Piperazine-based Alpha-1 AR Blocker, Naftopidil, Selectively Suppresses Malignant Human Bladder Cells via Induction of Apoptosis

A retrospective observational cohort study has shown that exposure to alpha-1 adrenergic receptor (AR) blocker reduces the risk of bladder cancer (BCa). We investigated the antitumor activity of alpha-1 blockers, that are administered long-term therapeutically, in BCa. The antitumor activity of alph...

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Veröffentlicht in:Anticancer research 2016-04, Vol.36 (4), p.1563-1570
Hauptverfasser: Nakagawa, Yusuke U, Nagaya, Hisao, Miyata, Takeaki, Wada, Yoshitaka, Oyama, Tsunehiro, Gotoh, Akinobu
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container_end_page 1570
container_issue 4
container_start_page 1563
container_title Anticancer research
container_volume 36
creator Nakagawa, Yusuke U
Nagaya, Hisao
Miyata, Takeaki
Wada, Yoshitaka
Oyama, Tsunehiro
Gotoh, Akinobu
description A retrospective observational cohort study has shown that exposure to alpha-1 adrenergic receptor (AR) blocker reduces the risk of bladder cancer (BCa). We investigated the antitumor activity of alpha-1 blockers, that are administered long-term therapeutically, in BCa. The antitumor activity of alpha-1 blockers was evaluated in terms of cell viability, cell cycle, competition, and apoptotic signaling in BCa cells. Our cell viability studies showed that naftopidil was one of the strongest alpha-1 AR blockers, regarding its antitumor action in BCa cells, independent of the grade of malignancy, but with no similar action on normal human bladder cells. Oral administration of naftopidil reduced tumor volume in a xenograft model. Our own competitive analysis using an alpha-1 AR agonist and other alpha-1 AR blockers showed that naftopidil activated cell death signaling without inhibitory action on alpha-1 ARs. We conclude that naftopidil has potential as an antitumor drug against BCa in vitro and in vivo. This finding provides a rationale for developing naftopidil in grade-independent treatment of BCa.
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subjects Adrenergic alpha-Antagonists - pharmacology
Adrenergic alpha-Antagonists - therapeutic use
Animals
Antineoplastic Agents - pharmacology
Antineoplastic Agents - therapeutic use
Apoptosis - drug effects
Cell Cycle - drug effects
Cell Line, Tumor
Cell Proliferation - drug effects
Cell Survival - drug effects
Humans
Male
Mice, Nude
Naphthalenes - pharmacology
Naphthalenes - therapeutic use
Piperazines - pharmacology
Piperazines - therapeutic use
Tumor Burden - drug effects
Urinary Bladder Neoplasms - drug therapy
Urinary Bladder Neoplasms - pathology
Xenograft Model Antitumor Assays
title Piperazine-based Alpha-1 AR Blocker, Naftopidil, Selectively Suppresses Malignant Human Bladder Cells via Induction of Apoptosis
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