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Updated: Dec 18, 2025

An In Vitro Approach to Study Mitochondrial Dysfunction: A Cybrid Model
Published on: March 9, 2022
Dihydroorotate Dehydrogenase Inhibitors Promote Cell Cycle Arrest and Disrupt Mitochondria Bioenergetics in Ramos
Mohamad F A Kadir1, Shatrah Othman1, Kavitha Nellore2
1Department of Molecular Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Background:
The re-emerging of targeting Dihydroorotate Dehydrogenase (DHODH) in cancer treatment particularly Acute Myelogenous Leukemia (AML) has corroborated the substantial role of DHODH in cancer and received the attention of many pharmaceutical industries.
Objective:
The effects of Brequinar Sodium (BQR) and 4SC-101 on lymphoblastoid cell lines were investigated.
Methods:
DHODH expression and cell proliferation inhibition of lymphoblastoid and lymphoma cell lines were analyzed using Western blot analysis and XTT assay, respectively. JC-1 probe and ATP biochemiluminescence kit were used to evaluate the mitochondrial membrane potential and ATP generation in these cell lines. Furthermore, we explored the cell cycle progression using Muse™ Cell Cycle Kit.
Results:
Ramos, SUDHL-1 and RPMI-1788 cells are fast-growing cells with equal expression of DHODH enzyme and sensitivity to DHODH inhibitors that showed that the inhibition of DHODH was not cancer-specific. In ATP depletion assay, the non-cancerous RPMI-1788 cells showed only a minor ATP reduction compared to Ramos and SUDHL-1 (cancer) cells. In the mechanistic impact of DHODH inhibitors on non-cancerous vs cancerous cells, the mitochondrial membrane potential assay revealed that significant depolarization and cytochrome c release occurred with DHODH inhibitors treatment in Ramos but not in the RPMI-1788 cells, indicating a different mechanism of proliferation inhibition in normal cells.
Conclusion:
The findings of this study provide evidence that DHODH inhibitors perturb the proliferation of non-cancerous cells via a distinct mechanism compared to cancerous cells. These results may lead to strategies for overcoming the impact on non-cancerous cells during treatment with DHODH inhibitors, leading to a better therapeutic window in patients.
Insights
Dihydroorotate Dehydrogenase (DHODH) inhibitors impact cancer and non-cancer cells differently. Cancer cells show significant mitochondrial changes, while normal cells exhibit distinct proliferation inhibition mechanisms, suggesting targeted therapeutic strategies.
Area of Science:
- Oncology
- Biochemistry
Background:
- Targeting Dihydroorotate Dehydrogenase (DHODH) is a key strategy in Acute Myelogenous Leukemia (AML) treatment.
- DHODH's role in cancer has garnered significant pharmaceutical interest.
Purpose of the Study:
- Investigate the effects of Brequinar Sodium (BQR) and 4SC-101 on lymphoblastoid cell lines.
- Analyze DHODH expression and its impact on cell proliferation in cancerous and non-cancerous cells.
Main Methods:
- Western blot for DHODH expression.
- XTT assay for cell proliferation inhibition.
- JC-1 probe and ATP assay for mitochondrial function.
- Muse™ Cell Cycle Kit for cell cycle analysis.
Main Results:
- DHODH inhibition affected both cancerous (Ramos, SUDHL-1) and non-cancerous (RPMI-1788) cells.
- Cancer cells (Ramos) showed significant mitochondrial depolarization and cytochrome c release upon DHODH inhibition, unlike non-cancerous cells.
- Non-cancerous cells exhibited a different mechanism of proliferation inhibition compared to cancer cells.
Conclusions:
- DHODH inhibitors affect non-cancerous cell proliferation through a mechanism distinct from that in cancerous cells.
- Findings suggest potential strategies to mitigate side effects on normal cells, improving the therapeutic window for DHODH inhibitor treatments.
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