Ketoprofen suppresses triple negative breast cancer cell growth by inducing apoptosis and inhibiting autophagy

Mol Biol Rep. 2023 Jan;50(1):85-95. doi: 10.1007/s11033-022-07921-0. Epub 2022 Oct 29.

Abstract

Background: Triple-negative breast cancer (TNBC) is an invasive phenotype with undesirable clinical features, poor prognosis, and therapy resistance. Ketoprofen is a Non-steroidal anti-inflammatory drug (NSAID) with anti-tumor properties.

Aim: To investigate the effects of Ketoprofen on apoptosis and autophagy in TNBC cell line MDA-MB-231.

Methods: The cytotoxic activity of Ketoprofen was assayed by the MTS method. Flowcytometry was utilized to measure the number of apoptotic MDA-MB-231 cells. The expression levels of apoptosis and autophagy markers, JAK2 and STAT3 were determined using quantitative real time-PCR (qRT-PCR) and western blotting methods.

Results: Ketoprofen significantly decreased the proliferation of MDA-MB-231 cells compared to control cells. It also considerably induced apoptosis and apoptotic markers in these cells in comparison to controls. Treating the MADA-MB-231 cell line with Ketoprofen had an inhibitory effect on autophagy markers in this cell line. The use of FasL, as a death ligand, and ZB4, as an antibody that blocks the extrinsic pathway of apoptosis, revealed the involvement of the extrinsic pathway in the apoptosis-stimulating effect of Ketoprofen in the MADA-MB-231 cell line. Ketoprofen also hindered the phosphorylation and activation of JAK2 and STAT molecules leading to the inhibition of the JAK/STAT pathway in this TNBC cell line.

Conclusion: The outcomes of this study uncovered the anti-TNBC activity of Ketoprofen by inducing apoptosis and inhibiting viability and autophagy in MADA-MB-231 cells. Our data also suggested that Ketoprofen impedes apoptosis in TNBC cells by two different mechanisms including the induction of the extrinsic apoptotic pathway and inhibition of the JAK/STAT signaling.

Keywords: Apoptosis; Autophagy; JAK2; Ketoprofen; STAT3; Triple-negative breast cancer.

MeSH terms

  • Apoptosis
  • Autophagy
  • Cell Line, Tumor
  • Cell Proliferation
  • Humans
  • Janus Kinases / metabolism
  • Ketoprofen* / pharmacology
  • Ketoprofen* / therapeutic use
  • STAT Transcription Factors / metabolism
  • Signal Transduction
  • Triple Negative Breast Neoplasms* / genetics

Substances

  • Ketoprofen
  • Janus Kinases
  • STAT Transcription Factors