pyle M, Andrews G, et al. Rat umbilical cord stem cells completely abolish rat mammary carcinomas with no evidence of metastasis or recurrence 100 days post-tumor cell inoculation. Cancer Res. 2009 Mar 1; 69(5): 1815-20. https://doi.org/10.1158/0008-5472.CAN-08-2750
https://doi.org/10.1158/0008-5472.CAN-08...
-88 Doi C, Maurya DK, Pyle MM, Troyer D, Tamura M. Cytotherapy with naive rat umbilical cord matrix stem cells significantly attenuates growth of murine pancreatic cancer cells and increases survival in syngeneic mice. Cytotherapy. 2010 May; 12(3): 408-17. https://doi.org/10.3109/14653240903548194
https://doi.org/10.3109/1465324090354819...
]. MSCs secrete soluble factors (secretome), with various paracrine functions, into the microenvironments [99 Cunningham CJ, Redondo-Castro E, Allan SM. The therapeutic potential of the mesenchymal stem cell secretome in ischaemic stroke. J Cerebr Blood F Met. 2018 Aug; 38(8):1276-92. https://doi.org/10.1177/0271678X18776802
https://doi.org/10.1177/0271678X18776802...
, 1010 Ranganath SH, Levy O, Inamdar MS, Karp JM. Harnessing the mesenchymal stem cell secretome for the treatment of cardiovascular disease. Cell Stem Cell. 2012 Mar 2; 10(3):244-58. https://doi.org/10.1016/j.stem.2012.02.005
https://doi.org/10.1016/j.stem.2012.02.0...
]. Secretome-derived WJSC (WJSC-S) prevents the progression of different cancerous cells [1111 Vizoso F, Eiro N, Cid S, Schneider J, Perez-Fernandez R. Mesenchymal stem cell secretome: Toward cell-free therapeutic strategies in regenerative medicine. Int J Mol Sci. 2017 Aug 25;18(9):1852 https://doi.org/10.3390/ijms18091852
https://doi.org/10.3390/ijms18091852...

12 Madrigal M, Rao KS, Riordan NH. A review of therapeutic effects of mesenchymal stem cell secretions and induction of secretory modification by different culture methods. J Trans Med. 2014 Oct 11; 12:260. https://doi.org/10.1186/s12967-014-0260-8
https://doi.org/10.1186/s12967-014-0260-...
-1313 Pawitan JA, Rachman A, Liem IK, Wanandi SI. Secretomes of adipose and umbilical cord-derived stem cells affect aldh1a1 expression in breast cancer stem cells. Adv Sci Let. 2017 Jul 1; 23(7): 6701-4. https://doi.org/10.1166/asl.2017.9376
https://doi.org/10.1166/asl.2017.9376...
]. Kalamegam and coauthors have reported that WJSC extracts reduced the level of growth factors, chemokines, and oncogenic cytokines, which inhibit the proliferation of ovarian cancer cells [1414 Kalamegam G, Sait KHW, Anfinan N, Kadam R, Ahmed F, Rasool M, et al. Cytokines secreted by human Wharton's jelly stem cells inhibit the proliferation of ovarian cancer (OVCAR3) cells in vitro. Oncol Lett. 2019 May; 17(5): 4521-31. https://doi.org/10.3892/ol.2019.10094
https://doi.org/10.3892/ol.2019.10094...
].

Mitochondria is a source of energy production and reactive oxygen species (ROS) generation and regulates different types of cell death [1515 Villa E, Proïcs E, Rubio-Patiño C, Obba S, Zunino B, Bossowski JP, et al. Parkin-independent mitophagy controls chemotherapeutic response in cancer cells. Cell Rep. 2017 Sep 19; 20(12):2846-59. https://doi.org/10.1016/j.celrep.2017.08.087
https://doi.org/10.1016/j.celrep.2017.08...
]. ROS, produced by damaged mitochondria, causes DNA damage and contributes to cancer progression. Mitophagy, a specific type of autophagy, promotes mitochondrial removal and prevents the accumulation of damaged mitochondria [1616 Zhao C, He R, Shen M, Zhu F, Wang M, Liu Y, et al. PINK1/Parkin-mediated mitophagy regulation by reactive oxygen species alleviates rocaglamide A-induced apoptosis in pancreatic cancer cells. Front Pharmacol. 2019 Sep 3; 10. https://doi.org/10.3389/fphar.2019.00968
https://doi.org/10.3389/fphar.2019.00968...
].

According to previous studies, mitophagy enhances resistance to chemotherapy drugs by removing dysfunctional mitochondria [1717 Pickles S, Vigie P, Youle RJ. Mitophagy and quality control mechanisms in mitochondrial maintenance. Curr Biol. 2018 Feb 19; 28(4): R170-R185. https://doi.org/10.1016/j.cub.2018.01.004
https://doi.org/10.1016/j.cub.2018.01.00...
]. Increasing mitophagy in cancer cells promotes their survival and adaptation to the environment [1818 Okatsu K, Oka T, Iguchi M. PINK1 autophosphorylation upon membrane potential dissipation is essential for Parkin recruitment to damaged mitochondria. Nat. Commun. 2012; 3(1):1-3. https://doi.org/10.1038/ncomms2016
https://doi.org/10.1038/ncomms2016...
, 1919 Vives-Bauza C, Zhou C, Huang Y, Cui M, De Vries RLA, Kim J, et al. PINK1-dependent recruitment of Parkin to mitochondria in mitophagy. Proc Natl.Acad Sci USA. 2010 Jan 5;107(1):378-83. https://doi.org/10.1073/pnas.0911187107
https://doi.org/10.1073/pnas.0911187107...
] and protects the cancer cells from apoptosis [2020 Cassidy-Stone A, Chipuk JE, Ingerman E, Song C, Yoo C, Kuwana T, et al. Chemical inhibition of the mitochondrial division dynamin reveals its role in Bax/Bak-dependent mitochondrial outer membrane permeabilization. Dev Cell. 2008 Feb; 14(2): 193-204. https://doi.org/10.1016/j.devcel.2007.11.019
https://doi.org/10.1016/j.devcel.2007.11...
]. Following the disruption of mitochondrial membrane potential (ΔΨm), PTEN-induced putative kinase 1 (PINK1) and Parkin proteins establish a large complex to induce mitophagy [1515 Villa E, Proïcs E, Rubio-Patiño C, Obba S, Zunino B, Bossowski JP, et al. Parkin-independent mitophagy controls chemotherapeutic response in cancer cells. Cell Rep. 2017 Sep 19; 20(12):2846-59. https://doi.org/10.1016/j.celrep.2017.08.087
https://doi.org/10.1016/j.celrep.2017.08...
, 1616 Zhao C, He R, Shen M, Zhu F, Wang M, Liu Y, et al. PINK1/Parkin-mediated mitophagy regulation by reactive oxygen species alleviates rocaglamide A-induced apoptosis in pancreatic cancer cells. Front Pharmacol. 2019 Sep 3; 10. https://doi.org/10.3389/fphar.2019.00968
https://doi.org/10.3389/fphar.2019.00968...
]. PINK1/Parkin is the main pathway of mitophagy [2121 McWilliams TG, Muqit MM. PINK1 and Parkin: emerging themes in mitochondrial homeostasis. Curr Opin Cell Biol. 2017 Apr; 45: 83-91. https://doi.org/10.1016/j.ceb.2017.03.013
https://doi.org/10.1016/j.ceb.2017.03.01...
].

