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.