Abstract

A growing body of evidence has demonstrated the promising anti-tumor effects of resveratrol in ovarian cancer cells, including its inhibitory effects on STAT3 activation. Nonetheless, the low bioavailability of resveratrol has reduced its attractiveness as a potential anti-cancer treatment. In contrast, pterostilbene, a stilbenoid and resveratrol analog, has demonstrated superior bioavailability, while possessing significant antitumor activity in multiple solid tumors. In this study, the therapeutic potential of pterostilbene was evaluated in ovarian cancer cells. Pterostilbene reduces cell viability in several different ovarian cancer cell lines by suppressing cell cycle progression and inducing apoptosis. Further molecular study has shown that pterostilbene effectively suppressed phosphorylation of STAT3, as well as STAT3 downstream genes that regulate cell cycle and apoptosis, indicating that inhibition of STAT3 pathway may be involved in its anti-tumor activity. The addition of pterostilbene to the commonly used chemotherapy cisplatin demonstrated synergistic antiproliferative activity in several ovarian cancer cell lines. Pterostilbene additionally inhibited cell migration in multiple ovarian cancer cell lines. The above results suggest that pterostilbene facilitates significant anti-tumor activity in ovarian cancer via anti-proliferative and pro-apoptotic mechanisms, possibly via downregulation of JAK/STAT3 pathway. Pterostilbene thus presents as an attractive non-toxic alternative for potential adjuvant or maintenance chemotherapy in ovarian cancer.

Highlights

  • Epithelial ovarian cancer (EOC) is the most fatal gynecologic cancer among women in the United States [1], with dismal outcomes for advanced stage and recurrent disease

  • To study the anti-tumor activity of pterostilbene in ovarian cancer, we tested its effect on cell growth in several ovarian cancer cell lines, OVCAR-4, OVCAR-8, SKOV3, Caov-3 and Kuramochi

  • Our results demonstrated that pterostilbene can inhibit cell viability through suppressing cell cycle andinvestigated inducing apoptosis

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Summary

Introduction

Epithelial ovarian cancer (EOC) is the most fatal gynecologic cancer among women in the United States [1], with dismal outcomes for advanced stage and recurrent disease. Novel therapies are desperately needed, and this has led to investigation of the JAK2/STAT3 pathways, which appear to be play an important role in carcinogenesis of numerous cancers [2,3,4,5]. This pathway represents an attractive therapeutic target given its tight regulatory steps at multiple cellular levels, offering ample targeting points [6,7]. A number of existing drugs and natural compounds inhibit or modulate the JAK/STAT3 pathways, including resveratrol [8,9] and ruxolitinib, an FDA approved drug for the treatment of myelofibrosis (MF), post-polycythemia vera myelofibrosis.

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