Pifithrin-α enhancing anticancer effect of topotecan on p53-expressing cancer cells

Jianli Guo1, Qin Tang2, Qingling Wang1

  • 1School of Life Science and Biotechnology, Dalian University of Technology, Dalian 116024, China.

Insights

Inhibiting p53 with pifithrin-α (PFTα) before topotecan (TPT) treatment significantly enhances TPT

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • The tumor suppressor protein p53 is frequently lost or mutated in human cancers.
  • The role of p53 activity in cancer treatment remains controversial.
  • Topotecan (TPT) is a chemotherapy drug whose efficacy may be influenced by p53 status.

Purpose of the Study:

  • To investigate the effect of inhibiting endogenous p53 on the efficacy of topotecan (TPT) in p53-positive cancer cells.
  • To elucidate the mechanisms by which p53 inhibition enhances TPT's anticancer effects.

Main Methods:

  • Three p53-positive cancer cell lines (MCF7, BGC823, HepG2) were treated with pifithrin-α (PFTα), a p53 inhibitor, followed by TPT.
  • Cell viability was assessed by calculating IC50 values.
  • Mechanisms investigated included drug accumulation, Topo I inhibition, DNA damage, p53/mdm2 complex formation, and apoptosis induction.

Main Results:

  • Pretreatment with PFTα significantly reduced the IC50 of TPT by 4.8 to 14.4 folds in tested cell lines.
  • PFTα decreased phosphorylated p53 levels and activity without affecting total p53 expression.
  • PFTα enhanced TPT efficacy by increasing TPT accumulation, promoting Topo I inhibition, inducing DNA damage, and increasing nuclear p53 levels via mdm2 inhibition, leading to enhanced apoptosis.

Conclusions:

  • Inhibiting p53 with PFTα potentiates the anticancer effects of TPT in p53-positive cancer cells.
  • The enhanced efficacy is mediated by increased TPT-induced DNA damage and apoptosis.
  • These findings suggest a novel strategy for combination chemotherapy involving p53 inhibition.

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