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Preclinical evaluation of Mito-LND, a targeting mitochondrial metabolism inhibitor, for glioblastoma treatment

Journal of Translational Medicine volume 21, Article number: 532 (2023) Cite this article

Abstract

Background

Glioblastoma (GBM) is a brain tumor with the highest level of malignancy and the worst prognosis in the central nervous system. Mitochondrial metabolism plays a vital role in the occurrence and development of cancer, which provides critical substances to support tumor anabolism. Mito-LND is a novel small-molecule inhibitor that can selectively inhibit the energy metabolism of tumor cells. However, the therapeutic effect of Mito-LND on GBM remains unclear.

Methods

The present study evaluated the inhibitory effect of Mito-LND on the growth of GBM cells and elucidated its potential mechanism.

Results

The results showed that Mito-LND could inhibit the survival, proliferation and colony formation of GBM cells. Moreover, Mito-LND induced cell cycle arrest and apoptosis. Mechanistically, Mito-LND inhibited the activity of mitochondrial respiratory chain complex I and reduced mitochondrial membrane potential, thus promoting ROS generation. Importantly, Mito-LND could inhibit the malignant proliferation of GBM by blocking the Raf/MEK/ERK signaling pathway. In vivo experiments showed that Mito-LND inhibited the growth of GBM xenografts in mice and significantly prolonged the survival time of tumor-bearing mice.

Conclusion

Taken together, the current findings support that targeting mitochondrial metabolism may be as a potential and promising strategy for GBM therapy, which will lay the theoretical foundation for further clinical trials on Mito-LND in the future.

Background

Glioblastoma (GBM) is the most common primary intracranial malignant brain tumor [1]. Currently, the standard therapy of GBM is still operation for maximum resection of the tumor, accompanied by postoperative adjuvant radiotherapy and chemotherapy [2]. However, due to invasion, the postoperative recurrence rate is high, and the prognosis of patients is poor [3]. Temozolomide (TMZ) has been applied in clinical practice for > 20 years and is currently the first-line clinical chemotherapy drug [4]. However, most GBM patients are insensitive to TMZ, which does not significantly improve patients’ survival [5]. Thus, identifying new therapeutic targets and developing small-molecule targeted drugs to provide effective therapies and strategies for the treatment of GBM is an urgent requirement.

Although tumor cells rely primarily on aerobic glycolysis to produce adenosine triphosphate (ATP) (Warburg effect) [6], many studies have shown that mitochondria play a crucial role in tumorigenesis [7]. In addition to supplying energy to cells, mitochondria are involved in major life activities, such as tumor anabolism, cell senescence, apoptosis, and signal transduction [8]. The regulation of glycolysis of tumor cells by inhibiting the respiratory chain of mitochondria is a critical approach against tumors [9]. IACS-010759, a small molecule inhibitor, attenuates mitochondrial oxidative phosphorylation by inhibiting mitochondrial complex I activity, thereby inhibiting GBM and the growth of leukemia cells [10].

Moreover, mitochondrial metabolism produces some metabolic by-products, such as reactive oxygen species (ROS), that promote apoptosis [11]. Excessive ROS can promote DNA damage and induce mitochondrial apoptosis [12]. However, cancer cells with high ROS levels close to the toxicity threshold are more susceptible to pro-oxidative agent-mediated apoptosis than normal cells [13]. Some studies suggest that drugs inhibiting the mitochondrial complex I, such as metformin, play a key role in anti-tumor activity [14]. Reduced mitochondrial complex I activity leads to electron leakage, which in turn leads to excessive ROS accumulation and mitochondrial dysfunction [15]. Thus, mitochondrial metabolism is becoming a promising target for the development of novel anti-tumor drugs.

Lonidamine (LND) is a small molecule inhibitor of energy metabolism that selectively inhibits tumor cells [16]. LND can impair glycolytic pathway and/or interfere with the pyruvate carrier and plasma membrane monocarboxylate transporters of the MCT family [17]. Besides, it can also promote cell death which was potentiated by its suppression of cancer cell energy metabolism [18]. LND has undergone clinical trials in combination with standard-of-care chemotherapeutics for multiple cancers [19 20]. Especially, combination treatment of LND and diazepam has got into Phase II clinical trial of recurrent glioblastoma multiforme [18, 21]. LND and diazepam, acting on two distinct mitochondrial sites involved in cellular energy metabolism, may exert a cytostatic effect on tumor growth. The combination is well tolerated, but to have limited efficacy [18]. Due to the negative potential of the mitochondrial outer membrane [22], the covalently linked lipophilic cation triphenylphosphine (TPP+) selectively interacts with the extracorporeal membrane and is retained on the surface of the mitochondrial membrane [23]. Therefore, Mito-LND is synthesized by connecting LND with TPP+, which can target the mitochondria. More importantly, the IC50 values for inhibiting cell proliferation were 188- and 300-fold lower for Mito-LND than LND [24]. In addition, Mito-LND is one of the least toxic mitochondrial targeting cations. Previous study has shown that Mito-LND inhibits AKT/mTOR pathway and promotes autophagy to inhibit lung cancer [24]. However, whether Mito-LND has an anti-tumor effect on glioblastoma is yet to be elucidated.

In the present study, we determine the effects of Mito-LND on the growth of GBM cells and GBM xenografts. Furthermore, we elucidate the putative mechanism that Mito-LND inhibits GBM proliferation and induces apoptosis.

Methods

Culture of cell lines

The human cell lines (LN229, U251, T98G, and U87) and normal human astrocyte (HA1800) used in this study were cultured and maintained in Dulbecco’s Modified Eagle Medium (DMEM) supplemented with 10% fetal bovine serum (FBS) and grown in a 37 ℃ moist incubator containing 5% CO2. Normal human astrocyte (NHA) was grown in astrocyte medium (ScienCell; Cat No.1801) supplemented with penicillin/streptomycin, 2% FBS and astrocyte growth supplement. The GSC cell line was cultured in Neurobasal™ Medium containing basic fibroblast growth factor, EGF, B27 supplement, haprin, L-glutamine, and N2 supplement to form a GSC-rich neurosphere culture.

Reagents and antibodies

Mito-LND, N-Acetylcysteine (NAC) and ERK1/2 activator C16-PAF were purchased from MedChemExpress (Shanghai, China). Mito-LND and C16-PAF were dissolved in DMSO to generate stock solution (10 mM), and N-Acetylcysteine was dissolved in DMSO to produce stock solution (500 mM). These inhibitors were diluted to different concentrations in DMEM medium before use.

Primary antibodies against c-p-Raf (#9421), p-MEK1/2 (#9154), p-p90RSK (#9346), ERK1/2 (#4695), p-ERK1/2 (#4376), CDC2 (#28,439), CDK4 (#12,790), CDK6(#3136), Bax (#2772), Bcl-2 (#4223), cyclin D1 (#2922), cyclin B1 (#4138), GAPDH (#97,166) were purchased from Cell Signaling Technology (CST, MA, USA).

