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Trifluoperazine as an alternative strategy for the inhibition of tumor growth of colorectal cancer.

Abstract
The development of cancer in patients with schizophrenia is affected by genetic and environmental factors and antipsychotic medication. Several studies found that schizophrenia was associated with decreased risk of some cancers, and the neuroleptic medication might help to reduce the risk of colorectal cancer (CRC). Phenothiazine drugs including trifluoperazine (TFP) are widely used antipsychotic drugs and showed some antitumor effects, we here investigated the potential application of TFP in the treatment of colon cancer. A series doses of TFP were treated to the colon cancer cell line HCT116 and the inhibitory concentration (IC50 ) of TFP for HCT116 was determined by cell counting kit-8. The results indicated that the treatment of TFP impaired the cell vitality of HCT116 in a dose- and time-dependent manner. Meanwhile, the Edu assay demonstrated that the proliferation was also inhibited by TFP, which was accompanied with the induction of apoptosis and autophagy. The expression of CCNE1, CDK4, and antiapoptosis factor BCL-2 was downregulated but the proapoptosis factor BAX was upregulated. The autophagy inhibitor chloroquine could significantly reverse the TFP-induced apoptosis. Moreover, the ability of migration and invasion of HCT116 was found to be suppressed by TFP, which was associated with the inhibition of epithelial-mesenchymal transition (EMT). The function of TFP in vivo was further confirmed. The results showed that the administration of TFP remarkably abrogated the tumor growth with decreased tumor volume and proliferation index Ki-67 level in tumor tissues. The EMT phenotype was also confirmed to be inhibited by TFP in vivo, suggesting the promising antitumor effects of TFP in CRC.
AuthorsKun Qian, Laiyu Sun, Guoqing Zhou, Haixia Ge, Yue Meng, Jingfen Li, Xiao Li, Xinqiang Fang
JournalJournal of cellular biochemistry (J Cell Biochem) Vol. 120 Issue 9 Pg. 15756-15765 (09 2019) ISSN: 1097-4644 [Electronic] United States
PMID31081173 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Copyright© 2019 Wiley Periodicals, Inc.
Chemical References
  • Antineoplastic Agents
  • Trifluoperazine
Topics
  • Animals
  • Antineoplastic Agents (administration & dosage, pharmacology)
  • Cell Line, Tumor
  • Cell Movement (drug effects)
  • Cell Proliferation (drug effects)
  • Cell Survival (drug effects)
  • Colorectal Neoplasms (drug therapy, metabolism)
  • Dose-Response Relationship, Drug
  • Epithelial-Mesenchymal Transition (drug effects)
  • Gene Expression Regulation, Neoplastic (drug effects)
  • HCT116 Cells
  • Humans
  • Mice
  • Mice, Nude
  • Time Factors
  • Trifluoperazine (administration & dosage, pharmacology)
  • Xenograft Model Antitumor Assays

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