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Published on: October 10, 2025
Vorinostat and bortezomib synergistically cause ubiquitinated protein accumulation in prostate cancer cells
Akinori Sato1, Takako Asano, Keiichi Ito
1Department of Urology, National Defense Medical College, Tokorozawa, Saitama, Japan. zenpaku@ndmc.ac.jp
Purpose:
Protein ubiquitination is a novel strategy used to treat malignancies. We investigated whether the histone deacetylase inhibitor vorinostat (Cayman Chemical, Ann Arbor, Michigan) and the proteasome inhibitor bortezomib (LC Laboratories, Woburn, Massachusetts) would synergistically cause the accumulation of ubiquitinated proteins in prostate cancer cells.
Materials And Methods:
LNCaP, PC-3 and DU 145 cells (ATCC™) were treated with vorinostat and/or bortezomib. Cell viability and induction of apoptosis were assessed. In vivo efficacy was evaluated in a murine subcutaneous tumor model using PC-3 cells. The influence of androgen receptor expression on bortezomib efficacy was examined using RNA interference. Changes in the expression of ubiquitinated proteins, cell cycle associated proteins and acetylated histone were evaluated.
Results:
Androgen receptor expression seemed to decrease bortezomib activity. PC-3 and DU 145 cells were more susceptible to bortezomib than LNCaP cells and the silencing of androgen receptor expression in LNCaP cells enhanced bortezomib activity. Vorinostat and bortezomib synergistically induced apoptosis, inhibited prostate cancer cell growth and suppressed tumor growth in a murine xenograft model. The combination decreased cyclin D1 and cyclin-dependent kinase 4 expression, and increased p21 expression. The combination synergistically caused the accumulation of ubiquitinated proteins and histone acetylation. This histone acetylation was a consequence of the accumulation of ubiquitinated proteins.
Conclusions:
Vorinostat and bortezomib inhibit the growth of prostate cancer cells synergistically by causing ubiquitinated proteins to accumulate in cells. The current study provides a framework for testing the combination in patients with advanced prostate cancer.
Insights
Combining vorinostat and bortezomib synergistically inhibits prostate cancer growth by increasing protein ubiquitination and apoptosis. This combination therapy shows promise for advanced prostate cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Protein ubiquitination is an emerging strategy for cancer treatment.
- Histone deacetylase inhibitors (e.g., vorinostat) and proteasome inhibitors (e.g., bortezomib) are classes of drugs with anti-cancer potential.
Purpose of the Study:
- To investigate the synergistic effect of vorinostat and bortezomib on prostate cancer cells.
- To determine if this combination induces accumulation of ubiquitinated proteins in prostate cancer.
Main Methods:
- Prostate cancer cell lines (LNCaP, PC-3, DU 145) were treated with vorinostat and/or bortezomib.
- Assessed cell viability, apoptosis, and tumor growth in a murine xenograft model.
- Examined androgen receptor expression's influence on bortezomib efficacy and evaluated protein expression changes.
Main Results:
- Vorinostat and bortezomib synergistically induced apoptosis and inhibited prostate cancer cell and tumor growth.
- The combination led to the accumulation of ubiquitinated proteins and histone acetylation, decreasing cyclin D1/CDK4 and increasing p21.
- Androgen receptor expression negatively impacted bortezomib efficacy; its silencing enhanced activity.
Conclusions:
- Vorinostat and bortezomib demonstrate synergistic inhibition of prostate cancer cell growth via accumulation of ubiquitinated proteins.
- This combination therapy provides a potential treatment strategy for advanced prostate cancer.
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