Abstract.Orlistat is an orally administered anti-obesity drug that has shown significant antitumor activity in a variety of tumor cells. To identify the proteins involved in its antitumor activity, we employed a proteomic approach to reveal protein expression changes in the human ovarian cancer cell line SKOV3, following Orlistat treatment. Protein expression profiles were analyzed by 2-dimensional polyacrylamide gel electrophoresis (2-DE) and protein identification was performed on a MALDI-Q-TOF MS/MS instrument. More than 110 differentially expressed proteins were visualized by 2-DE and Coomassie brilliant blue staining. Furthermore, 71 proteins differentially expressed proteins were positively identified via mass spectrometry (MS)/MS analysis. In particular, PKM1/2, a key enzyme involved in tumorigenesis, was found to be significantly downregulated in SKOV3 cells following treatment with Orlistat. Moreover, PKM1/2 was proved to be downregulated in SKOV3 cells by western blot analysis after treatment with Orlistat. Taken together, using proteomic tools, we identified several differentially expressed proteins that underwent Orlistat-induced apoptosis, particularly PKM2. These changes confirmed our hypothesis that Orlistat is a potential inhibitor of ovarian cancer and can be used as a novel adjuvant antitumor agent.
IntroductionIn the 1920s, the Nobel Prize winner Otto Warburg observed a marked increase in glycolysis and enhanced lactate production in tumor cells even when maintained in conditions of high oxygen tension (termed Warburg effect), leading to widespread concerns about the metabolic changes in human types of cancer (1). Either as a consequence or as a cause, alterations of cancer cell-intrinsic metabolism have been considered as essential hallmarks of cancer. Among these metabolic changes, de novo fatty acid biosynthesis was found elevated in the majority of human types of cancer, such as prostate (2), colorectal (3), ovarian (4), bladder (5), esophageal (6), gastric (7), lung (8), endometrial (9), breast (10) and soft tissue sarcomas (11). Fatty acid synthase (FASN) is regarded as a key regulator of de novo fatty acid synthesis and was widely found upregulated in a wide variety of human malignancies and their pre-neoplastic lesions. Recent studies also reveal that FASN is associated with the stage of cancer and indicate a poor prognosis (12). Thus, FASN could be considered as a reliable predictor of recurrence and disease-free survival along with neo-plastic stage (13). In vivo treatment with inhibitors of FASN has been proven to lead to markedly decreased survival in human cancer xenografts (14) and silencing of the FASN gene by siRNA also inhibits cancer cell growth and ultimately induces cancer cell apoptosis (15). Therefore, agents that inhibit FASN and the de novo fatty-acid synthesis pathways could be considered as novel antitumor strategies.Orlistat, an anti-obesity drug approved by the US Food and Drug Administration, which possesses extremely low oral bio-availability (16), exhibits anti-p...