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Inhibition of the Sodium Potassium Adenosine Triphosphatase Pump Sensitizes Cancer Cells to Anoikis and Prevents Distant Tumor Formation
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Abstract
Normal epithelial cells undergo apoptosis upon detachment from the extracellular matrix, a process termed “anoikis.” However, malignant epithelial cells with metastatic potential resist anoikis and can survive in an anchorage-independent fashion. Molecules that sensitize resistant cells to anoikis will be useful chemical probes to understand this pathway. To identify novel anoikis sensitizers in anoikis-resistant PPC-1 prostate adenocarcinoma cells, a library of 2,000 off-patent drugs and natural products was screened for their ability to preferentially induce cell death in suspension over adherent culture conditions. This screen identified five members of the family of cardiac glycosides as anoikis sensitizers, including ouabain, peruvoside, digoxin, digitoxin, and strophanthidin. We conducted further studies with ouabain to discern the mechanism of cardiac glycoside-induced anoikis sensitization. Ouabain initiated anoikis through the mitochondrial pathway of caspase activation. In addition, ouabain sensitized cells to anoikis by inhibiting its known target, the Na+/K+ ATPase pump, and inducing hypoosmotic stress. Resistance to anoikis permits cancer cells to survive in the circulation and facilitates their metastasis to distant organs, so we tested the effects of Na+/K+ ATPase inhibition on distant tumor formation in mouse models. In these mouse models, ouabain inhibited tumor metastases but did not alter the growth of subcutaneous tumors. Thus, we have identified a novel mechanism to sensitize resistant cells to anoikis and decrease tumor metastasis. These results suggest a potential mechanism for the observed clinical reduction in metastasis and relapse in breast cancer patients who have undergone treatments with cardiac glycosides. [Cancer Res 2009;69(7):2739–47]
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Cancer cells need to acquire at least some degree of resistance to anoikis to initiate and progress through the metastatic cascade.
“Accordingly, cancer cells need to acquire at least some degree of resistance to anoikis to initiate and progress though the so-called “metastatic cascade” [237–239].”
From Molecular mechanisms of cell death: recommendations of the nomenclature committee on cell death 2018. (2018) · cites this paper as [239]
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Metadata
- Authors
- Simpson, C. D., Mawji, I. A., Anyiwe, K., Williams, M. A., Wang, X., Venugopal, A. L., Gronda, M., Hurren, R., Cheng, S., Serra, S., Zavareh, R. B., Datti, A., Wrana, J. L., Ezzat, S., & Schimmer, A. D.
- Affiliations
- Princess Margaret Cancer Centre (CA)
- University Health Network (CA)
- Mount Sinai Hospital (US)
- University of Toronto (CA)
- ORCID
- Venue
- Cancer Research
- Published
- 2009-04-01
- Volume
- 69
- Issue
- 7
- Pages
- 2739-2747
- ISSN
- 0008-5472 (ISSN-L)
- 1538-7445
- OpenAlex
- W2097293117
- Cited by
- 104
- References
- 49
- Citations by year
- 2026: 2 · 2025: 6 · 2024: 1 · 2023: 4 · 2022: 5 · 2021: 4 · 2020: 8 · 2019: 7 · 2018: 6 · 2017: 5 · 2016: 1 · 2015: 9 · 2014: 8 · 2013: 8 · 2012: 8
- FWCI
- 4.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Cancer Research (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Cell death mechanisms and regulation
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Ion Transport and Channel Regulation
- Health Sciences › Medicine › Oncology › Cancer Cells and Metastasis
- Keywords
- anoikis, Na+/K+-ATPase inhibition, cardiac glycosides, ouabain, digoxin, digitoxin, strophanthidin, hypoosmotic stress, anchorage-independent survival, metastasis, prostate adenocarcinoma, natural products
- MeSH terms
- Sodium-Potassium-Exchanging ATPase, Animals, Cardiac Glycosides, Drug Screening Assays, Antitumor, Enzyme Activation, Enzyme Inhibitors, Humans, Male, Mitochondria, Neoplasm Metastasis, Neoplasms, Osmotic Pressure, Ouabain, Mice, SCID, Mice, Inbred NOD, Caspases, Xenograft Model Antitumor Assays, Anoikis, Cell Line, Tumor, Mice, Caspase Inhibitors
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