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Growth inhibition and regression of lung tumors by silibinin: modulation of angiogenesis by macrophage-associated cytokines and nuclear factor-kappaB and signal transducers and activators of transcription 3.

Abstract
The latency period for lung tumor progression offers a window of opportunity for therapeutic intervention. Herein, we studied the effect of oral silibinin (742 mg/kg body weight, 5 d/wk for 10 weeks) on the growth and progression of established lung adenocarcinomas in A/J mice. Silibinin strongly decreased both tumor number and tumor size, an antitumor effect that correlates with reduced antiangiogenic activity. Silibinin reduced microvessel size (50%, P < 0.01) with no change in the number of tumor microvessels and reduced (by 30%, P < 0.05) the formation of nestin-positive microvessels in tumors. Analysis of several proteins involved in new blood vessel formation showed that silibinin decreased the tumor expression of interleukin-13 (47%) and tumor necrosis factor-alpha (47%), and increased tissue inhibitor of metalloproteinase-1 (2-fold) and tissue inhibitor of metalloproteinase-2 (7-fold) expression, without significant changes in vascular endothelial growth factor levels. Hypoxia- inducible factor-1 alpha expression and nuclear localization were also decreased by silibinin treatment. Cytokines secreted by tumor cells and tumor-associated macrophages regulate angiogenesis by activating nuclear factor-kappaB (NF-kappaB) and signal transducers and activators of transcription (STAT). Silibinin decreased the phosphorylation of p65NF-kappaB (ser276, 38%; P < 0.01) and STAT-3 (ser727, 16%; P < 0.01) in tumor cells and decreased the lung macrophage population. Angiopoietin-2 (Ang-2) and Ang-receptor tyrosine kinase (Tie-2) expression were increased by silibinin. Therapeutic efficacy of silibinin in lung tumor growth inhibition and regression by antiangiogenic mechanisms seem to be mediated by decreased tumor-associated macrophages and cytokines, inhibition of hypoxia-inducible factor-1 alpha, NF-kappaB, and STAT-3 activation, and up-regulation of the angiogenic inhibitors, Ang-2 and Tie-2.
AuthorsAlpna Tyagi, Rana P Singh, Kumaraguruparan Ramasamy, Komal Raina, Elizabeth F Redente, Lori D Dwyer-Nield, Richard A Radcliffe, Alvin M Malkinson, Rajesh Agarwal
JournalCancer prevention research (Philadelphia, Pa.) (Cancer Prev Res (Phila)) Vol. 2 Issue 1 Pg. 74-83 (Jan 2009) ISSN: 1940-6215 [Electronic] United States
PMID19139021 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
Chemical References
  • Angiogenesis Inhibitors
  • Cytokines
  • NF-kappa B
  • STAT3 Transcription Factor
  • Silymarin
  • Stat3 protein, mouse
  • Silybin
Topics
  • Adenocarcinoma (drug therapy, immunology, metabolism)
  • Angiogenesis Inhibitors (pharmacology)
  • Animals
  • Apoptosis (drug effects)
  • Cell Proliferation (drug effects)
  • Cytokines (drug effects, immunology)
  • Enzyme-Linked Immunosorbent Assay
  • Immunoblotting
  • Immunohistochemistry
  • In Situ Nick-End Labeling
  • Lung Neoplasms (drug therapy, immunology, metabolism)
  • Macrophages (drug effects, immunology)
  • Male
  • Mice
  • Microvessels (drug effects)
  • NF-kappa B (drug effects, immunology)
  • Neovascularization, Pathologic (drug therapy, immunology)
  • STAT3 Transcription Factor (drug effects, immunology)
  • Signal Transduction (drug effects)
  • Silybin
  • Silymarin (pharmacology)

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