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BRD4 inhibitor IBET upregulates p27kip/cip protein stability in neuroendocrine tumor cells
Lei Wang1,2, Smita Matkar2, Gengchen Xie3
1a Department of Urology , Renmin Hospital of Wuhan University , Wuhan , P.R. China.
Abstract:
The prevalence of neuroendocrine tumors (NETs) has recently been increasing. Although various drugs such as Octreotide and its analogs show certain efficacy, NETs in many patients progress and metastasize. It is desirable to develop new interventions to improve the therapy. Here we show that human neuroendocrine tumor BON cells are resistant to several drugs commonly used for NET therapy, including Octreotide that activates somatostatin receptor-induced anti-proliferation, and Capecitabine and Temozolimide that damage DNA. In contrast, an inhibitor (IBET) to an epigenetic regulator, Brd4 that binds acetylated histones and upregulates transcription of multiple genes including protooncogene c-Myc, potently inhibited the NET cells. We found that IBET increased the protein levels of cyclin-dependent kinase (CDK) inhibitor p27kip/cip (or p27), but not its mRNA levels. Moreover, the p27 induction at protein level by IBET was at least partly through increasing the protein stability of p27. The increased protein stability of p27 likely resulted from IBET-mediated suppression of Skp2, an E3 ligase that can mediate p27 degradation by increasing its ubiquitinylation. These findings unravel a new mechanism whereby the IBET-induced repression of proliferation of neuroendocrine cells.
Insights
A new epigenetic drug inhibitor (IBET) effectively targets neuroendocrine tumor (NET) cells resistant to standard therapies. This compound increases the stability of a key cell cycle inhibitor, p27, halting NET cell proliferation.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Neuroendocrine tumors (NETs) are increasing in prevalence.
- Current therapies like Octreotide, Capecitabine, and Temozolimide show limited efficacy against progressing and metastasizing NETs.
- There is a critical need for novel therapeutic strategies for NET treatment.
Purpose of the Study:
- To investigate the efficacy of an inhibitor targeting the epigenetic regulator Brd4 (IBET) against drug-resistant neuroendocrine tumor cells.
- To elucidate the molecular mechanisms underlying IBET's anti-tumor effects in NETs.
Main Methods:
- Utilized human neuroendocrine tumor BON cells.
- Assessed the effects of IBET on cell proliferation and drug resistance.
- Analyzed protein and mRNA levels of key cell cycle regulators, including p27 and Skp2.
- Investigated the role of protein stability and ubiquitinylation in IBET's mechanism of action.
Main Results:
- BON cells exhibited resistance to Octreotide, Capecitabine, and Temozolimide.
- IBET potently inhibited NET cell proliferation.
- IBET increased protein levels of the cyclin-dependent kinase inhibitor p27, without affecting its mRNA.
- IBET enhanced p27 protein stability by suppressing Skp2, an E3 ligase responsible for p27 degradation.
Conclusions:
- IBET represents a promising therapeutic agent for neuroendocrine tumors, particularly those resistant to conventional treatments.
- The mechanism involves Brd4 inhibition, leading to increased p27 protein stability and subsequent repression of NET cell proliferation.
- This study uncovers a novel therapeutic pathway for managing neuroendocrine tumors.
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