PMID- 24190430 OWN - NLM STAT- MEDLINE DCOM- 20140121 LR - 20211021 IS - 1540-9538 (Electronic) IS - 0022-1007 (Print) IS - 0022-1007 (Linking) VI - 210 IP - 12 DP - 2013 Nov 18 TI - Modulation of NKG2D ligand expression and metastasis in tumors by spironolactone via RXRgamma activation. PG - 2675-92 LID - 10.1084/jem.20122292 [doi] AB - Tumor metastasis and lack of NKG2D ligand (NKG2DL) expression are associated with poor prognosis in patients with colon cancer. Here, we found that spironolactone (SPIR), an FDA-approved diuretic drug with a long-term safety profile, can up-regulate NKG2DL expression in multiple colon cancer cell lines by activating the ATM-Chk2-mediated checkpoint pathway, which in turn enhances tumor elimination by natural killer cells. SPIR can also up-regulate the expression of metastasis-suppressor genes TIMP2 and TIMP3, thereby reducing tumor cell invasiveness. Although SPIR is an aldosterone antagonist, its antitumor effects are independent of the mineralocorticoid receptor pathway. By screening the human nuclear hormone receptor siRNA library, we identified retinoid X receptor gamma (RXRgamma) instead as being indispensable for the antitumor functions of SPIR. Collectively, our results strongly support the use of SPIR or other RXRgamma agonists with minimal side effects for colon cancer prevention and therapy. FAU - Leung, Wai-Hang AU - Leung WH AD - Department of Bone Marrow Transplantation and Cellular Therapy; 2 Department of Chemical Biology & Therapeutics; and 3 Department of Pathology, St. Jude Children's Research Hospital, Memphis, Tennessee 38105. FAU - Vong, Queenie P AU - Vong QP FAU - Lin, Wenwei AU - Lin W FAU - Janke, Laura AU - Janke L FAU - Chen, Taosheng AU - Chen T FAU - Leung, Wing AU - Leung W LA - eng GR - P30 CA021765/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131104 PL - United States TA - J Exp Med JT - The Journal of experimental medicine JID - 2985109R RN - 0 (GPI-Linked Proteins) RN - 0 (Histocompatibility Antigens Class I) RN - 0 (Intercellular Signaling Peptides and Proteins) RN - 0 (Intracellular Signaling Peptides and Proteins) RN - 0 (KLRK1 protein, human) RN - 0 (Ligands) RN - 0 (MHC class I-related chain A) RN - 0 (MICB antigen) RN - 0 (NK Cell Lectin-Like Receptor Subfamily K) RN - 0 (RNA, Messenger) RN - 0 (RNA, Neoplasm) RN - 0 (Receptors, Mineralocorticoid) RN - 0 (Retinoid X Receptor gamma) RN - 0 (TIMP2 protein, human) RN - 0 (TIMP3 protein, human) RN - 0 (Tissue Inhibitor of Metalloproteinase-3) RN - 0 (ULBP1 protein, human) RN - 0 (ULBP2 protein, human) RN - 0 (ULBP3 protein, human) RN - 127497-59-0 (Tissue Inhibitor of Metalloproteinase-2) RN - 27O7W4T232 (Spironolactone) SB - IM MH - Animals MH - Cell Line, Tumor MH - Colorectal Neoplasms/*drug therapy/*metabolism/secondary MH - Cytotoxicity, Immunologic/drug effects MH - GPI-Linked Proteins/genetics/metabolism MH - Histocompatibility Antigens Class I/genetics/metabolism MH - Humans MH - Intercellular Signaling Peptides and Proteins/genetics/metabolism MH - Intracellular Signaling Peptides and Proteins/genetics/metabolism MH - Killer Cells, Natural/drug effects/immunology MH - Ligands MH - Mice MH - Mice, Inbred C57BL MH - Mice, Mutant Strains MH - NK Cell Lectin-Like Receptor Subfamily K/*metabolism MH - RNA, Messenger/genetics/metabolism MH - RNA, Neoplasm/genetics/metabolism MH - Receptors, Mineralocorticoid/metabolism MH - Retinoid X Receptor gamma/*agonists/antagonists & inhibitors/genetics MH - Signal Transduction MH - Spironolactone/*pharmacology MH - Tissue Inhibitor of Metalloproteinase-2/genetics MH - Tissue Inhibitor of Metalloproteinase-3/genetics MH - Up-Regulation/drug effects MH - Xenograft Model Antitumor Assays PMC - PMC3832934 EDAT- 2013/11/06 06:00 MHDA- 2014/01/22 06:00 PMCR- 2014/05/18 CRDT- 2013/11/06 06:00 PHST- 2013/11/06 06:00 [entrez] PHST- 2013/11/06 06:00 [pubmed] PHST- 2014/01/22 06:00 [medline] PHST- 2014/05/18 00:00 [pmc-release] AID - jem.20122292 [pii] AID - 20122292 [pii] AID - 10.1084/jem.20122292 [doi] PST - ppublish SO - J Exp Med. 2013 Nov 18;210(12):2675-92. doi: 10.1084/jem.20122292. Epub 2013 Nov 4.