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Published on: July 21, 2018
MDM2 antagonist nutlin-3a sensitizes tumors to V-ATPase inhibition
Lina S Schneider1, Melanie Ulrich1, Thorsten Lehr2
1Department of Pharmacy, Pharmaceutical Biology, Ludwig-Maximilians-University of Munich, Butenandtstrasse 5-13, 81377 Munich, Germany.
Abstract:
Treating cancer is one of the big challenges of this century and it has become evident that single chemotherapeutic treatment is rarely effective. As tumors often carry multiple mutations using combination therapy which addresses different targets seems therefore more beneficial. One of the most frequently mutated genes in tumors is the tumor suppressor p53. Significant work has been put in the development of p53 activators, which are now in clinical studies against diverse cancers. Recently, we could show that inhibition of V-ATPase, a multisubunit proton pump, by archazolid induces p53 protein levels in cancer cells. In this study, we provide evidence that the combination of archazolid with the p53 activator nutlin-3a is synergistically inducing cell death in different p53 wild type tumor cell lines. Mechanistically, this effect could presumably be attributed to reduction of glycolysis as TIGAR mRNA levels were increased and glucose uptake and Glut1 protein levels were reduced. In addition, combination treatment highly activated pro-apoptotic pathways including IGFBP3 and Bax inducing caspase-9 and PARP cleavage. Remarkably, combination of archazolid and nutlin-3a was more efficient in reducing tumor growth compared to single dose treatment in a U87MG mouse model in vivo. Hence, our findings suggest the combination of archazolid and nutlin-3a as a highly promising strategy for the treatment of p53 wild type tumors.
Insights
Combining archazolid with nutlin-3a synergistically kills cancer cells by targeting p53 wild type tumors. This combination therapy reduces tumor growth more effectively than single treatments in preclinical models.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Therapeutics
Background:
- Cancer treatment faces challenges with single-agent chemotherapy due to tumor mutations.
- The tumor suppressor p53 is frequently mutated, driving interest in p53-targeting therapies.
- V-ATPase inhibition by archazolid increases p53 protein levels in cancer cells.
Purpose of the Study:
- To investigate the synergistic effect of combining archazolid and nutlin-3a in p53 wild type cancer.
- To elucidate the underlying mechanisms of the combined therapeutic effect.
- To evaluate the in vivo efficacy of the combination therapy.
Main Methods:
- Combination treatment of cancer cell lines with archazolid and nutlin-3a.
- Analysis of apoptosis, glycolysis, and related protein/mRNA levels.
- In vivo studies using a U87MG mouse xenograft model.
Main Results:
- Archazolid and nutlin-3a synergistically induced cell death in p53 wild type tumor cell lines.
- Combination therapy reduced glycolysis, evidenced by decreased glucose uptake and Glut1 levels, and increased TIGAR mRNA.
- Pro-apoptotic pathways (IGFBP3, Bax) were activated, leading to caspase-9 and PARP cleavage.
- In vivo, the combination significantly inhibited tumor growth compared to single agents.
Conclusions:
- The combination of archazolid and nutlin-3a shows synergistic anti-cancer activity in p53 wild type tumors.
- This combination impacts glycolysis and activates apoptosis, offering a novel therapeutic strategy.
- Archazolid and nutlin-3a represent a promising combination for treating p53 wild type cancers.
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