CCK-8 assay

Cell counting kit-8 (CCK-8, Vicmed, Jiangsu, China) was used for evaluating cell viability. GBM or GSC cells were seeded on 96-well plates with 4000 cells per well, and each group was repeated with 3 duplicate wells. After overnight culture, different concentrations of Mito-LND (0–5 µΜ) were added and treated for 72 h. Then, 10 µL CCK-8 solution were added to each well. After incubation for 30 min without light, absorbance was measured at 450 nm wavelength using a microplate reader.

In vitro tumorsphere formation assay

GSC1 and GSC2 cells were seeded in 96-well plate at 1000 cells per well. The cells were cultured in NeurobasalTM medium containing a certain concentration of Mito-LND or DMSO, and the formation of tumor spheres was assessed under a microscope after 10 days. Tumorspheres with more than 50 cells were scored, and the number of tumorspheres in each well was counted.

EdU incorporation assay

EdU Cell Proliferation Detection Kit (Abbkine, Hubei, China) was used to evaluate cell proliferation. Each well was seeded with 10,000 cells in 96-well plates and incubated overnight. Different concentrations of Mito-LND (0–2.5 µΜ) were added and incubated for 12 h. Then, cells were incubated with 10 µM EdU for an additional 2 h and fixed with 4% paraformaldehyde for 30 min. After washing with phosphate-buffered saline (PBS), the cells were treated with 0.5% Triton X-100 for 10 min. Finally, 100 µL Click-iT was added to each well, and the reaction was incubated for 30 min, followed by DAPI staining for 15 min. After three washes with PBS, the images were captured under the inverted fluorescence microscope (Olympus, Tokyo, Japan).

Colony formation assay

LN229 or U251 cells were seeded in 6-well cell culture plates at 800 cells/well. The cells were incubated overnight, allowing adherence of cells to the plate, followed by the addition of different Mito-LND concentrations (0–2.5 µΜ), and 0.1% DMSO was added to the control wells. After treatment for 12 h, the cells were cultured in the medium without drugs for 14 days. The cells were washed with PBS and fixed with methanol for 30 min, and then were stained with 0.1% crystal violet for 30 min. Cell colonies were observed, photographed, and counted.

Cell cycle and cell apoptosis assays

LN229 or U251 cells were seeded in 6-cm culture dishes, and different concentrations of Mito-LND (0–2.5 µΜ) were added and incubated for 24 h. Subsequently, the cells were collected for cell cycle analysis and fixed with 70% ice-cold ethanol overnight. After two PBS washes, cells were stained with propidium iodide (PI)/RNase solution for 15 min. For cell apoptosis, cells were washed twice with cold PBS and stained using Annexin V-FITC/PI apoptosis detection kit (Kaiji, Jiangsu, China). The cell cycle distribution and apoptosis were analyzed by flow cytometry and analyzed by flow cytometry software (BD Biosciences).

Caspase-glo 3/7 activity assay

LN229 and U251 cells were seeded into 96-well plates and treated with different concentrations of Mito-LND (0–2.5 µΜ) for 24 h. Caspase-Glo3/7 enzymatic activities were measured according to the manufacturer’s protocol (Promega, Madison, USA). Briefly, 100 µL of Caspase-Glo 3/7 reagent was added to the wells. After 30 min, 200 µL reaction was transferred to white-walled luminometer plates. The luminescence in each well was detected by the GloMax Luminometer.

ROS assay

LN229 and U251 cells were seeded in 6-cm culture dishes with 100,000 cells/well. After treatment with 0.1% DMSO and Mito-LND (2.5 µΜ) for 24 h, DCFH-DA probe (Beyotime, Jiangsu, China) was added and incubated 37 °C for 30 min. The probe that did not enter the cells was rinsed two times with PBS, and Rosup group was used as the positive control. The cells were digested with trypsin, and the reaction was terminated with a serum-free medium. The cells were transferred to flow tubes. The proportion of ROS-positive cells was detected by flow cytometry, and the data were analyzed by FlowJo-V10 software (TreeStar Inc.).

Mitochondrial complex I activity

To assess mitochondrial complex I activity, a CheKine™ Micro Mitochondrial complex I Activity Assay Kit (Abbkine, Hubei, China) was used to extract cell mitochondria according to the manufacturer’s protocol. LN229 and U251 cells were treated with Mito-LND at different concentrations (0–2.5 µΜ) for 6 h. The microplate reader was preheated, and the wavelength was adjusted to 340 nm. A volume of 10 µL sample (mitochondrial complex I), 15 µL working reagent VI, and 200 µL working reagent were added to 96-well UV microplate successively. After mixing, the initial absorption value A1 at 0 min and the absorption value A2 after 2 min were immediately recorded at 340 nm, and DA = A1 − A2. The formula was used to calculate the mitochondrial complex I activity (U/104 cells) = 1.46×DA (U: Consumption of 1 nmol NADH per 10,000 cells/min is defined as U), and the values were recorded and analyzed.

Mitochondrial membrane potential assay (JC-1)

LN229 and U251 cells were treated with different concentrations of Mito-LND (0-2.5 µΜ) for 24 h. The changes in mitochondrial membrane potential were determined by JC-1-Mitochondrial Membrane Potential Assay Kit (Abcam, Shanghai, China). The medium was discarded, and the cells were washed three times with PBS. The JC-1 dye was thawed at 4 °C and diluted with medium from light to the final concentration of 2 µM. Then, 100 µL of diluted JC-1 dye was added to each well, and the reaction was incubated at 37 °C for 15 min. After washing two times with 1× buffer, fresh medium was added. The images were acquired under the fluorescence microscope (Olympus, Tokyo, Japan).

Quantitative analysis was performed on a microplate reader. The fluorescence intensity of aggregates (red light) was determined with excitation wavelength of 528 nm and emission wavelength of 560 nm. The fluorescence intensity of the monomer (green light) was determined with excitation wavelength 485 nm and emission wavelength 530 nm. The fluorescence values were analyzed statistically. Carbonyl cyanide-4-(trifluoromethoxy)phenylhydrazone (FCCP) (mitochondrial uncoupling agent) was used as the positive control.

Western blotting

LN229 or U251 cells were treated with Mio-LND (0–2.5 µΜ) for 24 h, and then the total protein was collected for immunoblot analysis as previously described [25]. The protein expression levels of p-c-Raf, p-MEK1/2, p-ERK1/2, ERK1/2, p-p90RSK, Bax, Bcl-2, CDC2, CDK4, CDK6, Cyclin B1 and Cyclin D1 were measured by specific antibodies with GAPDH as the loading control.

