Betulinic acid induces lysosome-dependent death in prostate cancer by targeting DDX5

Shoushi Liu1, Xiaolan Li1, Zhiping Cheng1

  • 1Key Laboratory of Longevity and Aging-related Diseases of Chinese Ministry of Education& Center for Translational Medicine, Nanning 530021, China; Guangxi Key Laboratory of Bioactive Molecules Research and Evaluation & College of Pharmacy, Guangxi Medical University, Nanning 530021, China.

Abstract

Insights

Betulinic acid targets DDX5 in prostate cancer, disrupting lysosomal function and inducing cell death. This discovery offers a new therapeutic strategy by exploiting cancer cell lysosomal vulnerability.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Prostate cancer (PCa) is a major cause of male cancer mortality.
  • Betulinic acid (BA) shows antitumor potential, but its mechanism in PCa is unknown.

Purpose of the Study:

  • Identify the molecular target of Betulinic acid (BA) in prostate cancer (PCa).
  • Elucidate the mechanism by which BA inhibits PCa progression.

Main Methods:

  • Utilized in vitro and in vivo models of PCa.
  • Assessed BA's effects on apoptosis, lysosomal membrane permeabilization (LMP), and cell death.
  • Employed biochemical and biophysical techniques for target identification, including pull-down assays, DARTS, molecular docking, and MST.
  • Validated the role of DDX5 using clinical data and siRNA knockdown.

Main Results:

  • BA suppressed PCa growth in vitro and in vivo without toxicity.
  • BA directly binds and inhibits DDX5, disrupting TFEB-mediated lysosomal biogenesis and V-ATPase subunit H (ATP6V1H) expression.
  • This leads to LMP, lysosome-dependent cell death (LDCD), and apoptosis.
  • Reduced DDX5 expression in PCa tissues and DDX5 knockdown abrogated BA's effects.

Conclusions:

  • BA targets DDX5, inducing LDCD via the novel BA-DDX5-TFEB-ATP6V1H pathway.
  • This mechanism exploits lysosomal vulnerability in PCa.
  • Findings support BA's therapeutic potential and lysosomal membrane destabilization as a PCa treatment strategy.

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