A Novel Three Small Molecule Inhibitor Combination Therapy For Prostate Cancer

Ummuhan Demir1,2, Hilal Badoglu2,3, Irem Nur Cetin2,4

  • 1Department of Molecular Biology and Genetics, Faculty of Engineering and Natural Sciences, Istanbul Medeniyet University, Istanbul, Turkiye ummuhan.demir@medeniyet.edu.tr.

Anticancer Research
|June 27, 2025
PubMed
Abstract

Insights

This study combined three small-molecule inhibitors targeting MYC, WNT, and SHH pathways to effectively reduce prostate cancer cell proliferation and migration. The novel combination therapy shows promise for overcoming drug resistance in prostate cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Prostate cancer is a prevalent malignancy in elderly men, often requiring multifaceted therapeutic strategies.
  • Current single-agent treatments for prostate cancer exhibit limitations in efficacy and can lead to resistance.
  • Targeting stemness pathways, including MYC, WNT, and Sonic Hedgehog (SHH), presents a potential approach to combat prostate cancer.

Purpose of the Study:

  • To investigate the antiproliferative effects of a novel combination therapy targeting three distinct stemness-related pathways in prostate cancer.
  • To evaluate the efficacy of combining KJ-Pyr-9 (MYC inhibitor), pyrvinium pamoate (WNT inhibitor), and glasdegib (SHH inhibitor) on prostate cancer cell lines.

Main Methods:

  • Determined half-maximal inhibitory concentration (IC50) and IC25 doses for individual drugs and optimized combination doses in PC-3 cells.
  • Utilized 2D and 3D cell cultures, including PC-3, LNCaP (prostate cancer), and PNT1A (healthy control) cell lines.
  • Employed scratch assays to assess the impact of the combined treatment on cell migration.

Main Results:

  • The drug combination demonstrated synergistic antiproliferative effects in PC-3 cells, with minimal impact on healthy PNT1A cells.
  • Combined treatment significantly reduced the viability and size of 3D spheroids derived from PC-3 and LNCaP cells.
  • The combination therapy markedly decreased the migratory potential of PC-3 and LNCaP prostate cancer cells.

Conclusions:

  • This novel combination therapy targeting MYC, WNT, and SHH pathways offers a promising strategy for prostate cancer treatment.
  • The approach has the potential to overcome drug resistance and mitigate side effects associated with single-agent therapies.
  • This study may pave the way for a new era in prostate cancer treatment paradigms.

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