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Ma J, Zhai Y, Ren X, Wu H, Yang M, Chai L, Chen J. Transformative insights in breast cancer: review of atomic force microscopy applications. Discov Oncol 2025; 16:256. [PMID: 40021496 PMCID: PMC11871204 DOI: 10.1007/s12672-025-02003-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/25/2024] [Accepted: 02/20/2025] [Indexed: 03/03/2025] Open
Abstract
Breast cancer remains one of the foremost global health concerns, highlighting the urgent need for innovative diagnostic and therapeutic strategies. Traditional imaging techniques, such as mammography and ultrasound, play essential roles in clinical practice; however, they often fall short in detecting early-stage tumors and providing comprehensive insights into the mechanical properties of cancer cells. In this context, Atomic Force Microscopy (AFM) has emerged as a transformative tool in breast cancer research, owing to its high-resolution imaging capabilities and nanomechanical characterization. This review explores recent advancements in AFM technology as applied to breast cancer research, emphasizing key findings that include the differentiation of various stages of tumor progression through high-resolution imaging, precise characterization of mechanical properties, and the capability for single-cell analysis. These capabilities not only enhance our understanding of tumor heterogeneity but also reveal potential biomarkers for early detection and therapeutic targets. Furthermore, the review critically examines several challenges and limitations associated with the application of AFM in breast cancer research. Issues such as complexities in sample preparation, accessibility, and the cost of AFM technology are discussed. Despite these challenges, the potential of AFM to transform our understanding of breast cancer biology is significant. Looking ahead, continued advancements in AFM technology promise to deepen our insights into breast cancer biology and guide innovative therapeutic strategies aimed at improving patient outcomes.
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Affiliation(s)
- Jiamin Ma
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China.
| | - Yuanyuan Zhai
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China
| | - Xiaoyi Ren
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China
| | - Huifang Wu
- Department of Pathology, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China
| | - Mengjie Yang
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China
| | - Lijun Chai
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China.
| | - Jianzhong Chen
- Department of Breast Surgery, The Second Affiliated Hospital of Zhengzhou University, No.2 Jingba Road, Zhengzhou, 450000, Henan, China.
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Wan L, Song Z, Wang Z, Dong J, Chen Y, Hu J. Repair effect of Centella asiatica (L.) extract on damaged HaCaT cells studied by atomic force microscopy. J Microsc 2023; 292:148-157. [PMID: 37855555 DOI: 10.1111/jmi.13238] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/29/2023] [Revised: 10/01/2023] [Accepted: 10/17/2023] [Indexed: 10/20/2023]
Abstract
People's choice of cosmetics is no longer just 'Follow the trend', but pays more attention to the ingredients of cosmetics, whether the ingredients of cosmetics are beneficial to people's skin health; therefore, more and more skin-healthy ingredients have been discovered and used in cosmetics. In this work, atomic force microscope (AFM) is used to provide physical information about biomolecules and living cells; it brings us a new method of high-precision physical measurement. Centella asiatica (L.) extract has the ability to promote skin wound healing, but its healing effect on damaged HaCaT cells needs to be investigated, which plays a key role in judging the effectiveness of skincare ingredients. The objective of this study was to explore the impact of Centella asiatica (L.) extract on ethanol-damaged human immortalised epidermal HaCaT cells based on AFM. We established a model of cellular damage and evaluated cell viability using the MTT assay. The physical changes of cell height, roughness, adhesion and Young's modulus were measured by AFM. The findings indicated that the Centella asiatica (L.) extract had a good repair effect on injured HaCaT cells, and the optimal concentration was 75 μg/mL.
