PMID- 30816444 OWN - NLM STAT- MEDLINE DCOM- 20190813 LR - 20190813 IS - 1791-2423 (Electronic) IS - 1019-6439 (Linking) VI - 54 IP - 5 DP - 2019 May TI - MUL1 E3 ligase regulates the antitumor effects of metformin in chemoresistant ovarian cancer cells via AKT degradation. PG - 1833-1842 LID - 10.3892/ijo.2019.4730 [doi] AB - Chemoresistance is one of most critical clinical problems encountered when treating patients with ovarian cancer, due to the fact that the disease is usually diagnosed at advanced stages. Metformin is used as a first‑line drug for the treatment of type 2 diabetes; however, drug repositioning studies have revealed its antitumor effects, mainly mediated through AMP‑activated protein kinase (AMPK) activation and AKT/mammalian target of rapamycin (mTOR) pathway inhibition in various types of cancer, including drug‑resistant cancer cells. The current study revealed that the novel antitumor mechanism of metformin is mediated by regulation of mitochondrial E3 ubiquitin protein ligase 1 (MUL1) expression that negatively regulates AKT. The results demonstrated that metformin decreased the expression of AKT protein levels via MUL1 E3 ligase. In addition, metformin increased both mRNA and protein levels of MUL1 and promoted degradation of AKT in a proteasome‑dependent manner. Silencing MUL1 expression suppressed the metformin‑mediated AKT degradation and its downstream effects. Cell cycle analysis and a clonogenic assay demonstrated that knockdown of MUL1 significantly diminished the antitumor effects of metformin. Together, these data indicate that MUL1 regulates metformin‑mediated AKT degradation and the antitumor effects of metformin in chemoresistant ovarian cancer cell lines. FAU - Lee, Junwoo AU - Lee J AD - GeneCellPharm Corporation, Seoul 05836, Republic of Korea. FAU - An, Sungkwan AU - An S AD - Research Institute for Molecular-Targeted Drugs, Department of Cosmetics Engineering, Konkuk University, Seoul 05029, Republic of Korea. FAU - Jung, Jin Hyuk AU - Jung JH AD - GeneCellPharm Corporation, Seoul 05836, Republic of Korea. FAU - Kim, Karam AU - Kim K AD - GeneCellPharm Corporation, Seoul 05836, Republic of Korea. FAU - Kim, Ji Yea AU - Kim JY AD - GeneCellPharm Corporation, Seoul 05836, Republic of Korea. FAU - An, In-Sook AU - An IS AD - GeneCellPharm Corporation, Seoul 05836, Republic of Korea. FAU - Bae, Seunghee AU - Bae S AD - Research Institute for Molecular-Targeted Drugs, Department of Cosmetics Engineering, Konkuk University, Seoul 05029, Republic of Korea. LA - eng PT - Journal Article DEP - 20190227 PL - Greece TA - Int J Oncol JT - International journal of oncology JID - 9306042 RN - 9100L32L2N (Metformin) RN - EC 2.3.2.27 (MUL1 protein, human) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) MH - Animals MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Drug Repositioning MH - Drug Resistance, Neoplasm/*drug effects MH - Female MH - Humans MH - Metformin/*administration & dosage/pharmacology MH - Mice MH - Ovarian Neoplasms/*drug therapy/enzymology MH - Proteolysis MH - Proto-Oncogene Proteins c-akt/*metabolism MH - Ubiquitin-Protein Ligases/*metabolism MH - Xenograft Model Antitumor Assays EDAT- 2019/03/01 06:00 MHDA- 2019/08/14 06:00 CRDT- 2019/03/01 06:00 PHST- 2018/07/19 00:00 [received] PHST- 2019/01/30 00:00 [accepted] PHST- 2019/03/01 06:00 [pubmed] PHST- 2019/08/14 06:00 [medline] PHST- 2019/03/01 06:00 [entrez] AID - 10.3892/ijo.2019.4730 [doi] PST - ppublish SO - Int J Oncol. 2019 May;54(5):1833-1842. doi: 10.3892/ijo.2019.4730. Epub 2019 Feb 27.