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Orlistat promotes tumor cell apoptosis through several mechanisms. It downregulates the NF-κB pathway, inhibiting STAT3 and EMT-related proteins to decrease proliferation and inflammation in colorectal and prostate cancers. The drug activates caspase cascades, leading to increased expression of cleaved caspase-3 and caspase-9 to induce programmed cell death in ovarian and prostate malignancies. Orlistat inhibits the AKT/mTOR pathway, reducing phosphorylated AKT and downstream targets such as p70S6K and 4E-BP1, particularly in ovarian and endometrial cancers. Additionally, it upregulates TRAIL sensitivity by increasing DR5 receptor expression and reactive oxygen species production, selectively inducing apoptosis in hormone-refractory prostate cancer cells while sparing healthy tissue.
Fig. 1 Potential molecular mechanisms of orlistat mediated tumor cells apoptosis. (Hao X, et al. 2023)
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Researchers encapsulated Orlistat (ORL) in disulfide cross-linked micellar nanoparticles (nano-ORL) using the evaporation method to overcome its poor solubility. Nanoparticles were characterized via TEM and DLS, confirming uniform spherical morphology (~18 nm) and near-neutral zeta potential. In vitro experiments used PC-3 prostate cancer cells and RWPE-1 normal prostate epithelial cells. MTT assays demonstrated nano-ORL’s enhanced dose-dependent cytotoxicity in PC-3 cells versus minimal effects on RWPE-1 cells. Flow cytometry with PI staining revealed nano-ORL significantly increased apoptosis rates dose-dependently. Cell cycle analysis showed nano-ORL induced G0/G1 phase arrest at 24h. Confocal microscopy with Hoechst 33342 staining confirmed apoptotic morphology in PC-3 cells. Western blot analysis demonstrated nano-ORL’s mechanism: downregulation of FASN expression and upregulation of pro-apoptotic markers caspase-3, Bax, and PARP cleavage. Synergistic effects were observed when combining nano-ORL with paclitaxel nanoparticles. Control treatments (DMSO and empty micelles) showed no cytotoxicity. Statistical analysis used Student’s t-test with significance at p<0.05. These experiments collectively demonstrated that nanoencapsulation enhanced ORL’s solubility, selective cytotoxicity, and apoptotic induction in cancer cells through FASN inhibition and apoptosis pathway activation.
Fig. 2 Cytotoxicity evaluation of nano-ORL in PC-3 cells treated with different concentrations. (Armutcu F, Adam B. 2024)
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