| Background: Both mitochondrial dysfunction and aerobic
glycolysis are signs of growing aggressive cancer. If altered
metabolism of cancer cell is intended, using the glycolysis
inhibitor (2-deoxyglucose (2DG)) would be a viable therapeutic
method. The AMP-activated protein kinase (AMPK), as a
metabolic sensor, could be activated with metformin and it can
also launch a p53-dependent metabolic checkpoint and might
inhibit cancer cell growth.
Methods: After treatment with 5 mM metformin and/or 500 µM
2DG, the TE1, TE8, and TE11 cellular viability and apoptosis
were assessed by MTT, TUNEL, and ELISA methods. The
changes in p53 and Bcl-2 genes expression levels were examined
using real-time PCR method. Data were analyzed by KruskalWallis
test using the SPSS 17.0 software.
Results:
Metformin and 2DG, alone and in combination,
induced apoptosis in the cell lines. Real-time PCR revealed
that metformin induced apoptosis in TE8 and TE11 cells by
activating p53, down-regulating Bcl-2 expression. The induced
apoptosis by 2DG raised by metformin and the combination
modulated the expression of Bcl-2 protein in all cell lines and it
was more effective in TE11 cell line.
Conclusion: Metformin induced apoptosis in ESCC by
down-regulating Bcl-2 expression, and up-regulating p53 and
induced apoptosis increased by 2-deoxy-d-glucose. Thus, the
combination therapy is an effective therapeutic strategy for
esophageal squamous cell carcinoma. |