The antitumor activities of the novel
adenosine monophosphate-activated
protein kinase (AMPK) activator,
OSU-53, were assessed in in vitro and in vivo models of
triple-negative breast cancer.
OSU-53 directly stimulated recombinant
AMPK kinase activity (EC(50), 0.3 μM) and inhibited the viability and clonogenic growth of MDA-MB-231 and MDA-MB-468 cells with equal potency (IC(50), 5 and 2 μM, respectively) despite lack of LKB1 expression in MDA-MB-231 cells. Nonmalignant MCF-10A cells, however, were unaffected. Beyond AMPK-mediated effects on
mammalian target of rapamycin signaling and lipogenesis,
OSU-53 also targeted multiple AMPK downstream pathways. Among these, the
protein phosphatase 2A-dependent dephosphorylation of Akt is noteworthy because it circumvents the feedback activation of Akt that results from
mammalian target of rapamycin inhibition.
OSU-53 also modulated energy homeostasis by suppressing
fatty acid biosynthesis and shifting the metabolism to oxidation by up-regulating the expression of key regulators of mitochondrial biogenesis, such as a
peroxisome proliferator-activated receptor γ coactivator 1α and the
transcription factor nuclear respiratory factor 1. Moreover,
OSU-53 suppressed LPS-induced
IL-6 production, thereby blocking subsequent Stat3 activation, and inhibited
hypoxia-induced epithelial-mesenchymal transition in association with the silencing of
hypoxia-inducible factor 1a and the
E-cadherin repressor Snail. In MDA-MB-231
tumor-bearing mice, daily
oral administration of
OSU-53 (50 and 100 mg/kg) suppressed
tumor growth by 47-49% and modulated relevant intratumoral
biomarkers of
drug activity. However,
OSU-53 also induced protective autophagy that attenuated its antiproliferative potency. Accordingly, cotreatment with the autophagy inhibitor
chloroquine increased the in vivo
tumor-suppressive activity of
OSU-53.
OSU-53 is a potent, orally bioavailable AMPK activator that acts through a broad spectrum of antitumor activities.