Proteasome inhibition enhances lysosome-mediated targeted protein degradation

Ahmed M Elshazly1,2,3, Nayyerehalsadat Hosseini1, Janakiram Vangala1

  • 1Department of Pathology, Virginia Commonwealth University, Richmond, VA, USA.

Insights

Cancer cells activate adaptive autophagy in response to proteasome inhibitors. This study developed an autophagy-targeting chimera (AUTAC) to degrade Mcl1, enhancing proteasome inhibitor efficacy and promoting cancer cell death.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cellular Biology

Background:

  • Proteasome inhibitors are used for multiple myeloma and mantle cell lymphoma, but cancer cells develop resistance.
  • Cancer cells activate nuclear factor erythroid 2-related factor 1 (NRF1) to upregulate proteasome and autophagy genes, counteracting proteasome inhibition.
  • This adaptive response reduces proteotoxic stress, diminishing proteasome inhibitor effectiveness.

Purpose of the Study:

  • To investigate leveraging the adaptive autophagy response therapeutically instead of suppressing it.
  • To design an autophagy-targeting chimera (AUTAC) for selective degradation of the anti-apoptotic protein Mcl1 via the lysosome.
  • To determine if combining proteasome inhibitors with Mcl1 AUTAC enhances cancer cell death.

Main Methods:

  • Designed an autophagy-targeting chimera (AUTAC) to induce lysosomal degradation of Mcl1.
  • Investigated the mechanism of AUTAC-mediated degradation, including ubiquitination and cargo receptor involvement.
  • Tested the combination of a proteasome inhibitor (carfilzomib) and Mcl1 AUTAC in vitro and in vivo models.

Main Results:

  • Lysosome-mediated Mcl1 degradation by AUTAC was amplified in the presence of proteasome inhibition, dependent on NRF1.
  • AUTAC-driven Mcl1 clearance required K63-linked ubiquitination by UBC13 and TRAF6, and p62/SQSTM1 recognition.
  • The combination of carfilzomib and Mcl1 AUTAC synergistically induced cell death in multiple myeloma and lung cancer cells, including resistant lines, and reduced tumor xenografts.

Conclusions:

  • This study presents a novel strategy to enhance proteasome inhibitor efficacy by exploiting the adaptive autophagy response.
  • The developed AUTAC compound effectively targets Mcl1 for lysosomal degradation, amplifying therapeutic effects when combined with proteasome inhibitors.
  • This work establishes a framework for amplifying lysosome-mediated targeted protein degradation for cancer therapeutics.

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