Supramolecular nanodrug targeting CDK4/6 overcomes BAG1 mediated cisplatin resistance in oral squamous cell carcinoma
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Updated: Jul 1, 2025

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Published on: May 28, 2014
Borui Zhao1, Xuan Qin2, Rui Fu1
1School and Hospital of Stomatology, Tianjin Medical University, Tianjin 300070, China; Tianjin Key Laboratory of Oral Soft and Hard Tissues Restoration and Regeneration, Tianjin 300070, China.
Abstract:
Chemoresistance to cisplatin remains a significant challenge affecting the prognosis of advanced oral squamous cell carcinoma (OSCC). However, the specific biomarkers and underlying mechanisms responsible for cisplatin resistance remain elusive. Through comprehensive bioinformatic analyses, we identified a potential biomarker, BCL2 associated athanogene-1 (BAG1), showing elevated expression in head and neck squamous cell carcinoma (HNSCC). Since OSCC represents the primary pathological type of HNSCC, we investigated BAG1 expression in human tumor tissues and cisplatin resistant OSCC cell lines, revealing that silencing BAG1 induced apoptosis in cisplatin-resistant cells both in vitro and in vivo. This effect led to impaired cell viability of cisplatin resistant OSCC cells and indicated a positive correlation between BAG1 expression and the G1/S transition during cell proliferation. Based on these insights, the administration of a CDK4/6 inhibitor in combination with cisplatin effectively overcame cisplatin resistance in OSCC through the CDK4/6-BAG1 axis. Additionally, to enable simultaneous drug delivery and enhance synergistic antitumor efficacy, we developed a novel supramolecular nanodrug LEE011-FFERGD/CDDP, which was validated in an OSCC orthotopic mouse model. In summary, our study highlights the potential of a combined administration of CDK4/6 inhibitor and cisplatin as a promising therapeutic regimen for treating advanced or cisplatin resistant OSCC.
Insights
Researchers identified BCL2 associated athanogene-1 (BAG1) as a key driver of cisplatin resistance in oral squamous cell carcinoma (OSCC). Silencing BAG1 and using a CDK4/6 inhibitor with cisplatin shows promise for treating advanced OSCC.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cisplatin resistance is a major obstacle in treating advanced oral squamous cell carcinoma (OSCC).
- Biomarkers and mechanisms underlying cisplatin resistance in OSCC are not fully understood.
- Head and neck squamous cell carcinoma (HNSCC) often exhibits elevated BCL2 associated athanogene-1 (BAG1) expression.
Purpose of the Study:
- To investigate the role of BAG1 in cisplatin resistance in OSCC.
- To explore therapeutic strategies targeting the CDK4/6-BAG1 axis for overcoming chemoresistance.
- To develop a novel nanodrug delivery system for enhanced synergistic antitumor effects.
Main Methods:
- Bioinformatic analysis to identify potential biomarkers.
- BAG1 expression analysis in human OSCC tissues and cell lines.
- In vitro and in vivo experiments involving BAG1 silencing and CDK4/6 inhibitor treatment.
- Development and validation of a supramolecular nanodrug (LEE011-FFERGD/CDDP).
Main Results:
- BAG1 was identified as a potential biomarker for cisplatin resistance in OSCC.
- Silencing BAG1 induced apoptosis and reduced viability in cisplatin-resistant OSCC cells.
- A positive correlation between BAG1 expression and G1/S cell cycle transition was observed.
- Combined administration of a CDK4/6 inhibitor and cisplatin effectively overcame chemoresistance via the CDK4/6-BAG1 axis.
- The novel nanodrug LEE011-FFERGD/CDDP demonstrated synergistic antitumor efficacy in an OSCC mouse model.
Conclusions:
- BAG1 plays a crucial role in cisplatin resistance in OSCC.
- Targeting the CDK4/6-BAG1 axis offers a potential therapeutic strategy for chemoresistant OSCC.
- Combined therapy with CDK4/6 inhibitors and cisplatin, potentially delivered via novel nanodrugs, shows promise for advanced and cisplatin-resistant OSCC treatment.
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