Metformin Restrains Pancreatic Duodenal Homeobox-1 (PDX-1) Function by Inhibiting ERK Signaling in Pancreatic Ductal Adenocarcinoma

Curr Mol Med. 2016;16(1):83-90. doi: 10.2174/1566524016666151222145551.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is one of the most potent and perilous diseases known, with a median survival rate of 3-5 months due to the combination of only advanced stage diagnosis and ineffective therapeutic options. Metformin (1,1-Dimethylbiguanide hydrochloride), the leading drug used for type 2 diabetes mellitus, emerges as a potential therapy for PDAC and other human cancers. Metformin exerts its anticancer action via a variety of adenosine monophosphate (AMP)-activated protein kinase (AMPK)- dependent and/or AMPK-independent mechanisms. We present data here showing that metformin downregulated pancreatic transcription factor pancreatic duodenal homeobox-1 (PDX-1), suggesting a potential novel mechanism by which metformin exerts its anticancer action. Metformin inhibited PDX-1 expression at both protein and mRNA levels and PDX-1 transactivity as well in PDAC cells. Extracellular signal-regulated kinase (ERK) was identified as a PDX-1-interacting protein by antibody array screening in GFP-PDX-1 stable HEK293 cells. Co-transfection of ERK1 with PDX-1 resulted in an enhanced PDX-1 expression in HEK293 cells in a dose-dependent manner. Immunoprecipitation/Western blotting analysis confirmed the ERK-PDX-1 interaction in PANC-1 cells stimulated by epidermal growth factor (EGF). EGF induced an enhanced PDX-1 expression in PANC-1 cells and this stimulation was inhibited by MEK inhibitor PD0325901. Metformin inhibited EGF-stimulated PDX-1 expression with an accompanied inhibition of ERK kinase activation in PANC- 1 cells. Taken together, our studies show that PDX-1 is a potential novel target for metformin in PDAC cells and that metformin may exert its anticancer action in PDAC by down-regulating PDX-1 via a mechanism involving inhibition of ERK signaling.

MeSH terms

  • Adenocarcinoma / drug therapy*
  • Adenocarcinoma / metabolism
  • Carcinoma, Pancreatic Ductal / drug therapy*
  • Carcinoma, Pancreatic Ductal / metabolism
  • Cell Line
  • Cell Line, Tumor
  • Diabetes Mellitus, Type 2 / metabolism
  • Down-Regulation / drug effects
  • Epidermal Growth Factor / metabolism
  • Extracellular Signal-Regulated MAP Kinases
  • Genes, Homeobox / drug effects
  • HEK293 Cells
  • Homeodomain Proteins / metabolism*
  • Humans
  • MAP Kinase Signaling System / drug effects*
  • Metformin / pharmacology*
  • Pancreas / drug effects
  • Pancreas / metabolism
  • Pancreatic Neoplasms / drug therapy*
  • Pancreatic Neoplasms / metabolism
  • Protein Kinase Inhibitors / pharmacology
  • Signal Transduction / drug effects
  • Trans-Activators / metabolism*

Substances

  • Homeodomain Proteins
  • Protein Kinase Inhibitors
  • Trans-Activators
  • pancreatic and duodenal homeobox 1 protein
  • Epidermal Growth Factor
  • Metformin
  • Extracellular Signal-Regulated MAP Kinases