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Updated: Dec 18, 2025

Profiling Ubiquitin and Ubiquitin-like Dependent Post-translational Modifications and Identification of Significant Alterations
Published on: November 7, 2019
Anticancer Activity of Pyrimethamine via Ubiquitin Mediated Degradation of AIMP2-DX2
Dae Gyu Kim1, Chul Min Park2, Srigouri Huddar3,4
1Medicinal Bioconvergence Research Center, College of Pharmacy and College of Medicine, Gangnam Severance hospital, Yonsei University, Incheon 21983, Korea.
Abstract:
While aminoacyl-tRNA synthetase-interacting multifunctional protein 2 (AIMP2) is a tumor suppressor, its exon 2-depleted splice variant (AIMP2-DX2 or shortly DX2) is highly expressed in human lung cancer, and the ratio of DX2 to AIMP2 increases according to the progression of lung cancer. In this study, pyrimethamine inhibited the level of DX2 (IC50 = 0.73 µM) in A549 cells expressing nanoluciferase-tagged DX2. In a panel of 5 lung cancer cell lines with various DX2 levels, pyrimethamine most potently suppressed the growth of H460 cells, which express high levels of DX2 (GI50 = 0.01 µM). An immunoblot assay in H460 cells showed that pyrimethamine decreased the DX2 level dose-dependently but did not affect the AIMP2 level. Further experiments confirmed that pyrimethamine resulted in ubiquitination-mediated DX2 degradation. In an in vivo mouse xenograft assay using H460 cells, intraperitoneal administration of pyrimethamine significantly reduced the tumor size and weight, comparable with the effects of taxol, without affecting body weight. Analysis of tumor tissue showed a considerably high concentration of pyrimethamine with a decreased levels of DX2. These results suggest that pyrimethamine, currently used as anti-parasite drug, could be repurposed to treat lung cancer patients expressing high level of DX2.
Insights
Pyrimethamine effectively reduces lung cancer cells expressing high levels of the AIMP2-DX2 variant. This repurposed anti-parasite drug promotes DX2 degradation and inhibits tumor growth in vivo, suggesting potential for lung cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Aminoacyl-tRNA synthetase-interacting multifunctional protein 2 (AIMP2) is a tumor suppressor.
- Its splice variant, AIMP2-DX2, is upregulated in lung cancer, correlating with disease progression.
Purpose of the Study:
- To investigate the potential of pyrimethamine as a repurposed drug for lung cancer.
- To determine the effect of pyrimethamine on AIMP2-DX2 levels and lung cancer cell growth.
Main Methods:
- Cell-based assays measuring DX2 levels and cell viability (IC50, GI50).
- Immunoblotting to assess protein levels and ubiquitination.
- In vivo mouse xenograft model to evaluate anti-tumor efficacy.
Main Results:
- Pyrimethamine inhibited DX2 levels (IC50 = 0.73 µM) and suppressed H460 cell growth (GI50 = 0.01 µM).
- The drug induced ubiquitination-mediated degradation of DX2 without affecting AIMP2.
- In vivo, pyrimethamine significantly reduced tumor size and weight in mice, comparable to taxol.
Conclusions:
- Pyrimethamine effectively targets and reduces AIMP2-DX2, a key molecule in lung cancer progression.
- Repurposing pyrimethamine shows promise for treating lung cancer patients with high DX2 expression.
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