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Published on: September 30, 2021
(Z)-3,5,4'-Trimethoxystilbene Limits Hepatitis C and Cancer Pathophysiology by Blocking Microtubule Dynamics and
Charles B Nguyen1, Hari Kotturi2, Gulam Waris3
1College of Medicine, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma.
Abstract:
Hepatocellular carcinoma (HCC) is the third most common cause of cancer-related deaths worldwide. Chronic hepatitis C virus (HCV) infection causes induction of several tumors/cancer stem cell (CSC) markers and is known to be a major risk factor for development of HCC. Therefore, drugs that simultaneously target viral replication and CSC properties are needed for a risk-free treatment of advanced stage liver diseases, including HCC. Here, we demonstrated that (Z)-3,5,4'-trimethoxystilbene (Z-TMS) exhibits potent antitumor and anti-HCV activities without exhibiting cytotoxicity to human hepatocytes in vitro or in mice livers. Diethylnitrosamine (DEN)/carbon tetrachloride (CCl4) extensively induced expression of DCLK1 (a CSC marker) in the livers of C57BL/6 mice following hepatic injury. Z-TMS exhibited hepatoprotective effects against DEN/CCl4-induced injury by reducing DCLK1 expression and improving histologic outcomes. The drug caused bundling of DCLK1 with microtubules and blocked cell-cycle progression at G2-M phase in hepatoma cells via downregulation of CDK1, induction of p21(cip1/waf1) expression, and inhibition of Akt (Ser(473)) phosphorylation. Z-TMS also inhibited proliferation of erlotinib-resistant lung adenocarcinoma cells (H1975) bearing the T790M EGFR mutation, most likely by promoting autophagy and nuclear fragmentation. In conclusion, Z-TMS appears to be a unique therapeutic agent targeting HCV and concurrently eliminating cells with neoplastic potential during chronic liver diseases, including HCC. It may also be a valuable drug for targeting drug-resistant carcinomas and cancers of the lungs, pancreas, colon, and intestine, in which DCLK1 is involved in tumorigenesis. Cancer Res; 76(16); 4887-96. ©2016 AACR.
Insights
(Z)-3,5,4'-trimethoxystilbene (Z-TMS) shows promise in treating liver cancer by targeting both hepatitis C virus (HCV) and cancer stem cell (CSC) properties. This compound offers a dual approach for advanced liver disease, reducing tumor markers and protecting liver cells.
Area of Science:
- Hepatocellular carcinoma (HCC) research
- Drug discovery and development
- Cancer stem cell biology
Background:
- Hepatocellular carcinoma (HCC) is a leading cause of cancer mortality globally.
- Chronic hepatitis C virus (HCV) infection is a major risk factor for HCC development, associated with increased cancer stem cell (CSC) markers.
- There is a critical need for treatments that target both viral replication and CSC properties in advanced liver disease.
Purpose of the Study:
- To evaluate the therapeutic potential of (Z)-3,5,4'-trimethoxystilbene (Z-TMS) against HCC and HCV.
- To investigate Z-TMS's effects on CSC markers, specifically DCLK1, in a mouse model of liver injury.
- To elucidate the mechanisms by which Z-TMS exerts its anti-cancer effects in hepatoma and drug-resistant lung cancer cells.
Main Methods:
- In vitro and in vivo studies using hepatoma cells and a diethylnitrosamine/carbon tetrachloride-induced mouse liver injury model.
- Assessment of Z-TMS's cytotoxicity, anti-HCV activity, and effects on DCLK1 expression.
- Analysis of cell-cycle progression, protein expression (CDK1, p21, Akt), autophagy, and nuclear fragmentation in cancer cells.
Main Results:
- Z-TMS demonstrated potent anti-HCV and antitumor activities without significant hepatotoxicity.
- In mice, Z-TMS protected against liver injury by reducing DCLK1 expression and improving histological outcomes.
- Z-TMS induced DCLK1 bundling with microtubules, G2-M cell-cycle arrest, and inhibited Akt phosphorylation in hepatoma cells.
- Z-TMS inhibited proliferation of erlotinib-resistant lung cancer cells, likely through autophagy promotion and nuclear fragmentation.
Conclusions:
- Z-TMS is a unique therapeutic agent with the potential to treat HCV and eliminate neoplastic cells in chronic liver diseases like HCC.
- Z-TMS may also be effective against drug-resistant cancers, including lung, pancreas, colon, and intestinal cancers, where DCLK1 is implicated in tumorigenesis.
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