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CRM1 blockade by selective inhibitors of nuclear export attenuates kidney cancer growth
Hiromi Inoue1, Michael Kauffman, Sharon Shacham
1Division of Nephrology, Department of Internal Medicine, University of California-Davis, Davis, California 95616, USA.
Purpose:
Renal cell carcinoma often presents asymptomatically and patients are commonly diagnosed at the metastatic stage, when treatment options are limited and survival is poor. Since progression-free survival using current therapy for metastatic renal cell carcinoma is only 1 to 2 years and existing drugs are associated with a high resistance rate, new pharmacological targets are needed. We identified and evaluated the nuclear exporter protein CRM1 as a novel potential therapy for renal cell carcinoma.
Materials And Methods:
We tested the efficacy of the CRM1 inhibitors KPT-185 and 251 in several renal cell carcinoma cell lines and in a renal cell carcinoma xenograft model. Apoptosis and cell cycle arrest were quantified and localization of p53 family proteins was assessed using standard techniques.
Results:
KPT-185 attenuated CRM1 and showed increased cytotoxicity in renal cell carcinoma cells in vitro with evidence of increased apoptosis as well as cell cycle arrest. KPT-185 caused p53 and p21 to remain primarily in the nucleus in all renal cell carcinoma cell lines, suggesting that the mechanism of action of these compounds depends on tumor suppressor protein localization. Furthermore, when administered orally in a high grade renal cell carcinoma xenograft model, the bioavailable CRM1 inhibitor KPT-251 significantly inhibited tumor growth in vivo with the expected on target effects and no obvious toxicity.
Conclusions:
The CRM1 inhibitor protein family is a novel therapeutic target for renal cell carcinoma that deserves further intensive investigation for this and other urological malignancies.
Insights
CRM1 inhibitors show promise for treating advanced renal cell carcinoma (RCC). These compounds effectively reduced tumor growth and increased cancer cell death in preclinical models, offering a potential new therapeutic avenue for this challenging disease.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Renal cell carcinoma (RCC) is often diagnosed at the metastatic stage, with limited treatment options and poor survival rates.
- Current therapies for metastatic RCC have short progression-free survival (1-2 years) and high resistance rates, necessitating novel therapeutic targets.
- The nuclear exporter protein CRM1 is identified as a potential novel therapeutic target for RCC.
Purpose of the Study:
- To evaluate the efficacy of CRM1 inhibitors KPT-185 and KPT-251 as a novel therapy for renal cell carcinoma.
- To investigate the effects of CRM1 inhibition on cancer cell apoptosis, cell cycle arrest, and tumor suppressor protein localization.
Main Methods:
- Testing KPT-185 and KPT-251 in multiple RCC cell lines and a xenograft model.
- Quantifying apoptosis and cell cycle arrest using standard techniques.
- Assessing the nuclear localization of p53 family proteins.
Main Results:
- KPT-185 demonstrated increased cytotoxicity, apoptosis, and cell cycle arrest in RCC cells in vitro.
- CRM1 inhibition by KPT-185 led to nuclear retention of tumor suppressor proteins p53 and p21.
- Oral administration of KPT-251 significantly inhibited tumor growth in a high-grade RCC xenograft model with no apparent toxicity.
Conclusions:
- CRM1 inhibitor proteins represent a novel therapeutic target for renal cell carcinoma.
- Further intensive investigation of CRM1 inhibitors is warranted for RCC and other urological malignancies.
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