Identification of solamargine as a cisplatin sensitizer through phenotypical screening in cisplatin-resistant NSCLC

Yi Han1, Jianquan Shi2, Ziwei Xu1

  • 1Department of Thoracic Surgery, Beijing Chest Hospital, Capital Medical University and Beijing Tuberculosis and Thoracic Tumor Research Institute, Beijing, China.

Insights

Solamargine, a natural compound, sensitizes cisplatin-resistant lung cancer by inhibiting the hedgehog pathway. This finding offers a potential new therapeutic strategy for advanced lung cancer patients who do not respond to chemotherapy.

Area of Science:

  • Oncology
  • Pharmacology
  • Molecular Biology

Background:

  • Cisplatin (DDP) resistance is a major challenge in treating advanced lung cancer, leading to treatment failure.
  • Identifying novel DDP sensitizers and understanding their mechanisms is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify natural compounds that can sensitize cisplatin-resistant lung cancer.
  • To elucidate the molecular mechanisms by which these compounds exert their effects.
  • To evaluate the synergistic potential of identified sensitizers with DDP.

Main Methods:

  • Screening of a natural product library using cisplatin-resistant organoids derived from patient biopsies.
  • Cell cycle analysis (G0/G1 arrest) and apoptosis assays in DDP-resistant lung cancer cell lines.
  • Gene expression analysis, KEGG pathway analysis, Gli responsive element (GRE) reporter gene assay, and BODIPY-cyclopamine binding assay to investigate pathway inhibition.

Main Results:

  • Solamargine was identified as a potent DDP sensitizer.
  • Solamargine induced G0/G1 cell cycle arrest and apoptosis in DDP-resistant lung cancer cells.
  • Solamargine suppressed the hedgehog signaling pathway by directly binding to the SMO protein.
  • Solamargine and DDP exhibited a synergistic effect in inhibiting DDP-resistant lung cancer cell lines.

Conclusions:

  • Solamargine acts as a hedgehog pathway inhibitor and a DDP sensitizer.
  • Solamargine represents a promising therapeutic agent for overcoming DDP resistance in advanced lung cancer.
  • This study provides a novel therapeutic direction for treating DDP-resistant lung cancer.

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