Abstract:
Breast cancer is the raising concern in women, and incidence rate is increasing
globally. Despite immense advancements in technology, its incidence of
recurrence and development of chemotherapy resistance is rising. Through its
timely detection, the overall rate of its treatment efficacy and patient survival rate
can be achieved. A Protein Kinase C (PKC)’s novel class member, Protein
Kinase C epsilon (PRKCE), is a serine/threonine kinase whose expression
dysregulation promotes cancer's survival, growth, invasion, metastasis, and
angiogenesis. The present study explored the pathogenic role of PRKCE and
investigated the anti-cancer potential of Zapotin in human breast cancer.
PRKCE genetic variants were studied for their potential impact on PRKCE
expression as well as structure and function. Its 5’untranslated region variations
affect its ability to bind with repressors such as KLF3 and microRNA such as
miR-123. Its most pathogenic variants were predicted to be present in the C2-like
domain that may also impact its kinase function. The bioinformatics outcomes
were further validated through molecular biology experiments. Genotyping
analysis on a total of 150 breast cancer patients and 100 healthy individuals
indicated its C2-like variant rs1345511001 homozygous C association with breast
cancer risk. PRKCE expression, along with, it’s repressors (KLF3 and miR-123)
and downstream and upstream genes (VEGF, HIF-1α, SOCS3, AKT, and
TPD52) in breast cancer was also studied at the transcriptional level. Expression
down-regulation of miR-124 and KLF3 was observed. Elevated expression of
PRKCE as well as VEGF, HIF-1α, SOCS3, and TPD52, suggested PRKCE’s
contribution in promoting hypoxia.
Molecular docking and dynamics simulation further indicated the Zapotin and
PRKCE interaction and pharmacokinetic analysis revealed its therapeutic
application. Cell viability assay, colony formation, and cell migratory assay along
with expression analysis demonstrated the anti-cancer potential of Zapotin by
down-regulation of PRKCE’s expression at mRNA and protein level. Zapotin
treatment also down-regulated the expression of VEGF, HIF-1ɑ, SOCS3, and
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AKT. Furthermore, the influence of Zapotin treatment on protein expression of
PRKCE, HIF-1ɑ, and AKT. Zapotin reduced the expression of PRKCE, HIF-1ɑ,
and AKT protein. Zapotin’s potential to promote apoptosis was further affirmed
by studying PARP cleavage through immune blotting. In Zapotin treated cell,
high levels of cleaved PARP were found. The impact of Zapotin’s treatment on
the metabolic profile of MCF-7 and MDA-MD-231 cells was also determined
through Gas Chromatography-Mass Spectroscopy (GC-MS), and metabolites
were mapped on canonical pathways and protein-protein interaction networks
using Ingenuity Pathway Analysis (IPA) tool. The analysis depicted that PRKCE
is associated with the HIF-1α pathway and may contribute to hypoxia-mediated
angiogenesis in breast cancer. PRKCE also modulates breast cancer cells’
metabolic pathways, glycolysis, and Kreb’s cycle and can be targeted through
Zapotin treatment.
The outcomes of the present study determined PRKCE as a possible prognostic as
well as therapeutic target for breast cancer. Its potential contribution in mediating
metabolic rewiring and the Warburg effect in breast cancer hinted its contribution
in the development of chemoresistance. PRKCE has great potential to be
translated as the theragnostic target at clinical level that can facilitate physicians
in timely detection and targeting of breast cancer.