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Updated: Feb 6, 2026

Cell Cycle-specific Measurement of γH2AX and Apoptosis After Genotoxic Stress by Flow Cytometry
Published on: September 1, 2019
Recombinant human arginase induces apoptosis through oxidative stress and cell cycle arrest in small cell lung cancer
Shi Xu1, Sze-Kwan Lam1, Paul Ning-Man Cheng2
1Division of Respiratory Medicine, Department of Medicine, Queen Mary Hospital, The University of Hong Kong, Hong Kong, China.
Abstract:
Small cell lung cancer (SCLC) accounts for approximately 13% of all lung cancer cases. Small cell lung cancer is characterized by frequent relapse, and current treatments lack tumor specificity. Arginine is a non-essential amino acid for human normal cells but critical to some tumor cells that cannot synthesize arginine. Therefore, arginine deprivation has become a potential therapeutic option for selected tumors. BCT-100 is a pegylated arginase that has documented anticancer activity in arginine auxotrophic tumors, such as melanoma, hepatocellular carcinoma, and acute myeloid leukemia. One of the resistance mechanisms to arginase treatment is overexpression of argininosuccinate synthetase (ASS1) and ornithine transcarbamylase (OTC), two important enzymes in the urea cycle. We selected 9 SCLC and 1 non-small cell lung carcinoma cell lines to determine the growth inhibition effects of BCT-100 and established that cell lines with low expression of ASS1 and OTC are relatively sensitive to BCT-100 treatment. Knocking down OTC in a H841 cell line could potentiate its sensitivity to BCT-100 treatment. Arginine concentration was sharply decreased, accompanied by apoptosis through oxidative stress as well as G1 cell cycle arrest. In addition, BCT-100 showed an anticancer effect on H446 and H510A xenograft models by lowering arginine levels and inducing apoptosis.
Insights
Arginine deprivation using BCT-100 shows promise for treating small cell lung cancer (SCLC). Tumors with low ASS1 and OTC expression are sensitive to BCT-100, leading to apoptosis and cell cycle arrest.
Area of Science:
- Oncology
- Biochemistry
- Cancer Therapeutics
Background:
- Small cell lung cancer (SCLC) has a high relapse rate and lacks specific treatments.
- Arginine deprivation is a potential therapy for tumors auxotrophic for arginine.
- BCT-100, a pegylated arginase, targets arginine auxotrophic tumors.
Purpose of the Study:
- To evaluate the efficacy of BCT-100 in small cell lung cancer (SCLC).
- To identify biomarkers predicting sensitivity to arginase therapy in SCLC.
- To investigate the mechanisms of BCT-100 action in SCLC.
Main Methods:
- Screened 9 SCLC and 1 non-small cell lung carcinoma cell lines for BCT-100 sensitivity.
- Assessed the role of argininosuccinate synthetase (ASS1) and ornithine transcarbamylase (OTC) expression.
- Utilized gene knockdown of OTC in the H841 cell line.
- Evaluated BCT-100 in H446 and H510A xenograft models.
Main Results:
- SCLC cell lines with low ASS1 and OTC expression showed sensitivity to BCT-100.
- Knocking down OTC enhanced BCT-100 sensitivity in H841 cells.
- BCT-100 treatment led to decreased arginine levels, G1 cell cycle arrest, and apoptosis via oxidative stress.
- BCT-100 demonstrated anticancer effects in SCLC xenograft models.
Conclusions:
- BCT-100 is a potential therapeutic agent for SCLC, particularly in tumors with low ASS1/OTC expression.
- ASS1 and OTC expression levels can serve as predictive biomarkers for BCT-100 response.
- Arginine deprivation by BCT-100 induces SCLC cell death through apoptosis and cell cycle arrest.
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