Non-steroidal anti-inflammatory drugs decrease E2F1 expression and inhibit cell growth in ovarian cancer cells

PLoS One. 2013 Apr 24;8(4):e61836. doi: 10.1371/journal.pone.0061836. Print 2013.

Abstract

Epidemiological studies have shown that the regular use of non-steroidal anti-inflammatory (NSAIDs) drugs is associated with a reduced risk of various cancers. In addition, in vitro and experiments in mouse models have demonstrated that NSAIDs decrease tumor initiation and/or progression of several cancers. However, there are limited preclinical studies investigating the effects of NSAIDs in ovarian cancer. Here, we have studied the effects of two NSAIDs, diclofenac and indomethacin, in ovarian cancer cell lines and in a xenograft mouse model. Diclofenac and indomethacin treatment decreased cell growth by inducing cell cycle arrest and apoptosis. In addition, diclofenac and indomethacin reduced tumor volume in a xenograft model of ovarian cancer. To identify possible molecular pathways mediating the effects of NSAID treatment in ovarian cancer, we performed microarray analysis of ovarian cancer cells treated with indomethacin or diclofenac. Interestingly, several of the genes found downregulated following diclofenac or indomethacin treatment are transcriptional target genes of E2F1. E2F1 was downregulated at the mRNA and protein level upon treatment with diclofenac and indomethacin, and overexpression of E2F1 rescued cells from the growth inhibitory effects of diclofenac and indomethacin. In conclusion, NSAIDs diclofenac and indomethacin exert an anti-proliferative effect in ovarian cancer in vitro and in vivo and the effects of NSAIDs may be mediated, in part, by downregulation of E2F1.

Publication types

  • Research Support, N.I.H., Intramural

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal / pharmacology*
  • Apoptosis / drug effects
  • Cell Cycle Checkpoints / drug effects
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Cell Survival / genetics
  • Diclofenac / pharmacology
  • Disease Models, Animal
  • Dose-Response Relationship, Drug
  • E2F1 Transcription Factor / genetics
  • E2F1 Transcription Factor / metabolism*
  • Female
  • Gene Expression
  • Gene Expression Regulation, Neoplastic / drug effects
  • Humans
  • Indomethacin / pharmacology
  • Mice
  • Mice, Nude
  • Ovarian Neoplasms / genetics
  • Ovarian Neoplasms / metabolism*
  • Xenograft Model Antitumor Assays

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • E2F1 Transcription Factor
  • Diclofenac
  • Indomethacin