PMID- 34103583 OWN - NLM STAT- MEDLINE DCOM- 20211115 LR - 20211115 IS - 2045-2322 (Electronic) IS - 2045-2322 (Linking) VI - 11 IP - 1 DP - 2021 Jun 8 TI - Hyperbaric oxygen suppressed tumor progression through the improvement of tumor hypoxia and induction of tumor apoptosis in A549-cell-transferred lung cancer. PG - 12033 LID - 10.1038/s41598-021-91454-2 [doi] LID - 12033 AB - Tumor cells have long been recognized as a relative contraindication to hyperbaric oxygen treatment (HBOT) since HBOT might enhance progressive cancer growth. However, in an oxygen deficit condition, tumor cells are more progressive and can be metastatic. HBOT increasing in oxygen partial pressure may benefit tumor suppression. In this study, we investigated the effects of HBOT on solid tumors, such as lung cancer. Non-small cell human lung carcinoma A549-cell-transferred severe combined immunodeficiency mice (SCID) mice were selected as an in vivo model to detect the potential mechanism of HBOT in lung tumors. HBOT not only improved tumor hypoxia but also suppressed tumor growth in murine xenograft tumor models. Platelet endothelial cell adhesion molecule (PECAM-1/CD31) was significantly increased after HBOT. Immunostaining of cleaved caspase-3 was demonstrated and apoptotic tumor cells with nuclear debris were aggregated starting on the 14th-day after HBOT. In vitro, HBOT suppressed the growth of A549 cells in a time-dependent manner and immediately downregulated the expression of p53 protein after HBOT in A549 cells. Furthermore, HBOT-reduced p53 protein could be rescued by a proteasome degradation inhibitor, but not an autophagy inhibitor in A549 cells. Our results demonstrated that HBOT improved tissue angiogenesis, tumor hypoxia and increased tumor apoptosis to lung cancer cells in murine xenograft tumor models, through modifying the tumor hypoxic microenvironment. HBOT will merit further cancer therapy as an adjuvant treatment for solid tumors, such as lung cancer. FAU - Chen, Shao-Yuan AU - Chen SY AD - Department of Hyperbaric Medicine and Neurology, Cardinal Tien Hospital, New Taipei City, Taiwan, ROC. 1sychen@yahoo.com.tw. AD - School of Medicine, Fu Jen Catholic University, New Taipei City, Taiwan, ROC. 1sychen@yahoo.com.tw. AD - Graduate Institute of Aerospace and Undersea Medicine, National Defense Medical Center, Taipei, Taiwan, ROC. 1sychen@yahoo.com.tw. FAU - Tsuneyama, Koichi AU - Tsuneyama K AD - Department of Molecular and Environmental Pathology, The University of Tokushima, Tokushima, Japan. FAU - Yen, Mao-Hsiung AU - Yen MH AD - Department of Pharmacology, National Defense Medical Center, Taipei, Taiwan, ROC. FAU - Lee, Jiunn-Tay AU - Lee JT AD - Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan, ROC. FAU - Chen, Jiun-Liang AU - Chen JL AD - Department of Traditional Chinese Medicine, Chang Gung University, Taoyuan City, Taiwan, ROC. FAU - Huang, Shih-Ming AU - Huang SM AD - Department of Biochemistry, National Defense Medical Center, Taipei, Taiwan, ROC. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210608 PL - England TA - Sci Rep JT - Scientific reports JID - 101563288 RN - 0 (PECAM1 protein, human) RN - 0 (Platelet Endothelial Cell Adhesion Molecule-1) RN - EC 3.4.22.- (Caspase 3) RN - EC 3.4.25.1 (Proteasome Endopeptidase Complex) SB - IM MH - A549 Cells MH - Animals MH - *Apoptosis MH - Carcinoma, Non-Small-Cell Lung/therapy MH - Caspase 3/metabolism MH - Cell Line, Tumor MH - Disease Progression MH - Female MH - Humans MH - Hyperbaric Oxygenation/*methods MH - Hypoxia MH - Immunohistochemistry MH - Lung Neoplasms/drug therapy/*therapy MH - Mice MH - Mice, SCID MH - Neoplasm Transplantation MH - Neoplasms/*therapy MH - Platelet Endothelial Cell Adhesion Molecule-1/metabolism MH - Proteasome Endopeptidase Complex/metabolism MH - *Tumor Hypoxia MH - Tumor Microenvironment PMC - PMC8187442 COIS- The authors declare no competing interests. EDAT- 2021/06/10 06:00 MHDA- 2021/11/16 06:00 PMCR- 2021/06/08 CRDT- 2021/06/09 06:17 PHST- 2020/12/29 00:00 [received] PHST- 2021/05/27 00:00 [accepted] PHST- 2021/06/09 06:17 [entrez] PHST- 2021/06/10 06:00 [pubmed] PHST- 2021/11/16 06:00 [medline] PHST- 2021/06/08 00:00 [pmc-release] AID - 10.1038/s41598-021-91454-2 [pii] AID - 91454 [pii] AID - 10.1038/s41598-021-91454-2 [doi] PST - epublish SO - Sci Rep. 2021 Jun 8;11(1):12033. doi: 10.1038/s41598-021-91454-2.