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Discovery of Highly Potent AKR1C3 Inhibitors Treating Sorafenib-Resistant Hepatocellular Carcinoma
Shuaishuai Xing1, Jiheng Jiang2, Xianglin Chu1
1School of Pharmacy, China Pharmaceutical University, Nanjing 211198, People's Republic of China.
Abstract:
Aldo-keto reductase 1C3 (AKR1C3) plays a key role in tumor progression and chemotherapy resistance, particularly in sorafenib-resistant hepatocellular carcinoma (HCC). Targeting AKR1C3 represents a promising strategy to restore chemosensitivity in resistant HCC. Previous research identified the lead compound S07-2005 through a cascade virtual screening approach (AKR1C3 IC50 = 130 ± 30 nM, SI (selective index) > 77). Using cocrystal-guided drug design, 30 was optimized to adopt an "L"-shaped conformation targeting AKR1C3's subpocket 1 (SP1) and oxyanion site (OS), enhancing inhibitory potency and selectivity (AKR1C3 IC50 = 5 ± 1 nM, SI > 2000). It enhanced sorafenib-induced ROS generation, promoted apoptosis, and restored sorafenib sensitivity in HCC models. In combination with sorafenib, compound 30 restored sorafenib sensitivity in HCC both in vitro and in vivo. Additionally, compound 30 demonstrated a favorable safety profile and pharmacokinetic properties, suggesting its potential as an adjunct to overcome AKR1C3-mediated chemotherapy resistance in cancer treatment.
Insights
A novel compound, 30, effectively targets Aldo-keto reductase 1C3 (AKR1C3) to overcome chemotherapy resistance in hepatocellular carcinoma (HCC). This strategy restores sorafenib sensitivity in resistant HCC models, offering a promising adjunct cancer therapy.
Area of Science:
- Biochemistry
- Pharmacology
- Oncology
Background:
- Aldo-keto reductase 1C3 (AKR1C3) is implicated in tumor progression and chemotherapy resistance, especially in sorafenib-resistant hepatocellular carcinoma (HCC).
- Targeting AKR1C3 is a potential strategy to re-sensitize resistant HCC to chemotherapy.
Purpose of the Study:
- To develop and optimize novel inhibitors of AKR1C3.
- To evaluate the efficacy of a lead compound in restoring sorafenib sensitivity in HCC models.
Main Methods:
- Cocrystal-guided drug design was employed to optimize a lead compound (S07-2005) into compound 30.
- Compound 30's inhibitory activity, selectivity, and effects on apoptosis and ROS generation were assessed.
- The combination therapy of compound 30 and sorafenib was evaluated in vitro and in vivo HCC models.
Main Results:
- Compound 30 exhibited enhanced potency (IC50 = 5 ± 1 nM) and selectivity (SI > 2000) against AKR1C3 by targeting specific enzyme sites.
- Compound 30 promoted sorafenib-induced reactive oxygen species (ROS) generation and apoptosis.
- Combination therapy with compound 30 restored sorafenib sensitivity in HCC models, both in vitro and in vivo.
Conclusions:
- Compound 30 is a potent and selective AKR1C3 inhibitor with favorable pharmacokinetic properties.
- Compound 30 shows potential as an adjunct therapy to overcome AKR1C3-mediated chemoresistance in HCC.
- This approach offers a promising strategy for treating sorafenib-resistant HCC.
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