Abstract

Nifuroxazide is an antidiarrheal medication that has promising anticancer activity against diverse types of tumors. The present study tested the anticancer activity of nifuroxazide against Ehrlich’s mammary carcinoma grown in vivo. Furthermore, we investigated the effect of nifuroxazide on IL-6/jak2/STAT3 signaling and the possible impact on tumor angiogenesis. The biological study was supported by molecular docking and bioinformatic predictions for the possible effect of nifuroxazide on this signaling pathway. Female albino mice were injected with Ehrlich carcinoma cells to produce Ehrlich’s solid tumors (ESTs). The experimental groups were as follows: EST control, EST + nifuroxazide (5 mg/kg), and EST + nifuroxazide (10 mg/kg). Nifuroxazide was found to reduce tumor masses (730.83 ± 73.19 and 381.42 ± 109.69 mg vs. 1099.5 ± 310.83) and lessen tumor pathologies. Furthermore, nifuroxazide downregulated IL-6, TNF-α, NFk-β, angiostatin, and Jak2 proteins, and it also reduced tumoral VEGF, as indicated by ELISA and immunohistochemical analysis. Furthermore, nifuroxazide dose-dependently downregulated STAT3 phosphorylation (60% and 30% reductions, respectively). Collectively, the current experiment shed light on the antitumor activity of nifuroxazide against mammary solid carcinoma grown in vivo. The antitumor activity was at least partly mediated by inhibition of IL-6/Jak2/STAT3 signaling that affected angiogenesis (low VEGF and high angiostatin) in the EST. Therefore, nifuroxazide might be a promising antitumor medication if appropriate human studies will be conducted.

Highlights

  • Cancer and cancer-related morbidity as well as mortality poses a global public health burden

  • Our results indicated that nifuroxazide treatment (5 or 10 mg/kg) reduced the relative p-STAT3/tSTAT3 in the Ehrlich’s solid tumors (ESTs)+ nifuroxazide (5 or 10 mg/kg) groups compared to the EST control group (Figure 6A,B)

  • Our results indicated that nifuroxazide treatment (5 or 10 mg/kg) reduced the relative p-STAT3/total STAT3 (t-STAT3) in the EST+ nifuroxazide (5 or 10 mg/kg) groups compared to the EST control group7

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Summary

Introduction

Cancer and cancer-related morbidity as well as mortality poses a global public health burden. STAT3 activation had critical effects on normal cellular processes including cell proliferation and angiogenesis [4,5,6]. This pathway has been previously implicated in tumorigenesis [7,8]. Jak/STAT3 increases breast cancer stem cells and cancer chemoresistance by the regulation of lipid metabolism. The inhibition of Jak/STAT3 signaling mitigates the breast cancer stem cells’ identity and the expression of various lipid metabolic genes [12]. The approach through which IL6/STAT3 regulates breast cancer development is thought to be by promoting Jak and angiogenesis signaling, which has been documented recently [13,14,15]

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