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Lithium promotes malignant transformation of nontumorigenic cells in vitro

Sudo, Makoto Hashimoto, Kazunori Yoshinaga, Masafumi Azimi, Mohammad Daud Fayaz, Said Hafizullah Hamajima, Nobuyuki Kondo-Ida, Lisa Yanagisawa, Kiyoshi Kato, Masashi 名古屋大学

2020.11.20

概要

Because of the deficiency of water caused by the regional disparities of rainfall due to global warming, attention has been given to the use of well water as drinking water in developing countries. Our fieldwork study in Afghanistan showed that there was a maximum value of 3371 μg/L and an average value of 233 μg/L of lithium in well drinking water. Since the level of lithium in well water is higher than the levels in other countries, we investigated the health risk of lithium. After confirming no influence of ≤1000 μM lithium on cell viability, we found that lithium at concentrations of 100 and 500 μM promoted anchorage-independent growth of human immortalized keratinocytes (HaCaT) and lung epithelial cells (BEAS-2B) but not that of human keratinocytic carcinoma cells (HSC-5) or lung epithelial carcinoma cells (A549). The same concentrations of lithium also promoted phosphorylation of c-SRC and MEK/ERK but not that of AKT in the keratinocytes. Inhibitors of c-SRC (PP2) and MEK (PD98059) suppressed the lithium-induced increase in anchorage-independent growth of the keratinocytes. Our results suggested that lithium promoted transformation of nontumorigenic cells rather than progression of tumorigenic cells with preferential activation of the c-SRC/MEK/ERK pathway. Since previous pharmacokinetics studies indicated that it is possible for the serum level of lithium to reach 100 μM by drinking 2.5 L of water containing 3371 μg/L of lithium per day, the high level of lithium contamination in well drinking water in Kabul might be a potential oncogenic risk in humans.

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Fig. 1

HaCaT

HSC-5

Relative cell viability (Ratio)

12

10

12

10

7 (Day)

7 (Day)

BEAS-2B

25

Relative cell viability (Ratio)

0 (µM)

10

100

1,000

10,000

50,000

14

20

15

10

A549

40

Relative cell viability (Ratio)

Relative cell viability (Ratio)

14

30

20

10

(Day)

7 (Day)

Fig. 2

Number of colonies

(ratio)

(ratio)

10 100 500 000

LiCl (µM)

HSC-5

10 100 500 000

LiCl (µM)

1 µM

10 µM

0 µM

1 µM

10 µM

100 µM

500 µM

1000 µM

100 µM

500 µM

1000 µM

(ratio)

BEAS-2B

10 100 500 000

LiCl (µM)

Number of colonies

0 µM

Number of colonies

HaCaT

Number of colonies

(ratio)

A549

10 100 500 000

LiCl (µM)

0 µM

1 µM

10 µM

0 µM

1 µM

10 µM

100 µM

500 µM

1000 µM

100 µM

500 µM

1000 µM

Fig. 3

HSC-5

HaCaT

LiCl (μM) 0

pSRC

SRC

pAKT

AKT

pMEK

MEK

pERK

ERK

GAPDH

100 500

100 500

Fig. 4

LiCl

PP2

500

500

(µM)

(µM)

pSRC

SRC

GAPDH

Number of colonies (ratio)

2.5

1.5

ns

0.5

LiCl

500

500

(µM)

PP2

(µM)

LiCl

500

500

(µM)

PP2

(µM)

Fig. 5

LiCl

500

10

20

PD98059 -

500 500 500 (µM)

10

20

(µM)

pERK

ERK

GAPDH

Number of colonies (ratio)

2.5

1.5

ns

0.5

LiCl

500

500

(µM)

PD98059

10

10

(µM)

LiCl

500

500

(µM)

PD98059

10

10

(µM)

Suppl. Fig.1

LiCl

100

500

(µM)

b-catenin

GAPDH

Suppl. Fig.2

mRNA expression

1.5

c-SRC

N.S.

MEK1

1.5

N.S.

0.5

0.5

0.5

Li (μM) 0

100 500

100 500

MEK2

1.5

N.S.

100 500

...

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