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Published in: Journal of Gastrointestinal Cancer 1/2020

01-03-2020 | Gastric Cancer | Original Research

Synergistic Beneficial Effect of Docosahexaenoic Acid (DHA) and Docetaxel on the Expression Level of Matrix Metalloproteinase-2 (MMP-2) and MicroRNA-106b in Gastric Cancer

Authors: Najibeh Shekari, Mahsa Javadian, Mottahareh Ghasemi, Behzad Baradaran, Masoud Darabi, Tohid Kazemi

Published in: Journal of Gastrointestinal Cancer | Issue 1/2020

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Abstract

Background

Gastric cancer (GC) is one of the most common cancers with the majority of patients recognized in advanced stages. The efficacy of using docosahexaenoic acid (DHA) as a supplementary agent has been suggested in treatment along with chemotherapeutics including docetaxel. However, the molecular signatures of such beneficial effects are not well-understood.

Objective(s)

We aimed to evaluate the effects of DHA and docetaxel on the expression level of metastasis-related genes, including MMP-2 and talin-2, and their controlling miRNAs, miR-106b and miR-194, in metastatic GC cell line, MKN45.

Method(s)

GC cell line, MKN45, was cultured, and determination of IC50 of DHA was done by MTT test. Cells were treated with docetaxel, DHA, and their combination for 24 h, and then total RNA was extracted and cDNA synthesis was done using standard protocols. The expression level of target genes, MMP-2 and talin-2, and miR-106b and miR-194 were determined by using quantitative real-time PCR.

Results

The expression level of MMP-2 was decreased significantly in all treated cells. However, talin-2 showed significant downregulation only after treatment with docetaxel. In contrary to increased expression after treatment with docetaxel, DHA led to a significant under-expression of miR-106b. The similar effect was seen for miR-194.

Conclusion(s)