The high expression of PINK1 protects cells against various cytotoxic agents and increases the survival of tumor cells [2222 Zhu J, Wang KZ, Chu CT. After the banquet: mitochondrial biogenesis, mitophagy, and cell survival. Autophagy. 2013 Nov 1; 9(11): 1663-76. https://doi.org/10.4161/auto.24135
https://doi.org/10.4161/auto.24135...
]. Beclin-1 regulates Parkin transport to the mitochondria before autophagosome formation [2323 Pryde KR, Smith HL, Chau KY, Schapira AHV. PINK1 disables the anti-fission machinery to segregate damaged mitochondria for mitophagy. J Cell Biol. 2016 Apr 25; 213(2): 163-71. https://doi.org/10.1083/jcb.201509003.
https://doi.org/10.1083/jcb.201509003...
]. High expression of the ATG5, ATG12, and LC3-II (autophagy-related proteins) stimulates mitophagy [2424 Mai S, Muster B, Bereiter-Hahn JB, Jendrach M. Autophagy proteins LC3B, ATG5 and ATG12 participate in quality control after mitochondrial damage and influence life span. Autophagy. 2012 Jan; 8(1): 47-62. https://doi.org/10.4161/auto.8.1.18174
https://doi.org/10.4161/auto.8.1.18174...
].

In this study, the effect of human WJSC-derived secretome (WJSC-S) on mitophagy in the HT29, a colon cancer cell line, has been investigated.

MATERIAL AND METHODS

Secretome preparation

The WJSCs were purchased from Royan Institute, Tehran, Iran. The WJSCs were cultured in McCoy's 5A medium supplemented with 10% fetal bovine serum (FBS) and 1% Pen/Strep. At 80% confluency, the cells were washed and incubated in serum-free media overnight. The removed conditioned media had centrifuged at 5,000.g for 10 min. Then, the conditioned medium was re-centrifuged at 5,000.g with an Amicon Ultra-15 centrifugal filter. The protein concentration was determined by a BCA kit (Invitrogen) and maintained at -80 °C.

Cell culture

HT-29 cells, after purchasing from Pasture Institute (Iran), were cultured in McCoy's 5a medium containing two mM glutamine and FBS (10%) and incubated in a moist condition with 5% CO2 at 37˚C. At 80% confluency, the HT-29 cells had treated with 100 µg/mL WJSC-S for 24 hours. Effective concentration and duration time of WJSC-S were based on the MTT assay (Table 1). HT-29 cells were exposed to Mdivi-1 (10 μM; Sigma) and WJSC-S (100 µg/mL) for 24 hours.

Table 1
The IC50 (%) of different concentration of WJSC-S on the viability of HT-29 cells.

Cell viability

At first, the cells were cultured in 96-well dishes (104cells/ well) for 24 hours. The cells were exposed to different concentrations of WJSC-S at different times. Then, 0.5 mg/mL MTT solution was poured into the well and incubated for three hours at 37°C. When the supernatant was deleted, DMSO (100 µL) was poured into the wells. After 30 min, the absorbance was recorded at 570 nm using a BioRad microplate reader.

DAPI staining

The HT-29 cells were cultured in 6-well plats (500 cells per well) and treated with Mdivi-1 or WJSC-S according to the four groups. The cells were incubated in 4 % paraformaldehyde for ten min at room temperature. After washing, DAPI (4′, 6-diamidino-2-phenylindole; 2 mg/ mL in PBS) was added and maintained for 10 min. In this method, apoptotic cells have condensed chromatin and show a highly bright nucleus under a fluorescence microscope (Olympus, Japan). As previously described, the number of highly bright nuclei was divided by the total number of nuclei and multiplied by 100 to calculate the apoptotic index [2525 Cummings BS, Wills LP, Schnellmann RG. Measurement of cell death in mammalian cells. Curr Protoc Pharmacol. 2004 Sep; 12: 1-12. https://doi.org/10.1002/0471141755.ph1208s25
https://doi.org/10.1002/0471141755.ph120...
].

Real-time PCR

The RNA of the HT-29 cells (1,000,000 cells) was extracted by an RNeasy kit (Takara). A cDNA kit (Qiagen) was applied to generate cDNA from the isolated RNAs. The cDNAs were amplified in the PCR reaction buffer containing SYBR Green, and primers (Table 2). A 45-cycle program was used for PCR amplification: initial denaturation (95ºC, 10 seconds); denaturation (995ºC, 15 seconds); annealing (55ºC, 20 seconds); and extension (60ºC, 20 seconds). The housekeeping GAPDH gene was applied to normalize the relative gene expression. The data were analyzed using the 2-ΔΔCT formula.

