Abstract
Aspirin is associated with a reduced risk of cancer and delayed progression of malignant disease. Adenosine 5'-monophosphate (AMP)-activated protein kinase (AMPK)-mTOR signaling is believed to partially contribute to these anticancer effects, although the mechanism is unclear. In this study, we revealed the mechanism underlying the effects of aspirin on AMPK-mTOR signaling, and described a mechanism-based rationale for the use of aspirin in cancer therapy. We found that aspirin inhibited mTORC1 signaling through AMPK-dependent and -independent manners. Aspirin inhibited the AMPK-TSC pathway, thus resulting in the suppression of mTORC1 activity. In parallel, it directly disrupted the mTOR-raptor interaction. Additionally, the combination of aspirin and sorafenib showed synergetic effects via inhibiting mTORC1 signaling and the PI3K/AKT, MAPK/ERK pathways. Aspirin and sorafenib showed synergetic anticancer efficacy in the SMMC-7721 model. Our study provides mechanistic insights and a mechanism-based rationale for the roles of aspirin in cancer treatment.
Keywords:
AMPK; Aspirin; Proliferation; Sorafenib; mTORC1.
Copyright © 2017 Elsevier B.V. All rights reserved.
MeSH terms
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AMP-Activated Protein Kinases / physiology
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Adaptor Proteins, Signal Transducing / antagonists & inhibitors*
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Adaptor Proteins, Signal Transducing / metabolism
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Animals
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Anti-Inflammatory Agents, Non-Steroidal / pharmacology
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Antineoplastic Agents / pharmacology*
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Apoptosis / drug effects
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Aspirin / pharmacology*
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Carcinoma, Hepatocellular / drug therapy*
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Carcinoma, Hepatocellular / metabolism
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Carcinoma, Hepatocellular / pathology
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Cell Proliferation / drug effects
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Cells, Cultured
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Drug Therapy, Combination
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Embryo, Mammalian / cytology
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Embryo, Mammalian / drug effects
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Embryo, Mammalian / metabolism
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Fibroblasts / cytology
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Fibroblasts / drug effects
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Fibroblasts / metabolism
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Gene Expression Regulation, Neoplastic / drug effects
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Humans
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Liver Neoplasms / drug therapy*
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Liver Neoplasms / metabolism
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Liver Neoplasms / pathology
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Mechanistic Target of Rapamycin Complex 1
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Mice
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Mice, Knockout
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Multiprotein Complexes / antagonists & inhibitors
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Multiprotein Complexes / metabolism
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Niacinamide / analogs & derivatives*
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Niacinamide / pharmacology
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Phenylurea Compounds / pharmacology*
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Regulatory-Associated Protein of mTOR
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Sorafenib
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TOR Serine-Threonine Kinases / antagonists & inhibitors*
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TOR Serine-Threonine Kinases / metabolism
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Tuberous Sclerosis Complex 2 Protein
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Tumor Suppressor Proteins / metabolism
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Xenograft Model Antitumor Assays
Substances
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Adaptor Proteins, Signal Transducing
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Anti-Inflammatory Agents, Non-Steroidal
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Antineoplastic Agents
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Multiprotein Complexes
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Phenylurea Compounds
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Regulatory-Associated Protein of mTOR
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Rptor protein, mouse
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Tuberous Sclerosis Complex 2 Protein
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Tumor Suppressor Proteins
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Niacinamide
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Sorafenib
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mTOR protein, mouse
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Mechanistic Target of Rapamycin Complex 1
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TOR Serine-Threonine Kinases
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AMP-Activated Protein Kinases
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Aspirin