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Published on: May 14, 2016
Belinostat exerts antitumor cytotoxicity through the ubiquitin-proteasome pathway in lung squamous cell carcinoma
Li R Kong1, Tuan Z Tan1, Weijie R Ong2
1Cancer Science Institute of Singapore, National University of Singapore, Singapore.
Abstract:
There have been advances in personalized therapy directed by molecular profiles in lung adenocarcinoma, but not in lung squamous cell carcinoma (SCC). The lack of actionable driver oncogenes in SCC has restricted the use of small-molecule inhibitors. Here, we show that SCC cell lines displayed differential sensitivities to belinostat, a pan-histone deacetylase inhibitor. Phosphoproteomic analysis of belinostat-treated SCC cells revealed significant downregulation of the MAPK pathway, along with the induction of apoptosis. In cisplatin-resistant cells that demonstrated aberrant MAPK activation, combined treatment with belinostat significantly inhibited cisplatin-induced ERK phosphorylation and exhibited strong synergistic cytotoxicity. Furthermore, belinostat transcriptionally upregulated the F-box proteins FBXO3 and FBXW10, which directly targeted son of sevenless (SOS), an upstream regulator of the MAPK pathway, for proteasome-mediated degradation. Supporting this, suppression of SOS/ERK pathway by belinostat could be abrogated by inhibiting proteasomal activity either with bortezomib or with siRNA knockdown of FBXO3/FBXW10. Taken together, these preclinical data offer a novel understanding of the epigenetic mechanism by which belinostat exerts its cytotoxicity and supports the combination with cisplatin in clinical settings for chemorefractory SCC tumors.
Insights
Belinostat, a histone deacetylase inhibitor, shows promise for lung squamous cell carcinoma (SCC) treatment by downregulating the MAPK pathway and inducing apoptosis. Combination therapy with cisplatin demonstrates synergistic cytotoxicity in preclinical models.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Personalized therapy advances in lung adenocarcinoma contrast with limited options for lung squamous cell carcinoma (SCC).
- Lack of actionable driver oncogenes in SCC hinders targeted small-molecule inhibitor development.
- Histone deacetylase inhibitors represent a potential therapeutic avenue for SCC.
Purpose of the Study:
- To investigate the efficacy and mechanism of belinostat in lung squamous cell carcinoma (SCC).
- To explore the potential of belinostat in combination with cisplatin for chemoresistant SCC.
Main Methods:
- Differential sensitivity screening of SCC cell lines with belinostat.
- Phosphoproteomic analysis of belinostat-treated SCC cells.
- Assessment of synergistic cytotoxicity and molecular pathway modulation in combination therapy.
Main Results:
- Belinostat treatment downregulated the MAPK pathway and induced apoptosis in SCC cells.
- Combined belinostat and cisplatin synergistically reduced cisplatin-resistant SCC cell viability by inhibiting ERK phosphorylation.
- Belinostat upregulated FBXO3 and FBXW10, leading to proteasomal degradation of SOS and MAPK pathway suppression.
Conclusions:
- Belinostat exhibits epigenetic cytotoxicity in SCC by targeting the MAPK pathway via F-box protein induction.
- Combination therapy with belinostat and cisplatin shows potential for treating chemorefractory SCC.
- These findings support belinostat as a therapeutic agent for SCC, particularly in combination regimens.
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