Abstract

Anaplastic thyroid cancer (ATC) is one of the most fatal human malignancies. Ursi Fel (UF) is the bile of a brown bear that has been traditionally used for heat clearance and toxin relief in Korean and Chinese medicines. In this study, we determined the anticancer effects of a UF extract and its active compound, ursodeoxycholic acid (UDCA), in FRO human ATC cells. FRO cells were treated with UF extract and UDCA at different concentrations for various durations. Cell viability was measured using an MTT assay. Cell apoptosis was investigated by flow cytometric analysis following Annexin V and propidium iodide (PI) staining, and Hoechst staining was used to observe nuclear fragmentation. The expression of pro-apoptotic (Bax, caspase-3, cytochrome c, and PARP), anti-apoptotic (Bcl-2), and angiogenetic (TGF-β, VEGF, N-cadherin, and sirtuin-1) proteins and the phosphorylation of Akt and mechanistic target of rapamycin (mTOR) were determined by western blot analysis. Treatment with UF extract at 10, 25, and 50 μg/mL and UDCA at 25, 50, and 100 μM/mL significantly inhibited the growth of FRO cells in a dose-dependent manner. Flow cytometry and Hoechst staining revealed an increase in the apoptosis of FRO cells mediated by UF extract and UDCA in a dose-dependent manner. UF extract (25 and 50 μg) and UDCA (50 and 100 μM) significantly increased the expression of Bax, caspase-3, cytochrome c, and PARP and inhibited the expression of Bcl-2, TGF-β, VEGF, N-cadherin, and sirtuin-1 in FRO cells. Furthermore, UF extract and UDCA treatment stimulated Akt phosphorylation and inhibited mTOR phosphorylation in these cells. These results indicate that UF extract and UDCA exert anticancer properties in FRO cells by inducing apoptosis and inhibiting angiogenesis via regulating the Akt/mTOR signaling pathway.

Highlights

  • We showed that Ursi Fel (UF) extract and ursodeoxycholic acid (UDCA) increased apoptosis and induced nuclear fragmentation in FRO cells

  • These results suggest that Anaplastic thyroid cancer (ATC) cell growth and proliferation are inhibited by UF and UDCA, resulting in the induction of apoptosis through Bax and B cell lymphoma-2 (Bcl-2) expression, mitochondrial dysfunction, caspase activation, and poly(ADP-ribose) polymerase (PARP) cleavage

  • To clarify the mechanism of action underlying the apoptotic and anti-angiogenic effects of UF extract and UDCA, we investigated the phosphorylation of Akt and mechanistic target of rapamycin (mTOR)

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Summary

Introduction

Publisher’s Note: MDPI stays neutral with regard to jurisdictional claims in published maps and institutional affiliations. The incidence of thyroid cancer, one of the most common endocrine tumors, is increasing worldwide. Malignant thyroid cancer can be classified into four main types comprising papillary, follicular, medullary, and anaplastic thyroid cancer (ATC) [1,2]. ATC is one of the most lethal malignancies owing to poor differentiation and invasion into the surrounding tissues, such as the trachea [3]. The current clinical treatment regimens for ATC, including surgery and/or radiotherapy or chemotherapy, are associated with low recovery and high relapse rates, which are indicative of their ineffectiveness [4,5]. Natural sources have been exploited to discover new anticancer treatments [6]

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