Abstract

BackgroundBreast cancer is one of the most commonly diagnosed invasive cancers among women around the world. Among several subtypes, triple negative breast cancer (TNBC) is highly aggressive and chemoresistant. Treatment of TNBC patients has been challenging due to heterogeneity and devoid of well-defined molecular targets. Thus, identification of novel effective and selective agents against TNBC is essential.MethodsWe used epoxyazadiradione to assess the cell viability, mitochondrial potential, ROS level, cell migration, apoptosis and protein expression in cell culture models of TNBC MDA-MB-231 and ER+ MCF-7 breast cancer cells. The molecular mechanism was examined in two different type of breast cancer cells in response to epoxyazadiradione. We have also analyzed the effect of epoxyazadiradione on breast tumor growth using in vivo mice model.ResultsIn this study, we for the first time investigated that out of 10 major limonoids isolated from Azadirachta indica, epoxyazadiradione exhibits most potent anti-cancer activity in both TNBC and ER+ breast cancer cells. Epoxyazadiradione induces apoptosis and inhibits PI3K/Akt-mediated mitochondrial potential, cell viability, migration and angiogenesis. It also inhibits the expression of pro-angiogenic and pro-metastatic genes such as Cox2, OPN, VEGF and MMP-9 in these cells. Furthermore, epoxyazadiradione attenuates PI3K/Akt-mediated AP-1 activation. Our in vivo data revealed that epoxyazadiradione suppresses breast tumor growth and angiogenesis in orthotopic NOD/SCID mice model.ConclusionOur findings demonstrate that epoxyazadiradione inhibits PI3K/Akt-dependent mitochondrial depolarisation, induces apoptosis and attenuates cell migration, angiogenesis and breast tumor growth suggesting that this compound may act as a potent therapeutic agent for the management of breast cancer.

Highlights

  • Breast cancer is one of the most commonly diagnosed invasive cancers among women around the world

  • Neem-derived limonoids differentially inhibit the breast cancer cell viability Several anti-cancer therapies are available for the treatment of breast cancer

  • They are relatively ineffective against triple negative breast cancer (TNBC)

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Summary

Introduction

Breast cancer is one of the most commonly diagnosed invasive cancers among women around the world. Treatment of TNBC patients has been challenging due to heterogeneity and devoid of well-defined molecular targets. Identification of novel effective and selective agents against TNBC is essential. In spite of numerous therapeutic agents available to treat breast cancer, development of chemoresistance and recurrence of disease is frequently observed day by day [1]. Hormonal and estrogen receptor (ER) targeted agents have been developed for treatment of breast cancer, the disease free survival of the patients remains unsatisfactory [2, 3]. Treatment of triplenegative breast cancer (TNBC) patients lack estrogen receptor (ER), progesteron receptor (PR) and human epidermal growth factor receptor 2 (HER2) has been challenging due to heterogeneity and devoid of welldefined molecular targets [6, 7]. Identification of novel effective and selective agents against TNBC that do not produce considerable side effect is essential at this stage

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