2-methoxyestradiol is effective in 2D and 3D models of NCI-H2170 lung squamous cell carcinoma cells

Paul Mellor1, Stephanie Kendall1, Deborah H Anderson1,2,3

  • 1Cancer Research Group, University of Saskatchewan, Saskatoon, Saskatchewan, Canada.

Plos One
|August 4, 2026
PubMed

Insights

This study repurposed FDA-approved drugs for lung squamous cell carcinoma (LUSC). A hypoxia-inducible factor 1-alpha inhibitor and three anti-infectives showed promise against metastatic LUSC cells.

Area of Science:

  • Oncology
  • Pharmacology
  • Drug Discovery

Background:

  • Lung squamous cell carcinoma (LUSC) presents a significant therapeutic challenge with limited targeted treatment options.
  • Drug repurposing offers a promising avenue to identify novel anti-cancer agents for LUSC.

Purpose of the Study:

  • To evaluate drug sensitivities of NCI-H2170 LUSC cells using 2D and 3D spheroid models.
  • To identify FDA-approved drugs, including non-traditional anti-cancer agents, effective against LUSC.

Main Methods:

  • Utilized 2D adherent and 3D spheroid cell culture models of NCI-H2170 LUSC cells.
  • Screened a large library of FDA-approved drugs for anti-cancer activity.
  • Assessed cell death in 2D models and spheroid size reduction in 3D models.
  • