Supramolecular nanodrug targeting CDK4/6 overcomes BAG1 mediated cisplatin resistance in oral squamous cell carcinoma

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.

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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