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Enhancement of MDM2 inhibitory effects through blocking nuclear export mechanisms in ovarian cancer cells
Amal Alzahrani1, Umamaheswari Natarajan2, Appu Rathinavelu3
1Rumbaugh-Goodwin Institute for Cancer Research, Nova Southeastern University, 3321, College Ave, Fort Lauderdale, Florida 33314, United States; Department of Pharmacology and Toxicology, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia; College of Pharmacy, Nova Southeastern University, Fort Lauderdale, Florida, United States.
Abstract:
Over 90% of ovarian cancer cells exhibit p53 mutations or inactivation. In addition, p53 is exported outside of the nucleus by exportin-1 (XPO1), a protein that mediates the nuclear export of several cancer suppressor proteins. Overexpression of XPO1 is associated with resistance to chemotherapy, leading to poor prognosis in various cancers. The MDM2 inhibitor, RG-7388, is a known reactivator of p53 and has been tested with high interest as a therapeutic agent for cancer treatment. In addition, Selinexor, which is a second-generation selective inhibitor of nuclear export (SINE), is known to cause an accumulation of p53 in the nucleus and is also being explored as a therapy potentiating agent in combination treatments. This study was conducted to assess the efficacy of RG-7388 in combination with Selinexor for treating ovarian cancer. A combination of Selinexor and RG-7388 treatments was able to reduce the cell viability compared to individual treatments. In addition, the combination treatment revealed significant up-regulation of several cancer suppressor proteins in the whole lysate, cytoplasm, and nucleus. Finally, our results confirm that the combination of Selinexor with RG-7388 can induce a caspase-mediated apoptotic mechanism via up-regulation of p53 and p21.
Insights
Combining RG-7388 and Selinexor effectively treats ovarian cancer by reactivating p53 and inducing apoptosis. This combination therapy reduces cell viability and up-regulates tumor suppressor proteins.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Over 90% of ovarian cancers have p53 mutations or inactivation.
- Exportin-1 (XPO1) overexpression, linked to chemotherapy resistance, exports p53 and tumor suppressors from the nucleus.
- MDM2 inhibitor RG-7388 reactivates p53; Selinexor (a SINE inhibitor) increases nuclear p53 accumulation.
Purpose of the Study:
- To evaluate the efficacy of combining RG-7388 and Selinexor for ovarian cancer treatment.
- To investigate the molecular mechanisms underlying the combination therapy's effects.
Main Methods:
- Ovarian cancer cell lines were treated with RG-7388, Selinexor, or a combination.
- Cell viability assays were performed.
- Western blotting was used to assess protein levels in whole lysate, cytoplasm, and nucleus, focusing on p53, p21, and other cancer suppressors.
- Caspase activity was measured to confirm apoptosis induction.
Main Results:
- The combination of Selinexor and RG-7388 significantly reduced ovarian cancer cell viability compared to individual treatments.
- Combination therapy led to the up-regulation of multiple cancer suppressor proteins in all cellular compartments (lysate, cytoplasm, nucleus).
- The treatment induced a caspase-mediated apoptotic pathway, evidenced by increased p53 and p21 expression.
Conclusions:
- Combination therapy with Selinexor and RG-7388 is a promising strategy for ovarian cancer.
- The synergistic effect involves p53 reactivation, increased nuclear retention of tumor suppressors, and induction of apoptosis.
- This approach warrants further investigation for clinical application in ovarian cancer patients.
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