PMID- 22808019 OWN - NLM STAT- MEDLINE DCOM- 20130326 LR - 20211021 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 7 IP - 7 DP - 2012 TI - Mirtazapine inhibits tumor growth via immune response and serotonergic system. PG - e38886 LID - 10.1371/journal.pone.0038886 [doi] LID - e38886 AB - To study the tumor inhibition effect of mirtazapine, a drug for patients with depression, CT26/luc colon carcinoma-bearing animal model was used. BALB/c mice were randomly divided into six groups: two groups without tumors, i.e. wild-type (no drug) and drug (mirtazapine), and four groups with tumors, i.e. never (no drug), always (pre-drug, i.e. drug treatment before tumor inoculation and throughout the experiment), concurrent (simultaneously tumor inoculation and drug treatment throughout the experiment), and after (post-drug, i.e. drug treatment after tumor inoculation and throughout the experiment). The "psychiatric" conditions of mice were observed from the immobility time with tail suspension and spontaneous motor activity post tumor inoculation. Significant increase of serum interleukin-12 (sIL-12) and the inhibition of tumor growth were found in mirtazapine-treated mice (always, concurrent, and after) as compared with that of never. In addition, interferon-gamma level and immunocompetent infiltrating CD4+/CD8+ T cells in the tumors of mirtazapine-treated, tumor-bearing mice were significantly higher as compared with that of never. Tumor necrosis factor-alpha (TNF-alpha) expressions, on the contrary, are decreased in the mirtazapine-treated, tumor-bearing mice as compared with that of never. Ex vivo autoradiography with [(123)I]ADAM, a radiopharmaceutical for serotonin transporter, also confirms the similar results. Notably, better survival rates and intervals were also found in mirtazapine-treated mice. These findings, however, were not observed in the immunodeficient mice. Our results suggest that tumor growth inhibition by mirtazapine in CT26/luc colon carcinoma-bearing mice may be due to the alteration of the tumor microenvironment, which involves the activation of the immune response and the recovery of serotonin level. FAU - Fang, Chun-Kai AU - Fang CK AD - Department of Biomedical Imaging and Radiological Sciences, National Yang-Ming University, Taipei, Taiwan. FAU - Chen, Hong-Wen AU - Chen HW FAU - Chiang, I-Tsang AU - Chiang IT FAU - Chen, Chia-Chieh AU - Chen CC FAU - Liao, Jyh-Fei AU - Liao JF FAU - Su, Ton-Ping AU - Su TP FAU - Tung, Chieh-Yin AU - Tung CY FAU - Uchitomi, Yosuke AU - Uchitomi Y FAU - Hwang, Jeng-Jong AU - Hwang JJ LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120713 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Adrenergic alpha-Antagonists) RN - 0 (Serotonin Plasma Membrane Transport Proteins) RN - 0 (Slc6a4 protein, mouse) RN - 0 (Tumor Necrosis Factor-alpha) RN - 187348-17-0 (Interleukin-12) RN - 250PJI13LM (Mianserin) RN - 82115-62-6 (Interferon-gamma) RN - A051Q2099Q (Mirtazapine) RN - EC 1.13.12.- (Luciferases) SB - IM MH - Adrenergic alpha-Antagonists/pharmacology/*therapeutic use MH - Animals MH - Autoradiography MH - Colonic Neoplasms/*drug therapy/*immunology/pathology MH - Genes, Reporter MH - Immunity, Innate/*drug effects MH - *Immunocompromised Host MH - Injections, Subcutaneous MH - Interferon-gamma/biosynthesis/immunology MH - Interleukin-12/biosynthesis/immunology MH - Luciferases MH - Male MH - Mianserin/*analogs & derivatives/pharmacology/therapeutic use MH - Mice MH - Mice, Inbred BALB C MH - Mice, SCID MH - Mirtazapine MH - Neoplasm Transplantation MH - Serotonin Plasma Membrane Transport Proteins/*agonists/metabolism MH - Survival Rate MH - T-Lymphocytes/drug effects/immunology MH - Tumor Microenvironment/drug effects MH - Tumor Necrosis Factor-alpha/biosynthesis/immunology PMC - PMC3396612 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2012/07/19 06:00 MHDA- 2013/03/27 06:00 PMCR- 2012/07/13 CRDT- 2012/07/19 06:00 PHST- 2011/12/16 00:00 [received] PHST- 2012/05/14 00:00 [accepted] PHST- 2012/07/19 06:00 [entrez] PHST- 2012/07/19 06:00 [pubmed] PHST- 2013/03/27 06:00 [medline] PHST- 2012/07/13 00:00 [pmc-release] AID - PONE-D-11-25280 [pii] AID - 10.1371/journal.pone.0038886 [doi] PST - ppublish SO - PLoS One. 2012;7(7):e38886. doi: 10.1371/journal.pone.0038886. Epub 2012 Jul 13.