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Updated: Oct 16, 2025

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Published on: May 14, 2016
HDAC/MIF dual inhibitor inhibits NSCLC cell survival and proliferation by blocking the AKT pathway
Fangyuan Cao1, Zhangping Xiao1, Siwei Chen1
1Chemical and Pharmaceutical Biology, Groningen Research Institute of Pharmacy, University of Groningen, the Netherlands.
Abstract:
Non-small-cell lung carcinoma (NSCLC) is one of the most common forms of lung cancer, and a leading cause of cancer death among human beings. There is an urgent demand for novel therapeutics for the treatment of NSCLC to enhance the efficacy of the currently applied Tyrosine kinase inhibitors (TKIs) therapy and to overcome therapy-resistance. Here, we report a novel small-molecule inhibitor that simultaneously targets histone deacetylase (HDAC) and macrophage migration inhibitory factor (MIF). The HDAC/MIF dual inhibitor proved to be toxic for EGFR mutated (H1650, TKI-resistant) or knock out (A549 EGFR-/-) NSCLC cell lines. Further experiments showed that HDAC inhibition inhibits cell survival and proliferation, while MIF inhibition downregulates pAKT or AKT expression level, which both interfere with cell survival. Furthermore, the combination treatment of TKI and HDAC/MIF dual inhibitor showed that the dual inhibitor enhanced TKI inhibitory efficacy, highlighting the advantages of HDAC/MIF dual inhibitor for more effective treatment of NSCLC.
Insights
A novel dual inhibitor targeting histone deacetylase (HDAC) and macrophage migration inhibitory factor (MIF) shows promise for non-small-cell lung cancer (NSCLC). This HDAC/MIF inhibitor enhances Tyrosine kinase inhibitor (TKI) efficacy and overcomes resistance.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Non-small-cell lung cancer (NSCLC) is a leading cause of cancer mortality.
- Current Tyrosine Kinase Inhibitor (TKI) therapies face challenges with resistance.
- Novel therapeutic strategies are urgently needed for NSCLC treatment.
Purpose of the Study:
- To develop and evaluate a novel small-molecule inhibitor targeting both Histone Deacetylase (HDAC) and Macrophage Migration Inhibitory Factor (MIF).
- To assess the efficacy of this dual inhibitor in TKI-resistant and EGFR-mutated NSCLC cell lines.
- To investigate the potential of the dual inhibitor to enhance TKI therapy.
Main Methods:
- Development of a small-molecule inhibitor targeting both HDAC and MIF.
- In vitro testing of the dual inhibitor on EGFR-mutated and EGFR-knockout NSCLC cell lines.
- Analysis of the effects of HDAC and MIF inhibition on cell survival and proliferation pathways (e.g., AKT).
- Combination studies with TKIs and the HDAC/MIF dual inhibitor.
Main Results:
- The HDAC/MIF dual inhibitor demonstrated toxicity against TKI-resistant and EGFR-mutated NSCLC cell lines.
- HDAC inhibition suppressed NSCLC cell survival and proliferation.
- MIF inhibition led to downregulation of pAKT/AKT, impacting cell survival.
- Combination therapy with TKIs and the dual inhibitor significantly enhanced TKI efficacy.
Conclusions:
- The novel HDAC/MIF dual inhibitor is a promising therapeutic candidate for NSCLC.
- Dual inhibition effectively targets key survival pathways in NSCLC cells.
- This approach offers a strategy to overcome TKI resistance and improve treatment outcomes in NSCLC.
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