Ouabain Toxicity -Selectivity Towards Renal Cancer Cells
Abstract: Ouabain and other cardiotonic steroids are known to inhibit Na + ,K + -ATPase (NKA), theion pump responsible for the ionic gradient across the plasma membrane. These steroidsdisplay a selective toxicity towards several tumour cells in comparison to primary humancells, however, the mechanism behind this is not yet understood. Here, we examined theouabain toxicity in renal epithelial cells, proximal tubular cells (PTCs) of different origin. Weinvestigated the relative cytotoxicity in cancer cells (A-498) and papilloma virus-transformedPTCs (HK-2) as well as to primary human PTCs (hPTC) to validate key components in theeffect. In exposure to ouabain, we examined the cell viability and density by MTT and CrystalViolet assays, and cell migration by a scratch assay. The cytotoxic effect was also studied invarious pH, glucose and potassium ion concentrations. In addition, apoptosis was examinedby the TUNEL assay, and if ouabain kills cancer cells through activation of thevolume-regulated anion channel VRAC channel via NKA. We found that there is a decrease in viable cells when cells are exposed to ouabain ≥ 10nM, however, the effect was not seen to be selective towards cancer cells, nor due toapoptosis and the activation of VRAC. The cytotoxic effect was greater in more acidicextracellular pH ~6.8, but independent of glucose concentration in the medium. Interestingly,the effect was also reversed at an increased extracellular concentration of potassium, andouabain did selectively inhibit the cancer cells to migrate. Thus, there could be potential forouabain to act as an anti-cancer agent for renal cancer and to inhibit tumour metastasization.
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