Abstract. The prostate cancer (PCa) cell lines LNCaP, PC-3, and DU-145 express peroxisome proliferator-activated receptor Á (PPARÁ) but its role in PCa is unclear. Thiazolidinediones (TZDs), a family of PPARÁ activators and type 2 anti-diabetic drugs, exhibit anti-tumor apoptotic effects in human PCa cell lines. Likewise, pharmacological inhibitors of fatty acid synthase (FASN), a metabolic enzyme highly expressed in PCa, induce apoptosis in prostate and other cancer cells. Here, we show positive correlation between PPARÁ and FASN protein in PCa cell lines and synergism between TZDs and FASN blockers in PCa cell viability reduction and apoptosis induction. Combined TZDs/FASN has enhanced anti-tumor properties in both androgen-dependent LNCaP and androgen-independent PC-3 and DU-145 cells when compared with single drug exposure. Low concentrations (5-10 μM) of the TZD drug rosiglitazone failed to alter cell viability but, paradoxically, upregulated lipogenic genes [PPARÁ, FASN, sterol regulatory element binding protein-1c (SREBP-1c) and acetyl-Co A carboxylase-1 (ACC1)], which diminish the apoptotic effects of rosiglitazone. The mean IC 50 in all cell lines was 45±2 μM for rosiglitazone compared with significantly lower 5±1 μM for rosiglitazone plus the FASN blocker cerulenin, and 10.2±2 μM for rosiglitazone plus the cerulenin synthetic analog C75. The IC 50 for the combined rosiglitazone and FASN blockers contrasts with the relatively higher IC 50 for rosiglitazone (45±2 μM), the TZD drug troglitazone (13±2 μM), cerulenin (32±1 μM), or C75 (26±3 μM) when these drugs were used alone. In summary, this study shows proof-of-principle for combining FASN blockers and TZDs for PCa treatment.
IntroductionProstate cancer (PCa) is second to lung cancer as a cause of cancer-related death in American men (1). Multiple preclinical studies show anti-cancer effects of thiazolidinediones (TZDs) PPARÁ agonist ligands (2-6). In contrast, clinical studies suggest that TZDs are largely ineffective as monotherapeutic agents in treating PCa (7). Because cancer cells modify several transduction pathways to achieve continuous progression and survival (8), it is important that multiple drug-strategies are used to achieve effective treatment. Such a strategy should allow for synergistic anti-proliferative effects and/or permit the use of low drug doses that might otherwise be less effective when used as monotherapy (7). For example, the antiproliferative effects of the tyrosine kinase inhibitor gefitinib in A549 lung cancer cells is enhanced with rosiglitazone as the result of rosiglitazone-induced augmentation of PTEN (phosphatase and tensin homolog) expression (9). PTEN inhibits the phosphatidylinositol 3-kinase (PI3-K)-Akt pathway, which is essential for progression of PCa cells. Likewise, the combination of rosiglitazone and the platinum cytotoxic drugs (carboplatin and cisplatin) synergistically inhibit the growth of A549 lung cancer cells compared with single-agent therapy (10). The latter effect appears to be due to down-regulatio...