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Affiliation(s)
- Linlin Wan
- International Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, China
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- Ministry of Education Key Laboratory for Cross-Scale Micro and Nano Manufacturing, Changchun University of Science and Technology, Changchun, China
| | - Zhengxun Song
- International Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, China
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- Ministry of Education Key Laboratory for Cross-Scale Micro and Nano Manufacturing, Changchun University of Science and Technology, Changchun, China
| | - Zuobin Wang
- International Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, China
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- Ministry of Education Key Laboratory for Cross-Scale Micro and Nano Manufacturing, Changchun University of Science and Technology, Changchun, China
- JR3CN & IRAC, University of Bedfordshire, Luton, UK
| | - Jianjun Dong
- International Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, China
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- Ministry of Education Key Laboratory for Cross-Scale Micro and Nano Manufacturing, Changchun University of Science and Technology, Changchun, China
| | - Yujuan Chen
- International Research Centre for Nano Handling and Manufacturing of China, Changchun University of Science and Technology, Changchun, China
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- Ministry of Education Key Laboratory for Cross-Scale Micro and Nano Manufacturing, Changchun University of Science and Technology, Changchun, China
- School of Life Sciences, Changchun University of Science and Technology, Changchun, China
| | - Jing Hu
- Centre for Opto/Bio-Nano Measurement and Manufacturing, Zhongshan Institute of Changchun University of Science and Technology, Zhongshan, China
- School of Materials Science and Engineering, Changchun University of Science and Technology, Changchun, China
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Dependency of deformation of cell nucleus on stretch direction of tissue: Relation to anisotropic response of aortic media to hypertension. J Mech Behav Biomed Mater 2022; 133:105326. [DOI: 10.1016/j.jmbbm.2022.105326] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/27/2022] [Revised: 06/07/2022] [Accepted: 06/18/2022] [Indexed: 11/19/2022]
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4
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Automated estimation of cancer cell deformability with machine learning and acoustic trapping. Sci Rep 2022; 12:6891. [PMID: 35477742 PMCID: PMC9046201 DOI: 10.1038/s41598-022-10882-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/05/2022] [Accepted: 04/13/2022] [Indexed: 11/28/2022] Open
Abstract
Cell deformability is a useful feature for diagnosing various diseases (e.g., the invasiveness of cancer cells). Existing methods commonly inflict pressure on cells and observe changes in cell areas, diameters, or thickness according to the degree of pressure. Then, the Young’s moduli (i.e., a measure of deformability) of cells are estimated based on the assumption that the degrees of the changes are inversely proportional to Young’s moduli. However, manual measurements of the physical changes in cells are labor-intensive, and the subjectivity of the operators can intervene during this step, thereby causing considerable uncertainty. Further, because the shapes of cells are nonuniform, we cannot ensure the assumption for linear correlations of physical changes in cells with their deformability. Therefore, this study aims at measuring non-linear elastic moduli of live cells (degrees of cell deformability) automatically by employing conventional neural networks (CNN) and multilayer perceptrons (MLP) while preserving (or enhancing) the accuracy of the manual methods. First, we obtain photomicrographs of cells on multiple pressure levels using single-beam acoustic tweezers, and then, we suggest an image preprocessing method for emphasizing changes in cell areas on the photomicrographs. The CNN model is trained to measure the ratios of the cell area change at each pressure level. Then, we apply the multilayer perceptron (MLP) to learn the correlations of the cell area change ratios according to the pressure levels with cell deformability. The accuracy of the CNN was evaluated using two types of breast cancer cells: MDA-MB-231 (invasive) and MCF-7 (noninvasive). The MLP was assessed using five different beads (Young’s moduli from 0.214 to 9.235 kPa), which provides standardized reference data of the non-linear elastic moduli of live cells. Finally, we validated the practicality of the proposed system by examining whether the non-linear elastic moduli estimated by the proposed system can distinguish invasive breast cancer cells from noninvasive ones.