Table 2
Primer sequences

ELISA method for detecting protein levels

ELISA assay kits had used to determine the protein level of PINK1, Parkin, and LC3-II/LC3-I ratio according to the manufacturer’s instructions. In short, the treated cells were washed and mixed with radioimmunoprecipitation (RIPA) lysis buffer with protease inhibitor. BCA assay kit (Sigma, USA) was used to determine the protein amount of the cells or isolated mitochondria. The proteins were bound to the primary antibodies and detected by a horseradish peroxidase-conjugated secondary antibody. Quantification was done by recording the optical density at 450 nm.

Detecting ROS level and ΔΨm

A Mitochondria Isolation Kit (Sigma) had used to isolate mitochondria from the H-29 cells. The protein concentration of the isolated mitochondrial suspension was quantified by a BCA kit. The amount of 0.5 mg protein/ mL was mixed with 10 μM Rhodamine-123 for ten min. The fluorescence was detected by a spectrophotometer (emission: 535 nm; excitation: 490 nm). The ROS level was measured by a dichlorofluorescein-diacetate assay kit based on the Company's guides. The ROS level of the treated cells (105) was measured in Em: 570 nm and Ex: 490 nm.

Statistical Analysis

Statistical analyses had done with the SPSS 21.0 software. A one-way analysis of variance followed by Tukey's test had used for analyzing the data. The Kruskal-Wallis test had used for nonparametric data. P-value ˂ 0.05 was significant.

RESULTS

Viability

WJSC-S decreased the survival of the colon cancer cells compared to the control (p < 0.01).

The survival rate (Figure 1) of the Mdivi-1-exposed cells was significantly decreased compared to the control (p < 0.01).

WJSC-S in combination with Mdivi-1 decreased the survival of the cells compared to the WJSC-S (p < 0.05), Mdivi-1 (p < 0.05), and control (p < 0.001) groups (Figure 1).

Figure 1
Viability of the HT-29 cells in various groups (mean ± SD; n=6). * p < 0.01, ** p < 0.001, #p < 0.05, θ p < 0.05; * , #, and θ show comparison with the control, WJSC-S, and Mdivi-1 groups.

Apoptosis assessment

As reported in Figure 2, a high population of normal nuclei was observed in the control group. The percentage of apoptotic cells in the Mdivi-1 (p < 0.001) and WJSC-S (p < 0.01) groups significantly increased. In the WJSC-S group, the apoptotic index was significantly lower than in the Mdivi-1 group (p < 0.01). Co-treatment Mdivi-1 with WJSC-S enhanced apoptosis percentage compared to the WJSC-S (p < 0.01) and Mdivi-1 (p < 0.05) groups.

As displayed in Figure 2, Mdivi-1 and WJSC-S alone enhanced the Bax/Bcl-2 ratio (p < 0.01 and p < 0.05, respectively). In the WJSC-S group, the Bax/Bcl-2 ratio was significantly lower than in the Mdivi-1 group (p < 0.05). Co-treatment Mdivi-1 with WJSC-S increased the Bax/Bcl-2 ratio compared to the control (p < 0.001), WJSC-S (p < 0.01) and Mdivi-1 (p < 0.05) groups.

Figure 2
(a) DAPI staining (arrows indicate apoptotic cells), (b) apoptotic index and (c) Bax/Bcl-2 ratio (RT-PCR results) in different groups (mean ± SD). * p < 0.05, ** p < 0.01, ***p < 0.001, # p < 0.01, θ p < 0.05, θθ p < 0.01; * , #, and θ show comparison with the control, WJSC-S, and Mdivi-1 groups.

Protein level and mRNA expression of autophagy and mitophagy-related genes

WJSC-S significantly diminished mRNA expression of Beclin-1, ATG-5, and ATG-12 compared with the control (p < 0.01). WJSC-S significantly reduced the mRNA expression of PINK1 in the HT-29 cells (p < 0.001). WJSC-S significantly increased the Expression of the Parkin gene (p < 0.001) (Figure 3).

In the WJSC-S, the LC3-II/LC3-I ratio was significantly diminished compared to the control (p < 0.001). WJSC-S significantly reduced the protein level of PINK1 in the HT-29 cells (p < 0.01). Expression of the Parkin protein significantly increased (p < 0.05) (Figure 4).

Figure 3
mRNA expression (fold change) of autophagy and mitophagy-related genes (mean ± SD). * p < 0.01, ** p < 0.001

Figure 4
Protein expression (a) and LC3II/LC3I ratio (b) of different groups (mean ± SD). * p < 0.01, ** p < 0.01, *** p < 0.001

ΔΨm and ROS level

ΔΨm decreased in the WJSC-S and Mdivi-1 groups (p < 0.01). The ΔΨm of the WJSC-S+ Mdivi-1 groups significantly diminished compared to the control (p < 0.01). Mdivi-1-exposed cells showed no significant change in the ROS level compared to the control (Figure 5).

WJSC-S significantly enhanced ROS level compared to the Mdivi-1 (p < 0.001) and control (p < 0.001) groups. WJSC-S + Mdivi-1 significantly elevated ROS generation compared to the control (p < 0.001), Mdivi-1 (p < 0.001), and WJSC-S (p < 0.05) groups (Figure 5).

Figure 5
ΔΨm and ROS levels in different groups (mean ± SD). * p < 0.01, ** p < 0.001, # p < 0.05, θ p < 0.001. *, #, and θ show comparison with the control, WJSC-S, and Mdivi-1 groups.

