RRC ID 52423
著者 Tsubaki M, Takeda T, Asano RT, Matsuda T, Fujimoto SI, Itoh T, Imano M, Satou T, Nishida S.
タイトル Rebamipide suppresses 5-fluorouracil-induced cell death via the activation of Akt/mTOR pathway and regulates the expression of Bcl-2 family proteins.
ジャーナル Toxicol In Vitro
Abstract Oral mucositis is a common adverse effect of chemotherapy that limits the required dose of chemotherapeutic agents. Numerous attempts to mitigate chemotherapy-induced oral mucositis have failed to identify an appropriate treatment. Recently, it has been indicated that rebamipide prevents chemoradiotherapy-induced oral mucositis in patients. However, the details of the underlying mechanism involved in the cytoprotective effect of rebamipide remain obscure. In the present study, we investigated the mechanism behind rebamipide cytoprotective effect in the oral mucosa using primary normal human oral keratinocytes (NHOK cells). We found that rebamipide prevented 5-fluorouracil (5-FU)-induced cell death in NHOK cells. In addition, rebamipide increased the levels of phosphorylated Akt and mTOR, enhanced the Bcl-2 and Bcl-xL expressions, and suppressed the expression of Bax and Bim. This is in contrast to 5-FU-induced suppression of Akt and mTOR activation, Bcl-2 and Bcl-xL expressions, and the enhanced expression of Bax and Bim. These findings suggest that rebamipide can potentially be used for the protection of oral mucosa from chemotherapy-induced mucositis. This is the first study that elucidates the specific molecular pathway for the cytoprotective effect of rebamipide.
巻・号 46
ページ 284-293
公開日 2018-2-1
DOI 10.1016/j.tiv.2017.10.019
PII S0887-2333(17)30316-8
PMID 29054700
MeSH Alanine / analogs & derivatives* Alanine / pharmacology Animals Antimetabolites / toxicity Antioxidants / toxicity Cell Death / drug effects Cell Survival Fluorouracil / toxicity* Gene Expression Regulation / drug effects Humans Keratinocytes / drug effects* Mucositis Proto-Oncogene Proteins c-akt / genetics Proto-Oncogene Proteins c-akt / metabolism* Proto-Oncogene Proteins c-bcl-2 / genetics Proto-Oncogene Proteins c-bcl-2 / metabolism* Quinolones / pharmacology* TOR Serine-Threonine Kinases
IF 2.959
引用数 1
リソース情報
ヒト・動物細胞 CACO-2(RCB0988) COLO205(RCB2127)