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Aermes C, Hayn A, Fischer T, Mierke CT. Cell mechanical properties of human breast carcinoma cells depend on temperature. Sci Rep 2021; 11:10771. [PMID: 34031462 PMCID: PMC8144563 DOI: 10.1038/s41598-021-90173-y] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/13/2021] [Accepted: 04/30/2021] [Indexed: 12/21/2022] Open
Abstract
The knowledge of cell mechanics is required to understand cellular processes and functions, such as the movement of cells, and the development of tissue engineering in cancer therapy. Cell mechanical properties depend on a variety of factors, such as cellular environments, and may also rely on external factors, such as the ambient temperature. The impact of temperature on cell mechanics is not clearly understood. To explore the effect of temperature on cell mechanics, we employed magnetic tweezers to apply a force of 1 nN to 4.5 µm superparamagnetic beads. The beads were coated with fibronectin and coupled to human epithelial breast cancer cells, in particular MCF-7 and MDA-MB-231 cells. Cells were measured in a temperature range between 25 and 45 °C. The creep response of both cell types followed a weak power law. At all temperatures, the MDA-MB-231 cells were pronouncedly softer compared to the MCF-7 cells, whereas their fluidity was increased. However, with increasing temperature, the cells became significantly softer and more fluid. Since mechanical properties are manifested in the cell's cytoskeletal structure and the paramagnetic beads are coupled through cell surface receptors linked to cytoskeletal structures, such as actin and myosin filaments as well as microtubules, the cells were probed with pharmacological drugs impacting the actin filament polymerization, such as Latrunculin A, the myosin filaments, such as Blebbistatin, and the microtubules, such as Demecolcine, during the magnetic tweezer measurements in the specific temperature range. Irrespective of pharmacological interventions, the creep response of cells followed a weak power law at all temperatures. Inhibition of the actin polymerization resulted in increased softness in both cell types and decreased fluidity exclusively in MDA-MB-231 cells. Blebbistatin had an effect on the compliance of MDA-MB-231 cells at lower temperatures, which was minor on the compliance MCF-7 cells. Microtubule inhibition affected the fluidity of MCF-7 cells but did not have a significant effect on the compliance of MCF-7 and MDA-MB-231 cells. In summary, with increasing temperature, the cells became significant softer with specific differences between the investigated drugs and cell lines.
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Affiliation(s)
- Christian Aermes
- Biological Physics Division, Faculty of Physics and Earth Science, Peter Debye Institute of Soft Matter Physics, University of Leipzig, Linnéstr. 5, 04103, Leipzig, Germany
| | - Alexander Hayn
- Biological Physics Division, Faculty of Physics and Earth Science, Peter Debye Institute of Soft Matter Physics, University of Leipzig, Linnéstr. 5, 04103, Leipzig, Germany
| | - Tony Fischer
- Biological Physics Division, Faculty of Physics and Earth Science, Peter Debye Institute of Soft Matter Physics, University of Leipzig, Linnéstr. 5, 04103, Leipzig, Germany
| | - Claudia Tanja Mierke
- Biological Physics Division, Faculty of Physics and Earth Science, Peter Debye Institute of Soft Matter Physics, University of Leipzig, Linnéstr. 5, 04103, Leipzig, Germany.
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Bahwini TM, Zhong Y, Gu C, Nasa Z, Oetomo D. Investigating the Mechanical Properties of Biological Brain Cells With Atomic Force Microscopy. J Med Device 2018. [DOI: 10.1115/1.4040995] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022] Open
Abstract
Characterization of cell mechanical properties plays an important role in disease diagnoses and treatments. This paper uses advanced atomic force microscopy (AFM) to measure the geometrical and mechanical properties of two different human brain normal HNC-2 and cancer U87 MG cells. Based on experimental measurement, it measures the cell deformation and indentation force to characterize cell mechanical properties. A fitting algorithm is developed to generate the force-loading curves from experimental data. An inverse Hertzian method is also established to identify Young's moduli for HNC-2 and U87 MG cells. The results demonstrate that Young's modulus of cancer cells is different from that of normal cells, which can help us to differentiate normal and cancer cells from the biomechanical viewpoint.