DISCUSSION

The effect of WJSC-S on the HT-29 cells was explored by evaluating the mitophagy process in this work. The WJSC-S could reduce the viability of the HT-29 cells. In parallel with our finding, Rezaei and coauthors (2020) showed that WJSC-S inhibits the proliferation of the HT-29 cells [2626 Rezaei-Tazangi F, Alidadi H, Samimi A, Karimi S, Kahorsandi L. Effects of Wharton's jelly mesenchymal stem cells-derived secretome on colon carcinoma HT-29 cells. Tissue Cell. 2020 Dec; 67:101413. https://doi.org/10.1016/j.tice.2020.101413
https://doi.org/10.1016/j.tice.2020.1014...
]. Mirabdollahi and coauthors (2020) have reported that the WJSC-S significantly inhibits the growth of the breast cancer cell line (MCF-7 and 4T1) in vitro and also increases the survival of the mouse model of breast cancer [2727 Mirabdollahi M, Sadeghi-aliabadi H, Javanmard S. Human Wharton's jelly mesenchymal stem cells-derived secretome could inhibit breast cancer growth in vitro and in vivo. Iran J Basic Med Sci. 2020 Jul; 23(7): 1-9. https://doi.org/ 10.22038/ijbms.2020.42477.10020
https://doi.org/...
]. WJSC-derived microvesicles reduced the proliferation of bladder cancer cells in mice [2828 Wu S, Ju GQ, Du T, Zhu YJ, Liu GH. Microvesicles derived from human umbilical cord Wharton's jelly mesenchymal stem cells attenuate bladder tumor cell growth in vitro and in vivo. PloS one. 2013 Apr 12; 8(Apr 12): e61366. https://doi.org/10.1371/journal.pone.0061366
https://doi.org/10.1371/journal.pone.006...
]. In contrast, De Castro and coauthors (2017) found that two glioblastoma cell lines, U251 and SNB-19, increased their survival, proliferation, and invasive strength when exposed to WJSC-S [2929 De castro J, Gomes E, Granja S, Anjo S, Baltazar F, Manadas B. Impact of mesenchymal stem cells' secretome on glioblastoma pathophysiology. J Transl Med. 2017; 15(1): 200-14. https://doi.org/10.1186/s12967-017-1303-8
https://doi.org/10.1186/s12967-017-1303-...
].

Interestingly, the growth and proliferation of U87MG glioblastoma cells decreased significantly in the face of WJSC-S [3030 Kang SG, Jeun SS, Lim JY, Kim SM, Yang YS, WI O, et al. Cytotoxicity of human umbilical cord blood-derived mesenchymal stem cells against human malignant glioma cells. Child Nerv Syst. 2008 Mar; 24(3): 293-302. https://doi.org/10.1007/s00381-007-0515-2
https://doi.org/10.1007/s00381-007-0515-...
]. Thus, the secretome plays a dual role in the regulatory mechanisms of cancer cells and can either inhibit or promote the growth of tumor cells [3131 Zimmerlin L, Park TS, Zambidis ET, Donnenberg VS, Donnenberg AD. Mesenchymal stem cell secretome and regenerative therapy after cancer. Biochimie.2013 Dec;95(1):2235-45. https://doi.org/10.1016/j.biochi.2013.05.010
https://doi.org/10.1016/j.biochi.2013.05...
, 3232 Maj M, Bajek A, Nalejska E, Porowinska D, Kloskowski T, Gackowska L, et al. Influence of mesenchymal stem cells conditioned media on proliferation of urinary tract cancer cell lines and their sensitivity to ciprofloxacin. J Cell Biochem. 2017 Jun; 118(6): 1361-8. https://doi.org/10.1002/jcb.25794.
https://doi.org/10.1002/jcb.25794...
].

The decreasing survival of the HT-29 cells was accompanied by increasing apoptosis in the WJSC-S group (Figures 1 and 2). In line with these results, Rezaei and coauthors (2020) showed that WJSC-S increases apoptosis in the HT-29 cells by activating the intrinsic (mitochondrial-dependent) apoptosis pathway [2626 Rezaei-Tazangi F, Alidadi H, Samimi A, Karimi S, Kahorsandi L. Effects of Wharton's jelly mesenchymal stem cells-derived secretome on colon carcinoma HT-29 cells. Tissue Cell. 2020 Dec; 67:101413. https://doi.org/10.1016/j.tice.2020.101413
https://doi.org/10.1016/j.tice.2020.1014...
]. In our study, WJSC-S significantly decreased ΔΨm, which indicated mitochondrial-dependent apoptosis (Fig. 5).

The decreasing ΔΨm accompanied by the enhancing ROS generation in the WJSC-S group. ROS generation regulates the autophagy process, which promotes the degradation of damaged mitochondria [3333 Gong X, Pu X , Wang J, Yang L, Cui Y , Li L, et al. Enhancing of nanocatalyst-driven chemodynaminc therapy for endometrial cancer cells through inhibition of PINK1/Parkin-mediated mitophagy. Int J Nanomedicine. 2021 Sep 29; 16: 6661-79. https://doi.org/10.2147/IJN.S329341
https://doi.org/10.2147/IJN.S329341...
]. Previous studies have reported that anti-cancer drugs inhibit cancer cell survival by suppressing autophagy [3434 Luo T, Fu J, Xu A, Su B, Ren Y, Li N, et al. PSMD10/gankyrin induces autophagy to promote tumor progression through cytoplasmic interaction with ATG7 and nuclear transactivation of ATG7 expression. Autophagy. 2016 Aug 2; 12(8): 1355-71. https://doi.org/10.1080/15548627.2015.1034405
https://doi.org/10.1080/15548627.2015.10...
, 3535 Liu M, Jiang L, Fu X, Wang W, Ma J, Tian T, et al. Cytoplasmic liver kinase B1 promotes the growth of human lung adenocarcinoma by enhancing autophagy. Cancer Sci. 2018 Oct; 109(10): 3055-67. https://doi.org/10.1111/cas.13746
https://doi.org/10.1111/cas.13746...
]. The decreased LC3-II protein leads to the suppression of mitophagy and subsequently increases ROS generation [3636 Li Y, Shang C, Liu Z, Han J, Li W, Xiao P, et al. Apoptin mediates mitophagy and endogenous apoptosis by regulating the level of ROS in hepatocellular carcinoma. Cell Commun Signal. 2022 Sep 1; 20(1): 134. https://doi.org/10.1186/s12964-022-00940-1
https://doi.org/10.1186/s12964-022-00940...
]. WJSC-S suppressed autophagy by reducing the LC3-II/LC3-I ratio and down-regulation expression of Beclin-1, ATG5, and ATG12 genes (Figures 3 and 4).

To evaluate the role of mitophagy on the decreased survival of the HT-29 cells, we examined the expression of mitophagy-related genes. In this study, WJSC-S could significantly reduce PINK1 expression. High expression of PINK1 enhances resistance to chemotherapy and oxidative stress in prostate cancer cells [3737 Murata H, Sakaguchi M, Jin Y. A new cytosolic pathway from a Parkinson disease-associated kinase, BRPK/PINK1: activation of AKT via mTORC2. J Biol Chem. 2011 Mar 4; 286(9): 7182. https://doi.org/10.1074/jbc.M110.179390
https://doi.org/10.1074/jbc.M110.179390...
].

