Potential synthetic lethality for breast cancer: A selective sirtuin 2 inhibitor combined with a multiple kinase inhibitor sorafenib
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Updated: Oct 8, 2025

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Hua-Li Wang1, Xue Ma2, Xin-Yuan Guan3
1Department of Clinical Oncology, The University of Hong Kong-Shenzhen Hospital, Shenzhen 518053, PR China; State Key Laboratory of Biotherapy and Cancer Center, West China Hospital, Sichuan University, and Collaborative Innovation Center of Biotherapy, Chengdu 610041, PR China.
Abstract:
Sorafenib is a clinically useful multiple kinase inhibitor for the treatment of kidney cancer, liver cancer and acute myelocytic leukemia, while it has shown weak efficacy in suppressing breast cancer. Since sirtuin2 (SIRT2) is an important epigenetic regulator and associated with several cancer types including breast cancer, development and evaluation of new SIRT2 inhibitors to probe their therapeutic potentials is currently desirable. A highly selective SIRT2 inhibitor named I was previously developed by us, which showed activity to inhibit non-small cell lung cancer cell lines in vitro. We herein report expanded screening of I and its structurally similar inactive compound II against other cancer cell lines, and found that I had a wide spectrum of anticancer activity while II had no such effects. The I-sorafenib combination treatment exerted obvious synergistic reduction on cell viability of MCF-7 cells. We observed that the combination treatment could suppress cell proliferation, survival and migration, arrest cell cycle at G0/G1 phase, and induce apoptosis in MCF-7 cells, when compared with the single treatment. In vivo studies revealed that the combination treatment showed stronger tumor growth inhibition (87%), comparing with I-(42.8%) or sorafenib-solely-treated groups (61.1%) in MCF-7 xenograft model. In conclusion, this work clearly revealed a potential synthetic lethality effect for I combined with sorafenib, and will probably offer a new strategy at least for breast cancer treatment.
Insights
A novel sirtuin2 (SIRT2) inhibitor, compound I, combined with sorafenib, demonstrates significant synergistic effects against breast cancer. This combination therapy shows broad anticancer activity and offers a promising new strategy for cancer treatment.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Sorafenib is a kinase inhibitor with limited efficacy in breast cancer.
- Sirtuin2 (SIRT2) is an epigenetic regulator implicated in various cancers, including breast cancer.
- Targeting SIRT2 presents a potential therapeutic strategy for cancers resistant to current treatments.
Purpose of the Study:
- To evaluate the anticancer activity of a selective SIRT2 inhibitor, compound I, and its combination with sorafenib.
- To investigate the synergistic effects of compound I and sorafenib in breast cancer cell lines and xenograft models.
- To explore the underlying mechanisms of the combination therapy's efficacy.
Main Methods:
- In vitro screening of compound I and its inactive analog II against diverse cancer cell lines.
- Assessment of cell viability, proliferation, survival, migration, cell cycle, and apoptosis in MCF-7 cells treated with compound I and sorafenib.
- In vivo efficacy studies using a MCF-7 xenograft mouse model to evaluate tumor growth inhibition.
Main Results:
- Compound I exhibited broad-spectrum anticancer activity, while compound II showed no such effects.
- The combination of compound I and sorafenib demonstrated synergistic reduction in MCF-7 cell viability.
- Combination treatment suppressed proliferation, survival, and migration, induced G0/G1 cell cycle arrest and apoptosis, and significantly enhanced tumor growth inhibition in vivo.
Conclusions:
- The combination of compound I and sorafenib exhibits a potential synthetic lethality effect, offering a promising therapeutic strategy for breast cancer.
- Compound I demonstrates significant anticancer potential, particularly when used in combination with established therapies like sorafenib.
- Further research into SIRT2 inhibition could lead to novel treatments for various cancer types.
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