JQ1 suppresses tumor growth via PTEN/PI3K/AKT pathway in endometrial cancer
Abstract:
Overexpression of c-Myc is associated with worse outcomes in endometrial cancer, indicating that c-Myc may be a promising target for endometrial cancer therapy. A novel small molecule, JQ1, has been shown to block BRD4 resulting in inhibition of c-Myc expression and tumor growth. Thus, we investigated whether JQ1 can inhibit endometrial cancer growth in cell culture and xenograft models. In PTEN-positive endometrial cancer cells, JQ1 significantly suppressed cell proliferation via induction of G1 phase arrest and apoptosis in a dose-dependent manner, accompanied by a sharp decline in cyclin D1 and CDK4 protein expression. However, PTEN-negative endometrial cancer cells exhibited intrinsic resistance to JQ1, despite significant c-Myc inhibition. Moreover, we found that PTEN and its downstream PI3K/AKT signaling targets were modulated by JQ1, as evidenced by microarray analysis. Silencing of PTEN in PTEN-positive endometrial cancer cells resulted in resistance to JQ1, while upregulation of PTEN in PTEN-negative endometrial cancer cells increased sensitivity to JQ1. In xenografts models of PTEN-positive and PTEN-knock-in endometrial cancer, JQ1 significantly upregulated the expression of PTEN, blocked the PI3K/AKT signaling pathway and suppressed tumor growth. These effects were attenuated in PTEN-negative and PTEN-knockdown xenograft models. Thus, JQ1 resistance appears to be highly associated with the status of PTEN expression in endometrial cancer. Our findings suggest that targeting BRD4 using JQ1 might serve as a novel therapeutic strategy in PTEN-positive endometrial cancers.
Insights
The small molecule JQ1 inhibits endometrial cancer growth by targeting BRD4, but its effectiveness depends on PTEN expression. PTEN-positive cancers show sensitivity, while PTEN-negative cancers develop resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Overexpression of c-Myc correlates with poor outcomes in endometrial cancer, identifying it as a therapeutic target.
- JQ1, a novel small molecule, inhibits c-Myc expression and tumor growth by blocking BRD4.
Purpose of the Study:
- To investigate the efficacy of JQ1 in inhibiting endometrial cancer growth using cell culture and xenograft models.
- To determine the role of PTEN (Phosphatase and tensin homolog) in mediating JQ1 sensitivity or resistance in endometrial cancer.
Main Methods:
- Cell proliferation assays, cell cycle analysis, apoptosis assays, and Western blotting were performed on PTEN-positive and PTEN-negative endometrial cancer cell lines treated with JQ1.
- Microarray analysis was used to identify signaling pathways modulated by JQ1.
- Xenograft models of endometrial cancer were utilized to assess JQ1's in vivo effects on tumor growth and PTEN/PI3K/AKT signaling.
Main Results:
- JQ1 suppressed proliferation and induced G1 arrest and apoptosis in PTEN-positive cells, decreasing cyclin D1 and CDK4 expression.
- PTEN-negative cells exhibited resistance to JQ1 despite c-Myc inhibition.
- JQ1 modulated PTEN and PI3K/AKT signaling; PTEN silencing caused JQ1 resistance, while PTEN upregulation increased sensitivity.
- In vivo, JQ1 upregulated PTEN, inhibited PI3K/AKT signaling, and suppressed tumor growth in PTEN-positive xenografts, with attenuated effects in PTEN-negative models.
Conclusions:
- JQ1 resistance in endometrial cancer is strongly associated with PTEN expression status.
- Targeting BRD4 with JQ1 represents a potential therapeutic strategy for PTEN-positive endometrial cancers.
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