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.

Abstract

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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