Repurposing acetyldigitoxin as a potential EZH2 inhibitor for non-small cell lung cancer: a computational and

Xiang Ji1, Xiyan Wang1, Ting Xiu2

  • 1Respiratory Department, First Affiliated Hospital of Shandong First Medical University, No. 16766, Jingshi Road, Qianfoshan Street, Lixia District, Jinan City, 250014, Shandong Province, China.

Insights

Acetyldigitoxin (ADT) is identified as a potent inhibitor of EZH2, an epigenetic regulator crucial in non-small cell lung cancer (NSCLC). This repurposed drug shows selective toxicity against NSCLC cells, offering a new therapeutic avenue.

Area of Science:

  • Oncology
  • Epigenetics
  • Pharmacology

Background:

  • Non-small cell lung cancer (NSCLC) is a major global health concern.
  • Enhancer of Zeste Homolog 2 (EZH2) is an epigenetic regulator implicated in NSCLC progression and treatment resistance.
  • Targeting EZH2 presents a promising strategy for NSCLC therapy.

Purpose of the Study:

  • To repurpose FDA-approved drugs as inhibitors of EZH2 for NSCLC treatment.
  • To identify novel EZH2 inhibitors through computational and experimental approaches.

Main Methods:

  • Virtual screening and molecular dynamics simulations were employed to identify potential EZH2 inhibitors.
  • In vitro assays were conducted to assess the cytotoxicity and molecular effects of the identified compound.
  • Key molecular interactions and binding affinities were computationally evaluated.

Main Results:

  • Acetyldigitoxin (ADT) was identified as a potent EZH2 inhibitor with superior binding affinity and stability compared to GSK126.
  • ADT demonstrated selective cytotoxicity against NSCLC A549 cells.
  • ADT treatment reduced EZH2 expression, inhibited its methyltransferase activity (decreased H3K27me3), induced G0/G1 cell cycle arrest, and promoted apoptosis in NSCLC cells.

Conclusions:

  • Acetyldigitoxin (ADT) is a promising repurposed drug candidate for targeting EZH2 in NSCLC.
  • ADT exhibits potent anti-cancer effects through EZH2 inhibition, cell cycle arrest, and apoptosis induction.
  • Further preclinical studies are warranted to validate ADT as an NSCLC therapeutic agent.

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