Cell-based high-throughput screen for small molecule inhibitors of Bax translocation
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Updated: Feb 1, 2026

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Published on: June 30, 2023
Kelvin Kai-Wan Hui1,2, Chesarahmia Dojo Soeandy1, Stephano Chang1
1Department of Pharmaceutical Sciences, Leslie Dan Faculty of Pharmacy, University of Toronto, Toronto, ON, Canada.
Abstract:
Aberrant regulation of programmed cell death (PCD) has been tied to an array of human pathologies ranging from cancers to autoimmune disorders to diverse forms of neurodegeneration. Pharmacologic modulation of PCD signalling is therefore of central interest to a number of clinical and biomedical applications. A key component of PCD signalling involves the modulation of pro- and anti-apoptotic Bcl-2 family members. Among these, Bax translocation represents a critical regulatory phase in PCD. In the present study, we have employed a high-content high-throughput screen to identify small molecules which inhibit the cellular process of Bax re-distribution to the mitochondria following commitment of the cell to die. Screening of 6246 Generally Recognized As Safe compounds from four chemical libraries post-induction of cisplatin-mediated PCD resulted in the identification of 18 compounds which significantly reduced levels of Bax translocation. Further examination revealed protective effects via reduction of executioner caspase activity and enhanced mitochondrial function. Consistent with their effects on Bax translocation, these compounds exhibited significant rescue against in vitro and in vivo cisplatin-induced apoptosis. Altogether, our findings identify a new set of clinically useful small molecules PCD inhibitors and highlight the role which cAMP plays in regulating Bax-mediated PCD.
Insights
Researchers identified 18 safe small molecules that inhibit programmed cell death (PCD) by blocking Bax translocation to mitochondria. These compounds protect against cisplatin-induced apoptosis, offering potential new therapies for various diseases.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Aberrant programmed cell death (PCD) is implicated in numerous human diseases, including cancer, autoimmune disorders, and neurodegeneration.
- Modulating PCD signaling pathways is a key therapeutic strategy.
- Bcl-2 family proteins, particularly Bax, play a critical role in regulating the apoptotic pathway through mitochondrial translocation.
Purpose of the Study:
- To identify small molecules that inhibit Bax translocation to mitochondria, a critical step in PCD.
- To discover novel pharmacologic agents for modulating PCD.
- To investigate the role of cAMP in regulating Bax-mediated PCD.
Main Methods:
- A high-content, high-throughput screening of 6,246 Generally Recognized As Safe (GRAS) compounds was performed.
- Compounds were screened for their ability to inhibit Bax translocation following cisplatin-induced PCD.
- In vitro and in vivo assays were used to evaluate the efficacy of identified compounds in preventing apoptosis.
Main Results:
- 18 compounds were identified that significantly reduced Bax translocation.
- These compounds demonstrated protective effects by decreasing executioner caspase activity and improving mitochondrial function.
- The identified molecules effectively rescued cells from both in vitro and in vivo cisplatin-induced apoptosis.
Conclusions:
- A novel set of clinically relevant small molecules that inhibit PCD by targeting Bax translocation has been identified.
- These compounds represent potential therapeutic candidates for diseases associated with dysregulated PCD.
- The study highlights the regulatory role of cyclic adenosine monophosphate (cAMP) in Bax-mediated PCD.
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