Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells

Abstract Intrahepatic cholangiocarcinoma (iCCA) is a highly aggressive cancer with marked resistance to chemotherapeutics without therapies. The tumour microenvironment of iCCA is enriched of Cancer-Stem-Cells expressing Epithelial-to-Mesenchymal Transition (EMT) traits, being these features associa...

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Autores principales: Sabina Di Matteo, Lorenzo Nevi, Diletta Overi, Nadine Landolina, Jessica Faccioli, Federico Giulitti, Chiara Napoletano, Andrea Oddi, Augusto M. Marziani, Daniele Costantini, Agostino M. De Rose, Fabio Melandro, Maria C. Bragazzi, Gian Luca Grazi, Pasquale B. Berloco, Felice Giuliante, Giuseppe Donato, Lorenzo Moretta, Guido Carpino, Vincenzo Cardinale, Eugenio Gaudio, Domenico Alvaro
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Publicado: Nature Portfolio 2021
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Acceso en línea:https://doaj.org/article/24995b33e4b34af8bdf9f9dd2444c0b4
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spelling oai:doaj.org-article:24995b33e4b34af8bdf9f9dd2444c0b42021-12-02T10:48:21ZMetformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells10.1038/s41598-021-81172-02045-2322https://doaj.org/article/24995b33e4b34af8bdf9f9dd2444c0b42021-01-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-81172-0https://doaj.org/toc/2045-2322Abstract Intrahepatic cholangiocarcinoma (iCCA) is a highly aggressive cancer with marked resistance to chemotherapeutics without therapies. The tumour microenvironment of iCCA is enriched of Cancer-Stem-Cells expressing Epithelial-to-Mesenchymal Transition (EMT) traits, being these features associated with aggressiveness and drug resistance. Treatment with the anti-diabetic drug Metformin, has been recently associated with reduced incidence of iCCA. We aimed to evaluate the anti-cancerogenic effects of Metformin in vitro and in vivo on primary cultures of human iCCA. Our results showed that Metformin inhibited cell proliferation and induced dose- and time-dependent apoptosis of iCCA. The migration and invasion of iCCA cells in an extracellular bio-matrix was also significantly reduced upon treatments. Metformin increased the AMPK and FOXO3 and induced phosphorylation of activating FOXO3 in iCCA cells. After 12 days of treatment, a marked decrease of mesenchymal and EMT genes and an increase of epithelial genes were observed. After 2 months of treatment, in order to simulate chronic administration, Cytokeratin-19 positive cells constituted the majority of cell cultures paralleled by decreased Vimentin protein expression. Subcutaneous injection of iCCA cells previously treated with Metformin, in Balb/c-nude mice failed to induce tumour development. In conclusion, Metformin reverts the mesenchymal and EMT traits in iCCA by activating AMPK-FOXO3 related pathways suggesting it might have therapeutic implications.Sabina Di MatteoLorenzo NeviDiletta OveriNadine LandolinaJessica FaccioliFederico GiulittiChiara NapoletanoAndrea OddiAugusto M. MarzianiDaniele CostantiniAgostino M. De RoseFabio MelandroMaria C. BragazziGian Luca GraziPasquale B. BerlocoFelice GiulianteGiuseppe DonatoLorenzo MorettaGuido CarpinoVincenzo CardinaleEugenio GaudioDomenico AlvaroNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-18 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Sabina Di Matteo
Lorenzo Nevi
Diletta Overi
Nadine Landolina
Jessica Faccioli
Federico Giulitti
Chiara Napoletano
Andrea Oddi
Augusto M. Marziani
Daniele Costantini
Agostino M. De Rose
Fabio Melandro
Maria C. Bragazzi
Gian Luca Grazi
Pasquale B. Berloco
Felice Giuliante
Giuseppe Donato
Lorenzo Moretta
Guido Carpino
Vincenzo Cardinale
Eugenio Gaudio
Domenico Alvaro
Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
description Abstract Intrahepatic cholangiocarcinoma (iCCA) is a highly aggressive cancer with marked resistance to chemotherapeutics without therapies. The tumour microenvironment of iCCA is enriched of Cancer-Stem-Cells expressing Epithelial-to-Mesenchymal Transition (EMT) traits, being these features associated with aggressiveness and drug resistance. Treatment with the anti-diabetic drug Metformin, has been recently associated with reduced incidence of iCCA. We aimed to evaluate the anti-cancerogenic effects of Metformin in vitro and in vivo on primary cultures of human iCCA. Our results showed that Metformin inhibited cell proliferation and induced dose- and time-dependent apoptosis of iCCA. The migration and invasion of iCCA cells in an extracellular bio-matrix was also significantly reduced upon treatments. Metformin increased the AMPK and FOXO3 and induced phosphorylation of activating FOXO3 in iCCA cells. After 12 days of treatment, a marked decrease of mesenchymal and EMT genes and an increase of epithelial genes were observed. After 2 months of treatment, in order to simulate chronic administration, Cytokeratin-19 positive cells constituted the majority of cell cultures paralleled by decreased Vimentin protein expression. Subcutaneous injection of iCCA cells previously treated with Metformin, in Balb/c-nude mice failed to induce tumour development. In conclusion, Metformin reverts the mesenchymal and EMT traits in iCCA by activating AMPK-FOXO3 related pathways suggesting it might have therapeutic implications.
format article
author Sabina Di Matteo
Lorenzo Nevi
Diletta Overi
Nadine Landolina
Jessica Faccioli
Federico Giulitti
Chiara Napoletano
Andrea Oddi
Augusto M. Marziani
Daniele Costantini
Agostino M. De Rose
Fabio Melandro
Maria C. Bragazzi
Gian Luca Grazi
Pasquale B. Berloco
Felice Giuliante
Giuseppe Donato
Lorenzo Moretta
Guido Carpino
Vincenzo Cardinale
Eugenio Gaudio
Domenico Alvaro
author_facet Sabina Di Matteo
Lorenzo Nevi
Diletta Overi
Nadine Landolina
Jessica Faccioli
Federico Giulitti
Chiara Napoletano
Andrea Oddi
Augusto M. Marziani
Daniele Costantini
Agostino M. De Rose
Fabio Melandro
Maria C. Bragazzi
Gian Luca Grazi
Pasquale B. Berloco
Felice Giuliante
Giuseppe Donato
Lorenzo Moretta
Guido Carpino
Vincenzo Cardinale
Eugenio Gaudio
Domenico Alvaro
author_sort Sabina Di Matteo
title Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
title_short Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
title_full Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
title_fullStr Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
title_full_unstemmed Metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
title_sort metformin exerts anti-cancerogenic effects and reverses epithelial-to-mesenchymal transition trait in primary human intrahepatic cholangiocarcinoma cells
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/24995b33e4b34af8bdf9f9dd2444c0b4
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