Combination of docetaxel and DHA led to the significant downregulation of MMP-2. Also, DHA lowered the docetaxel-mediated upregulation of miR-106b oncomiR. In conclusion, supplementation of docetaxel therapy with DHA in GC patients would be considered as a beneficial approach in cancer treatment.
Literature
2.
go back to reference Goetze OT, Al-Batran SE, Chevallay M, Monig SP. Multimodal treatment in locally advanced gastric cancer. Updat Surg. 2018;70(2):173–9.CrossRef Goetze OT, Al-Batran SE, Chevallay M, Monig SP. Multimodal treatment in locally advanced gastric cancer. Updat Surg. 2018;70(2):173–9.CrossRef
3.
go back to reference Lee JH, Kim SH, Oh SY, Lee S, Lee H, Lee HJ, et al. Third-line docetaxel chemotherapy for recurrent and metastatic gastric cancer. Korean J Intern Med. 2013;28(3):314–21.CrossRef Lee JH, Kim SH, Oh SY, Lee S, Lee H, Lee HJ, et al. Third-line docetaxel chemotherapy for recurrent and metastatic gastric cancer. Korean J Intern Med. 2013;28(3):314–21.CrossRef
4.
go back to reference Al-Batran SE, Pauligk C, Homann N, Schmalenberg H, Kopp HG, Haag GM, et al. LBA-008Docetaxel, oxaliplatin, and fluorouracil/leucovorin (FLOT) versus epirubicin, cisplatin, and fluorouracil or capecitabine (ECF/ECX) as perioperative treatment of resectable gastric or gastro-esophageal junction adenocarcinoma: The multicenter, randomized phase 3 FLOT4 trial (German Gastric Group at AIO). Annals of oncology: official journal of the European Society for Medical Oncology. 2017;28(suppl_3). https://doi.org/10.1093/annonc/mdx302.007 Al-Batran SE, Pauligk C, Homann N, Schmalenberg H, Kopp HG, Haag GM, et al. LBA-008Docetaxel, oxaliplatin, and fluorouracil/leucovorin (FLOT) versus epirubicin, cisplatin, and fluorouracil or capecitabine (ECF/ECX) as perioperative treatment of resectable gastric or gastro-esophageal junction adenocarcinoma: The multicenter, randomized phase 3 FLOT4 trial (German Gastric Group at AIO). Annals of oncology: official journal of the European Society for Medical Oncology. 2017;28(suppl_3). https://​doi.​org/​10.​1093/​annonc/​mdx302.​007
5.
go back to reference Calder PC. Docosahexaenoic acid. Ann Nutr Metab. 2016;69(Suppl 1):7–21.PubMed Calder PC. Docosahexaenoic acid. Ann Nutr Metab. 2016;69(Suppl 1):7–21.PubMed
6.
go back to reference Song EA, Kim H. Docosahexaenoic acid induces oxidative DNA damage and apoptosis, and enhances the chemosensitivity of cancer cells. Int J Mol Sci. 2016;17(8).CrossRef Song EA, Kim H. Docosahexaenoic acid induces oxidative DNA damage and apoptosis, and enhances the chemosensitivity of cancer cells. Int J Mol Sci. 2016;17(8).CrossRef
7.
go back to reference Newell M, Baker K, Postovit LM, Field CJ. A critical review on the effect of docosahexaenoic acid (DHA) on cancer cell cycle progression. Int J Mol Sci. 2017;18(8).CrossRef Newell M, Baker K, Postovit LM, Field CJ. A critical review on the effect of docosahexaenoic acid (DHA) on cancer cell cycle progression. Int J Mol Sci. 2017;18(8).CrossRef
8.
go back to reference Harries M, O'Donnell A, Scurr M, Reade S, Cole C, Judson I, et al. Phase I/II study of DHA-paclitaxel in combination with carboplatin in patients with advanced malignant solid tumours. Br J Cancer. 2004;91(9):1651–5.CrossRef Harries M, O'Donnell A, Scurr M, Reade S, Cole C, Judson I, et al. Phase I/II study of DHA-paclitaxel in combination with carboplatin in patients with advanced malignant solid tumours. Br J Cancer. 2004;91(9):1651–5.CrossRef
9.
