Targeting 3-phosphoinositide-dependent protein kinase 1 associated with drug-resistant renal cell carcinoma using new oridonin analogs
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Updated: Mar 5, 2026

Testing Targeted Therapies in Cancer using Structural DNA Alteration Analysis and Patient-Derived Xenografts
Published on: July 25, 2020
Jiancheng Zhou1,2, Eun-Jin Yun3, Wei Chen4,2
1Department of Urology, Shaanxi Provincial People's Hospital, Xi'an 710068, Shaanxi, P.R. China.
Abstract:
The current agents used for renal cell carcinoma (RCC) only exhibit the moderate response rate among patients. Development of drug resistance eventually fuels the need of either more potent drugs or new drugs to target the resistant pathways. Oridonin is a diterpenoid isolated from the Chinese medicinal herb Rabdosia rubescens and has been shown to have antitumor activities in many cancers. We previously developed new synthetic methodologies to modify structurally diversified diterpenoids and designed a series of nitrogen-enriched oridonin analogs. In this study, we screened a variety of oridonin analogs based on their cytotoxicity using MTT assay and identify the most potent candidate, namely, CYD-6-17. CYD-6-17 exhibited a high potency to inhibit the in vitro growth of several drug-resistant RCC cells as well as endothelial cells stimulated by tumor cells at nanomolar range. Delivery of CYD-6-17 significantly inhibited RCC tumor growth using xenograft model. Mechanistically, it targeted the 3-phosphoinositide-dependent protein kinase 1 gene that appeared to be a potent regulator of AKT and was associated with patient survival after targeted therapies. This offers a new rational therapeutic regimen of CYD-6-17 to drug-resistant RCC based on its novel mechanism of action.
Insights
A novel oridonin analog, CYD-6-17, shows potent activity against drug-resistant renal cell carcinoma (RCC). This new compound targets the 3-phosphoinositide-dependent protein kinase 1 gene, offering a promising therapeutic strategy for resistant RCC.
Area of Science:
- Oncology
- Medicinal Chemistry
- Pharmacology
Background:
- Current renal cell carcinoma (RCC) treatments have limited efficacy and drug resistance is a significant challenge.
- Oridonin, a natural diterpenoid, exhibits antitumor properties, necessitating the development of more potent analogs.
- Previous work established synthetic routes for diverse oridonin analogs, including nitrogen-enriched variants.
Purpose of the Study:
- To screen and identify novel oridonin analogs with enhanced cytotoxicity against drug-resistant RCC.
- To evaluate the therapeutic potential of the lead compound, CYD-6-17, in preclinical models of RCC.
- To elucidate the molecular mechanism of action of CYD-6-17 in targeting resistant RCC.
Main Methods:
- Cytotoxicity screening of oridonin analogs using MTT assays.
- In vitro evaluation of CYD-6-17 against drug-resistant RCC and endothelial cells.
- In vivo efficacy studies using a xenograft model of RCC.
- Mechanistic studies investigating the target gene, 3-phosphoinositide-dependent protein kinase 1 (PDK1).
Main Results:
- CYD-6-17 demonstrated high potency in inhibiting the in vitro growth of drug-resistant RCC cells and tumor-stimulated endothelial cells at nanomolar concentrations.
- Administration of CYD-6-17 significantly suppressed RCC tumor growth in a xenograft mouse model.
- CYD-6-17 was found to target the 3-phosphoinositide-dependent protein kinase 1 (PDK1) gene, a key regulator of AKT signaling.
Conclusions:
- CYD-6-17 is a potent oridonin analog effective against drug-resistant RCC.
- The novel mechanism of action involving PDK1 inhibition presents a new therapeutic avenue for treating resistant RCC.
- CYD-6-17 warrants further investigation as a potential therapeutic agent for patients with drug-resistant renal cell carcinoma.
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