Targeting surface nucleolin induces autophagy-dependent cell death in pancreatic cancer via AMPK activation

Oncogene. 2019 Mar;38(11):1832-1844. doi: 10.1038/s41388-018-0556-x. Epub 2018 Oct 24.

Abstract

Pancreatic cancer remains one of the deadliest human cancers despite current advances in conventional therapeutics including surgery and adjuvant therapies. Here, we showed that LZ1, a peptide derived from a snake venom cathelicidin, significantly inhibited growth of pancreatic cancer cells by inducing autophagy-dependent cell death both in vitro and in vivo. The LZ1-induced cell death was blocked by pharmacological or genetic inhibition of autophagy. In orthotopic model of pancreatic cancer, systemic administration of LZ1 (1-4 mg/kg) exhibited remarkable antitumor efficacy, significantly prolonged mice survival, and showed negligible adverse effects by comparison with gemcitabine (20 mg/kg). Mechanistic studies revealed that LZ1 acts through binding to nucleolin, whose expression on cell surface is frequently increased in pancreatic cancer cells. LZ1 binding triggers degradation of surface-expressed nucleolin. This leads to activation of 5'-AMP kinase which results in suppression of mTORC1 activity and induction of autophagic flux. These data suggest that LZ1, targeting nucleolin-AMPK-autophagy axis, is a promising lead for the development of therapeutic agents against pancreatic cancer.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adenylate Kinase / metabolism*
  • Animals
  • Antigens, Surface / drug effects
  • Antigens, Surface / metabolism
  • Antineoplastic Agents / pharmacology
  • Antineoplastic Agents / therapeutic use*
  • Autophagy / drug effects*
  • Carcinoma, Pancreatic Ductal / drug therapy*
  • Carcinoma, Pancreatic Ductal / metabolism
  • Carcinoma, Pancreatic Ductal / pathology
  • Cell Death / drug effects
  • Cells, Cultured
  • HEK293 Cells
  • Human Umbilical Vein Endothelial Cells
  • Humans
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • Molecular Targeted Therapy / methods
  • Nucleolin
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / metabolism
  • Pancreatic Neoplasms / pathology
  • Peptide Fragments / pharmacology
  • Peptide Fragments / therapeutic use*
  • Phosphoproteins / antagonists & inhibitors*
  • RNA-Binding Proteins / antagonists & inhibitors*
  • Signal Transduction / drug effects
  • Xenograft Model Antitumor Assays

Substances

  • Antigens, Surface
  • Antineoplastic Agents
  • Peptide Fragments
  • Phosphoproteins
  • RNA-Binding Proteins
  • Adenylate Kinase