go back to reference Guo XL, Lin GJ, Zhao H, Gao Y, Qian LP, Xu SR, et al. Inhibitory effects of docetaxel on expression of VEGF, bFGF and MMPs of LS174T cell. World J Gastroenterol. 2003;9(9):1995–8.CrossRef Guo XL, Lin GJ, Zhao H, Gao Y, Qian LP, Xu SR, et al. Inhibitory effects of docetaxel on expression of VEGF, bFGF and MMPs of LS174T cell. World J Gastroenterol. 2003;9(9):1995–8.CrossRef
10.
go back to reference Inoue K, Chikazawa M, Fukata S, Yoshikawa C, Shuin T. Docetaxel enhances the therapeutic effect of the angiogenesis inhibitor TNP-470 (AGM-1470) in metastatic human transitional cell carcinoma. Clin Cancer Res. 2003;9(2):886–99.PubMed Inoue K, Chikazawa M, Fukata S, Yoshikawa C, Shuin T. Docetaxel enhances the therapeutic effect of the angiogenesis inhibitor TNP-470 (AGM-1470) in metastatic human transitional cell carcinoma. Clin Cancer Res. 2003;9(2):886–99.PubMed
11.
go back to reference Li H, Qiu Z, Li F, Wang C. The relationship between MMP-2 and MMP-9 expression levels with breast cancer incidence and prognosis. Oncol Lett. 2017;14(5):5865–70.PubMedPubMedCentral Li H, Qiu Z, Li F, Wang C. The relationship between MMP-2 and MMP-9 expression levels with breast cancer incidence and prognosis. Oncol Lett. 2017;14(5):5865–70.PubMedPubMedCentral
12.
go back to reference Zhong Y, Lu YT, Sun Y, Shi ZH, Li NG, Tang YP, et al. Recent opportunities in matrix metalloproteinase inhibitor drug design for cancer. Expert Opin Drug Discovery. 2018;13(1):75–87.CrossRef Zhong Y, Lu YT, Sun Y, Shi ZH, Li NG, Tang YP, et al. Recent opportunities in matrix metalloproteinase inhibitor drug design for cancer. Expert Opin Drug Discovery. 2018;13(1):75–87.CrossRef
13.
go back to reference Yuan Y, Li L, Zhu Y, Qi L, Azizi L, Hytonen VP, et al. The molecular basis of talin2's high affinity toward beta1-integrin. Sci Rep. 2017;7:41989.CrossRef Yuan Y, Li L, Zhu Y, Qi L, Azizi L, Hytonen VP, et al. The molecular basis of talin2's high affinity toward beta1-integrin. Sci Rep. 2017;7:41989.CrossRef
14.
go back to reference Xu YF, Ren XY, Li YQ, He QM, Tang XR, Sun Y, et al. High expression of talin-1 is associated with poor prognosis in patients with nasopharyngeal carcinoma. BMC Cancer. 2015;15:332.CrossRef Xu YF, Ren XY, Li YQ, He QM, Tang XR, Sun Y, et al. High expression of talin-1 is associated with poor prognosis in patients with nasopharyngeal carcinoma. BMC Cancer. 2015;15:332.CrossRef
15.
go back to reference Tang H, Yao L, Tao X, Yu Y, Chen M, Zhang R, et al. miR-9 functions as a tumor suppressor in ovarian serous carcinoma by targeting TLN1. Int J Mol Med. 2013;32(2):381–8.CrossRef Tang H, Yao L, Tao X, Yu Y, Chen M, Zhang R, et al. miR-9 functions as a tumor suppressor in ovarian serous carcinoma by targeting TLN1. Int J Mol Med. 2013;32(2):381–8.CrossRef
17.
go back to reference Chen X, Wang Y, Zang W, Du Y, Li M, Zhao G. miR-194 targets RBX1 gene to modulate proliferation and migration of gastric cancer cells. Tumour Biol. 2015;36(4):2393–401.CrossRef Chen X, Wang Y, Zang W, Du Y, Li M, Zhao G. miR-194 targets RBX1 gene to modulate proliferation and migration of gastric cancer cells. Tumour Biol. 2015;36(4):2393–401.CrossRef
18.
go back to reference Petrocca F, Vecchione A, Croce CM. Emerging role of miR-106b-25/miR-17-92 clusters in the control of transforming growth factor beta signaling. Cancer Res. 2008;68(20):8191–4.CrossRef Petrocca F, Vecchione A, Croce CM. Emerging role of miR-106b-25/miR-17-92 clusters in the control of transforming growth factor beta signaling. Cancer Res. 2008;68(20):8191–4.CrossRef
19.
