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.

PubMed

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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