Study on the sensitizing effect of SM-1 combined with irradiation on head and neck squamous cell carcinoma

Tong Hu1,2, Gai-Ting Liu1,3, Dan-Dan Wang4

  • 1Tianjin Key Laboratory of Radiation Medicine and Molecular Nuclear Medicine, Institute of Radiation Medicine, Chinese Academy of Medical Sciences, Tianjin, China.

Abstract

Insights

SM-1 enhances head and neck squamous cell carcinoma (HNSCC) cells' sensitivity to radiation, showing significant anti-tumor effects both in vitro and in vivo. This suggests SM-1 is a promising radiosensitizer for HNSCC clinical trials.

Area of Science:

  • Oncology
  • Cancer Biology
  • Radiotherapy Research

Background:

  • Head and neck squamous cell carcinoma (HNSCC) presents a global health challenge with high recurrence rates and poor patient outcomes.
  • Current treatment limitations necessitate novel therapeutic strategies to improve HNSCC management.
  • SM-1, derived from PAC-1, demonstrates potential by activating procaspase-3 and inducing apoptosis in cancer cells.

Purpose of the Study:

  • To investigate the radiosensitizing effect of SM-1 on HNSCC.
  • To evaluate the combination therapy of SM-1 and radiation in both in vitro and in vivo models.
  • To determine the anti-tumor efficacy and underlying mechanisms of SM-1 as a radiosensitizer for HNSCC.

Main Methods:

  • Cell viability assays (MTT) were performed on HNSCC cell lines (HONE1, HSC-2, CAL27).
  • Colony formation assays assessed the combined effects of SM-1 and radiation on cell survival.
  • Flow cytometry and Western blot analyzed apoptosis, cell cycle, and related protein expression.
  • A xenograft tumor model was utilized for in vivo evaluation.

Main Results:

  • SM-1 inhibited HNSCC cell activity and synergistically enhanced anti-proliferation with radiation.
  • SM-1 significantly increased cancer cell radiosensitivity, outperforming Debio1143.
  • SM-1 induced G2/M phase arrest by inhibiting CyclinB1 and CDC2, and promoted apoptosis via caspase-3 activation and PARP1 cleavage.
  • In vivo studies confirmed a notable anti-tumor effect of SM-1 combined with irradiation.

Conclusions:

  • SM-1 effectively enhances the radiosensitivity of HNSCC cells.
  • The findings support SM-1's potential as a clinical radiosensitizer for HNSCC radiotherapy.
  • Further clinical trials are warranted to explore SM-1's therapeutic role in HNSCC treatment.