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Repurposing simeprevir uncovers a druggable KPNB1-p65-BCL2 survival axis in cancer
Cong Li1, Qiaohua Yan2, Muhammad Muddasar Saeed3
1Department of Pulmonary and Critical Care Medicine, Sichuan Provincial People's Hospital, University of Electronic Science and Technology of China, Chengdu, Sichuan 610072, China; Department of Pathology, State Key Laboratory of Biotherapy and Cancer Centre, West China Hospital, Sichuan University, Collaborative Innovation Centre of Biotherapy, Chengdu, Sichuan 610041, China.
Abstract:
Proper subcellular protein localization is fundamental for protein function, yet cancer cells often exploit this machinery for survival. While the nuclear import receptor KPNB1 (importin β1) is overexpressed in various cancers, its oncogenic mechanisms remain incompletely understood and its therapeutic targeting remains in infancy. Through screening of an FDA-approved compound library, we uncovered simeprevir (Sim) and lusutrombopag (Lus) as direct KPNB1 inhibitors that disrupt its import complex assembly. These compounds blocked KPNB1-mediated nuclear import of p65, thereby suppressing Bcl-2 transcription and activating mitochondrial apoptosis. Overexpression of KPNB1, p65, or Bcl-2, but not nuclear localization signal (NLS)-deleted p65, reversed the effect of Sim/Lus. Sim induced apoptosis in multiple cancer cell lines by downregulating Bcl-2 expression and suppressed A549 xenografts growth without observable toxicity. Analysis of The Cancer Genome Atlas (TCGA) datasets substantiated the clinical relevance of the KPNB1-p65-Bcl-2 axis. Our study elucidates a therapeutically targetable KPNB1-p65-Bcl-2 survival axis in multiple cancers and establishes a foundation for developing next-generation KPNB1 inhibitors.
Insights
Cancer cells hijack nuclear import receptor KPNB1 (importin β1) for survival. New inhibitors, simeprevir and lusutrombopag, block KPNB1, suppressing cancer growth by targeting the KPNB1-p65-Bcl-2 axis.
Area of Science:
- Molecular Biology
- Cancer Biology
- Drug Discovery
Background:
- Proper protein localization is crucial for cell function, but cancer cells manipulate this process.
- KPNB1 (importin β1) is overexpressed in cancers, yet its role in oncogenesis and therapeutic potential are not fully understood.
Purpose of the Study:
- To identify KPNB1 inhibitors and elucidate the KPNB1-mediated survival mechanisms in cancer.
- To evaluate the therapeutic potential of identified KPNB1 inhibitors.
Main Methods:
- Screening of an FDA-approved compound library to identify KPNB1 inhibitors.
- Assessing the impact of inhibitors on KPNB1-mediated nuclear import, gene transcription, and apoptosis.
- In vivo studies using xenografts and analysis of The Cancer Genome Atlas (TCGA) datasets.
Main Results:
- Simeprevir (Sim) and lusutrombopag (Lus) were identified as direct KPNB1 inhibitors disrupting import complex assembly.
- Sim and Lus blocked p65 nuclear import, suppressed Bcl-2 transcription, and induced mitochondrial apoptosis.
- Sim demonstrated efficacy in suppressing tumor growth in A549 xenografts with no observable toxicity and validated the KPNB1-p65-Bcl-2 axis in TCGA data.
Conclusions:
- A therapeutically targetable KPNB1-p65-Bcl-2 survival axis in multiple cancers was elucidated.
- Simeprevir and lusutrombopag show promise as novel cancer therapeutics targeting KPNB1.
- This study provides a foundation for developing next-generation KPNB1 inhibitors for cancer treatment.
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