Animal experiments

An equivalent of 1.5 × 106 LN229 cells was injected in situ into the right brain of nude mice as described in a previous study. After 7 days of implantation, tumor-carrying mice were randomly divided into three groups (n = 10). The drug treatment was as follows: Vehicle group with PBS, 40 µM Mito-LND group, and 80 µM Mito-LND group (5 µL/mouse). All treatments were performed intracranial in situ once a week, a total of four times. After 4 weeks, 3 mice in each group were randomly euthanized, followed by cerebral perfusion was performed and hematoxylin and eosin (H&E) staining to evaluate the tumor size. The remaining 7 mice in each group were used for survival analysis. The mice with neurological symptoms, such as rotational behavior, reduced movement, and dome-shaped heads caused by tumor progression, were euthanized.

Histopathological analysis

The whole brains of mice in the three groups were fixed overnight in 4% paraformaldehyde, embedded in paraffin, serially sliced into 5-µm sections, fixed on glass slides, and dried in an oven. For H&E staining, the sections were dewaxed in xylene, hydrated with graded alcohol, and rinsed under running water. After staining for 5 min, the sections were dehydrated and sealed with neutral gum. The images were captured under a light microscope (Leica).

Statistical analysis

Each experiment was repeated more than 3 times independently. The selected chart was one of the results of repeated experiments. The experimental results were statistically analyzed by using the statistical software GraphPad Prism 6.0. Data were represented as mean ± standard deviation. Comparison between two groups was analyzed by unpaired Student’s t test. One-way analysis of variance (ANOVA) was used for the comparison more than two groups. Kaplan-Meier method was used for survival analysis. Log-rank Test was used to compare whether there was a difference in survival time between the two groups. α = 0.05 was determined as the test level. *P < 0.05 was considered as statistical significance in all results.

Results

Mito-LND significantly inhibits the proliferation and colony formation of GBM cells

In order to evaluate the effect of Mito-LND on the growth of GBM cells, four types of GBM cells were selected for CCK-8 assay. The results indicated that the cell viability of the GBM cells decreased in a dose-dependent manner after 72-h treatment with Mito-LND. The IC50 of LN229 and U251 cells was 2.01 µM and 1.67 µM, respectively, while that of T98G and U87 cells was 3.36 µM and 3.45 µM, respectively (Fig. 1A). However, Mito-LND had no significant effects on the survival of normal human astrocyte cell lines (HA1800/NHA) at the same concentration (Fig. 1B). The existence of glioma stem cells (GSCs) is closely related to tumor recurrence and resistance to radiotherapy and chemotherapy [26]. We also examined the effects of Mito-LND on GSCs cytotoxicity and tumorsphere formation. We found that Mito-LND could significantly suppress the survival and tumorsphere formation of GSC1 and GSC2 cells. Interestingly, GSC cells were more sensitive to Mito-LND than GBM cells (Additional file 1: Fig. S1).

Fig. 1
figure 1

Mito-LND significantly inhibits the survival and proliferation of GBM cells. A, B GBM and normal human astrocyte cells were treated with 0.1% DMSO or indicated concentrations of Mito-LND for 72 h. The cell viability was measured using CCK-8 assay. C, D Representative images from the EdU analysis of cell proliferation after treatment of LN229 and U251 cells with Mito-LND, Scale bar: 100 μm. Quantitative results of EdU incorporation assay were analyzed. E, F LN229 and U251 cells were treated with indicated concentration of Mito-LND for 12 h, and then changed with drug-free medium for another 14 days. The numbers of colony formation were counted. The numbers of colony formation were normalized to the control group. The data are presented as mean ± SD of three replicates, **P < 0.01

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In order to explore the influence of Mito-LND on the proliferation of GBM, we selected LN229 and U251 cells for the EdU incorporation assay. Compared to the control group, upon Mito-LND treatment, the proliferation rates of LN229 cells had a significant decrease, and similar results were observed in U251 cells (Fig. 1C, D). In order to analyze whether Mito-LND has a long-term inhibitory effect on the growth of GBM cells, we evaluated the effect of Mito-LND on the clonogenic ability of LN229 and U251 cells by colony formation assay. The results showed that compared to the control group, Mito-LND treatment markedly inhibited the colony formation ability in both LN229 and U251 cells (Fig. 1E, F). Taken together, these results indicate that Mito-LND significantly inhibits the proliferation and colony formation of GBM cells.

Mito-LND induces cell cycle arrest in GBM cells

In order to investigate the mechanism underlying the inhibition of GBM cell proliferation by Mito-LND, flow cytometry was performed to evaluate the cell cycle distribution of LN229 and U251 cells treated with different concentrations of Mito-LND. Consequently, the proportion of LN229 cells increased significantly in the G1 phase, while the proportion in G2 and S phases decreased. Similar results were observed in U251 cells (Fig. 2A, D). These results indicated that Mito-LND could arrest GBM cells in G0/G1 phase.

Fig. 2
figure 2

Mito-LND induces G0/G1 cell cycle arrest in GBM cells. A and C The cell cycle distribution of LN229 and U251 cells was analyzed via flow cytometry after treatment with indicated concentration of Mito-LND for 24 h, and the representative images are shown. B and D Quantitative analysis of cell cycle distribution. E, F LN229 and U251 cells were treated with Mito-LND (0-2.5 µΜ) for 24 h. The total protein was then extracted and examined through western blot analysis with the indicated antibodies. Values represent the mean ± SD, *, P < 0.05, **, P < 0.01

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Next, we examined the regulatory effect of Mito-LND on the expression of cell cycle-related proteins. Western blot results showed that the levels of CyclinB1, CDC2, CDK4, CDK6, CyclinB1 and CyclinD1 of GBM cells were downregulated after Mito-LND treatment in a dose-dependent manner (Fig. 2E, F). Taken together, Mito-LND can arrest GBM cells in the G0/G1 phase, thus inhibiting the proliferation of GBM cells.

Mito-LND promotes apoptosis via stimulation of ROS generation

ROS is produced naturally during various biochemical reactions in organelles [27], such as the endoplasmic reticulum, mitochondria, and peroxisome, which is also a by-product of oxygen metabolism [28]. Increased ROS levels in tumor cells can induce apoptosis and inhibit tumor cell growth [29]. Flow cytometry detected intracellular ROS levels in GBM cells and found that the intracellular ROS level was increased significantly after Mito-LND treatment (Fig. 3A, C). Furthermore, Caspase-Glo 3/7 activity kit was used to detect the activity of Caspase 3/7 in LN229 and U251 cells. The results showed that the activity of Caspase 3/7 increased gradually with the elevated concentration of Mito-LND (Fig. 3F). In order to determine whether apoptosis is related to the slow cell growth induced by Mito-LND, flow cytometry on LN229 and U251 cells revealed that the proportion of apoptotic cells increased with the elevated concentration of Mito-LND (Fig. 3D and E). To investigate the role of ROS production in Mito-LND-induced cell apoptosis, we evaluated the effect of ROS inhibitor NAC combined with Mito-LND on apoptosis. These results showed that NAC could partly rescue Mito-LND-induced cell apoptosis (Additional file 1: Fig. S2). Taken together, our data indicate that Mito-LND promotes apoptosis in GBM cells partly by inducing ROS production.

