Bitter melon juice
activates cellular energy sensor AMP-activated protein kinase causing apoptotic
death of human pancreatic carcinoma cells
Abstract:
Prognosis of pancreatic cancer is extremely
poor, suggesting critical needs for additional drugs to improve disease
outcome. In this study, we examined efficacy and associated mechanism of a
novel agent bitter melon juice (BMJ) against pancreatic carcinoma cells both in
culture and nude mice. BMJ anticancer efficacy was analyzed in human pancreatic
carcinoma BxPC-3, MiaPaCa-2, AsPC-1 and Capan-2 cells by
3-(4,5-dimethylthiazole-2-yl)-2,5-diphenyl tetrazolium bromide, cell death
enzyme-linked immunosorbent assay and annexin/propidium iodide assays. BMJ
effect on apoptosis regulators was assessed by immunoblotting. In vivo BMJ efficacy was
evaluated against MiaPaCa-2 tumors in nude mice, and xenograft was analyzed for
biomarkers by immunohistochemistry (IHC). Results showed that BMJ (2–5% v/v)
decreases cell viability in all four pancreatic carcinoma cell lines by
inducing strong apoptotic death. At molecular level, BMJ caused caspases
activation, altered expression of Bcl-2 family members and cytochrome-c release
into the cytosol. Additionally, BMJ decreased survivin and X-linked inhibitor
of apoptosis protein but increased p21, CHOP and phosphorylated
mitogen-activated protein kinases (extracellular signal-regulated kinase 1/2
and p38) levels. Importantly, BMJ activated adenosine monophosphate-activated
protein kinase (AMPK), a biomarker for cellular energy status, and an AMPK
inhibitor (Compound C) reversed BMJ-induced caspase-3 activation suggesting
activated AMPK involvement in BMJ-induced apoptosis. In vivo, oral
administration of lyophilized BMJ (5mg in 100 µl water/day/mouse) for 6 weeks
inhibited MiaPaCa-2 tumor xenograft growth by 60% (P < 0.01) without noticeable toxicity in
nude mice. IHC analyses of MiaPaCa-2 xenografts showed that BMJ also inhibits
proliferation, induces apoptosis and activates AMPK in vivo. Overall, BMJ exerts strong
anticancer efficacy against human pancreatic carcinoma cells, both in vitro and in vivo, suggesting its
clinical usefulness.
08032013 Carcinogenesis Oxford Journals