PMID- 32701561 OWN - NLM STAT- MEDLINE DCOM- 20210831 LR - 20211204 IS - 1473-5741 (Electronic) IS - 0959-4973 (Linking) VI - 31 IP - 10 DP - 2020 Nov TI - Icaritin inhibits lung cancer-induced osteoclastogenesis by suppressing the expression of IL-6 and TNF-a and through AMPK/mTOR signaling pathway. PG - 1004-1011 LID - 10.1097/CAD.0000000000000976 [doi] AB - Bone metastasis is one of the common phenomena in the late stage of lung cancer. Inhibition of bone metastasis can improve the survival of lung cancer patients. However, the current drugs for the treatment of bone metastasis have shown little effect on overall survival. Therefore, there is an urgent necessity to identify novel drugs capable of preventing and treating bone metastasis of lung cancer. Our study determined that icaritin (ICT) can inhibit lung cancer-mediated osteoclastogenesis and induce the apoptosis of osteoclasts. Exposure to ICT increased the activation of adenosine 5'-monophosphate-activated protein kinase (AMPK), reduced the activation of mammalian target of rapamycin (mTOR) and decreased the expression of bcl-2. The bioactivity of ICT on osteoclastogenesis was associated with the regulation of the AMPK/mTOR signaling pathway. Blocking AMPK significantly increased osteoclast differentiation, decreased osteoclast apoptosis and canceled the effects of ICT on the phosphorylation of AMPK as well as the inhibition of mTOR and bcl-2. Furthermore, ICT decreased the levels of IL-6 and TNF-alpha in osteoclasts, while the AMPK inhibitor compound C significantly abolished the inhibitory effects of ICT on IL-6 and TNF-alpha. Thus, the present study demonstrated that ICT may be a potential natural agent for the treatment of bone metastasis in patients with lung cancer. FAU - Zhao, Xueqiang AU - Zhao X AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. FAU - Lin, Yun AU - Lin Y AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. FAU - Jiang, Bijia AU - Jiang B AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. FAU - Yin, Jianhua AU - Yin J AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. FAU - Lu, Chunlan AU - Lu C AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. FAU - Wang, Juan AU - Wang J AD - College of Pharmacy, Guilin Medical University. AD - Research Center for Science, Guilin Medical University, Guilin, Guangxi Zhuang, P.R. China. FAU - Zeng, Jinrong AU - Zeng J AD - Department of Respiratory Medicine, The Second Affiliated Hospital of Guilin Medical University. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Anticancer Drugs JT - Anti-cancer drugs JID - 9100823 RN - 0 (Flavonoids) RN - 0 (Interleukin-6) RN - 0 (Tumor Necrosis Factor-alpha) RN - 0 (interleukin-6, mouse) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.1.1 (mTOR protein, mouse) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - EC 2.7.11.31 (AMP-Activated Protein Kinases) RN - UFE666UELY (icaritin) SB - IM MH - A549 Cells MH - AMP-Activated Protein Kinases/antagonists & inhibitors/metabolism MH - Animals MH - Apoptosis/drug effects MH - Flavonoids/*pharmacology MH - Humans MH - Interleukin-6/metabolism MH - Lung Neoplasms/*drug therapy/metabolism/*pathology MH - Mice MH - Osteoclasts/drug effects/pathology MH - Osteogenesis/*drug effects/physiology MH - RAW 264.7 Cells MH - Signal Transduction/drug effects MH - TOR Serine-Threonine Kinases/metabolism MH - Tumor Necrosis Factor-alpha/metabolism EDAT- 2020/07/24 06:00 MHDA- 2021/09/01 06:00 CRDT- 2020/07/24 06:00 PHST- 2020/07/24 06:00 [pubmed] PHST- 2021/09/01 06:00 [medline] PHST- 2020/07/24 06:00 [entrez] AID - 00001813-202011000-00003 [pii] AID - 10.1097/CAD.0000000000000976 [doi] PST - ppublish SO - Anticancer Drugs. 2020 Nov;31(10):1004-1011. doi: 10.1097/CAD.0000000000000976.