Fig. 3
figure 3

Mito-LND stimulates ROS generation and induces apoptosis in GBM cells. A, B After treatment with Mito-LND (2.5 µΜ) for 24 h, the levels of intracellular ROS in LN229 and U251 cells were measured by flow cytometry. The representative images showing ROS positive rate were showed. C Quantitative analysis of mean fluorescence intensity of DCFH-DA in GBM cells. D, E Cell apoptosis was analyzed by Flow cytometry in LN229 and U251 cells treated with different concentrations of Mito-LND. Quantitative analysis of the percentage of apoptosis in GBM cells. F Two GBM cells were treated with Mito-LND (0–2.5 µΜ) for 24 h. Caspase 3/7 activity were assessed by Caspase-Glo 3/7 activity assay. G The expression levels of Bax and Bcl-2 were analyzed after 24 h treatment of Mito-LND by Western blot. The data are presented as mean ± SD of three replicates (*P < 0.05, **P < 0.01)

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Finally, the levels of anti-apoptotic Bcl-2 and pro-apoptotic Bax in LN229 and U251 cells were assessed by Western blot. With the increase in Mito-LND concentration, the expression level of Bcl-2 was decreased, and the level of Bax was increased (Fig. 3G). Importantly, the ratio of Bax/Bcl-2 gradually increased with the increase of drug concentration, which was consistent with the increase of apoptosis by flow cytometry.

Mito-LND inhibits mitochondrial complex I activity and reduces ATP synthesis and mitochondrial membrane potential

Mito-LND acts as an inhibitor of mitochondrial complex I [24]. First, we examined the activity of mitochondrial complex I in LN229 and U251 cells after Mito-LND treatment. The activity of mitochondrial complex I in LN229 and U251 cells decreased significantly with increasing Mito-LND concentration (Fig. 4A and B). Next, we explored whether Mito-LND affects ATP synthesis and found that the intracellular ATP level of LN229 and U251 cells decreased in a dose-dependent manner after Mito-LND treatment for 24 h (Fig. 4C).

Fig. 4
figure 4

Mito-LND inhibits the activity of mitochondrial respiratory chain complex I and decreases the mitochondrial membrane potential. A, B Statistical plot of the activity of mitochondrial respiratory chain complex I in GBM cells treated with different concentrations of Mito-LND for 6 h. C The Changes of ATP levels in LN229 and U251 cells were measured by GloMax Luminometer. D Mitochondrial membrane potential changes were observed by fluorescence microscope after Mito-LND treatment. Red fluorescence indicates aggregates and green fluorescence indicates monomers, Scale bar: 40 μm. E The Changes of red and green fluorescence were measured by microplate reader. FCCP was used as a positive control in this experiment. All the data were presented as means ± SD. **P<0.01

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Decreased mitochondrial membrane potential is one of the first events of apoptosis, and the changes in mitochondrial membrane potential can be evaluated by JC-1 assay [30]. As shown in Fig. 4D, with the increase in Mito-LND concentration, the fluorescence intensity of red decreased while that of green increased gradually. Moreover, the changes in the ratio of red to green fluorescence in LN229 and U251 cells were quantitatively analyzed on a microplate reader (Fig. 4E), which was consistent with the results of Fig. 4D. In summary, Mito-LND inhibits the activity of mitochondrial complex I, reduces ATP synthesis, and decreases mitochondrial membrane potential.

Mito-LND inhibits GBM cell proliferation by inactivating the Raf/MEK/ERK signaling pathway

Abnormal activation of Raf/MEK/ERK signaling pathway promotes the occurrence and excessive proliferation of GBM cells [31]. It has been reported that the Raf/MEK/ERK signaling pathway blockage can inhibit the proliferation of GBM cells and induce cell apoptosis [32]. In this study, Western blot was used to detect the effect of Mito-LND treatment on the expression levels of signaling molecules in the Raf/MEK/ERK signaling pathway. The results showed that with increasing Mito-LND concentration, the expressions of p-c-Raf, p-MEK1/2, p-ERK1/2, and p-p90RSK decreased gradually, which had no effect on the protein levels of total ERK1/2 (Fig. 5A).

Fig. 5
figure 5

Mito-LND inhibits GBM cell growth via blocking the Raf/MEK/ERK signaling pathway. A The expression levels of Raf/MEK/ERK pathway-related proteins were examined after 36 h treatment of Mito-LND with indicated concentrations by Western blot assay. B LN229 and U251 cells were treated with 1.25 µM Mito-LND and/or 20 µM C16-PAF for 24 h. The numbers of colony formation were counted. The numbers of colony formation were normalized to that of the control group. C LN229 and U251 cells were treated with 1.25 µM Mito-LND and/or 20 µM C16-PAF for 36 h, then cell viabilities were evaluated by CCK-8 assay. D The effects of Mito-LND (1.25 µM) and/or C16-PAF (20 µM) treatment on the levels of p-ERK1/2, p-p90RSK, Bcl-2 and Bax in LN229 and U251 cells were assessed by western blot analysis. E The quantification results of the ratio of Bax to Bcl-2. F, G The effects of Mito-LND (1.25 µM) and/or C16-PAF (20 µM) treatment on the mitochondrial membrane potential, Scale bar: 40 μm. *P<0.05, **P<0.01

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To further confirm the correlation between the Raf/MEK/ERK signaling pathway and inhibition of GBM cell growth by Mito-LND, we selected C16-PAF (an activator of ERK pathway) for the treatment of GBM cells. After reactivation of the ERK pathway, the inhibitory effect of Mito-LND on GBM cell proliferation was reevaluated. The colony formation assay showed that the inhibitory effect of Mito-LND on GBM cell cloning is reversed partially after C16-PAF treatment (Fig. 5B). CCK-8 results also showed that LN229 and U251 cell viability was partially rescued after C16-PAF treatment (Fig. 5C).

Furthermore, Western blot showed that C16-PAF partially reverses the inhibition of Mito-LND on the expression levels of p-ERK1/2 and its downstream related proteins (Fig. 5D). Also, the expression level of anti-apoptotic Bcl-2 was increased, and pro-apoptotic Bax level was decreased after the reactivation of the Raf/MEK/ERK pathway. Co-treatment of C16-PAF with Mito-LND inhibited the Mito-LND-induced increase in the ratio of Bax to Bcl-2 (Fig. 5E). JC-1 assay showed that mitochondrial membrane potential was restored partially after reactivation of the Raf/MEK/ERK pathway (Fig. 5F and G). Taken together, these findings indicate that Mito-LND inhibits the proliferation of GBM cells by partially blocking the Raf/MEK/ERK signaling pathway.

