Overcoming hypoxia-induced apoptotic resistance through combinatorial inhibition of GSK-3β and CDK1
Patrick A Mayes1, Nathan G Dolloff, Colin J Daniel
1Department of Medicine, University of Pennsylvania School of Medicine, Philadelphia, PA, USA.
Abstract:
Tumor hypoxia is an inherent impediment to cancer treatment that is both clinically significant and problematic. In this study, we conducted a cell-based screen to identify small molecules that could reverse the apoptotic resistance of hypoxic cancer cells. Among the compounds, we identified were a structurally related group that sensitized hypoxic cancer cells to apoptosis by inhibiting the kinases GSK-3β and cyclin-dependent kinase (CDK) 1. Combinatorial inhibition of these proteins in hypoxic cancer cells and tumors increased levels of c-Myc and decreased expression of c-IAP2 and the central hypoxia response regulator hypoxia-inducible factor (HIF) 1α. In mice, these compounds augmented the hypoxic tumor cell death induced by cytotoxic chemotherapy, blocking angiogenesis and tumor growth. Taken together, our findings suggest that combinatorial inhibition of GSK-3β and CDK1 augment the apoptotic sensitivity of hypoxic tumors, and they offer preclinical validation of a novel and readily translatable strategy to improve cancer therapy.
Insights
This study identified small molecules that inhibit GSK-3β and CDK1, reversing cancer cell resistance to apoptosis under hypoxia. This approach enhances chemotherapy efficacy by blocking tumor growth and angiogenesis.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Tumor hypoxia is a major obstacle in cancer treatment, leading to resistance to apoptosis.
- Identifying therapeutic strategies to overcome hypoxia-induced resistance is crucial for improving cancer therapy outcomes.
Purpose of the Study:
- To identify small molecules capable of reversing apoptotic resistance in hypoxic cancer cells.
- To investigate the therapeutic potential of inhibiting glycogen synthase kinase 3 beta (GSK-3β) and cyclin-dependent kinase 1 (CDK1) in hypoxic tumors.
Main Methods:
- Conducted a cell-based screen to identify small molecules targeting hypoxic cancer cells.
- Investigated the effects of inhibiting GSK-3β and CDK1 on apoptotic sensitivity, c-Myc, c-IAP2, and hypoxia-inducible factor 1-alpha (HIF-1α) levels.
- Evaluated the efficacy of identified compounds in preclinical mouse models, assessing tumor cell death, angiogenesis, and tumor growth.
Main Results:
- Identified a class of small molecules that inhibit GSK-3β and CDK1, sensitizing hypoxic cancer cells to apoptosis.
- Combinatorial inhibition led to increased c-Myc and decreased c-IAP2 and HIF-1α expression in hypoxic cells and tumors.
- In vivo studies demonstrated augmented tumor cell death, inhibited angiogenesis, and reduced tumor growth when combined with chemotherapy.
Conclusions:
- Combinatorial inhibition of GSK-3β and CDK1 effectively sensitizes hypoxic tumors to apoptosis.
- This strategy offers a promising preclinical validation for a novel and translatable approach to enhance cancer therapy.
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