Another study showed that the expression of PINK1 may be associated with tumorigenesis and the progression of lung cancer [3838 Dasgupta A, Chen KH, Lima PDA, Mewburn J, Wu D, Al-Qazazi R, et al. PINK1 induced phosphorylation of mitofusin 2 (Mfn2) at serine 442 causes its proteasomal degradation and promotes cell proliferation in lung cancer and pulmonary arterial hypertension. FASEB J. 2021 Aug; 35(8): e21771. https://doi.org/10.1096/fj.202100361R
https://doi.org/10.1096/fj.202100361R...
].

The expression of Parkin increased by WJSC-S in the cancerous cells (Figures 3 and 4). Parkin suppression relates to the progression of breast, ovary, and lung tumors [3939 Liu J, Zhang C, Zhao Y, Yue X, Wu H, Huang S, et al. Parkin targets HIF-1alpha for ubiquitination and degradation to inhibit breast tumor progression. Nat commun 2017 Nov 28; 8(1):1823. https://doi.org/10.1038/s41467-017-01947-w
https://doi.org/10.1038/s41467-017-01947...

40 Denison SR, Wang F, Becker NA, Schule B, Kock N, Phillips LA, et al. Alterations in the common fragile site gene Parkin in ovarian and other cancers. Oncogene 2003 Nov 13; 22(51):8370-8. https://doi.org/10.1038/sj.onc.1207072
https://doi.org/10.1038/sj.onc.1207072...
-4141 Picchio MC, Martin ES, Cesari R, Calin GA, Yendamuri S, Kuroki T, et al. Alterations of the tumor suppressor gene Parkin in non-small cell lung cancer. Clin Cancer Res. 2004 Apr 15; 10(8): 2720-4. https://doi.org/10.1158/1078-0432.ccr-03-0086
https://doi.org/10.1158/1078-0432.ccr-03...
]. Fujiwara and coauthors found that the proliferation of hepatocellular carcinoma cells increases in mice with the Parkin gene turned off [4242 Fujiwara M, Marusawa H, Wang HQ, Iwai A, Ikeuchi K, Imai Y, et al. Parkin as a tumor suppressor gene for hepatocellular carcinoma. Oncogene 2008Oct 9; 27(46): 6002-11. https://doi.org/10.1038/onc.2008.199
https://doi.org/10.1038/onc.2008.199...
]. Parkin downregulation increases susceptibility to tumorigenesis, indicating a tumor-suppressive function for Parkin [1616 Zhao C, He R, Shen M, Zhu F, Wang M, Liu Y, et al. PINK1/Parkin-mediated mitophagy regulation by reactive oxygen species alleviates rocaglamide A-induced apoptosis in pancreatic cancer cells. Front Pharmacol. 2019 Sep 3; 10. https://doi.org/10.3389/fphar.2019.00968
https://doi.org/10.3389/fphar.2019.00968...
].

To confirm the role of mitophagy on the decreased survival of the HT-29 cells, we used Mdivi-1 as a mitophagy inhibitor. Indeed, Mdivi-1 could decrease the survival rate and raise the apoptosis index and Bax/Bcl-2 ratio in the HT-29 cells. Mdivi-1 decreased the proliferation of lung and colon cancer cell lines (H460, A549, and HCT116) via increasing apoptosis [4343 Dai W, Wang G, Chwa J, Me O, Abeywardana T, Yang Y, et al. Mitochondrial division inhibitor (mdivi-1) decreases oxidative metabolism in cancer. Br J Cancer. 2020 Apr;122(9):1288-97. https://doi.org/10.1038/s41416-020-0778-x
https://doi.org/10.1038/s41416-020-0778-...
]. Chemotherapy drugs such as Doxorubicin, Salinomycin, and UNBS1450 are more effective when mitophagy is inhibited [4444 Vernucci E, Tomino C, Molinari F, Limongi D, Aventaggiato M, Sansone L, et al. Mitophagy and oxidative stress in cancer and aging: Focus on sirtuins and nanomaterials. Oxid Med Cell Longev. 2019 May 9: 6387-357. https://doi.org/10.1155/2019/6387357.
https://doi.org/10.1155/2019/6387357...
].

According to our results, Mdivi-1 and WJSC-S may have synergistic or additive effects and enhance apoptosis in the HT-29 cells. Tang and coauthors found that PINK1/ Parkin knockdown or mitophagy inhibitors enhance magnolol-induced cell death both in vitro and in vivo [4545 Tang Y, Wang L, Yi T, Xu J, Wang J, Qin JJ, et al. Synergistic effects of autophagy/mitophagy inhibitors and magnolol promote apoptosis and antitumor efficacy. Acta Pharmaceutica Sinica B 2021 Dec; 11(12): 3966-82. https://doi.org/10.1016/j.apsb.2021.06.007
https://doi.org/10.1016/j.apsb.2021.06.0...
].

The co-treatment of Mdivi-1 with WJSC-S enhanced oxidative stress with an increase in ROS generation and reduced ΔΨm, which is in line with previous studies [4646 Si L, Fu J, Liu W, Hayashi T, Mizuno K, Hattori S, et al. Silibinin-induced mitochondria fission leads to mitophagy, which attenuates silibinin-induced apoptosis in MCF-7 and MDA-MB-231 cells. Arch Biochem Biophys. 2020 May 30; 685:108284. https://doi.org/10.1016/j.abb.2020.108284.
https://doi.org/10.1016/j.abb.2020.10828...
].

CONCLUSION

The present study revealed the cytotoxic impacts of WJSC-S on the HT-29 cells. Since the inhibition of mitophagy by Mdivi-1 promoted WJSC-S-induced cell death and reinforced WJSC-S’s anticancer efficacy, we concluded that the preventive impact of WJSC-S against HT-29 cell growth is mediated by the suppression of mitophagy signaling pathway.

Acknowledgments

We would like to thank the staffs at Medical Basic Sciences Research Institute who participated in this study.

