Prostate cancer is one of the leading
cancer types in males in the developed world.
Radiotherapy is a major method in the curative treatment of
prostate cancer however, up to 30% of the patients experience local relapse.
Arachidonic acid metabolites have been shown to have important role in
cancer.
12-lipoxygenase (12-LOX) has been proven to significantly influence
prostate cancer progression, by apoptosis regulation and by promoting
cancer cell survival. In this study we examined whether 12-LOX inhibition may increase radiation sensitivity of
prostate cancer cells in vitro and in vivo.
Prostate cancer cell lines were treated with 12-LOX inhibitors, different doses of radiation and the combination of 12-LOX inhibitors and radiation. We measured the effect of these treatments through clonogenic survival and apoptosis in vitro and
tumor growth in vivo in a
tumor xenograft model. 12-LOX inhibition and radiation both increased apoptosis and decreased clonogenic survival of
prostate cancer cell lines in vitro. Combined treatment resulted in a supra-additive effect in vitro. In vivo both 12-LOX inhibition and
radiotherapy caused delay in growth of the xenograft
tumors but the combined treatment resulted in the strongest growth inhibition. The presented data prove that 12-LOX and its metabolite 12(S)-HETE have a major role in
prostate cancer cell progression and radiosensitivity. We have shown by different methods in vitro and in vivo that inhibition of 12-LOX activity significantly sensitizes
prostate cancer cells to radiation. Therefore we can state that 12-LOX inhibitors are promising compounds to be developed to become a new class of clinical
radiation sensitizers in
prostate cancer.