Human
pancreatic cancer is currently one of the fourth leading causes of
cancer-related mortality with a 5-year survival rate of less than 5 %. Since
pancreatic carcinoma is largely refractory to conventional
therapies, there is a strong medical need for the development of novel and innovative
cancer preventive strategies. The
forkhead transcription factors of the O class (FOXO) play a major role in cell proliferation, angiogenesis,
metastasis, and
tumorigenesis. The objectives of this study were to examine whether FKHRL1/FOXO3a modulates antitumor activity of (-)-epigallocatechin-3-gallate (EGCG), an active ingredient in
green tea, in
pancreatic cancer model in vivo. PANC-1 cells were orthotopically implanted into Balb c nude mice and gavaged with EGCG after
tumor formation. Cell proliferation and apoptosis were measured by Ki67 and TUNEL staining, respectively. The expression of PI3K, AKT, ERK, and FOXO3a/FKHRL1 and its target genes were measured by the western blot analysis and/or q-RT-PCR. FOXO-
DNA binding was measured by gel shift assay. EGCG-treated mice showed significant inhibition in
tumor growth which was associated with reduced phosphorylation of ERK, PI3K, AKT, and FKHRL1/FOXO3a, and modulation of FOXO target genes. EGCG induced apoptosis by upregulating Bim and activating
caspase-3. EGCG modulated markers of cell cycle (p27/KIP1), angiogenesis (CD31,
VEGF, IL-6, IL-8, SEMA3F, and HIF1α), and
metastasis (MMP2 and MMP7). The inhibition of
VEGF by EGCG was associated with suppression of
neuropilin. EGCG inhibited epithelial-mesenchymal transition by upregulating the expression of
E-cadherin and inhibiting the expression of
N-cadherin and Zeb1. These data suggest that EGCG inhibits
pancreatic cancer orthotopic
tumor growth, angiogenesis, and
metastasis which are associated with inhibition of PI3K/AKT and ERK pathways and activation of FKHRL1/FOXO3a. As a conclusion, EGCG can be used for the prevention and/or treatment of
pancreatic cancer.