Mito-LND inhibits the growth of GBM xenograft tumors in mice

In order to further confirm the efficacy of Mito-LND on GBM cells, we constructed an orthotopic xenograft tumor model of LN229, which was treated with different doses of Mito-LND. H&E staining of brains showed that the intracranial tumor volume of nude mice treated with Mito-LND was significantly smaller than that in the vehicle group (Fig. 6A). Survival analysis results showed that Mito-LND treatment could significantly prolong the median survival time of tumor-bearing mice. Compared to the vehicle group, the median survival of mice treated with 40 µM and 80 µM Mito-LND was increased by 12 and 22 days, respectively (Fig. 6B). In addition, body weight of mice was not affected by Mito-LND treatment (Fig. 6C). In summary, Mito-LND inhibits the growth of intracranial GBM in mice and prolongs the median survival time of tumor-bearing mice.

Fig. 6
figure 6

Mito-LND inhibits the GBM growth in vivo and prolonged survival time of tumor-bearing mice. A Representative images and statistical analysis of H&E staining of whole brain sections from control and Mito-LND treatment groups. B Survival analysis of mice in the control and Mito-LND treated groups (**P < 0.01). C Changes of mice body weight were recorded after Mito-LND administration. D Working model of the GBM growth inhibition by Mito-LND. Mito-LND can inhibit the glioma growth via blocking the Raf/MEK/ERK signal pathway. Altering the Bax/Bcl-2 ratio induces the decrease of mitochondrial membrane potential. Meanwhile, Mito-LND inhibits the activity of mitochondrial respiratory chain complex I and increases ROS generation, thus further inducing cell apoptosis

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Discussion

Glioblastoma (GBM) is the most aggressive and fatal brain tumor of the central nervous system, with an extremely low 5-year survival rate [33]. It is highly invasive and protected by the blood-brain barrier (BBB), which is challenging for the treatment [34]. Interestingly, we find that Mito-LND targeting mitochondrial complex I significantly inhibits the proliferation of GBM cells and delays the growth of intracranial tumors in mice. Moreover, Mito-LND inhibits the activity of mitochondrial complex I and reduces mitochondrial membrane potential, thus stimulating the excess production of ROS and inducing tumor cell apoptosis. Importantly, Mito-LND affects GBM cell proliferation by inhibiting the activation of the Raf/MEK/ERK signaling pathway.

Mitochondria is the main organelles of cells producing ATP [35]. Excessive accumulation of ROS reduces mitochondrial membrane potential, and decreases ATP production are the main causes of mitochondrial dysfunction [36]. Moreover, ROS is a by-product of cell metabolism produced by mitochondria and plays a key role in tumorigenesis [37]. Promoting ROS production to interrupt redox homeostasis is a novel strategy for the treatment of malignant tumors [38]. LND has been used in combination with other therapeutic agents to improve efficacy and overall response to cancer treatment [19, 39]. Combined LND with DOX induces glioma cell apoptosis by reducing intracellular ATP production and inducing ROS generation [40]. LND also can increase the sensitivity of GBM cells to TMZ and radiotherapy [41]. It has been shown that LND inhibits activity of respiratory complex II through inhibiting the succinate reductase. LND also induces cellular reactive oxygen species through complex II, which reduced the viability of the DB-1 melanoma cell line [42]. Chen et al. have reported that Mito-LND mainly inhibits the activity of complex I, and it is 370-fold more potent than LND for complexes I [24]. Consistently, our data indicate that Mito-LND significantly inhibits the activity of mitochondrial complex I in GBM cells, thus reducing ATP synthesis and promoting ROS production.

Apoptosis is an autonomous and orderly death controlled by genes to maintain the stability of the intracellular environment [43], which involves the activation, expression, and regulation of a series of genes [44]. The Bcl-2 protein family (including pro-apoptotic Bax, Bad, and anti-apoptotic Bcl-2, Bcl-x) plays a key role in apoptosis [45, 46 ]. The Bcl-2 protein family is mainly located in the mitochondrial outer membrane [47], and the increase in Bax/Bcl-2 ratio decreases the mitochondrial membrane potential and activates Caspase-3/7 [48]. The decreased mitochondrial membrane potential is observed before early apoptosis and is widely considered a critical marker of early apoptosis [49]. Previous studies have shown that reducing mitochondrial membrane potential can induce tumor cell apoptosis, and thus delay tumor cell growth [50]. In this study, we found that after treatment with Mito-LND, mitochondrial membrane potential decreased, and Caspase-3/7 activity increased in GBM cells, ultimately leading to cell apoptosis. Western blot also showed that the ratio of BAX to BCL-2 was increased after Mito-LND treatment. Thus, it could be speculated that Mito-LND reduces the mitochondrial membrane potential partly by promoting the increase in Bax/Bcl-2 ratio, thus promoting apoptosis in GBM cells.

ERK, a member of the mitogen-activated protein kinase (MAPK) family, is one of the critical downstream regulators of the EGFR signaling pathway [51]. Raf/MEK/ERK signaling pathway is closely related to tumorigenesis by regulating cell proliferation, apoptosis, and other biological functions [31]. Nrf2, as a pivotal transcription factor in the regulation of antioxidative stress, plays an important role in maintaining the redox balance and promote tumorigenesis [52]. KRAS/Raf signaling pathway activates the Nrf2 antioxidant system by inducing Nrf2 expression and by constitutively activating the battery of genes controlled by Nrf2 [53]. Accumulating evidence supports that Raf/MEK/ERK pathway is abnormally activated in GBM, which promotes tumor cell proliferation and inhibits cell apoptosis [54]. ERK signaling induces Nrf2 activation and regulates cell viability partly through Nrf2 in GBM cells [55]. Downregulation of Nrf2 has been shown to improve GBM sensitivity to chemotherapy drugs such as Temozolomide [56]. Interestingly, the present study demonstrated that Mito-LND is able to inactivate the Raf/MEK/ERK signaling pathway, but whether Mito-LND has an effect on Nrf2 expression still unclear. In the future research, verifying the effect of Mito-LND on Nrf2 may offer a valuable treatment for tumors with over-expressed Nrf2.

The reactivation of the ERK pathway partially reversed the inhibitory activity of Mito-LND against GBM cells and decreased the ratio of Bax to Bcl-2. Previous study showed that inactivating ERK signaling pathway could decrease the expression of Creb. Meanwhile, Creb is required for the expression of the anti-apoptotic protein Bcl-2 [57]. The specific mechanism by which the ERK signaling pathway regulates the BAX/Bcl-2 ratio has not been fully elucidated. Whether the expression of BAX and Bcl-2 is affected by the regulation of Creb expression needs to be further verified. In addition, we found that the activation of ERK improved the Mito-LND-induced decrease in mitochondrial membrane potential. Our data indicate that Bax/Bcl-2 may located downstream of the ERK pathway and also confirmed our hypothesis that changes in the Bax/Bcl-2 ratio affect the mitochondrial membrane potential.

