Abstract

The role of the obesity cytokine leptin in breast cancer progression has raised interest in interfering with leptin's actions as a valuable therapeutic strategy. Leptin interacts with its receptor through three different binding sites: I–III. Site I is crucial for the formation of an active leptin–leptin receptor complex and in its subsequent activation. Amino acids 39-42 (Leu-Asp-Phe-Ile- LDFI) were shown to contribute to leptin binding site I and their mutations in alanine resulted in muteins acting as typical antagonists. We synthesized a small peptide based on the wild-type sequence of leptin binding site I (LDFI) and evaluated its efficacy in antagonizing leptin actions in breast cancer using in vitro and in vivo experimental models. The peptide LDFI abolished the leptin-induced anchorage-dependent and -independent growth as well as the migration of ERα-positive (MCF-7) and -negative (SKBR3) breast cancer cells. These results were well correlated with a reduction in the phosphorylation levels of leptin downstream effectors, as JAK2/STAT3/AKT/MAPK. Importantly, the peptide LDFI reversed the leptin-mediated up-regulation of its gene expression, as an additional mechanism able to enhance the peptide antagonistic activity. The described effects were specific for leptin signalling, since the developed peptide was not able to antagonize the other growth factors' actions on signalling activation, proliferation and migration. Finally, we showed that the LDFI pegylated peptide markedly reduced breast tumour growth in xenograft models. The unmodified peptide LDFI acting as a full leptin antagonist could become an attractive option for breast cancer treatment, especially in obese women.

Highlights

  • Carcinoma of the breast is the most common cancer among women in industrialized countries, and results in substantial morbidity and mortality

  • We tested the biological activity of the peptide LDFI on anchorage-dependent cell proliferation using as experimental models ObR-positive and leptin-sensitive MCF-7 (ERa-positive) and SKBR3 (ERa-negative) breast cancer cells

  • We explored the ability of peptide LDFI to interfere with leptin-induced cell proliferation (Fig. 1B)

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Summary

Introduction

Carcinoma of the breast is the most common cancer among women in industrialized countries, and results in substantial morbidity and mortality. A number of epidemiological studies have suggested that obesity and Leptin, a 16 kD polypeptide hormone encoded by the obese (Ob) gene, is a pleiotropic molecule that regulates food intake, hematopoiesis, inflammation, cell differentiation and proliferation, but it is required for mammary gland development and tumourigenesis [8]. Both leptin and its receptor (ObR) are overexpressed in breast cancer, especially in higher grade tumours and are associated with distant metastasis [9, 10].

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