Voltage-Gated Sodium Channel NaV1.7 Inhibitors with Potent Anticancer Activities in Medullary Thyroid Cancer Cells

Piyasuda Pukkanasut1, Jason Whitt2, Rachael Guenter2

  • 1Department of Chemistry, The University of Alabama at Birmingham, Birmingham, AL 35294, USA.

Cancers
|June 22, 2023
PubMed

Insights

Voltage-gated sodium channel (VGSC) NaV1.7 is expressed in aggressive medullary thyroid cancer (MTC). A novel inhibitor, SV188, effectively blocks NaV1.7, reducing MTC cell viability and invasion.

Area of Science:

  • Oncology
  • Neuroscience
  • Pharmacology

Background:

  • Medullary thyroid cancer (MTC) is a neuroendocrine tumor with limited targeted therapies.
  • Voltage-gated sodium channels (VGSCs) are implicated in cancer progression, but their specific roles in MTC are unclear.

Purpose of the Study:

  • To investigate the expression of VGSC subtype NaV1.7 in MTC.
  • To evaluate the therapeutic potential of a novel NaV1.7 inhibitor, SV188, in MTC.

Main Methods:

  • Quantitative RT-PCR, Western blotting, and immunohistochemistry were used to assess NaV1.7 expression in MTC cell lines and patient specimens.
  • Whole-cell patch-clamp electrophysiology was employed to study the inhibitory effects of SV188 on NaV1.7 currents.
  • Cell viability, invasion, and migration assays were performed to evaluate SV188's anti-cancer effects on MTC cells.

Main Results:

  • NaV1.7 was uniquely expressed in aggressive MTC tissues and cell lines, but not in normal thyroid cells.
  • SV188 inhibited NaV1.7 currents with an IC50 of 3.6 µM via a voltage- and use-dependent mechanism.
  • SV188 reduced MTC cell viability (IC50 ~8.5-9.3 µM) and significantly inhibited invasion and migration of MTC cells with high NaV1.7 expression.

Conclusions:

  • NaV1.7 is a potential therapeutic target in aggressive MTC.
  • SV188 demonstrates promising anti-cancer activity against MTC by inhibiting NaV1.7, suggesting its potential as a novel MTC therapeutic agent.

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