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Affiliation(s)
| | - Yongmin Zhong
- School of Engineering, RMIT University, Melbourne 3083, Australia e-mail:
| | - Chengfan Gu
- Department of Mechanical Engineering, University of Melbourne, Parkville 3010, Australia e-mail:
| | - Zeyad Nasa
- Micro Nano Research Facility, College of Science, Engineering and Health, RMIT, Melbourne 3000, Australia e-mail:
| | - Denny Oetomo
- Department of Mechanical Engineering, University of Melbourne, Parkville 3010, Australia e-mail:
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Manohar S, Shah P, Biswas S, Mukadam A, Joshi M, Viswanathan G. Combining fluorescent cell barcoding and flow cytometry‐based phospho‐ERK1/2 detection at short time scales in adherent cells. Cytometry A 2018; 95:192-200. [DOI: 10.1002/cyto.a.23602] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/21/2018] [Revised: 08/09/2018] [Accepted: 08/20/2018] [Indexed: 12/23/2022]
Affiliation(s)
- Sonal Manohar
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
| | - Prachi Shah
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
| | - Sharmila Biswas
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
| | - Anam Mukadam
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
| | - Madhura Joshi
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
| | - Ganesh Viswanathan
- Department of Chemical EngineeringIndian Institute of Technology Bombay Powai, Mumbai 400076 India
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Li M, Liu L, Xi N, Wang Y. Atomic force microscopy studies on cellular elastic and viscoelastic properties. SCIENCE CHINA-LIFE SCIENCES 2017; 61:57-67. [DOI: 10.1007/s11427-016-9041-9] [Citation(s) in RCA: 12] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/31/2016] [Accepted: 04/07/2017] [Indexed: 01/03/2023]
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9
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Li M, Dang D, Liu L, Xi N, Wang Y. Atomic Force Microscopy in Characterizing Cell Mechanics for Biomedical Applications: A Review. IEEE Trans Nanobioscience 2017; 16:523-540. [PMID: 28613180 DOI: 10.1109/tnb.2017.2714462] [Citation(s) in RCA: 62] [Impact Index Per Article: 7.8] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Abstract
Cell mechanics is a novel label-free biomarker for indicating cell states and pathological changes. The advent of atomic force microscopy (AFM) provides a powerful tool for quantifying the mechanical properties of single living cells in aqueous conditions. The wide use of AFM in characterizing cell mechanics in the past two decades has yielded remarkable novel insights in understanding the development and progression of certain diseases, such as cancer, showing the huge potential of cell mechanics for practical applications in the field of biomedicine. In this paper, we reviewed the utilization of AFM to characterize cell mechanics. First, the principle and method of AFM single-cell mechanical analysis was presented, along with the mechanical responses of cells to representative external stimuli measured by AFM. Next, the unique changes of cell mechanics in two types of physiological processes (stem cell differentiation, cancer metastasis) revealed by AFM were summarized. After that, the molecular mechanisms guiding cell mechanics were analyzed. Finally the challenges and future directions were discussed.
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Rad MA, Tijjani AS, Ahmad MR, Auwal SM. Finite Element Analysis of Single Cell Stiffness Measurements Using PZT-Integrated Buckling Nanoneedles. SENSORS 2016; 17:s17010014. [PMID: 28025571 PMCID: PMC5298587 DOI: 10.3390/s17010014] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 09/03/2016] [Revised: 10/26/2016] [Accepted: 11/15/2016] [Indexed: 11/30/2022]
Abstract
This paper proposes a new technique for real-time single cell stiffness measurement using lead zirconate titanate (PZT)-integrated buckling nanoneedles. The PZT and the buckling part of the nanoneedle have been modelled and validated using the ABAQUS software. The two parts are integrated together to function as a single unit. After calibration, the stiffness, Young’s modulus, Poisson’s ratio and sensitivity of the PZT-integrated buckling nanoneedle have been determined to be 0.7100 N·m−1, 123.4700 GPa, 0.3000 and 0.0693 V·m·N−1, respectively. Three Saccharomyces cerevisiae cells have been modelled and validated based on compression tests. The average global stiffness and Young’s modulus of the cells are determined to be 10.8867 ± 0.0094 N·m−1 and 110.7033 ± 0.0081 MPa, respectively. The nanoneedle and the cell have been assembled to measure the local stiffness of the single Saccharomyces cerevisiae cells The local stiffness, Young’s modulus and PZT output voltage of the three different size Saccharomyces cerevisiae have been determined at different environmental conditions. We investigated that, at low temperature the stiffness value is low to adapt to the change in the environmental condition. As a result, Saccharomyces cerevisiae becomes vulnerable to viral and bacterial attacks. Therefore, the proposed technique will serve as a quick and accurate process to diagnose diseases at early stage in a cell for effective treatment.
