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Updated: May 23, 2025

Establishment of a Clinic-based Biorepository
Published on: May 29, 2017
SQSTM1/p62 as a therapeutic target in cancer
Hyeong-Reh C Kim1,2, Abdo J Najy1, Seongho Kim2,3
1Department of Pathology.
Abstract:
Cell survival depends on dynamic interactions among the signaling pathways that control the endoplasmic reticulum (ER) stress response, macroautophagy/autophagy and apoptotic cell death. Our recent study reported an association of cytoplasmic SQSTM1/p62-mediated autophagy with disease progression and therapy resistance in head and neck squamous cell carcinoma (HNSCC). Synthetic small molecule ligands of SQSTM1 activate autophagic flux by binding the SQSTM1 ZZ domain and promoting self-oligomerization. Importantly, we found that the combination of pharmacological activation of SQSTM1 and therapeutic radiation promotes formation of ubiquitinated CASP8 (caspase 8) aggresomes that lead to apoptotic cell death of HNSCC. This finding suggests the potential for the development of a novel therapeutic strategy involving pharmacological activation of SQSTM1 in intrinsically apoptosis-resistant and therapy-resistant cancer cells.
Insights
Activating SQSTM1 in head and neck cancer promotes autophagy and forms aggresomes, enhancing cell death when combined with radiation therapy. This offers a new strategy for resistant cancers.
Area of Science:
- Cellular biology
- Cancer research
- Molecular signaling pathways
Background:
- Cell survival is regulated by complex interactions between endoplasmic reticulum stress, autophagy, and apoptosis.
- Autophagy mediated by cytoplasmic sequestosome 1 (SQSTM1/p62) is linked to head and neck squamous cell carcinoma (HNSCC) progression and treatment resistance.
Purpose of the Study:
- To investigate the therapeutic potential of pharmacologically activating SQSTM1 in HNSCC.
- To explore the combined effects of SQSTM1 activation and radiation therapy on HNSCC cell death.
Main Methods:
- Utilized synthetic small molecule ligands to activate SQSTM1 and induce autophagic flux.
- Investigated the formation of ubiquitinated caspase-8 (CASP8) aggresomes.
- Assessed apoptotic cell death in HNSCC cells treated with SQSTM1 activators and radiation.
Main Results:
- Pharmacological activation of SQSTM1 enhances autophagic flux.
- Combination therapy of SQSTM1 activation and radiation induces ubiquitinated CASP8 aggresome formation.
- This combination leads to apoptotic cell death in HNSCC cells, including those resistant to apoptosis and therapy.
Conclusions:
- Pharmacological activation of SQSTM1 represents a promising therapeutic strategy for HNSCC.
- Targeting SQSTM1-mediated autophagy and aggresome formation can overcome apoptosis and therapy resistance in HNSCC.
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