Targeting breast cancer with natural forms of vitamin E and simvastatin

dc.contributor.advisorKline, Kimberlyen
dc.contributor.advisorSanders, Bob G.en
dc.contributor.committeeMemberHursting, Stephenen
dc.contributor.committeeMemberTucker, Philipen
dc.contributor.committeeMemberdeGraffenried, Lindaen
dc.creatorGopalan, Archanaen
dc.date.accessioned2012-07-13T19:02:34Zen
dc.date.accessioned2017-05-11T22:25:59Z
dc.date.available2012-07-13T19:02:34Zen
dc.date.available2017-05-11T22:25:59Z
dc.date.issued2012-05en
dc.date.submittedMay 2012en
dc.date.updated2012-07-13T19:02:50Zen
dc.descriptiontexten
dc.description.abstractBreast cancer is the second leading cause of death due to cancer in women. A number of effective therapeutic strategies have been implemented in clinics to cope with the disease yet recurrent disease and toxicity reduce their effectiveness. Hence, there is a need to identify and develop more effective therapies with reduced toxic side effects to improve overall survival rates. This dissertation investigates the mechanisms of action of two natural forms of vitamin E and a cholesterol lowering drug, simvastatin, as a therapeutic strategy in human breast cancer cells. Vitamin E in nature consists of eight distinct forms which are fat soluble small lipids. Until recently, vitamin E was known as a potent antioxidant but emerging work suggests they may be resourceful agents in managing a number of chronic diseases including cancer. Anticancer properties of vitamin E have been identified to be limited to the γ- and δ- forms of both tocopherols and tocotrienols. Gamma-tocopherol ([gamma]T) and gamma-tocotrienol ([gamma]T3) have both already been identified to induce death receptor 5 (DR5) mediated apoptosis in breast cancer cells. Studies here show that similar to [gamma]T3, [gamma]T induced DR5 activation is mediated by c-Jun N-terminal kinase/C/EBP homologous protein (JNK/CHOP) proapoptotic axis which in part contributed to [gamma]T mediated dowregulation of c-FLIP, Bcl-2 and Survivin. Also, both agents activate de novo ceramide synthesis pathway which induces JNK/CHOP/DR5 proapoptotic axis and downregulates antiapoptotic factors FLICE inhibitory protein (c-FLIP), B-cell lymphoma 2 (Bcl-2) and Survivin leading to apoptosis. Simvastatin (SVA) has been identified to display pleiotropic effects including anticancer effects but mechanisms responsible for these actions have yet to be fully understood. In this dissertation, it was observed that simvastatin induced apoptosis in human breast cancer cells via activation of JNK/CHOP/DR5 proapoptotic axis and down regulation of antiapoptotic factors c-FLIP and Survivin which are in part dependent on JNK/CHOP/DR5 axis. The anticancer effects mediated by simvastatin can be reversed by exogenously added mevalonate and geranylgeranyl pyrophosphate (GGPP), implicating the blockage of mevalonate as a key event. Furthermore, work has been done to understand the factors responsible for drug resistance and identify therapeutic strategies to counteract the same. It was observed that development of drug resistance was associated with an increase in the percentage of tumor initiating cells (TICs) in both tamoxifen and Adriamycin resistant cells compared to their parental counterparts which was accompanied by an increase in phosphorylated form of Signal transducer and activator of transcription 3 (Stat3) proteins as well as its downstream mediators c-Myc, cyclin D1, Bcl-xL and Survivin. Inhibition of Stat3 demonstrated that Stat3 and its downstream mediators play an important role in regulation of TICs in drug resistant breast cancer. Moreover, SVA, [gamma]T3 and combination of SVA+[gamma]T3 has been observed to target TICs in drug resistant human breast cancer cells and downregulate Stat3 as well as its downstream mediators making it an attractive agent to overcome drug resistance. From the data presented here, the mechanisms responsible for the anticancer actions of [gamma]T, [gamma]T3 and SVA have been better understood, providing the necessary rationale to test these agents by themselves or in combination in pre-clinical models.en
dc.description.departmentNutritional Sciencesen
dc.format.mimetypeapplication/pdfen
dc.identifier.slug2152/ETD-UT-2012-05-5520en
dc.identifier.urihttp://hdl.handle.net/2152/ETD-UT-2012-05-5520en
dc.language.isoengen
dc.subjectBreast canceren
dc.subjectVitamin Een
dc.subjectSimvastatinen
dc.subjectApoptosisen
dc.subjectStem cellsen
dc.subjectTICen
dc.subjectMevalonate pathwayen
dc.subjectCeramide synthesis pathwaysen
dc.subjectDeath receptor 5 (DR5)en
dc.subjectc-Jun N-terminal kinase/C/EBP homologous protein (JNK/CHOP)en
dc.subjectFLICE inhibitory protein (c-FLIP)en
dc.subjectB-cell lymphoma 2 (Bcl-2)en
dc.subjectSurvivinen
dc.subjectSignal transducer and activator of transcription 3 (Stat3)en
dc.subjectBcl-xLen
dc.subjectCyclin D1en
dc.subjectc-Mycen
dc.titleTargeting breast cancer with natural forms of vitamin E and simvastatinen
dc.type.genrethesisen

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