Conclusions

Taken together, Mito-LND has potential anti-GBM activity. Mito-LND significantly inhibits the malignant proliferation of GBM by blocking the Raf/MEK/ERK signaling pathway. Furthermore, Mito-LND induces the apoptosis of GBM cells by inhibiting mitochondrial complex I activity, reducing mitochondrial membrane potential, and promoting ROS production (Fig. 6D). In vivo experiments showed that treatment of Mito-LND prolonged the survival of tumor-bearing mice and inhibited the growth of GBM cells. Taken together, this study supports the phenomenon that targeting mitochondrial metabolism is a potential and promising strategy for GBM therapy, which will lay a theoretical foundation for future clinical trials on Mito-LND.

Availability of data and materials

All datasets supporting the conclusions contained in the present report are included in the manuscript.

References

  1. Schaettler MO, Richters MM, Wang AO, Skidmore ZL, Fisk B, Miller KE, et al. Characterization of the genomic and immunologic diversity of malignant brain tumors through multisector analysis. Cancer Discov. 2022;12(1):154–71.

    CAS  PubMed  Google Scholar 

  2. Teske N, Teske NC, Niyazi M, Belka C, Thon N, Tonn J-C, et al. Frequency and prognostic relevance of volumetric MRI changes in contrast- and non-contrast-enhancing tumor compartments between surgery and radiotherapy of IDHwt glioblastoma. Cancers. 2023;15(6):1745.

    PubMed  PubMed Central  Google Scholar 

  3. Chen AT, Xiao Y, Tang X, Baqri M, Gao X, Reschke M, et al. Cross-platform analysis reveals cellular and molecular landscape of glioblastoma invasion. Neuro Oncol. 2023;25(3):482–94.

    CAS  PubMed  Google Scholar 

  4. Hu ZF, Mi YJ, Qian HM, Guo N, Yan AL, Zhang YL, et al. A potential mechanism of temozolomide resistance in Glioma-Ferroptosis. Front Oncol. 2020;10:897.

    PubMed  PubMed Central  Google Scholar 

  5. Wu W, Wu Y, Mayer K, von Rosenstiel C, Schecker J, Baur S, et al. Lipid peroxidation plays an important role in chemotherapeutic effects of temozolomide and the development of therapy resistance in human glioblastoma. Transl Oncol. 2020. https://doi.org/10.1016/j.tranon.2020.100748.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Kuo TC, Huang KY, Yang SC, Wu S, Chung WC, Chang YL, et al. Monocarboxylate transporter 4 is a therapeutic target in non-small cell lung cancer with aerobic glycolysis preference. Mol Ther-Oncolytics. 2020;18:189–201.

    CAS  PubMed  PubMed Central  Google Scholar 

  7. Halcrow PW, Lynch ML, Geiger JD, Ohm JE. Role of endolysosome function in iron metabolism and brain carcinogenesis. Semin Cancer Biol. 2021;76:74–85.

    CAS  PubMed  PubMed Central  Google Scholar 

  8. Picard M, Shirihai OS. Mitochondrial signal transduction. Cell Metab. 2022;34(11):1620–53.

    CAS  PubMed  PubMed Central  Google Scholar 

  9. Klein K, He K, Younes AI, Barsoumian HB, Chen D, Ozgen T, et al. Role of mitochondria in cancer immune evasion and potential therapeutic approaches. Front Immunol. 2020;11:573326.

    CAS  PubMed  PubMed Central  Google Scholar 

  10. Molina JR, Sun YT, Protopopova M, Gera S, Bandi M, Bristow C, et al. An inhibitor of oxidative phosphorylation exploits cancer vulnerability. Nat Med. 2018;24(7):1036.

    CAS  PubMed  Google Scholar 

  11. Jia PP, Dai CY, Cao PH, Sun D, Ouyang RZ, Miao YQ. The role of reactive oxygen species in tumor treatment. RSC Adv. 2020;10(13):7740–50.

    CAS  PubMed Central  Google Scholar 

  12. Chien CH, Hsueh WT, Chuang JY, Chang KY. Dissecting the mechanism of temozolomide resistance and its association with the regulatory roles of intracellular reactive oxygen species in glioblastoma. J Biomed Sci. 2021;28(1):18.

    CAS  PubMed Central  Google Scholar 

  13. Nogueira V, Hay N. Molecular pathways: reactive oxygen species homeostasis in cancer cells and implications for cancer therapy. Clin Cancer Res. 2013;19(16):4309–14.

    CAS  PubMed Central  Google Scholar 

  14. Mostafavi S, Zalpoor H, Hassan ZM. The promising therapeutic effects of metformin on metabolic reprogramming of cancer-associated fibroblasts in solid tumors. Cell Mol Biol Lett. 2022;27(1):58.

    CAS  PubMed Central  Google Scholar 

  15. Bhat AH, Dar KB, Anees S, Zargar MA, Masood A, Sofi MA, et al. Oxidative stress, mitochondrial dysfunction and neurodegenerative diseases; a mechanistic insight. Biomed Pharmacother. 2015;74:101–10.

    CAS  PubMed  Google Scholar 

  16. Huang RX, Zhou PK. DNA damage response signaling pathways and targets for radiotherapy sensitization in cancer. Signal Transduct Target. 2020;5(1):60.

    CAS  Google Scholar 

  17. Nancolas B, Guo LL, Zhou R, Nath K, Nelson DS, Leeper DB, et al. The anti-tumour agent lonidamine is a potent inhibitor of the mitochondrial pyruvate carrier and plasma membrane monocarboxylate transporters. Biochem J. 2016;473:929–36.

    CAS  PubMed  Google Scholar 

  18. Oudard S, Carpentier A, Banu E, Fauchon F, Celerier D, Poupon MF, et al. Phase II study of lonidamine and diazepam in the treatment of recurrent glioblastoma multiforme. J Neuro-Oncol. 2003;63(1):81–6.

    Google Scholar 

  19. Di Cosimo S, Ferretti G, Papaldo P, Carlini P, Fabi A, Cognetti F. Lonidamine: efficacy and safety in clinical trials for the treatment of solid tumors. Drugs Today (Barc). 2003;39(3):157–74.

    PubMed  Google Scholar 

  20. De Lena M, Lorusso V, Latorre A, Fanizza G, Gargano G, Caporusso L, et al. Paclitaxel, cisplatin and lonidamine in advanced ovarian cancer. A phase II study. Eur J Cancer. 2001;37(3):364–8.

    Google Scholar 

  21. Carapella CM, Paggi MG, Cattani F, Ciottoli GB, Floridi A, Iandolo B, et al. The potential role of lonidamine (LND) in the treatment of malignant glioma. Phase II study. J Neurooncol. 1989;7(1):103–8.

