Background:
Melanoma is the most common skin tumor worldwide and still lacks effective therapeutic agents in clinical practice. Repurposing of existing drugs for clinical tumor
treatment is an attractive and effective strategy. Loperamide is a commonly used anti-diarrheal
drug with excellent safety profiles. However, the affection and mechanism of loperamide in melanoma remain unknown. Herein, the potential anti-melanoma effects and mechanism of loperamide were investigated in vitro and in vivo.
Methods:
In the present study, we demonstrated that loperamide possessed a strong inhibition in
cell viability and proliferation in melanoma using MTT, colony formation and EUD incorporation
assays. Meanwhile, xenograft tumor models were established to investigate the anti-melanoma activity of loperamide in vivo. Moreover, the effects of loperamide on apoptosis in melanoma cells
and potential mechanisms were explored by Annexin V-FITC apoptosis detection, cell cycle, mitochondrial membrane potential assay, reactive oxygen species level detection, and apoptosis-correlation proteins analysis. Furthermore, loperamide-suppressed melanoma metastasis was studied by
migration and invasion assays. What’s more, immunohistochemical and immunofluorescence
staining assays were applied to demonstrate the mechanism of loperamide against melanoma in vivo. Finally, we performed the analysis of routine blood and blood biochemical, as well as hematoxylin-eosin (H&E) staining, in order to investigate the safety properties of loperamide.
Results:
Loperamide could observably inhibit melanoma cell proliferation in vitro and in vivo.
Meanwhile, loperamide induced melanoma cell apoptosis by accumulation of the sub-G1 cells
population, enhancement of reactive oxygen species level, depletion of mitochondrial membrane
potential, and apoptosis-related protein activation in vitro. Of note, apoptosis-inducing effects
were also observed in vivo. Subsequently, loperamide markedly restrained melanoma cell migration and invasion in vitro and in vivo. Ultimately, loperamide was witnessed to have an amicable
safety profile.
Conclusion:
These findings suggested that repurposing of loperamide might have great potential
as a novel and safe alternative strategy to cure melanoma via inhibiting proliferation, inducing
apoptosis and cell cycle arrest, and suppressing migration and invasion.