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Updated: Nov 21, 2025

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
Histamine H1 receptor antagonists selectively kill cisplatin-resistant human cancer cells
Nobuki Matsumoto1, Miku Ebihara2, Shiori Oishi2
1Cell Regulation Laboratory, Bionics Program, Tokyo University of Technology Graduate School of Bionics, Computer and Media Science, Hachioji, Japan.
Abstract:
Cancer therapy is often hampered by the disease's development of resistance to anticancer drugs. We previously showed that the autonomously upregulated product of fibroblast growth factor 13 gene (FGF13; also known as FGF homologous factor 2 (FHF2)) is responsible for the cisplatin resistance of HeLa cisR cells and that it is likely responsible for the poor prognosis of cervical cancer patients treated with cisplatin. Here we show that cloperastine and two other histamine H1 receptor antagonists selectively kill HeLa cisR cells at concentrations that little affect parental HeLa S cells. The sensitivity of HeLa cisR cells to cloperastine was abolished by knocking down FGF13 expression. Cisplatin-resistant A549 cisR cells were similarly susceptible to cloperastine. H2, H3, and H4 receptor antagonists showed less or no cytotoxicity toward HeLa cisR or A549 cisR cells. These results indicate that histamine H1 receptor antagonists selectively kill cisplatin-resistant human cancer cells and suggest that this effect is exerted through a molecular mechanism involving autocrine histamine activity and high-level expression of FGF13. We think this represents a potential opportunity to utilize H1 receptor antagonists in combination with anticancer agents to treat cancers in which emergent drug-resistance is preventing effective treatment.
Insights
Histamine H1 receptor antagonists, like cloperastine, selectively kill cisplatin-resistant cancer cells. This targeted cell death is linked to fibroblast growth factor 13 (FGF13) expression, offering new therapeutic strategies.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Cancer drug resistance, particularly to cisplatin, is a significant clinical challenge.
- Fibroblast growth factor 13 (FGF13) upregulation is implicated in cisplatin resistance in cervical cancer (HeLa cisR) and poor patient prognosis.
- Understanding the mechanisms of drug resistance is crucial for developing effective cancer therapies.
Purpose of the Study:
- To investigate the efficacy of histamine receptor antagonists against cisplatin-resistant cancer cells.
- To elucidate the role of fibroblast growth factor 13 (FGF13) in mediating sensitivity to these antagonists.
- To explore novel therapeutic strategies for overcoming cisplatin resistance in cancer.
Main Methods:
- Treatment of cisplatin-resistant cancer cell lines (HeLa cisR, A549 cisR) with cloperastine and other histamine receptor antagonists.
- Gene knockdown of fibroblast growth factor 13 (FGF13) in resistant cells.
- Assessment of cell viability and cytotoxicity across different cell lines and treatment conditions.
Main Results:
- Cloperastine and related histamine H1 receptor antagonists selectively killed cisplatin-resistant HeLa cisR and A549 cisR cells.
- The selective cytotoxicity was dependent on fibroblast growth factor 13 (FGF13) expression, as knockdown abolished sensitivity.
- Other histamine receptor antagonists (H2, H3, H4) showed minimal or no cytotoxicity against these resistant cells.
Conclusions:
- Histamine H1 receptor antagonists demonstrate selective killing of cisplatin-resistant cancer cells.
- This effect is mediated by a mechanism involving autocrine histamine activity and high FGF13 expression.
- H1 receptor antagonists represent a potential adjunct therapy for drug-resistant cancers, possibly in combination with existing anticancer agents.
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