    CAS  Google Scholar 

  22. Zhang X, Wang Y, Wei G, Zhao J, Yang G, Zhou S. Stepwise dual targeting and dual responsive polymer micelles for mitochondrion therapy. J Control Release. 2020;322:157–69.

    CAS  Google Scholar 

  23. Zielonka J, Joseph J, Sikora A, Hardy M, Ouari O, Vasquez-Vivar J, et al. Mitochondria-targeted triphenylphosphonium-based compounds: syntheses, mechanisms of action, and therapeutic and diagnostic applications. Chem Rev. 2017;117(15):10043–120.

    CAS  PubMed Central  Google Scholar 

  24. Cheng G, Zhang Q, Pan J, Lee Y, Ouari O, Hardy M, et al. Targeting lonidamine to mitochondria mitigates lung tumorigenesis and brain metastasis. Nat Commun. 2019;10(1):2205.

    PubMed Central  Google Scholar 

  25. Liu X, Chen X, Shi L, Shan Q, Cao Q, Yue C, et al. The third-generation EGFR inhibitor AZD9291 overcomes primary resistance by continuously blocking ERK signaling in glioblastoma. J Exp Clin Cancer Res. 2019;38(1):219.

    PubMed Central  Google Scholar 

  26. Biserova K, Jakovlevs A, Uljanovs R, Strumfa I. Cancer stem cells: significance in origin, pathogenesis and treatment of glioblastoma. Cells. 2021;10(3):621.

    CAS  PubMed Central  Google Scholar 

  27. Juan CA, de la Lastra JMP, Plou FJ, Perez-Lebena E. The Chemistry of reactive oxygen species (ROS) revisited: outlining their role in biological macromolecules (DNA, lipids and proteins) and induced pathologies. Int J Mol Sci. 2021;22(9):4642.

    CAS  PubMed  PubMed Central  Google Scholar 

  28. Han C, Wang Z, Xu Y, Chen S, Han Y, Li L, et al. Roles of reactive oxygen species in biological behaviors of prostate cancer. Biomed Res Int. 2020;2020: 1269624.

    PubMed Central  Google Scholar 

  29. Nguyen C, Pandey S. Exploiting mitochondrial vulnerabilities to trigger apoptosis selectively in Cancer Cells. Cancers, 2019, 11 (7):916.

    CAS  PubMed Central  Google Scholar 

  30. Maues LAL, Alves GM, Couto NMG, da Silva BJM, Arruda MSP, Macchi BM, et al. Flavonoids from the Amazon plant Brosimum acutifolium induce C6 glioma cell line apoptosis by disrupting mitochondrial membrane potential and reducing AKT phosphorylation. Biomed Pharmacother. 2019;113: 108728.

    CAS  PubMed  Google Scholar 

  31. Zhang YJ, Xu ZG, Li SQ, He LJ, Tang Y, Chen ZZ, et al. Benzimidazoisoquinoline derivatives inhibit glioblastoma cell proliferation through down-regulating Raf/MEK/ERK and PI3K/AKT pathways. Cancer Cell Int. 2018;18:1–12.

    Google Scholar 

  32. Wu DD, Liu ZG, Li JM, Zhang QQ, Zhong PY, Teng TS, et al. Epigallocatechin-3-gallate inhibits the growth and increases the apoptosis of human thyroid carcinoma cells through suppression of EGFR/RAS/RAF/MEK/ERK signaling pathway. Cancer Cell Int. 2019;19:1–17.

    Google Scholar 

  33. Ahmed SP, Castresana JS, Shahi MH. Role of circular RNA in brain tumor development. Cells. 2022;11(14):2130.

    CAS  PubMed  PubMed Central  Google Scholar 

  34. Chan MH, Chen W, Li CH, Fang CY, Chang YC, Wei DH, et al. An advanced in situ magnetic resonance imaging and Ultrasonic Theranostics Nanocomposite platform: crossing the blood-brain barrier and improving the suppression of Glioblastoma using Iron-platinum nanoparticles in Nanobubbles. ACS Appl Mater Interfaces. 2021;13(23):26759–69.

    CAS  PubMed  Google Scholar 

  35. Cho H, Cho YY, Shim MS, Lee JY, Lee HS, Kang HC. Mitochondria-targeted drug delivery in cancers. Biochim Biophys Acta Mol Basis Dis. 2020;1866(8):165808.

    CAS  PubMed  Google Scholar 

  36. Dey DK, Chang SN, Vadlamudi Y, Park JG, Kang SC. Synergistic therapy with tangeretin and 5-fluorouracil accelerates the ROS/JNK mediated apoptotic pathway in human colorectal cancer cell. Food Chem Toxicol. 2020;143:111529.

    CAS  PubMed  Google Scholar 

  37. Rizwan H, Pal S, Sabnam S, Pal A. High glucose augments ROS generation regulates mitochondrial dysfunction and apoptosis via stress signalling cascades in keratinocytes. Life Sci. 2020;241:117148.

    CAS  PubMed  Google Scholar 

  38. Zhao Y, Hu XB, Liu YJ, Dong SM, Wen ZW, He WM, et al. ROS signaling under metabolic stress: cross-talk between AMPK and AKT pathway. Mol Cancer. 2017;16:1–12.

    Google Scholar 

  39. Nath K, Nelson DS, Heitjan DF, Leeper DB, Zhou R, Glickson JD. Lonidamine induces intracellular tumor acidification and ATP depletion in breast, prostate and ovarian cancer xenografts and potentiates response to doxorubicin. NMR Biomed. 2015;28(3):281–90.

    CAS  PubMed  Google Scholar 

  40. Peng Y, Lu J, Li R, Zhao Y, Hai L, Guo L, et al. Glucose and triphenylphosphonium co-modified redox-sensitive liposomes to synergistically treat glioma with doxorubicin and Lonidamine. ACS Appl Mater Interfaces. 2021;13(23):26682–93.

    CAS  PubMed  Google Scholar 

  41. Prabhakara S, Kalia VK. Optimizing radiotherapy of brain tumours by a combination of temozolomide and lonidamine. Indian J Med Res. 2008;128(2):140–8.

    CAS  PubMed  Google Scholar 

  42. Guo LL, Shestov AA, Worth AJ, Nath K, Nelson DS, Leeper DB, et al. Inhibition of mitochondrial complex II by the anticancer agent lonidamine. J Biol Chem. 2016;291(1):42–57.

    CAS  PubMed  Google Scholar 

  43. Li MY, Tang DD, Yang T, Qian D, Xu RC. Apoptosis triggering, an important way for natural products from herbal medicines to treat pancreatic cancers. Front Pharmacol. 2022;12: 796300.