go back to reference Yang TS, Yang XH, Chen X, Wang XD, Hua J, Zhou DL, et al. MicroRNA-106b in cancer-associated fibroblasts from gastric cancer promotes cell migration and invasion by targeting PTEN. FEBS Lett. 2014;588(13):2162–9.CrossRef Yang TS, Yang XH, Chen X, Wang XD, Hua J, Zhou DL, et al. MicroRNA-106b in cancer-associated fibroblasts from gastric cancer promotes cell migration and invasion by targeting PTEN. FEBS Lett. 2014;588(13):2162–9.CrossRef
20.
go back to reference Kazemi T, Shekari N, Asghari F, Haghnavaz N, Shanehbandi D, Khaze V, et al. Let-7a could serve as a biomarker for chemoresistance against docetaxel in gastric cancer. Anti Cancer Agents Med Chem. 2018;19. Kazemi T, Shekari N, Asghari F, Haghnavaz N, Shanehbandi D, Khaze V, et al. Let-7a could serve as a biomarker for chemoresistance against docetaxel in gastric cancer. Anti Cancer Agents Med Chem. 2018;19.
21.
go back to reference D'Eliseo D, Velotti F. Omega-3 fatty acids and cancer cell cytotoxicity: implications for multi-targeted cancer therapy. J Clin Med. 2016;5(2).CrossRef D'Eliseo D, Velotti F. Omega-3 fatty acids and cancer cell cytotoxicity: implications for multi-targeted cancer therapy. J Clin Med. 2016;5(2).CrossRef
22.
go back to reference Yun EJ, Song KS, Shin S, Kim S, Heo JY, Kweon GR, et al. Docosahexaenoic acid suppresses breast cancer cell metastasis by targeting matrix-metalloproteinases. Oncotarget. 2016;7(31):49961–71.CrossRef Yun EJ, Song KS, Shin S, Kim S, Heo JY, Kweon GR, et al. Docosahexaenoic acid suppresses breast cancer cell metastasis by targeting matrix-metalloproteinases. Oncotarget. 2016;7(31):49961–71.CrossRef
23.
go back to reference Shaikh IA, Brown I, Schofield AC, Wahle KW, Heys SD. Docosahexaenoic acid enhances the efficacy of docetaxel in prostate cancer cells by modulation of apoptosis: the role of genes associated with the NF-kappaB pathway. Prostate. 2008;68(15):1635–46.CrossRef Shaikh IA, Brown I, Schofield AC, Wahle KW, Heys SD. Docosahexaenoic acid enhances the efficacy of docetaxel in prostate cancer cells by modulation of apoptosis: the role of genes associated with the NF-kappaB pathway. Prostate. 2008;68(15):1635–46.CrossRef
24.
go back to reference Shinto L, Marracci G, Bumgarner L, Yadav V. The effects of omega-3 fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis. Autoimmune Dis. 2011;2011:134592.PubMedPubMedCentral Shinto L, Marracci G, Bumgarner L, Yadav V. The effects of omega-3 fatty acids on matrix metalloproteinase-9 production and cell migration in human immune cells: implications for multiple sclerosis. Autoimmune Dis. 2011;2011:134592.PubMedPubMedCentral
25.
go back to reference Hansen RA, Harris MA, Pluhar GE, Motta T, Brevard S, Ogilvie GK, et al. Fish oil decreases matrix metalloproteinases in knee synovia of dogs with inflammatory joint disease. J Nutr Biochem. 2008;19(2):101–8.CrossRef Hansen RA, Harris MA, Pluhar GE, Motta T, Brevard S, Ogilvie GK, et al. Fish oil decreases matrix metalloproteinases in knee synovia of dogs with inflammatory joint disease. J Nutr Biochem. 2008;19(2):101–8.CrossRef
26.
go back to reference Yau WL, Lam CS, Ng L, Chow AK, Chan ST, Chan JY, et al. Over-expression of miR-106b promotes cell migration and metastasis in hepatocellular carcinoma by activating epithelial-mesenchymal transition process. PLoS One. 2013;8(3):e57882.CrossRef Yau WL, Lam CS, Ng L, Chow AK, Chan ST, Chan JY, et al. Over-expression of miR-106b promotes cell migration and metastasis in hepatocellular carcinoma by activating epithelial-mesenchymal transition process. PLoS One. 2013;8(3):e57882.CrossRef
27.
