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Anlotinib destabilizes PAX3-FOXO1 to induce rhabdomyosarcoma cell death via upregulating NEK2
Zian Song1, Baocheng Gong1, Tongyuan Qu1
1Department of Pediatric Cancer, Tianjin Medical University Cancer Institute and Hospital, National Clinical Research Centre for Cancer, Key Laboratory of Cancer Prevention and Therapy, Tianjin 300060, China.
Background:
Rhabdomyosarcoma (RMS) is one of the most common soft tissue sarcomas in children and adolescents, in which PAX3-FOXO1 fusion gene positive patients have very poor prognosis. PAX3-FOXO1 has been identified as an independent prognostic predictor in RMS, with no currently available targeted therapeutic intervention. The novel tyrosine kinase inhibitor anlotinib exhibits a wide range of anticancer effects in multiple types of cancers; however, there have been no relevant studies regarding its application in RMS.
Materials And Methods:
We investigated the effects of PAX3-FOXO1 on the therapeutic efficacy of anlotinib using the CCK-8 assay, flow cytometry, invasion assay, wound healing assay, western blotting, quantitative polymerase chain reaction(qPCR), and xenograft experiments. RNA-seq and co-immunoprecipitation assays were conducted to determine the specific mechanism by which anlotinib regulates PAX3-FOXO1 expression.
Results:
Anlotinib effectively inhibited RMS cell proliferation and promoted apoptosis and G2/M phase arrest while impeding tumor growth in vivo. Downregulation of PAX3-FOXO1 enhances the antitumor effects of anlotinib. Anlotinib upregulates protein kinase NEK2 and increases the degradation of PAX3-FOXO1 via the ubiquitin-proteasome pathway, leading to a reduction in PAX3-FOXO1 protein levels.
Conclusion:
Anlotinib effectively inhibited the malignant progression of RMS and promoted degradation of the fusion protein PAX3-FOXO1. Anlotinib could be a targeted therapeutic approach to treat PAX3-FOXO1 fusion-positive RMS.
Insights
Anlotinib effectively treats rhabdomyosarcoma (RMS) by degrading the PAX3-FOXO1 fusion protein. This targeted approach shows promise for improving outcomes in pediatric cancer patients with this aggressive subtype.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Rhabdomyosarcoma (RMS) is a common pediatric soft tissue sarcoma.
- PAX3-FOXO1 fusion gene positivity indicates a poor prognosis in RMS.
- No targeted therapies currently exist for PAX3-FOXO1-positive RMS.
Purpose of the Study:
- To investigate the efficacy of anlotinib against RMS.
- To explore the role of PAX3-FOXO1 in anlotinib's therapeutic effects.
- To elucidate the mechanism of anlotinib action in RMS.
Main Methods:
- Cell viability, apoptosis, cell cycle, invasion, and migration assays were performed.
- Western blotting, qPCR, and xenograft experiments assessed anlotinib's effects.
- RNA-seq and co-immunoprecipitation identified the regulatory mechanism of anlotinib on PAX3-FOXO1.
Main Results:
- Anlotinib inhibited RMS cell proliferation, induced apoptosis, and caused G2/M phase arrest.
- Anlotinib impeded tumor growth in vivo and its efficacy was enhanced by PAX3-FOXO1 downregulation.
- Anlotinib upregulated NEK2, promoting PAX3-FOXO1 degradation via the ubiquitin-proteasome pathway.
Conclusions:
- Anlotinib effectively inhibits RMS progression and promotes PAX3-FOXO1 degradation.
- Anlotinib represents a potential targeted therapy for PAX3-FOXO1-positive RMS.
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