Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis

Metabolic reprogramming has been recognized as an essential emerging cancer hallmark. Dichloroacetate (DCA), an inhibitor of pyruvate dehydrogenase kinase (PDK), has been reported to have anti-cancer effects by reversing tumor-associated glycolysis. This study was performed to explore the anti-cance...

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Autores principales: Aya Al-Azawi, Shahrazad Sulaiman, Kholoud Arafat, Javed Yasin, Abderrahim Nemmar, Samir Attoub
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Publicado: MDPI AG 2021
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Acceso en línea:https://doaj.org/article/c5c9c3cf955e4727b2ab0e54c79be468
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spelling oai:doaj.org-article:c5c9c3cf955e4727b2ab0e54c79be4682021-11-25T17:57:45ZImpact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis10.3390/ijms2222125531422-00671661-6596https://doaj.org/article/c5c9c3cf955e4727b2ab0e54c79be4682021-11-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/22/12553https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067Metabolic reprogramming has been recognized as an essential emerging cancer hallmark. Dichloroacetate (DCA), an inhibitor of pyruvate dehydrogenase kinase (PDK), has been reported to have anti-cancer effects by reversing tumor-associated glycolysis. This study was performed to explore the anti-cancer potential of DCA in lung cancer alone and in combination with chemo- and targeted therapies using two non-small cell lung cancer (NSCLC) cell lines, namely, A549 and LNM35. DCA markedly caused a concentration- and time-dependent decrease in the viability and colony growth of A549 and LNM35 cells in vitro. DCA also reduced the growth of tumor xenografts in both a chick embryo chorioallantoic membrane and nude mice models in vivo. Furthermore, DCA decreased the angiogenic capacity of human umbilical vein endothelial cells in vitro. On the other hand, DCA did not inhibit the in vitro cellular migration and invasion and the in vivo incidence and growth of axillary lymph nodes metastases in nude mice. Treatment with DCA did not show any toxicity in chick embryos and nude mice. Finally, we demonstrated that DCA significantly enhanced the anti-cancer effect of cisplatin in LNM35. In addition, the combination of DCA with gefitinib or erlotinib leads to additive effects on the inhibition of LNM35 colony growth after seven days of treatment and to synergistic effects on the inhibition of A549 colony growth after 14 days of treatment. Collectively, this study demonstrates that DCA is a safe and promising therapeutic agent for lung cancer.Aya Al-AzawiShahrazad SulaimanKholoud ArafatJaved YasinAbderrahim NemmarSamir AttoubMDPI AGarticlelung cancerdichloroacetatepyruvate dehydrogenase kinase inhibitortumor growthangiogenesisgefitinibBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 12553, p 12553 (2021)
institution DOAJ
collection DOAJ
language EN
topic lung cancer
dichloroacetate
pyruvate dehydrogenase kinase inhibitor
tumor growth
angiogenesis
gefitinib
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle lung cancer
dichloroacetate
pyruvate dehydrogenase kinase inhibitor
tumor growth
angiogenesis
gefitinib
Biology (General)
QH301-705.5
Chemistry
QD1-999
Aya Al-Azawi
Shahrazad Sulaiman
Kholoud Arafat
Javed Yasin
Abderrahim Nemmar
Samir Attoub
Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
description Metabolic reprogramming has been recognized as an essential emerging cancer hallmark. Dichloroacetate (DCA), an inhibitor of pyruvate dehydrogenase kinase (PDK), has been reported to have anti-cancer effects by reversing tumor-associated glycolysis. This study was performed to explore the anti-cancer potential of DCA in lung cancer alone and in combination with chemo- and targeted therapies using two non-small cell lung cancer (NSCLC) cell lines, namely, A549 and LNM35. DCA markedly caused a concentration- and time-dependent decrease in the viability and colony growth of A549 and LNM35 cells in vitro. DCA also reduced the growth of tumor xenografts in both a chick embryo chorioallantoic membrane and nude mice models in vivo. Furthermore, DCA decreased the angiogenic capacity of human umbilical vein endothelial cells in vitro. On the other hand, DCA did not inhibit the in vitro cellular migration and invasion and the in vivo incidence and growth of axillary lymph nodes metastases in nude mice. Treatment with DCA did not show any toxicity in chick embryos and nude mice. Finally, we demonstrated that DCA significantly enhanced the anti-cancer effect of cisplatin in LNM35. In addition, the combination of DCA with gefitinib or erlotinib leads to additive effects on the inhibition of LNM35 colony growth after seven days of treatment and to synergistic effects on the inhibition of A549 colony growth after 14 days of treatment. Collectively, this study demonstrates that DCA is a safe and promising therapeutic agent for lung cancer.
format article
author Aya Al-Azawi
Shahrazad Sulaiman
Kholoud Arafat
Javed Yasin
Abderrahim Nemmar
Samir Attoub
author_facet Aya Al-Azawi
Shahrazad Sulaiman
Kholoud Arafat
Javed Yasin
Abderrahim Nemmar
Samir Attoub
author_sort Aya Al-Azawi
title Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
title_short Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
title_full Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
title_fullStr Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
title_full_unstemmed Impact of Sodium Dichloroacetate Alone and in Combination Therapies on Lung Tumor Growth and Metastasis
title_sort impact of sodium dichloroacetate alone and in combination therapies on lung tumor growth and metastasis
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/c5c9c3cf955e4727b2ab0e54c79be468
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AT kholoudarafat impactofsodiumdichloroacetatealoneandincombinationtherapiesonlungtumorgrowthandmetastasis
AT javedyasin impactofsodiumdichloroacetatealoneandincombinationtherapiesonlungtumorgrowthandmetastasis
AT abderrahimnemmar impactofsodiumdichloroacetatealoneandincombinationtherapiesonlungtumorgrowthandmetastasis
AT samirattoub impactofsodiumdichloroacetatealoneandincombinationtherapiesonlungtumorgrowthandmetastasis
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