go back to reference Cheng Y, Guo Y, Zhang Y, You K, Li Z, Geng L. MicroRNA-106b is involved in transforming growth factor beta1-induced cell migration by targeting disabled homolog 2 in cervical carcinoma. J Exp Clin Cancer Res. 2016;35:11.CrossRef Cheng Y, Guo Y, Zhang Y, You K, Li Z, Geng L. MicroRNA-106b is involved in transforming growth factor beta1-induced cell migration by targeting disabled homolog 2 in cervical carcinoma. J Exp Clin Cancer Res. 2016;35:11.CrossRef
28.
go back to reference Smith AL, Iwanaga R, Drasin DJ, Micalizzi DS, Vartuli RL, Tan AC, et al. The miR-106b-25 cluster targets Smad7, activates TGF-beta signaling, and induces EMT and tumor initiating cell characteristics downstream of Six1 in human breast cancer. Oncogene. 2012;31(50):5162–71.CrossRef Smith AL, Iwanaga R, Drasin DJ, Micalizzi DS, Vartuli RL, Tan AC, et al. The miR-106b-25 cluster targets Smad7, activates TGF-beta signaling, and induces EMT and tumor initiating cell characteristics downstream of Six1 in human breast cancer. Oncogene. 2012;31(50):5162–71.CrossRef
29.
go back to reference Zheng R, Pan L, Gao J, Ye X, Chen L, Zhang X, et al. Prognostic value of miR-106b expression in breast cancer patients. J Surg Res. 2015;195(1):158–65.CrossRef Zheng R, Pan L, Gao J, Ye X, Chen L, Zhang X, et al. Prognostic value of miR-106b expression in breast cancer patients. J Surg Res. 2015;195(1):158–65.CrossRef
30.
go back to reference Zhang GJ, Li JS, Zhou H, Xiao HX, Li Y, Zhou T. MicroRNA-106b promotes colorectal cancer cell migration and invasion by directly targeting DLC1. J Exp Clini Cancer Res. 2015;34:73.CrossRef Zhang GJ, Li JS, Zhou H, Xiao HX, Li Y, Zhou T. MicroRNA-106b promotes colorectal cancer cell migration and invasion by directly targeting DLC1. J Exp Clini Cancer Res. 2015;34:73.CrossRef
31.
go back to reference Shekari N, Baradaran B, Shanehbandi D, Kazemi T. Circulating microRNAs: valuable biomarkers for the diagnosis and prognosis of gastric cancer. Curr Med Chem. 2018;25(6):698–714.PubMed Shekari N, Baradaran B, Shanehbandi D, Kazemi T. Circulating microRNAs: valuable biomarkers for the diagnosis and prognosis of gastric cancer. Curr Med Chem. 2018;25(6):698–714.PubMed
32.
go back to reference Ni X, Xia T, Zhao Y, Zhou W, Wu N, Liu X, et al. Downregulation of miR-106b induced breast cancer cell invasion and motility in association with overexpression of matrix metalloproteinase 2. Cancer Sci. 2014;105(1):18–25.CrossRef Ni X, Xia T, Zhao Y, Zhou W, Wu N, Liu X, et al. Downregulation of miR-106b induced breast cancer cell invasion and motility in association with overexpression of matrix metalloproteinase 2. Cancer Sci. 2014;105(1):18–25.CrossRef
33.
go back to reference Chen S, Chen X, Xiu YL, Sun KX, Zhao Y. Inhibition of ovarian epithelial carcinoma tumorigenesis and progression by microRNA 106b mediated through the RhoC pathway. PLoS One. 2015;10(5):e0125714.CrossRef Chen S, Chen X, Xiu YL, Sun KX, Zhao Y. Inhibition of ovarian epithelial carcinoma tumorigenesis and progression by microRNA 106b mediated through the RhoC pathway. PLoS One. 2015;10(5):e0125714.CrossRef
34.
go back to reference Li J, Wang JM, Liu YH, Zhang Z, Han N, Wang JY, et al. Effect of microRNA-106b on the invasion and proliferation of trophoblasts through targeting MMP-2. Zhonghua Fu Chan Ke Za Zhi. 2017;52(5):327–32.PubMed Li J, Wang JM, Liu YH, Zhang Z, Han N, Wang JY, et al. Effect of microRNA-106b on the invasion and proliferation of trophoblasts through targeting MMP-2. Zhonghua Fu Chan Ke Za Zhi. 2017;52(5):327–32.PubMed
35.
go back to reference Roessler C, Kuhlmann K, Hellwing C, Leimert A, Schumann J. Impact of polyunsaturated fatty acids on miRNA profiles of monocytes/macrophages and endothelial cells-a pilot study. Int J Mol Sci. 2017;18(2).CrossRef Roessler C, Kuhlmann K, Hellwing C, Leimert A, Schumann J. Impact of polyunsaturated fatty acids on miRNA profiles of monocytes/macrophages and endothelial cells-a pilot study. Int J Mol Sci. 2017;18(2).CrossRef
