PMID- 24890366 OWN - NLM STAT- MEDLINE DCOM- 20141104 LR - 20211021 IS - 1349-7006 (Electronic) IS - 1347-9032 (Print) IS - 1347-9032 (Linking) VI - 105 IP - 8 DP - 2014 Aug TI - Gambogic acid suppresses hypoxia-induced hypoxia-inducible factor-1alpha/vascular endothelial growth factor expression via inhibiting phosphatidylinositol 3-kinase/Akt/mammalian target protein of rapamycin pathway in multiple myeloma cells. PG - 1063-70 LID - 10.1111/cas.12458 [doi] AB - In multiple myeloma (MM), the hypoxic environment is an important factor causing tumor angiogenesis, which is strongly correlated to disease progression and unfavorable outcome by activating the key transcription factor, hypoxia-inducible factor-1alpha (HIF-1alpha). Gambogic acid (GA) is the major active ingredient of gamboge, which has been shown to possess antitumor effect by in vitro and in vivo study. However, the underlying molecular mechanism of whether GA inhibits tumor angiogenesis remains poorly understood. In this study, we investigated the effects of GA on expression of HIF-1alpha, and its downstream target gene vascular endothelial growth factor (VEGF) in human MM U266 cells. We found that hypoxia induced increase in the level of HIF-1alpha subunit protein and activated the phosphatidylinositol 3-kinase (PI3K)/Akt/mammalian target protein of rapamycin (mTOR) pathway. Moreover, the treatment with GA markedly decreased HIF-1alpha and VEGF expression under hypoxic conditions. Mechanistic studies exhibited that GA inhibited the production of HIF-1alpha by reducing phosphorylation of Akt and mTOR in U266 cells. Furthermore, in vivo study revealed that intravenous injection of GA once every other day for 2 weeks could suppress tumor volumes by antiangiogenesis activity. Taken together, our results identify that GA suppresses hypoxia-activated pathways that are linked to MM progression, at least partly, by the inhibition of the PI3K/Akt/mTOR signaling pathway. Therefore, GA may be a new potent therapeutic agent against human MM cells. CI - (c) 2014 The Authors. Cancer Science published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Cancer Association. FAU - Wang, Fei AU - Wang F AD - Department of Hematology and Oncology (Key Department of Jiangsu Medicine), Medical School, Zhongda Hospital, Southeast University, Nanjing, China. FAU - Zhang, Wei AU - Zhang W FAU - Guo, Liting AU - Guo L FAU - Bao, Wen AU - Bao W FAU - Jin, Nan AU - Jin N FAU - Liu, Ran AU - Liu R FAU - Liu, Ping AU - Liu P FAU - Wang, Yonghui AU - Wang Y FAU - Guo, Qinglong AU - Guo Q FAU - Chen, Baoan AU - Chen B LA - eng PT - Journal Article DEP - 20140727 PL - England TA - Cancer Sci JT - Cancer science JID - 101168776 RN - 0 (Antineoplastic Agents) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (VEGFA protein, human) RN - 0 (Vascular Endothelial Growth Factor A) RN - 0 (Xanthones) RN - 8N585K83U2 (gambogic acid) RN - EC 2.7.1.- (Phosphatidylinositol 3-Kinases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Blotting, Western MH - Cell Hypoxia/*drug effects/physiology MH - Cell Line, Tumor MH - Disease Models, Animal MH - Enzyme-Linked Immunosorbent Assay MH - Fluorescent Antibody Technique MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/biosynthesis MH - Male MH - Mice MH - Mice, Inbred BALB C MH - Multiple Myeloma/*metabolism MH - Phosphatidylinositol 3-Kinases/metabolism MH - Proto-Oncogene Proteins c-akt/metabolism MH - Real-Time Polymerase Chain Reaction MH - Signal Transduction/*drug effects/physiology MH - Vascular Endothelial Growth Factor A/biosynthesis MH - Xanthones/*pharmacology MH - Xenograft Model Antitumor Assays PMC - PMC4317858 OTO - NOTNLM OT - Angiogenesis OT - gambogic acid OT - hypoxia-inducible factor 1 alpha subunit OT - multiple myeloma OT - vascular endothelial growth factor A EDAT- 2014/06/04 06:00 MHDA- 2014/11/05 06:00 PMCR- 2014/08/01 CRDT- 2014/06/04 06:00 PHST- 2014/03/18 00:00 [received] PHST- 2014/05/26 00:00 [revised] PHST- 2014/05/27 00:00 [accepted] PHST- 2014/06/04 06:00 [entrez] PHST- 2014/06/04 06:00 [pubmed] PHST- 2014/11/05 06:00 [medline] PHST- 2014/08/01 00:00 [pmc-release] AID - 10.1111/cas.12458 [doi] PST - ppublish SO - Cancer Sci. 2014 Aug;105(8):1063-70. doi: 10.1111/cas.12458. Epub 2014 Jul 27.