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Differential activity of sulindac metabolites against squamous cell carcinoma of the head and neck is mediated by p21waf1/cip1 induction and cell cycle inhibition
Journal article   Open access   Peer reviewed

Differential activity of sulindac metabolites against squamous cell carcinoma of the head and neck is mediated by p21waf1/cip1 induction and cell cycle inhibition

Jonathan M Bock, Sarita G Menon, Prabhat C Goswami, Lori L Sinclair, Nichole S Bedford, Robert E Jackson and Douglas K Trask
Cancer biology & therapy, Vol.6(1), pp.30-39
01/2007
DOI: 10.4161/cbt.6.1.3470
PMID: 17172818
url
https://doi.org/10.4161/cbt.6.1.3470View
Published (Version of record) Open Access

Abstract

Sulindac sulfide and sulindac sulfone have demonstrated anti-neoplastic and chemo-preventive activity against various human tumors, but few studies have examined the relative effectiveness of these drugs against squamous cell carcinoma of the head and neck (SCCHN). These compounds are metabolites of the nonsteroidal anti-inflammatory drug sulindac and differ in their ability to inhibit cyclooxygenase-2 (COX-2) enzyme function. Sulindac sulfide (the sulindac metabolite with COX-2 inhibitory function) demonstrated strong cell growth inhibition as measured by MTT and growth assays in UM-SCC-1 and SCC-25 cells, while sulindac sulfone had only moderate effect. Growth inhibition by sulindac sulfide was associated with a significant increase in percent G cells and activation of caspase-3. Sulindac sulfide induced expression of p21wafl/cipl in a dose-dependent fashion, decreased cyclin D1 protein levels, and increased Rb hypophosphorylation. p21waf1/cip1 protein levels increased without a significant increase in wild-type p53, suggesting that sulindac sulfide induces a p53-independent pathway regulating p2lwafl/ciP1 protein levels in SCCHN. Sulindac sulfide also induced dose-dependent expression of PPAR-gamma. In contrast, sulindac sulfone did not significantly alter apoptosis, cell cycle distribution or G1 checkpoint protein expression at doses below 200 microM. These results demonstrate the differential activity of sulindac metabolites and support the hypothesis that sulindac sulfide induced perturbations in SCCHN cellular proliferation could be regulated both by p21waf1/cip1-dependent cytostatic and caspase-dependent cytotoxic pathways.
Apoptosis Up-Regulation Carcinoma, Squamous Cell - metabolism Humans Cell Cycle Proteins - metabolism Tumor Suppressor Protein p53 - metabolism Head and Neck Neoplasms - metabolism Sulindac - metabolism Sulindac - analogs & derivatives PPAR gamma - antagonists & inhibitors Cyclin-Dependent Kinase Inhibitor p21 - metabolism Cell Proliferation - drug effects Cell Cycle - drug effects Sulindac - pharmacology

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