TY - JOUR
T1 - Unmasking the interplay between mTOR and Nox4
T2 - novel insights into the mechanism connecting diabetes and cancer
AU - Mroueh, Fatima Mohsen
AU - Noureldein, Mohamed
AU - Zeidan, Youssef H.
AU - Boutary, Suzan
AU - Irani, Sara Abou Merhi
AU - Eid, Stéphanie
AU - Haddad, Mary
AU - Barakat, Rasha
AU - Harb, Frederic
AU - Costantine, Joseph
AU - Kanj, Rouwaida
AU - Sauleau, Erik Andre
AU - Ouhtit, Allal
AU - Azar, Sami T.
AU - Eid, Ali H.
AU - Eid, Assaad A.
N1 - Funding Information:
The authors thank the American University of Beirut Animal Care Facility staff for their help in taking care of the animals used in this study. This work was funded by a National Priority Research Programs (NPRP) grant from the Qatar National Research Foundation (QNRF; 5‐409‐3‐112 to A. O., A.H.E., and A.A.E.). The authors declare no conflicts of interest.
Publisher Copyright:
© FASEB.
PY - 2019/12
Y1 - 2019/12
N2 - Cancer was recently annexed to diabetic complications. Furthermore, recent studies suggest that cancer can increase the risk of diabetes. Consequently, diabetes and cancer share many risk factors, but the cellular and molecular pathways correlating diabetes and colon and rectal cancer (CRC) remain far from understood. In this study, we assess the effect of hyperglycemia on cancer cell aggressiveness in human colon epithelial adenocarcinoma cells in vitro and in an experimental animal model of CRC. Our results show that Nox (NADPH oxidase enzyme) 4-induced reactive oxygen species (ROS) production is deregulated in both diabetes and CRC. This is paralleled by inactivation of the AMPK and activation of the mammalian target of rapamycin (mTOR) C1 signaling pathways, resulting in 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG) accumulation, induction of DNA damage, and exacerbation of cancer cell aggressiveness, thus contributing to the genomic instability and predisposition to increased tumorigenesis in the diabetic milieu. Pharmacologic activation of AMPK, inhibition of mTORC1, or blockade of Nox4 reduce ROS production, restore the homeostatic signaling of 8-oxoguanine DNA glycosylase/8-oxodG, and lessen the progression of CRC malignancy in a diabetic milieu. Taken together, our results identify the AMPK/mTORC1/Nox4 signaling axis as a molecular switch correlating diabetes and CRC. Modulating this pathway may be a strategic target of therapeutic potential aimed at reversing or slowing the progression of CRC in patients with or without diabetes.—Mroueh, F. M., Noureldein, M., Zeidan, Y. H., Boutary, S., Irani, S. A. M., Eid, S., Haddad, M., Barakat, R., Harb, F., Costantine, J., Kanj, R., Sauleau, E.-A., Ouhtit, A., Azar, S. T., Eid, A. H., Eid, A. A. Unmasking the interplay between mTOR and Nox4: novel insights into the mechanism connecting diabetes and cancer. FASEB J. 33, 14051-14066 (2019). www.fasebj.org.
AB - Cancer was recently annexed to diabetic complications. Furthermore, recent studies suggest that cancer can increase the risk of diabetes. Consequently, diabetes and cancer share many risk factors, but the cellular and molecular pathways correlating diabetes and colon and rectal cancer (CRC) remain far from understood. In this study, we assess the effect of hyperglycemia on cancer cell aggressiveness in human colon epithelial adenocarcinoma cells in vitro and in an experimental animal model of CRC. Our results show that Nox (NADPH oxidase enzyme) 4-induced reactive oxygen species (ROS) production is deregulated in both diabetes and CRC. This is paralleled by inactivation of the AMPK and activation of the mammalian target of rapamycin (mTOR) C1 signaling pathways, resulting in 8-oxo-7,8-dihydro-2'-deoxyguanosine (8-oxodG) accumulation, induction of DNA damage, and exacerbation of cancer cell aggressiveness, thus contributing to the genomic instability and predisposition to increased tumorigenesis in the diabetic milieu. Pharmacologic activation of AMPK, inhibition of mTORC1, or blockade of Nox4 reduce ROS production, restore the homeostatic signaling of 8-oxoguanine DNA glycosylase/8-oxodG, and lessen the progression of CRC malignancy in a diabetic milieu. Taken together, our results identify the AMPK/mTORC1/Nox4 signaling axis as a molecular switch correlating diabetes and CRC. Modulating this pathway may be a strategic target of therapeutic potential aimed at reversing or slowing the progression of CRC in patients with or without diabetes.—Mroueh, F. M., Noureldein, M., Zeidan, Y. H., Boutary, S., Irani, S. A. M., Eid, S., Haddad, M., Barakat, R., Harb, F., Costantine, J., Kanj, R., Sauleau, E.-A., Ouhtit, A., Azar, S. T., Eid, A. H., Eid, A. A. Unmasking the interplay between mTOR and Nox4: novel insights into the mechanism connecting diabetes and cancer. FASEB J. 33, 14051-14066 (2019). www.fasebj.org.
KW - DNA damage
KW - NADPH oxidases
KW - colorectal cancer
KW - mTORC1
UR - http://www.scopus.com/inward/record.url?scp=85076066200&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85076066200&partnerID=8YFLogxK
U2 - 10.1096/fj.201900396RR
DO - 10.1096/fj.201900396RR
M3 - Article
C2 - 31661292
AN - SCOPUS:85076066200
SN - 0892-6638
VL - 33
SP - 14051
EP - 14066
JO - FASEB Journal
JF - FASEB Journal
IS - 12
ER -