REFERENCES

  • 1
    Siegel RL, Miller KD, Fuchs HE, Jemal A. Cancer statistics. CA 2022 Jan 12; 72(1): 7-33. https://doi.org/10.3322/caac.21708
    » https://doi.org/10.3322/caac.21708
  • 2
    Patel SG, Karlitz JJ, Yen T, Lieu CH, Boland CR. The rising tide of early-onset colorectal cancer: a comprehensive review of epidemiology, clinical features, biology, risk factors, prevention, and early detection. Lancet Gastroentrol Hepatol. 2022 Jul; 7(7):262-74. https://doi.org/10.1016/S2468-1253(21)00426-X
    » https://doi.org/10.1016/S2468-1253(21)00426-X
  • 3
    Koellensperger E, Bonnert LC, Zoernig I, Marmé F, Sandmann S, Germann G, et al. The impact of human adipose tissue-derived stem cells on breast cancer cells: implications for cell-assisted lipotransfers in breast reconstruction. Stem Cell Res Ther. 2017 May 25; 8: 121. https://doi.org/10.1186/s13287-017-0579-1
    » https://doi.org/10.1186/s13287-017-0579-1
  • 4
    Purnamawati P, Pawitan JA, Rachman A, Wanandi SI. Effects of umbilical cord-and adipose-derived stem cell secretomes on ALDH1A3 expression and autocrine TGF-ß1 signaling in human breast cancer stem cells. F1000Research. 2018; 7: 249. https://doi.org/10.12688/f1000research.13609.1
    » https://doi.org/10.12688/f1000research.13609.1
  • 5
    Serhal R, Saliba N, Hilal G, Moussa M, Hassan GS, El Atat O, et al. Effect of adipose-derived mesenchymal stem cells on hepatocellular carcinoma: in vitro inhibition of carcinogenesis. Word J Gastroentero. 2017 Feb 7; 25(5): 567. https://doi.org/ 10.3748/wjg.v25.i5.567
    » https://doi.org/
  • 6
    Yuan Y, Zhou C, Chen X, Tao C, Cheng H, Lu X. Suppression of tumor cell proliferation and migration by human umbilical cord mesenchymal stem cells: A possible role for apoptosis and Wnt signaling. Oncol Lett. 2018 Jun; 15(6): 8536-44 https://doi.org/10.3892/ol.2018.8368
    » https://doi.org/10.3892/ol.2018.8368
  • 7
    Ganta C, Chiyo D, Ayuzawa R, Rachakatla R, Pyle M, Andrews G, et al. Rat umbilical cord stem cells completely abolish rat mammary carcinomas with no evidence of metastasis or recurrence 100 days post-tumor cell inoculation. Cancer Res. 2009 Mar 1; 69(5): 1815-20. https://doi.org/10.1158/0008-5472.CAN-08-2750
    » https://doi.org/10.1158/0008-5472.CAN-08-2750
  • 8
    Doi C, Maurya DK, Pyle MM, Troyer D, Tamura M. Cytotherapy with naive rat umbilical cord matrix stem cells significantly attenuates growth of murine pancreatic cancer cells and increases survival in syngeneic mice. Cytotherapy. 2010 May; 12(3): 408-17. https://doi.org/10.3109/14653240903548194
    » https://doi.org/10.3109/14653240903548194
  • 9
    Cunningham CJ, Redondo-Castro E, Allan SM. The therapeutic potential of the mesenchymal stem cell secretome in ischaemic stroke. J Cerebr Blood F Met. 2018 Aug; 38(8):1276-92. https://doi.org/10.1177/0271678X18776802
    » https://doi.org/10.1177/0271678X18776802
  • 10
    Ranganath SH, Levy O, Inamdar MS, Karp JM. Harnessing the mesenchymal stem cell secretome for the treatment of cardiovascular disease. Cell Stem Cell. 2012 Mar 2; 10(3):244-58. https://doi.org/10.1016/j.stem.2012.02.005
    » https://doi.org/10.1016/j.stem.2012.02.005
  • 11
    Vizoso F, Eiro N, Cid S, Schneider J, Perez-Fernandez R. Mesenchymal stem cell secretome: Toward cell-free therapeutic strategies in regenerative medicine. Int J Mol Sci. 2017 Aug 25;18(9):1852 https://doi.org/10.3390/ijms18091852
    » https://doi.org/10.3390/ijms18091852
  • 12
    Madrigal M, Rao KS, Riordan NH. A review of therapeutic effects of mesenchymal stem cell secretions and induction of secretory modification by different culture methods. J Trans Med. 2014 Oct 11; 12:260. https://doi.org/10.1186/s12967-014-0260-8
    » https://doi.org/10.1186/s12967-014-0260-8
  • 13
    Pawitan JA, Rachman A, Liem IK, Wanandi SI. Secretomes of adipose and umbilical cord-derived stem cells affect aldh1a1 expression in breast cancer stem cells. Adv Sci Let. 2017 Jul 1; 23(7): 6701-4. https://doi.org/10.1166/asl.2017.9376
    » https://doi.org/10.1166/asl.2017.9376
  • 14
    Kalamegam G, Sait KHW, Anfinan N, Kadam R, Ahmed F, Rasool M, et al. Cytokines secreted by human Wharton's jelly stem cells inhibit the proliferation of ovarian cancer (OVCAR3) cells in vitro. Oncol Lett. 2019 May; 17(5): 4521-31. https://doi.org/10.3892/ol.2019.10094
    » https://doi.org/10.3892/ol.2019.10094
  • 15
    Villa E, Proïcs E, Rubio-Patiño C, Obba S, Zunino B, Bossowski JP, et al. Parkin-independent mitophagy controls chemotherapeutic response in cancer cells. Cell Rep. 2017 Sep 19; 20(12):2846-59. https://doi.org/10.1016/j.celrep.2017.08.087
    » https://doi.org/10.1016/j.celrep.2017.08.087
  • 16
