PT - JOURNAL ARTICLE AU - KOJI NISHI AU - SHUHEI IMOTO AU - TAKURO BEPPU AU - SHOTARO UCHIBORI AU - AYANA YANO AU - YU ISHIMA AU - TOKUNORI IKEDA AU - KENJI TSUKIGAWA AU - MASAKI OTAGIRI AU - KEISHI YAMASAKI TI - The Nitrated Form of Nateglinide Induces Apoptosis in Human Pancreatic Cancer Cells Through a Caspase-dependent Mechanism AID - 10.21873/anticanres.15601 DP - 2022 Mar 01 TA - Anticancer Research PG - 1333--1338 VI - 42 IP - 3 4099 - http://ar.iiarjournals.org/content/42/3/1333.short 4100 - http://ar.iiarjournals.org/content/42/3/1333.full SO - Anticancer Res2022 Mar 01; 42 AB - Background/Aim: Nitric oxide (NO) has antitumor activity against various solid tumor cell types in addition to its vasodilatory effect. In the current study, we investigated the effect and mechanism of the synthetic nitrated form (NO2-NAT) of nateglinide, a hypoglycemic agent, on the induction of cell death in human pancreatic cancer cells. Materials and Methods: NO production was evaluated by measuring nitrite (NO2) and nitrate (NO3) (NOx). Apoptotic cell numbers were determined using annexin V. Results: NO2-NAT released nitrate and nitrite ions immediately upon dissolving in aqueous solution. NO2-NAT caused significant extracellular leakage of lactate dehydrogenase (LDH) in the human pancreatic cancer cell lines AsPC1 and BxPC3, and increased annexin-positive cells in a time- and concentration-dependent manner. NO2-NAT also significantly increased the activity of caspases 3 and 7. Exposure to Z-VAD-FMK, a caspase inhibitor, significantly suppressed NO2-NAT-induced cell death. Conclusion: These results indicated that NO2-NAT induces apoptosis in human pancreatic cancer cells and may serve as a new NO-based chemotherapeutic agent for the treatment of pancreatic cancer.