PMID- 29152137 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20191120 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 8 IP - 50 DP - 2017 Oct 20 TI - Emodin and rhein decrease levels of hypoxia-inducible factor-1alpha in human pancreatic cancer cells and attenuate cancer cachexia in athymic mice carrying these cells. PG - 88008-88020 LID - 10.18632/oncotarget.21330 [doi] AB - The transcription factor hypoxia-inducible factor-1 (HIF-1) consists of oxygen-sensitive HIF-1alpha and constitutive HIF-1beta. HIF-1alpha is undetectable in normal cells, but cancer cells frequently express HIF-1alpha to support their growth, angiogenesis, and high glycolysis (also known as the Warburg effect). The Warburg effect in cancer cells increases energy expenditure and thus participates in cancer-induced metabolic disorder, cancer cachexia. In the present study, we investigated whether two components of Rheum palmatum, emodin and rhein, inhibited HIF-1alpha expression in human pancreatic cancer cells and whether the inhibiting effect, if any, attenuated cancer cachexia. Using Western blotting, we demonstrated that emodin and rhein decreased HIF-1alpha expression in MiaPaCa2 and four other human pancreatic cancer cell lines. We also examined HIF-1alpha expression when MiaPaCa2 cells were exposed to PX-478, noscapine, and phenethyl isothiocyanate, as these compounds were known to inhibit HIF-1alpha expression in different cancer cells. PX-478 and noscapine inhibited HIF-1alpha expression to a less extent than emodin and rhein, and phenethyl isothiocyanate did not inhibit HIF-1alpha expression in tested concentrations. We obtained evidence that emodin and rhein decreased HIF-1alpha by decreasing its biosynthesis but not gene transcription or protein stability. When MiaPaCa2 cells were implanted in athymic mice, emodin and rhein inhibited cancer-cell growth and HIF-1alpha expression. In these athymic mice, emodin and rhein also attenuated two pathological constituents of cancer cachexia, namely high hepatic gluconeogenesis and skeletal-muscle proteolysis. In conclusion, emodin and rhein decrease pancreatic cancer cell's growth and HIF-1alpha expression and attenuate cancer cachexia in the athymic mice carrying the cancer cells. FAU - Hu, Lijuan AU - Hu L AD - The Graduate School, Tianjin Medical University, Tianjin, China. AD - The Institute of Integrative Medicine for Acute Abdominal Diseases, Nankai Hospital, Tianjin, China. FAU - Cui, Rui AU - Cui R AD - The Institute of Integrative Medicine for Acute Abdominal Diseases, Nankai Hospital, Tianjin, China. FAU - Liu, Hongyi AU - Liu H AD - The Institute of Integrative Medicine for Acute Abdominal Diseases, Nankai Hospital, Tianjin, China. FAU - Wang, Feng AU - Wang F AD - The Institute of Integrative Medicine for Acute Abdominal Diseases, Nankai Hospital, Tianjin, China. LA - eng PT - Journal Article DEP - 20170927 PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 PMC - PMC5675689 OTO - NOTNLM OT - cachexia OT - emodin OT - hypoxia-inducible factor-1alpha OT - pancreatic cancer OT - rhein COIS- CONFLICTS OF INTEREST Authors have no conflicts of interest to declare. EDAT- 2017/11/21 06:00 MHDA- 2017/11/21 06:01 PMCR- 2017/10/20 CRDT- 2017/11/21 06:00 PHST- 2017/08/01 00:00 [received] PHST- 2017/08/28 00:00 [accepted] PHST- 2017/11/21 06:00 [entrez] PHST- 2017/11/21 06:00 [pubmed] PHST- 2017/11/21 06:01 [medline] PHST- 2017/10/20 00:00 [pmc-release] AID - 21330 [pii] AID - 10.18632/oncotarget.21330 [doi] PST - epublish SO - Oncotarget. 2017 Sep 27;8(50):88008-88020. doi: 10.18632/oncotarget.21330. eCollection 2017 Oct 20.