    PubMed  PubMed Central  Google Scholar 

  44. Khazaei S, Ramachandran V, Hamid RA, Esa NM, Etemad A, Moradipoor S, et al. Flower extract of Allium atroviolaceum triggered apoptosis, activated caspase-3 and down-regulated antiapoptotic Bcl-2 gene in HeLa cancer cell line. Biomed Pharmacother. 2017;89:1216–26.

    CAS  PubMed  Google Scholar 

  45. Li ZG, Li QJ, Lv W, Jiang LP, Geng CY, Yao XF, et al. The interaction of Atg4B and Bcl-2 plays an important role in Cd-induced crosstalk between apoptosis and autophagy through disassociation of bcl-2-Beclin1 in A549 cells. Free Radical Bio Med. 2019;130:576–91.

    CAS  Google Scholar 

  46. Chong SJF, Marchi S, Petroni G, Kroemer G, Galluzzi L, Pervaiz S. Noncanonical cell fate regulation by Bcl-2 Proteins. Trends Cell Biol. 2020;30(7):537–55.

    CAS  PubMed  Google Scholar 

  47. Harris MH, Thompson CB. The role of the Bcl-2 family in the regulation of outer mitochondrial membrane permeability. Cell Death Differ. 2000;7(12):1182–91.

    CAS  PubMed  Google Scholar 

  48. Liu SP, Zhu YY, Yan SS, Xiao HS, Yi JN, Li RF, et al. Phenethyl isothiocyanate induces IPEC-J2 cells cytotoxicity and apoptosis via S-G(2)/M phase arrest and mitochondria-mediated Bax/Bcl-2 pathway. Comp Biochem Phys C. 2019;226: 108574.

    CAS  Google Scholar 

  49. Che Y, Tian Y, Chen R, Xia L, Liu F, Su Z. IL-22 ameliorated cardiomyocyte apoptosis in cardiac ischemia/reperfusion injury by blocking mitochondrial membrane potential decrease, inhibiting ROS and cytochrome C. Biochim Biophys Acta Mol Basis Dis. 2021;1867(9):166171.

    CAS  PubMed  Google Scholar 

  50. Bai Y, Chen JQ, Hu WJ, Wang L, Wu YL, Yu SA. Silibinin therapy improves cholangiocarcinoma outcomes by regulating ERK/mitochondrial pathway. Front Pharmacol. 2022;13: 847905.

    CAS  PubMed Central  Google Scholar 

  51. Ponsioen B, Post JB, des Amorie JRB, Laskaris D, van Ineveld RL, Kersten S, et al. Quantifying single-cell ERK dynamics in colorectal cancer organoids reveals EGFR as an amplifier of oncogenic MAPK pathway signalling. Nat Cell Biol. 2021;23(4):377-U147.

    CAS  PubMed Central  Google Scholar 

  52. De Nicola GM, Karreth FA, Humpton TJ, Gopinathan A, Wei C, Frese K, et al. Oncogene-induced Nrf2 transcription promotes ROS detoxification and tumorigenesis. Nature. 2011;475(7354):106-U128.

    Google Scholar 

  53. Mukhopadhyay S, Vander Heiden. MG,McCormick F. The metabolic landscape of RAS-driven cancers from biology to therapy[. Nat Cancer. 2021;2(3):271–83.

    CAS  PubMed Central  Google Scholar 

  54. Wang J, Yao N, Hu Y, Lei M, Wang M, Yang L, et al. PHLDA1 promotes glioblastoma cell growth via sustaining the activation state of Ras. Cell Mol Life Sci. 2022;79(10):520.

    CAS  Google Scholar 

  55. Cong ZX, Wang HD, Wang JW, Zhou Y, Pan H, Zhang DD, et al. ERK and PI3K signaling cascades induce Nrf2 activation and regulate cell viability partly through Nrf2 in human glioblastoma cells. Oncol Rep. 2013;30(2):715–22.

    CAS  Google Scholar 

  56. Awuah WA, Toufik AR, Yarlagadda R, Mikhailova T, Mehta A, Huang H, et al. Exploring the role of Nrf2 signaling in glioblastoma multiforme. Discov Oncol. 2022;13(1):94.

    CAS  PubMed Central  Google Scholar 

  57. Fu X, Feng Y, Shao B, Zhang Y. Activation of the ERK/Creb/Bcl–2 pathway protects periodontal ligament stem cells against hydrogen peroxide–induced oxidative stress. Mol Med Rep. 2019;19(5):3649–57.

    CAS  PubMed Central  Google Scholar 

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Acknowledgements

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Funding

This research was supported by the following grants: The National Natural Science Foundation of China (No. 81972345, 82072796); The Postgraduate Research and Practice Innovation Program of Jiangsu Province (KYCX21_2684); Jiangsu Provincial Key Research and Development Program (BE2020642).

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  1. Tongxuan Guo, Changyong Wu and Lingni Zhou contributed equally to this work.

Authors and Affiliations

  1. Insititute of Nervous System Diseases, Xuzhou Medical University, Xuzhou, Jiangsu, China

    Tongxuan Guo, Changyong Wu, Lingni Zhou, Junhao Zhang, Wanzhou Wang, Yang Shen, Ludong Zhang, Xu Zhang, Rutong Yu & Xuejiao Liu

  2. Department of Neurosurgery, Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu, China

    Tongxuan Guo, Changyong Wu, Lingni Zhou, Xu Zhang, Rutong Yu & Xuejiao Liu

  3. Blood Diseases Institute, Xuzhou Medical University, Xuzhou, Jiangsu, China

    Mingshan Niu

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Contributions

X.L., R.Y. and X.Z. conceived and designed the research. T.G., C.W., and L.Z. performed the main experimental procedures. J.Z., W.W., Y.S., and L.Z., carried out partial experiments. M.N. completed part of the statistical analysis of the data. X.L. wrote the manuscript. All authors read and approved the final manuscript.

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Correspondence to Xu Zhang, Rutong Yu or Xuejiao Liu.

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Supplementary Information

Additional file 1. Figure. S1.

Measurement of cell survival and tumorsphere formation ability after treating with Mito-LND in GSC cells. (A) GSC1 and GSC2 cells were treated with 0.1% DMSO or indicated concentrations of Mito-LND for 72 h. The cell viability was measured using CCK-8 assay. (B–C) GSC cells were treated with indicated concentration of Mito-LND, after 10 days, tumorspheres in each well were counted via bright-field microscopy. The number of tumorspheres were normalized to the control group. Figure. S2. Measurement of cell apoptosis after treating with Mito-LND and/or NAC in LN229 cells. After treatment with Mito-LND (2.5 μΜ) and/or NAC (5 mM) for 24 h, the cell apoptosis was measured by flow cytometry in LN229 cells.

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Guo, T., Wu, C., Zhou, L. et al. Preclinical evaluation of Mito-LND, a targeting mitochondrial metabolism inhibitor, for glioblastoma treatment. J Transl Med 21, 532 (2023). https://doi.org/10.1186/s12967-023-04332-y

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