Abstract

BackgroundA large number of preclinical studies have shown that local anesthetics have a direct inhibitory effect on tumor biological activities, including cell survival, proliferation, migration, and invasion. There are few studies on the role of local anesthetics in cancer stem cells. This study aimed to determine the possible role of local anesthetics in glioblastoma stem cell (GSC) self-renewal and the underlying molecular mechanisms.MethodsThe effects of local anesthetics in GSCs were investigated through in vitro and in vivo assays (i.e., Cell Counting Kit 8, spheroidal formation assay, double immunofluorescence, western blot, and xenograft model). The acyl-biotin exchange method (ABE) assay was identified proteins that are S-acylated by zinc finger Asp-His-His-Cys-type palmitoyltransferase 15 (ZDHHC15). Western blot, co-immunoprecipitation, and liquid chromatograph mass spectrometer-mass spectrometry assays were used to explore the mechanisms of ZDHHC15 in effects of local anesthetics in GSCs.ResultsIn this study, we identified a novel mechanism through which local anesthetics can damage the malignant phenotype of glioma. We found that local anesthetics prilocaine, lidocaine, procaine, and ropivacaine can impair the survival and self-renewal of GSCs, especially the classic glioblastoma subtype. These findings suggest that local anesthetics may weaken ZDHHC15 transcripts and decrease GP130 palmitoylation levels and membrane localization, thus inhibiting the activation of IL-6/STAT3 signaling.ConclusionsIn conclusion, our work emphasizes that ZDHHC15 is a candidate therapeutic target, and local anesthetics are potential therapeutic options for glioblastoma.

Highlights

  • A large number of preclinical studies have shown that local anesthetics have a direct inhibitory effect on tumor biological activities, including cell survival, proliferation, migration, and invasion

  • Local anesthetics impaired cell survival via downregulation of zinc finger domain containing an Asp-His-His-Cys (DHHC)-type palmitoyltransferase 15 (ZDHHC15) expression To study the effect of local anesthetics on malignant progression among glioblastoma stem cell (GSC), GSCs derived from U251 cells were subjected to in vitro treatment with 11 local anesthetics after 24 h and 48 h of treatment under different concentrations (5 μM, 10 μM, and 20 μM); Cell Counting Kit 8 (CCK-8) assays were performed to determine the GSC viability (Fig. 1a)

  • Combined with the above results, we found that the local anesthetics prilocaine, lidocaine, procaine, and ropivacaine killed GSCs in a concentration-dependent and time-dependent manner

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Summary

Introduction

A large number of preclinical studies have shown that local anesthetics have a direct inhibitory effect on tumor biological activities, including cell survival, proliferation, migration, and invasion. There are few studies on the role of local anesthetics in cancer stem cells. Local anesthetics are widely used in clinical cancer surgery [1, 2]. When local anesthetics are absorbed into the circulation or administered intravenously, they have a direct effect on cancer cells [3]. The effect of local anesthetics on the survival rate of cancer patients after surgery is controversial [7,8,9]. Little is known about the direct effect of local anesthetics on cancer cells

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