PMID- 29436614 OWN - NLM STAT- MEDLINE DCOM- 20180823 LR - 20211204 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 52 IP - 4 DP - 2018 Apr TI - Arctigenin inhibits the activation of the mTOR pathway, resulting in autophagic cell death and decreased ER expression in ER-positive human breast cancer cells. PG - 1339-1349 LID - 10.3892/ijo.2018.4271 [doi] AB - Arctigenin, a member of the Asteraceae family, is a biologically active lignan that is consumed worldwide due to its several health benefits. However, its use may pose a problem for patients with estrogen receptor (ER)alpha-positive breast cancer, since studies have shown that arctigenin is a phytoestrogen that exerts a proliferative effect by binding to the ER. Thus, in this study, we examined the effect of arctigenin on ERalpha-positive MCF-7 human breast cancer cells to determine whether the consumption of arctigenin is safe for patients with breast cancer. First, we found that arctigenin inhibited the viability of the MCF-7 cells, and colony formation assay confirmed that this effect was cytotoxic rather than cytostatic. The cytotoxic effects were not mediated by cell cycle arrest, apoptosis, or necroptosis, despite DNA damage, as indicated by poly(ADP-ribose) polymerase (PARP) cleavage and phosphorylated H2A.X. An increase in lipidated LC3, a marker of autophagosome formation, was observed, indicating that autophagy was induced by arctigenin, which was found to be triggered by the inhibition of the mechanistic target of rapamycin (mTOR) pathway. We then examined the effects of arctigenin on ERalpha expression and determined whether it affects the sensitivity of the cells to tamoxifen, as tamoxifen is commonly used against hormone-responsive cancers and is known to act via the ERalpha. We found that treatment with arctigenin effectively downregulated ERalpha expression, which was found to be a consequence of the inhibition of the mTOR pathway. However, treatment with arctigenin in combination with tamoxifen did not affect the sensitivity of the cells to tamoxifen, but instead, exerted a synergistic effect. On the whole, our data indicate that the phytoestrogen, arctigenin, mainly targeted the mTOR pathway in ERalpha-positive MCF-7 human breast cancer cells, leading to autophagy-induced cell death and the downregulation of ERalpha expression. Furthermore, the synergistic effects between arctigenin and tamoxifen suggest that the consumption of arctigenin is not only safe for patients with hormone-sensitive cancers, but may also be an effective co-treatment. FAU - Maxwell, Thressi AU - Maxwell T AD - Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju 38066, Republic of Korea. FAU - Lee, Kyu Shik AU - Lee KS AD - Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju 38066, Republic of Korea. FAU - Kim, Soyoung AU - Kim S AD - Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju 38066, Republic of Korea. FAU - Nam, Kyung-Soo AU - Nam KS AD - Department of Pharmacology, School of Medicine and Intractable Disease Research Center, Dongguk University, Gyeongju 38066, Republic of Korea. LA - eng PT - Journal Article DEP - 20180209 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 0 (ESR1 protein, human) RN - 0 (Estrogen Receptor alpha) RN - 0 (Furans) RN - 0 (Lignans) RN - 0 (Phytoestrogens) RN - 0 (Selective Estrogen Receptor Modulators) RN - 094ZI81Y45 (Tamoxifen) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - U76MR9VS6M (arctigenin) SB - IM MH - Autophagy/*drug effects MH - Drug Synergism MH - Estrogen Receptor alpha/biosynthesis/*drug effects MH - Female MH - Furans/*pharmacology MH - Humans MH - Lignans/*pharmacology MH - MCF-7 Cells MH - Phytoestrogens/*pharmacology MH - Selective Estrogen Receptor Modulators/pharmacology MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/*drug effects/metabolism MH - Tamoxifen/pharmacology EDAT- 2018/02/14 06:00 MHDA- 2018/08/24 06:00 CRDT- 2018/02/14 06:00 PHST- 2017/11/07 00:00 [received] PHST- 2018/02/06 00:00 [accepted] PHST- 2018/02/14 06:00 [pubmed] PHST- 2018/08/24 06:00 [medline] PHST- 2018/02/14 06:00 [entrez] AID - 10.3892/ijo.2018.4271 [doi] PST - ppublish SO - Int J Oncol. 2018 Apr;52(4):1339-1349. doi: 10.3892/ijo.2018.4271. Epub 2018 Feb 9.