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Mebendazole induces apoptosis via Bcl-2 inactivation in chemoresistant melanoma cells
Nicole Doudican1, Adrianna Rodriguez, Iman Osman
1New York University School of Medicine, New York, NY 10016, USA.
Abstract:
Most metastatic melanoma patients fail to respond to available therapy, underscoring the need for novel approaches to identify new effective treatments. In this study, we screened 2,000 compounds from the Spectrum Library at a concentration of 1 micromol/L using two chemoresistant melanoma cell lines (M-14 and SK-Mel-19) and a spontaneously immortalized, nontumorigenic melanocyte cell line (melan-a). We identified 10 compounds that inhibited the growth of the melanoma cells yet were largely nontoxic to melanocytes. Strikingly, 4 of the 10 compounds (mebendazole, albendazole, fenbendazole, and oxybendazole) are benzimidazoles, a class of structurally related, tubulin-disrupting drugs. Mebendazole was prioritized to further characterize its mechanism of melanoma growth inhibition based on its favorable pharmacokinetic profile. Our data reveal that mebendazole inhibits melanoma growth with an average IC(50) of 0.32 micromol/L and preferentially induces apoptosis in melanoma cells compared with melanocytes. The intrinsic apoptotic response is mediated through phosphorylation of Bcl-2, which occurs rapidly after treatment with mebendazole in melanoma cells but not in melanocytes. Phosphorylation of Bcl-2 in melanoma cells prevents its interaction with proapoptotic Bax, thereby promoting apoptosis. We further show that mebendazole-resistant melanocytes can be sensitized through reduction of Bcl-2 protein levels, showing the essential role of Bcl-2 in the cellular response to mebendazole-mediated tubulin disruption. Our results suggest that this screening approach is useful for identifying agents that show promise in the treatment of even chemoresistant melanoma and identifies mebendazole as a potent, melanoma-specific cytotoxic agent.
Insights
Mebendazole effectively inhibits chemoresistant melanoma growth by inducing apoptosis, offering a promising new treatment strategy. This study screened compounds, identifying benzimidazoles as potent agents against melanoma cells with minimal toxicity to normal cells.
Area of Science:
- Oncology
- Pharmacology
- Cell Biology
Background:
- Metastatic melanoma is often resistant to current therapies, necessitating the discovery of novel treatment strategies.
- There is a critical need for effective therapeutic agents to combat chemoresistant melanoma.
- Identifying compounds with melanoma-specific cytotoxicity is essential for developing new treatments.
Purpose of the Study:
- To screen a library of compounds for novel agents effective against chemoresistant melanoma.
- To identify compounds that inhibit melanoma cell growth while sparing normal melanocytes.
- To investigate the mechanism of action of promising candidate drugs, particularly mebendazole.
Main Methods:
- Screening of 2,000 compounds from the Spectrum Library against chemoresistant melanoma cell lines (M-14, SK-Mel-19) and a normal melanocyte cell line (melan-a).
- Prioritization of mebendazole for further mechanistic studies based on its efficacy and pharmacokinetic profile.
- Characterization of mebendazole's mechanism of action, including IC(50) determination and analysis of apoptosis induction via Bcl-2 and Bax pathways.
Main Results:
- Ten compounds inhibited melanoma cell growth with minimal toxicity to melanocytes.
- Four benzimidazole compounds, including mebendazole, were identified as potent inhibitors.
- Mebendazole demonstrated significant melanoma growth inhibition (average IC(50) of 0.32 micromol/L) and preferentially induced apoptosis in melanoma cells.
- Mebendazole-induced apoptosis is mediated by Bcl-2 phosphorylation, preventing its interaction with Bax.
Conclusions:
- The compound screening approach successfully identified potent agents against chemoresistant melanoma.
- Mebendazole is a potent, melanoma-specific cytotoxic agent with a promising mechanism of action.
- Targeting Bcl-2 phosphorylation is crucial for mebendazole's efficacy in melanoma treatment.
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