Abstract

Neuroblastoma arises from neural crest cell precursors failing to complete the process of differentiation. Thus, agents helping tumor cells to differentiate into normal cells can represent a valid therapeutic strategy. Here, we evaluated whether guanosine (GUO), a natural purine nucleoside, which is able to induce differentiation of many cell types, may cause the differentiation of human neuroblastoma SH-SY5Y cells and the molecular mechanisms involved. We found that GUO, added to the cell culture medium, promoted neuron-like cell differentiation in a time- and concentration-dependent manner. This effect was mainly due to an extracellular GUO action since nucleoside transporter inhibitors reduced but not abolished it. Importantly, GUO-mediated neuron-like cell differentiation was independent of adenosine receptor activation as it was not altered by the blockade of these receptors. Noteworthy, the neuritogenic activity of GUO was not affected by blocking the phosphoinositide 3-kinase pathway, while it was reduced by inhibitors of protein kinase C or soluble guanylate cyclase. Furthermore, the inhibitor of the enzyme heme oxygenase-1 but not that of nitric oxide synthase reduced GUO-induced neurite outgrowth. Interestingly, we found that GUO was largely metabolized into guanine by the purine nucleoside phosphorylase (PNP) enzyme released from cells. Taken together, our results suggest that GUO, promoting neuroblastoma cell differentiation, may represent a potential therapeutic agent; however, due to its spontaneous extracellular metabolism, the role played by the GUO-PNP-guanine system needs to be further investigated.

Highlights

  • Neuroblastoma (NB) is the most common extracranial solid tumor of childhood accounting for approximately 10% of all pediatric cancers, with most cases diagnosed before 5 years of age

  • We evaluated the activity of purine nucleoside phosphorylase (PNP), the enzyme involved in GUO conversion into GUA, since it is expressed in almost all tissues (Moriwaki et al, 1999) and might deeply affect the activity of GUO on cells

  • Serum present in the culture medium provides optimal conditions for cell growth, it can interfere with the differentiation process, differentiation is usually performed by reducing serum concentrations (Brunner et al, 2010; Magalingam et al, 2020)

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Summary

Introduction

Neuroblastoma (NB) is the most common extracranial solid tumor of childhood accounting for approximately 10% of all pediatric cancers, with most cases diagnosed before 5 years of age. A very intensive approach is used for high-risk patients, with treatment options including chemotherapy, surgical resection, high-dose chemotherapy with autologous stem cell rescue, radiotherapy, immunotherapy, and differentiating therapy (Smith and Foster, 2018). This last approach is based on the knowledge that NB derives from neural crest cell precursors failing to differentiate, remaining blocked at an undifferentiated stage. Few agents are available to this aim, and retinoic acid (RA) is the most commonly used but, resistance to this agent is frequent (Reynolds et al, 2003) This highlights the need of developing new potential differentiating agents

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