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Updated: Jul 1, 2025

Development of Compendium for Esophageal Squamous Cell Carcinoma
Published on: April 12, 2024
Romidepsin exhibits anti-esophageal squamous cell carcinoma activity through the DDIT4-mTORC1 pathway
Wei-Feng Xia1, Xiao-Li Zheng2, Wen-Yi Liu2
1Department of Cardiothoracic Surgery, The First Affiliated Hospital of Chongqing Medical University, Chongqing, 400016, China.
Abstract:
Esophageal squamous cell carcinoma (ESCC) is one of the most common human malignancies worldwide and is associated with high morbidity and mortality. Current treatment options are limited, highlighting the need for development of novel effective agents. Here, a high-throughput drug screening (HTS) was performed using ESCC cell lines in both two- and three-dimensional culture systems to screen compounds that have anti-ESCC activity. Our screen identified romidepsin, a histone deactylase inhibitor, as a potential anti-ESCC agent. Romidepsin treatment decreased cell viability, induced apoptosis and cell cycle arrest in ESCC cell lines, and these findings were confirmed in ESCC cell line-derived xenografted (CDX) mouse models. Mechanically, romidepsin induced transcriptional upregulation of DNA damage-inducible transcript 4 (DDIT4) gene by histone hyperacetylation at its promoter region, leading to the inhibition of mammalian target of rapamycin complex 1 (mTORC1) pathway. Furthermore, romidepsin exhibited better efficacy and safety compared to the conventional therapeutic drugs in ESCC patient-derived xenografted (PDX) mouse models. These data indicate that romidepsin may be a novel option for anti-ESCC therapy.
Insights
Romidepsin, a histone deacetylase inhibitor, shows promise for treating esophageal squamous cell carcinoma (ESCC). This drug reduced cancer cell viability and tumor growth in preclinical models, offering a potential new therapy for ESCC.
Area of Science:
- Oncology
- Molecular Biology
- Drug Discovery
Background:
- Esophageal squamous cell carcinoma (ESCC) is a prevalent and deadly cancer with limited treatment options.
- There is a critical need for novel therapeutic agents to combat ESCC.
- Targeting cellular pathways offers a promising avenue for developing new anti-cancer drugs.
Purpose of the Study:
- To identify novel compounds with anti-ESCC activity using high-throughput drug screening.
- To investigate the therapeutic potential of romidepsin in preclinical models of ESCC.
- To elucidate the molecular mechanisms underlying romidepsin's anti-ESCC effects.
Main Methods:
- High-throughput drug screening (HTS) of compounds against ESCC cell lines in 2D and 3D cultures.
- In vitro assays assessing cell viability, apoptosis, and cell cycle progression.
- In vivo studies using ESCC cell line-derived xenograft (CDX) and patient-derived xenograft (PDX) mouse models.
- Molecular analyses including gene expression and pathway analysis (mTORC1).
Main Results:
- Romidepsin was identified as a potent anti-ESCC agent through HTS.
- Romidepsin decreased ESCC cell viability, induced apoptosis, and caused cell cycle arrest.
- Romidepsin upregulated DDIT4 gene expression via histone hyperacetylation, inhibiting the mTORC1 pathway.
- Romidepsin demonstrated superior efficacy and safety compared to conventional drugs in PDX models.
Conclusions:
- Romidepsin is a promising candidate for esophageal squamous cell carcinoma therapy.
- The drug's mechanism involves DDIT4 induction and mTORC1 inhibition.
- Romidepsin shows potential as a novel therapeutic option for ESCC patients.
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