MTX-211 Inhibits GSH Synthesis through Keap1/NRF2/GCLM Axis and Exerts Antitumor Effects in Bladder Cancer

Bing Hu1,2, Ru Chen1,2, Ming Jiang1,2

  • 1Department of Urology, The First Affiliated Hospital of Nanchang University, 17 Yongwaizheng Street, Nanchang 330006, China.

Insights

MTX-211, an EGFR and PI3K inhibitor, effectively reduces bladder cancer cell proliferation by disrupting glutathione metabolism via the Keap1/NRF2/GCLM pathway. This mechanism leads to increased oxidative stress and cell cycle arrest, suggesting MTX-211 as a potential cancer therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Bladder cancer (BLCA) remains a significant global health challenge with high mortality rates.
  • The therapeutic potential and precise mechanisms of MTX-211, an inhibitor targeting EGFR and PI3K, in BLCA are not well understood.

Purpose of the Study:

  • To investigate the functional role and underlying molecular mechanisms of MTX-211 in bladder cancer cells.
  • To evaluate MTX-211's efficacy in inhibiting BLCA cell proliferation both in vitro and in vivo.

Main Methods:

  • Utilized RNA sequencing, qPCR, Western blotting, co-immunoprecipitation, and immunofluorescence assays.
  • Performed in vitro and in vivo assays to assess cell proliferation, apoptosis, and cell cycle progression.
  • Investigated the impact of MTX-211 on glutathione (GSH) metabolism and reactive oxygen species (ROS) levels.

Main Results:

  • MTX-211 demonstrated a time- and concentration-dependent inhibition of BLCA cell proliferation.
  • MTX-211 induced significant cell apoptosis and G0/G1 cell cycle arrest.
  • MTX-211 depleted intracellular GSH levels, increased ROS, and inhibited the Keap1/NRF2/GCLM pathway, leading to downregulated GCLM expression.

Conclusions:

  • MTX-211 inhibits BLCA cell proliferation by depleting GSH levels through the Keap1/NRF2/GCLM signaling pathway.
  • MTX-211 promotes NRF2 protein ubiquitinated degradation, impacting GSH synthesis and increasing oxidative stress.
  • MTX-211 shows promise as a potential therapeutic agent for bladder cancer treatment.