    Zhao C, He R, Shen M, Zhu F, Wang M, Liu Y, et al. PINK1/Parkin-mediated mitophagy regulation by reactive oxygen species alleviates rocaglamide A-induced apoptosis in pancreatic cancer cells. Front Pharmacol. 2019 Sep 3; 10. https://doi.org/10.3389/fphar.2019.00968
    » https://doi.org/10.3389/fphar.2019.00968
  • 17
    Pickles S, Vigie P, Youle RJ. Mitophagy and quality control mechanisms in mitochondrial maintenance. Curr Biol. 2018 Feb 19; 28(4): R170-R185. https://doi.org/10.1016/j.cub.2018.01.004
    » https://doi.org/10.1016/j.cub.2018.01.004
  • 18
    Okatsu K, Oka T, Iguchi M. PINK1 autophosphorylation upon membrane potential dissipation is essential for Parkin recruitment to damaged mitochondria. Nat. Commun. 2012; 3(1):1-3. https://doi.org/10.1038/ncomms2016
    » https://doi.org/10.1038/ncomms2016
  • 19
    Vives-Bauza C, Zhou C, Huang Y, Cui M, De Vries RLA, Kim J, et al. PINK1-dependent recruitment of Parkin to mitochondria in mitophagy. Proc Natl.Acad Sci USA. 2010 Jan 5;107(1):378-83. https://doi.org/10.1073/pnas.0911187107
    » https://doi.org/10.1073/pnas.0911187107
  • 20
    Cassidy-Stone A, Chipuk JE, Ingerman E, Song C, Yoo C, Kuwana T, et al. Chemical inhibition of the mitochondrial division dynamin reveals its role in Bax/Bak-dependent mitochondrial outer membrane permeabilization. Dev Cell. 2008 Feb; 14(2): 193-204. https://doi.org/10.1016/j.devcel.2007.11.019
    » https://doi.org/10.1016/j.devcel.2007.11.019
  • 21
    McWilliams TG, Muqit MM. PINK1 and Parkin: emerging themes in mitochondrial homeostasis. Curr Opin Cell Biol. 2017 Apr; 45: 83-91. https://doi.org/10.1016/j.ceb.2017.03.013
    » https://doi.org/10.1016/j.ceb.2017.03.013
  • 22
    Zhu J, Wang KZ, Chu CT. After the banquet: mitochondrial biogenesis, mitophagy, and cell survival. Autophagy. 2013 Nov 1; 9(11): 1663-76. https://doi.org/10.4161/auto.24135
    » https://doi.org/10.4161/auto.24135
  • 23
    Pryde KR, Smith HL, Chau KY, Schapira AHV. PINK1 disables the anti-fission machinery to segregate damaged mitochondria for mitophagy. J Cell Biol. 2016 Apr 25; 213(2): 163-71. https://doi.org/10.1083/jcb.201509003
    » https://doi.org/10.1083/jcb.201509003
  • 24
    Mai S, Muster B, Bereiter-Hahn JB, Jendrach M. Autophagy proteins LC3B, ATG5 and ATG12 participate in quality control after mitochondrial damage and influence life span. Autophagy. 2012 Jan; 8(1): 47-62. https://doi.org/10.4161/auto.8.1.18174
    » https://doi.org/10.4161/auto.8.1.18174
  • 25
    Cummings BS, Wills LP, Schnellmann RG. Measurement of cell death in mammalian cells. Curr Protoc Pharmacol. 2004 Sep; 12: 1-12. https://doi.org/10.1002/0471141755.ph1208s25
    » https://doi.org/10.1002/0471141755.ph1208s25
  • 26
    Rezaei-Tazangi F, Alidadi H, Samimi A, Karimi S, Kahorsandi L. Effects of Wharton's jelly mesenchymal stem cells-derived secretome on colon carcinoma HT-29 cells. Tissue Cell. 2020 Dec; 67:101413. https://doi.org/10.1016/j.tice.2020.101413
    » https://doi.org/10.1016/j.tice.2020.101413
  • 27
    Mirabdollahi M, Sadeghi-aliabadi H, Javanmard S. Human Wharton's jelly mesenchymal stem cells-derived secretome could inhibit breast cancer growth in vitro and in vivo. Iran J Basic Med Sci. 2020 Jul; 23(7): 1-9. https://doi.org/ 10.22038/ijbms.2020.42477.10020
    » https://doi.org/
  • 28
    Wu S, Ju GQ, Du T, Zhu YJ, Liu GH. Microvesicles derived from human umbilical cord Wharton's jelly mesenchymal stem cells attenuate bladder tumor cell growth in vitro and in vivo. PloS one. 2013 Apr 12; 8(Apr 12): e61366. https://doi.org/10.1371/journal.pone.0061366
    » https://doi.org/10.1371/journal.pone.0061366
  • 29
    De castro J, Gomes E, Granja S, Anjo S, Baltazar F, Manadas B. Impact of mesenchymal stem cells' secretome on glioblastoma pathophysiology. J Transl Med. 2017; 15(1): 200-14. https://doi.org/10.1186/s12967-017-1303-8
    » https://doi.org/10.1186/s12967-017-1303-8
  • 30
    Kang SG, Jeun SS, Lim JY, Kim SM, Yang YS, WI O, et al. Cytotoxicity of human umbilical cord blood-derived mesenchymal stem cells against human malignant glioma cells. Child Nerv Syst. 2008 Mar; 24(3): 293-302. https://doi.org/10.1007/s00381-007-0515-2
    » https://doi.org/10.1007/s00381-007-0515-2
  • 31
    Zimmerlin L, Park TS, Zambidis ET, Donnenberg VS, Donnenberg AD. Mesenchymal stem cell secretome and regenerative therapy after cancer. Biochimie.2013 Dec;95(1):2235-45. https://doi.org/10.1016/j.biochi.2013.05.010
    » https://doi.org/10.1016/j.biochi.2013.05.010
  • 32
    Maj M, Bajek A, Nalejska E, Porowinska D, Kloskowski T, Gackowska L, et al. Influence of mesenchymal stem cells conditioned media on proliferation of urinary tract cancer cell lines and their sensitivity to ciprofloxacin. J Cell Biochem. 2017 Jun; 118(6): 1361-8. https://doi.org/10.1002/jcb.25794
    » https://doi.org/10.1002/jcb.25794
  • 33
