Drug repurposing targeting miRNA-mRNA networks to mitigate areca nut-induced head and neck cancer

Hung-Han Huang1, Joseph T Chang2, Guo-Rung You3

  • 1Graduate Institute of Biomedical Sciences, College of Medicine, Chang Gung University, Taoyuan, Taiwan; Department of Medical Biotechnology and Laboratory Science, College of Medicine, Chang Gung University, Taoyuan, Taiwan.

Biomedical Journal
|July 10, 2025
PubMed
Abstract

Insights

Areca nut promotes head and neck cancer (HNC) via miRNA-mRNA changes. The drug MK-2206 shows promise in reversing these effects and treating HNC.

Area of Science:

  • Molecular Oncology
  • Cancer Genomics
  • Pharmacology

Background:

  • Areca nut is a major risk factor for head and neck cancer (HNC).
  • Molecular mechanisms, especially miRNA regulation, in areca nut-induced HNC are not well understood.
  • This study investigates regulatory networks and explores computational drug repurposing for HNC.

Purpose of the Study:

  • To elucidate miRNA-mRNA regulatory networks in areca nut-induced HNC.
  • To identify potential therapeutic agents for HNC through drug repurposing.
  • To evaluate the efficacy of identified agents in preclinical models.

Main Methods:

  • Assessed arecoline effects on HNC cells and keratinocytes (invasion, migration, cisplatin resistance).
  • Performed high-throughput miRNA and mRNA profiling.
  • Integrated transcriptomic data (TCGA-HNSC) and network analysis (multiMiR) to identify regulatory networks.
  • Utilized OncoPredict for drug repurposing to target dysregulated networks.

Main Results:

  • Arecoline promoted invasion and cisplatin resistance, particularly in normal keratinocytes.
  • Identified a complex miRNA-mRNA network involving 1,971 oncogenes, 604 tumor suppressors, 35 oncogenic miRNAs, and 36 tumor suppressive miRNAs.
  • Discovered key regulatory networks, including a tumor-suppressive network (miR-212-3p hub) and an oncogenic network (miR-410, miR-1-3p hubs).
  • Identified four drug candidates (MK-2206, BYL-719, MG-132, FGIN-1-27), with MK-2206 showing significant promise.
  • MK-2206 reversed arecoline-induced molecular changes, reduced malignant phenotypes, and selectively targeted HNC cells.

Conclusions:

  • This study clarifies areca nut's role in carcinogenesis via miRNA-mRNA interactions.
  • Highlights MK-2206 as a potential therapeutic strategy for areca nut-associated HNC.
  • Suggests MK-2206's selective efficacy warrants further clinical investigation.

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