Abstract

Lymphangioleiomyomatosis (LAM) is associated with dysfunction of the tuberous sclerosis complex (TSC) leading to enhanced cell proliferation and migration. This study aims to examine whether doxycycline, a tetracycline antibiotic, can inhibit the enhanced migration of TSC2-deficient cells, identify signalling pathways through which doxycycline works and to assess the effectiveness of combining doxycycline with rapamycin (mammalian target of rapamycin complex 1 inhibitor) in controlling cell migration, proliferation and wound closure. TSC2-positive and TSC2-negative mouse embryonic fibroblasts (MEF), 323-TSC2-positive and 323-TSC2-null MEF and Eker rat uterine leiomyoma (ELT3) cells were treated with doxycycline or rapamycin alone, or in combination. Migration, wound closure and proliferation were assessed using a transwell migration assay, time-lapse microscopy and manual cell counts respectively. RhoA-GTPase activity, phosphorylation of p70S6 kinase (p70S6K) and focal adhesion kinase (FAK) in TSC2-negative MEF treated with doxycycline were examined using ELISA and immunoblotting techniques. The enhanced migration of TSC2-null cells was reduced by doxycycline at concentrations as low as 20 pM, while the rate of wound closure was reduced at 2–59 μM. Doxycycline decreased RhoA-GTPase activity and phosphorylation of FAK in these cells but had no effect on the phosphorylation of p70S6K, ERK1/2 or AKT. Combining doxycycline with rapamycin significantly reduced the rate of wound closure at lower concentrations than achieved with either drug alone. This study shows that doxycycline inhibits TSC2-null cell migration. Thus doxycycline has potential as an anti-migratory agent in the treatment of diseases with TSC2 dysfunction.

Highlights

  • Pulmonary lymphangioleiomyomatosis (LAM), a rare disease in women of childbearing age [1,2], is characterised by the irregular proliferation and migration of smooth muscle-like cells (LAM-cells) throughout the lungs, resulting in the obstruction of the small airways [3,4]

  • This study aims to examine whether doxycycline, a tetracycline antibiotic, can inhibit the enhanced migration of TSC2-deficient cells, identify signalling pathways through which doxycycline works and to assess the effectiveness of combining doxycycline with rapamycin in controlling

  • RhoA-GTPase activity, phosphorylation of p70S6 kinase (p70S6K) and focal adhesion kinase (FAK) in TSC2-negative mouse embryonic fibroblasts (MEF) treated with doxycycline were examined using enzyme-linked immunosorbent assay and immunoblotting techniques

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Summary

Introduction

Pulmonary lymphangioleiomyomatosis (LAM), a rare disease in women of childbearing age [1,2], is characterised by the irregular proliferation and migration of smooth muscle-like cells (LAM-cells) throughout the lungs, resulting in the obstruction of the small airways [3,4]. The functional TSC1/TSC2 complex acts to regulate the mTORC2 pathway, which controls actin cytoskeleton rearrangement through Rho GTPases, RhoA and Rac1 [19,20]. Dysfunction of the TSC1/TSC2 complex leads to the activation of mTORC2, resulting in increased RhoA-. Lymphangioleiomyomatosis (LAM) is associated with 8 dysfunction of the tuberous sclerosis complex (TSC) leading to enhanced cell proliferation and migration. This study aims to examine whether doxycycline, a tetracycline antibiotic, can inhibit the enhanced migration of TSC2-deficient cells, identify signalling pathways through which doxycycline works and to assess the effectiveness of combining doxycycline with rapamycin (mammalian target of rapamycin complex [mTORC] 1 inhibitor) in controlling. RhoA-GTPase activity, phosphorylation of p70S6 kinase (p70S6K) and focal adhesion kinase (FAK) in TSC2-negative MEF treated with doxycycline were examined using enzyme-linked immunosorbent assay and immunoblotting techniques

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