    Gong X, Pu X , Wang J, Yang L, Cui Y , Li L, et al. Enhancing of nanocatalyst-driven chemodynaminc therapy for endometrial cancer cells through inhibition of PINK1/Parkin-mediated mitophagy. Int J Nanomedicine. 2021 Sep 29; 16: 6661-79. https://doi.org/10.2147/IJN.S329341
    » https://doi.org/10.2147/IJN.S329341
  • 34
    Luo T, Fu J, Xu A, Su B, Ren Y, Li N, et al. PSMD10/gankyrin induces autophagy to promote tumor progression through cytoplasmic interaction with ATG7 and nuclear transactivation of ATG7 expression. Autophagy. 2016 Aug 2; 12(8): 1355-71. https://doi.org/10.1080/15548627.2015.1034405
    » https://doi.org/10.1080/15548627.2015.1034405
  • 35
    Liu M, Jiang L, Fu X, Wang W, Ma J, Tian T, et al. Cytoplasmic liver kinase B1 promotes the growth of human lung adenocarcinoma by enhancing autophagy. Cancer Sci. 2018 Oct; 109(10): 3055-67. https://doi.org/10.1111/cas.13746
    » https://doi.org/10.1111/cas.13746
  • 36
    Li Y, Shang C, Liu Z, Han J, Li W, Xiao P, et al. Apoptin mediates mitophagy and endogenous apoptosis by regulating the level of ROS in hepatocellular carcinoma. Cell Commun Signal. 2022 Sep 1; 20(1): 134. https://doi.org/10.1186/s12964-022-00940-1
    » https://doi.org/10.1186/s12964-022-00940-1
  • 37
    Murata H, Sakaguchi M, Jin Y. A new cytosolic pathway from a Parkinson disease-associated kinase, BRPK/PINK1: activation of AKT via mTORC2. J Biol Chem. 2011 Mar 4; 286(9): 7182. https://doi.org/10.1074/jbc.M110.179390
    » https://doi.org/10.1074/jbc.M110.179390
  • 38
    Dasgupta A, Chen KH, Lima PDA, Mewburn J, Wu D, Al-Qazazi R, et al. PINK1 induced phosphorylation of mitofusin 2 (Mfn2) at serine 442 causes its proteasomal degradation and promotes cell proliferation in lung cancer and pulmonary arterial hypertension. FASEB J. 2021 Aug; 35(8): e21771. https://doi.org/10.1096/fj.202100361R
    » https://doi.org/10.1096/fj.202100361R
  • 39
    Liu J, Zhang C, Zhao Y, Yue X, Wu H, Huang S, et al. Parkin targets HIF-1alpha for ubiquitination and degradation to inhibit breast tumor progression. Nat commun 2017 Nov 28; 8(1):1823. https://doi.org/10.1038/s41467-017-01947-w
    » https://doi.org/10.1038/s41467-017-01947-w
  • 40
    Denison SR, Wang F, Becker NA, Schule B, Kock N, Phillips LA, et al. Alterations in the common fragile site gene Parkin in ovarian and other cancers. Oncogene 2003 Nov 13; 22(51):8370-8. https://doi.org/10.1038/sj.onc.1207072
    » https://doi.org/10.1038/sj.onc.1207072
  • 41
    Picchio MC, Martin ES, Cesari R, Calin GA, Yendamuri S, Kuroki T, et al. Alterations of the tumor suppressor gene Parkin in non-small cell lung cancer. Clin Cancer Res. 2004 Apr 15; 10(8): 2720-4. https://doi.org/10.1158/1078-0432.ccr-03-0086
    » https://doi.org/10.1158/1078-0432.ccr-03-0086
  • 42
    Fujiwara M, Marusawa H, Wang HQ, Iwai A, Ikeuchi K, Imai Y, et al. Parkin as a tumor suppressor gene for hepatocellular carcinoma. Oncogene 2008Oct 9; 27(46): 6002-11. https://doi.org/10.1038/onc.2008.199
    » https://doi.org/10.1038/onc.2008.199
  • 43
    Dai W, Wang G, Chwa J, Me O, Abeywardana T, Yang Y, et al. Mitochondrial division inhibitor (mdivi-1) decreases oxidative metabolism in cancer. Br J Cancer. 2020 Apr;122(9):1288-97. https://doi.org/10.1038/s41416-020-0778-x
    » https://doi.org/10.1038/s41416-020-0778-x
  • 44
    Vernucci E, Tomino C, Molinari F, Limongi D, Aventaggiato M, Sansone L, et al. Mitophagy and oxidative stress in cancer and aging: Focus on sirtuins and nanomaterials. Oxid Med Cell Longev. 2019 May 9: 6387-357. https://doi.org/10.1155/2019/6387357
    » https://doi.org/10.1155/2019/6387357
  • 45
    Tang Y, Wang L, Yi T, Xu J, Wang J, Qin JJ, et al. Synergistic effects of autophagy/mitophagy inhibitors and magnolol promote apoptosis and antitumor efficacy. Acta Pharmaceutica Sinica B 2021 Dec; 11(12): 3966-82. https://doi.org/10.1016/j.apsb.2021.06.007
    » https://doi.org/10.1016/j.apsb.2021.06.007
  • 46
    Si L, Fu J, Liu W, Hayashi T, Mizuno K, Hattori S, et al. Silibinin-induced mitochondria fission leads to mitophagy, which attenuates silibinin-induced apoptosis in MCF-7 and MDA-MB-231 cells. Arch Biochem Biophys. 2020 May 30; 685:108284. https://doi.org/10.1016/j.abb.2020.108284
    » https://doi.org/10.1016/j.abb.2020.108284
  • Funding:

    This investigation was funded by the Ahvaz Jundishapur University of Medical Sciences, Iran (Grant No: CMRC-0033).

Edited by

Editor-in-Chief:

Paulo Vitor Farago

Associate Editor:

Paulo Vitor Farago

Publication Dates

  • Publication in this collection
    22 Mar 2024
  • Date of issue
    2024

History

  • Received
    03 June 2023
  • Accepted
    02 Aug 2023
Instituto de Tecnologia do Paraná - Tecpar Rua Prof. Algacyr Munhoz Mader, 3775 - CIC, 81350-010 Curitiba PR Brazil, Tel.: +55 41 3316-3052/3054, Fax: +55 41 3346-2872 - Curitiba - PR - Brazil
E-mail: babt@tecpar.br