PMID- 32905663 OWN - NLM STAT- MEDLINE DCOM- 20210727 LR - 20240226 IS - 1742-7843 (Electronic) IS - 1742-7835 (Linking) VI - 128 IP - 2 DP - 2021 Feb TI - Bufalin inhibits ovarian carcinoma via targeting mTOR/HIF-alpha pathway. PG - 224-233 LID - 10.1111/bcpt.13487 [doi] AB - Ovarian cancer is a severe health threat for women with increased incidence and stymied development in diagnosis and therapy. Drug resistance is still a big challenge. Bufalin is a multi-functional steroid-like compound extracted from natural product Chansu and has been tested as antitumour agent recently. The application and mechanism of bufalin in ovarian cancer remain unclear yet. Bufalin was first examined in ovarian epithelial cancer cell as well as primary ovarian tissue to evaluate its inhibitory activity in cell growth and migration, followed by the validation in xenograft tumour model and the patient samples. Bufalin is well tolerated by normal ovarian tissue at up to 40 muM and suppresses the cell growth and migration at 10 muM and xenograft tumour growth at 0.1mg/kg dosage. Bufalin inhibits the mammalian target of rapamycin (mTOR) activation and subsequently decreases hypoxia-induced factor 1 alpha (HIF-1alpha) level. Overexpression of HIF-1alpha could abolish the pro-apoptotic and antimigration activity of bufalin in cell culture. Strikingly, low HIF-1alpha level was correlated with improved responsiveness to cisplatin treatment in ovarian cancer patients. Bufalin was a potent inhibitor of cell growth and migration in ovarian cancer cells through suppression of mTOR activation and HIF-1alpha induction. Bufalin could be used to enhance the efficacy of cisplatin in ovarian cancer patients. CI - (c) 2020 Nordic Association for the Publication of BCPT (former Nordic Pharmacological Society). FAU - Su, Shan AU - Su S AD - Department of Gynecology, Zibo Central Hospital, Shandong, China. FAU - Dou, Hongtao AU - Dou H AD - Department of Gynecology, Zibo Central Hospital, Shandong, China. FAU - Wang, Zhe AU - Wang Z AD - Department of Obstetrical, Zibo Maternal and Child Health Hospital, Shandong, China. FAU - Zhang, Qinghua AU - Zhang Q AUID- ORCID: 0000-0001-5606-4191 AD - Department of Gynecology, Zibo Central Hospital, Shandong, China. LA - eng PT - Journal Article DEP - 20201002 PL - England TA - Basic Clin Pharmacol Toxicol JT - Basic & clinical pharmacology & toxicology JID - 101208422 RN - 0 (Antineoplastic Agents) RN - 0 (Bufanolides) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - Q20Q21Q62J (Cisplatin) RN - U549S98QLW (bufalin) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology MH - Bufanolides/*pharmacology MH - Carcinoma, Ovarian Epithelial/*drug therapy/enzymology/genetics/pathology MH - Cell Line, Tumor MH - Cell Movement/drug effects MH - Cell Proliferation/drug effects MH - Cisplatin/pharmacology MH - Drug Resistance, Neoplasm MH - Female MH - Gene Expression Regulation, Neoplastic MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/genetics/*metabolism MH - Mice, Nude MH - Neoplasm Invasiveness MH - Ovarian Neoplasms/*drug therapy/enzymology/genetics/pathology MH - Signal Transduction MH - TOR Serine-Threonine Kinases/*metabolism MH - Tumor Burden/drug effects MH - Tumor Cells, Cultured MH - Xenograft Model Antitumor Assays MH - Mice OTO - NOTNLM OT - HIF-1alpha OT - bufalin OT - cisplatin OT - mTOR OT - ovarian cancer EDAT- 2020/09/10 06:00 MHDA- 2021/07/28 06:00 CRDT- 2020/09/09 18:16 PHST- 2020/05/26 00:00 [received] PHST- 2020/08/21 00:00 [revised] PHST- 2020/09/02 00:00 [accepted] PHST- 2020/09/10 06:00 [pubmed] PHST- 2021/07/28 06:00 [medline] PHST- 2020/09/09 18:16 [entrez] AID - 10.1111/bcpt.13487 [doi] PST - ppublish SO - Basic Clin Pharmacol Toxicol. 2021 Feb;128(2):224-233. doi: 10.1111/bcpt.13487. Epub 2020 Oct 2.