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Affiliation(s)
- Maryam Alsadat Rad
- Department of Control and Mechatronics Engineering, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia.
| | - Auwal Shehu Tijjani
- Department of Control and Mechatronics Engineering, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia.
| | - Mohd Ridzuan Ahmad
- Department of Control and Mechatronics Engineering, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia.
| | - Shehu Muhammad Auwal
- Department of Control and Mechatronics Engineering, Faculty of Electrical Engineering, Universiti Teknologi Malaysia, 81310 Skudai, Johor, Malaysia.
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Li M, Xiao X, Liu L, Xi N, Wang Y. Nanoscale Quantifying the Effects of Targeted Drug on Chemotherapy in Lymphoma Treatment Using Atomic Force Microscopy. IEEE Trans Biomed Eng 2016; 63:2187-99. [DOI: 10.1109/tbme.2015.2512924] [Citation(s) in RCA: 18] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022]
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12
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Single-molecule force spectroscopy study of the effect of cigarette carcinogens on thrombomodulin–thrombin interaction. Sci Bull (Beijing) 2016. [DOI: 10.1007/s11434-016-1084-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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13
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Fang Z, Jiang C, Feng Y, Chen R, Lin X, Zhang Z, Han L, Chen X, Li H, Guo Y, Jiang W. Effects of G6PD activity inhibition on the viability, ROS generation and mechanical properties of cervical cancer cells. BIOCHIMICA ET BIOPHYSICA ACTA-MOLECULAR CELL RESEARCH 2016; 1863:2245-54. [PMID: 27217331 DOI: 10.1016/j.bbamcr.2016.05.016] [Citation(s) in RCA: 34] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/27/2016] [Revised: 05/17/2016] [Accepted: 05/19/2016] [Indexed: 10/21/2022]
Abstract
Glucose-6-phosphate dehydrogenase (G6PD) deficiency has been revealed to be involved in the efficacy to anti-cancer therapy but the mechanism remains unclear. We aimed to investigate the anti-cancer mechanism of G6PD deficiency. In our study, dehydroepiandrosterone (DHEA) and shRNA technology were used for inhibiting the activity of G6PD of cervical cancer cells. Peak Force QNM Atomic Force Microscopy was used to assess the changes of topography and biomechanical properties of cells and detect the effects on living cells in a natural aqueous environment. Flow cytometry was used to detect the apoptosis and reactive oxygen species (ROS) generation. Scanning electron microscopy was used to observe cell morphology. Moreover, a laser scanning confocal microscope was used to observe the alterations in cytoskeleton to explore the involved mechanism. When G6PD was inhibited by DHEA or RNA interference, the abnormal Young's modulus and increased roughness of cell membrane were observed in HeLa cells, as well as the idioblasts. Simultaneously, G6PD deficiency resulted in decreased HeLa cells migration and proliferation ability but increased ROS generation inducing apoptosis. What's more, the inhibition of G6PD activity caused the disorganization of microfilaments and microtubules of cytoskeletons and cell shrinkage. Our results indicated the anti-cervix cancer mechanism of G6PD deficiency may be involved with the decreased cancer cells migration and proliferation ability as a result of abnormal reorganization of cell cytoskeleton and abnormal biomechanical properties caused by the increased ROS. Suppression of G6PD may be a promising strategy in developing novel therapeutic methods for cervical cancer.
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Affiliation(s)
- Zishui Fang
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Chengrui Jiang
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Yi Feng
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Rixin Chen
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Xiaoying Lin
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Zhiqiang Zhang
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Luhao Han
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Xiaodan Chen
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Hongyi Li
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Yibin Guo
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China
| | - Weiying Jiang
- Department of Medical Genetics, Zhongshan School of Medicine, Sun Yat-sen University, University and Key Laboratory of Tropical Disease Control (Sun Yat-sen University), Ministry of Education Guangzhou, 510080, China.
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