Targeting mitochondrial translation by inhibiting DDX3: a novel radiosensitization strategy for cancer treatment

M R Heerma van Voss1,2, F Vesuna1, G M Bol1,2

  • 1Department of Radiology and Radiological Sciences, Johns Hopkins University, School of Medicine, Baltimore, MD, USA.

Oncogene
|September 5, 2017
PubMed

Insights

The DEAD box RNA helicase DDX3, targeted by RK-33, shows oncogenic properties in breast cancer. Inhibiting DDX3 with RK-33 disrupts mitochondrial translation, enhancing radiosensitization by causing a bioenergetic catastrophe.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The DEAD box RNA helicase DDX3 possesses oncogenic properties.
  • RK-33 is a novel small-molecule inhibitor of DDX3, demonstrating radiosensitizing effects in preclinical cancer models.

Purpose of the Study:

  • To evaluate DDX3 as a therapeutic target in breast cancer.
  • To investigate the anti-neoplastic mechanisms of RK-33.

Main Methods:

  • Quantitative proteomics to identify protein changes after RK-33 treatment or DDX3 knockdown.
  • Assessment of mitochondrial function, including oxygen consumption, ATP levels, and reactive oxygen species (ROS).
  • Evaluation of DNA repair capacity post-treatment.

Main Results:

  • High DDX3 expression in 35% of breast cancer samples correlated with aggressive disease and poor survival.
  • RK-33 and DDX3 knockdown downregulated mitochondrial translation and respiratory electron transport proteins.
  • DDX3 inhibition reduced mitochondrial translation, decreased oxygen consumption and ATP, and increased ROS.
  • RK-33 counteracted radiation-induced increases in oxygen consumption and ATP, while impairing DNA repair.

Conclusions:

  • DDX3 is a promising therapeutic target in breast cancer.
  • RK-33-mediated DDX3 inhibition radiosensitizes breast cancer by disrupting mitochondrial translation.
  • This leads to reduced oxidative phosphorylation, elevated ROS, and a bioenergetic collapse, enhancing anti-cancer effects.

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