Abstract

The oncogenic activation of AKT gene has emerged as a key determinant of the aggressiveness of colorectal cancer (CRC); hence, research has focused on targeting AKT signaling for the treatment of advanced stages of CRC. In this study, we explored the anti-tumorigenic effects of withaferin A (WA) on CRC cells overexpressing AKT in preclinical (in vitro and in vivo) models. Our results indicated that WA, a natural compound, resulted in significant inhibition of AKT activity and led to the inhibition of cell proliferation, migration and invasion by downregulating the epithelial to mesenchymal transition (EMT) markers in CRC cells overexpressing AKT. The oral administration of WA significantly suppressed AKT-induced aggressive tumor growth in a xenograft model. Molecular analysis revealed that the decreased expression of AKT and its downstream pro-survival signaling molecules may be responsible for tumor inhibition. Further, significant inhibition of some important EMT markers, i.e., Snail, Slug, β-catenin and vimentin, was observed in WA-treated human CRC cells overexpressing AKT. Significant inhibition of micro-vessel formation and the length of vessels were evident in WA-treated tumors, which correlated with a low expression of the angiogenic marker RETIC. In conclusion, the present study emphasizes the crucial role of AKT activation in inducing cell proliferation, angiogenesis and EMT in CRC cells and suggests that WA may overcome AKT-induced cell proliferation and tumor growth in CRC.

Highlights

  • Despite recent advances in early detection and treatment, colorectal cancer (CRC) patients face high mortality rates [1,2,3] because some patients develop metachronous tumors, for which limited treatment options are available [4,5,6]

  • withaferin A (WA) significantly inhibited AKTinduced colony formation in AKT/HCT-116 cells as well as pCMV/HCT-116 cells (Figure 2C). These results suggest WA may be a potent molecule with the potential to overcome AKT-induced cell proliferation in CRC cells

  • Our results confirmed that the activation of AKT regulates many signaling pathways, including those necessary for cell survival, proliferation and epithelial-mesenchymal transition (EMT) of CRC

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Summary

Introduction

Despite recent advances in early detection and treatment, colorectal cancer (CRC) patients face high mortality rates [1,2,3] because some patients develop metachronous tumors, for which limited treatment options are available [4,5,6]. Several signal transduction pathways are known to regulate epithelial-mesenchymal transition (EMT) [9,10,11,12]. Among these pathways, the oncogenic activation of AKT has emerged as a central feature [13,14,15,16,17,18]. The activation of AKT has been correlated with disease progression in many tumor types, including CRC [25]

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