Abstract

The increased cancer mortality of diabetes type 2 patients is most likely an evidence of the tight connection between tumor development and energy metabolism. A major focus of today’s research is still the identification of key proteins of both diseases and the development of corresponding inhibitors. In this study we combined the two-stage BALB/c-3T3 cell transformation assay (BALB-CTA) with the IR/IGF-1R inhibitor OSI-906 (linsitinib) and analyzed alterations in protein activity and energy parameters in non-transformed as well as transformed cells. OSI-906 successfully inhibited the phosphorylation of IR/IGF-1R and decreased cell growth in non-transformed cells. In the BALB-CTA, a permanent treatment with OSI-906 reduced cellular transformation dose-dependently, whereas a temporary treatment gave evidence for a preventive effect in the promotion phase. Furthermore, even though several key proteins were affected, it was possible to show that the phosphorylation of GSK3, Erk 1/2 and the S6 protein are not crucial for the cell foci reducing effect of OSI-906. Taken together, the BALB-CTA confirmed results of OSI-906 from animal studies and enhanced the knowledge of its mode of action. Therefore, the BALB-CTA offers the opportunity to analyze alterations in the transformation process more precisely and will be helpful to identify effective cancer treatments.

Highlights

  • Reprogramming of energy metabolism was first observed by Otto Warburg, who showed that neoplastic cells favor glycolysis even in the presence of oxygen[12,13]

  • Evidence for the link between energy metabolism and cancer development can be found in epidemiological studies, which reveal an association between type 2 diabetes mellitus (T2D) and an increased risk for several cancer types[17,18]

  • The metabolic effects of insulin and IGF-1 are mediated by their corresponding receptors, the insulin receptor (IR) and the insulin-like growth factor 1 receptor (IGF-1R)

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Summary

Introduction

Binding of the corresponding ligands to IR, IGF-1R or hybrid receptors stimulate downstream pathways like PI3 kinase/protein kinase B/mammalian target of rapamycin (PI3K/Akt/mTOR) and Ras/MEK/extracellular signal-regulated kinase (Ras/MEK/Erk), which influence cellular growth, apoptosis, proliferation, cell transformation and metastasis[29,30,31]. Modulation of IR and IGF-1 R signaling and the downstream target Akt is linked to the regulation of glucose metabolism (glucose transporter activation, stimulation of hexokinase and phosphofructokinase activity)[40,41] and OSI-906 treatment of mice has been shown to decrease glucose uptake dose-dependently[42]. As part of the chief mechanisms for controlling cell survival, differentiation, proliferation and metabolism we wanted to elucidate the roles of Akt and the protein Erk in cellular transformation[43]. To analyze the potential connection between energy metabolism and cancer mechanisms with OSI-906, we studied the role of the glycogen synthase kinase 3 (GSK3) and further parameters

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