36.
go back to reference Fang KP, Dai W, Ren YH, Xu YC, Zhang SM, Qian YB. Both talin-1 and talin-2 correlate with malignancy potential of the human hepatocellular carcinoma MHCC-97 L cell. BMC Cancer. 2016;16:45.CrossRef Fang KP, Dai W, Ren YH, Xu YC, Zhang SM, Qian YB. Both talin-1 and talin-2 correlate with malignancy potential of the human hepatocellular carcinoma MHCC-97 L cell. BMC Cancer. 2016;16:45.CrossRef
37.
go back to reference Debrand E, Conti FJ, Bate N, Spence L, Mazzeo D, Pritchard CA, et al. Mice carrying a complete deletion of the talin2 coding sequence are viable and fertile. Biochem Biophys Res Commun. 2012;426(2):190–5.CrossRef Debrand E, Conti FJ, Bate N, Spence L, Mazzeo D, Pritchard CA, et al. Mice carrying a complete deletion of the talin2 coding sequence are viable and fertile. Biochem Biophys Res Commun. 2012;426(2):190–5.CrossRef
38.
go back to reference Li L, Li X, Qi L, Rychahou P, Jafari N, Huang C. The role of talin2 in breast cancer tumorigenesis and metastasis. Oncotarget. 2017;8(63):106876–87.PubMedPubMedCentral Li L, Li X, Qi L, Rychahou P, Jafari N, Huang C. The role of talin2 in breast cancer tumorigenesis and metastasis. Oncotarget. 2017;8(63):106876–87.PubMedPubMedCentral
39.
go back to reference Zhao Y, Li F, Zhang X, Liu A, Qi J, Cui H, et al. MicroRNA-194 acts as a prognostic marker and inhibits proliferation in hepatocellular carcinoma by targeting MAP4K4. Int J Clin Exp Pathol. 2015;8(10):12446–54.PubMedPubMedCentral Zhao Y, Li F, Zhang X, Liu A, Qi J, Cui H, et al. MicroRNA-194 acts as a prognostic marker and inhibits proliferation in hepatocellular carcinoma by targeting MAP4K4. Int J Clin Exp Pathol. 2015;8(10):12446–54.PubMedPubMedCentral
40.
go back to reference Li Z, Ying X, Chen H, Ye P, Shen Y, Pan W, et al. MicroRNA-194 inhibits the epithelial-mesenchymal transition in gastric cancer cells by targeting FoxM1. Dig Dis Sci. 2014;59(9):2145–52.CrossRef Li Z, Ying X, Chen H, Ye P, Shen Y, Pan W, et al. MicroRNA-194 inhibits the epithelial-mesenchymal transition in gastric cancer cells by targeting FoxM1. Dig Dis Sci. 2014;59(9):2145–52.CrossRef
41.
go back to reference Zhang Y, Chen C, Hu K. MiR-194 suppresses human gastric cancer cell proliferation and induces apoptosis by targeting GGCT. Int J Clin Exp Pathol. 2017;10(3):2589–98. Zhang Y, Chen C, Hu K. MiR-194 suppresses human gastric cancer cell proliferation and induces apoptosis by targeting GGCT. Int J Clin Exp Pathol. 2017;10(3):2589–98.
42.
go back to reference Le XF, Almeida MI, Mao W, Spizzo R, Rossi S, Nicoloso MS, et al. Modulation of microRNA-194 and cell migration by HER2-targeting trastuzumab in breast cancer. PLoS One. 2012;7(7):e41170.CrossRef Le XF, Almeida MI, Mao W, Spizzo R, Rossi S, Nicoloso MS, et al. Modulation of microRNA-194 and cell migration by HER2-targeting trastuzumab in breast cancer. PLoS One. 2012;7(7):e41170.CrossRef
Metadata
Title
Synergistic Beneficial Effect of Docosahexaenoic Acid (DHA) and Docetaxel on the Expression Level of Matrix Metalloproteinase-2 (MMP-2) and MicroRNA-106b in Gastric Cancer
Authors
Najibeh Shekari
Mahsa Javadian
Mottahareh Ghasemi
Behzad Baradaran
Masoud Darabi
Tohid Kazemi
Publication date
01-03-2020
Publisher
Springer US
Published in
Journal of Gastrointestinal Cancer / Issue 1/2020
Print ISSN: 1941-6628
Electronic ISSN: 1941-6636
DOI
https://doi.org/10.1007/s12029-019-00205-0

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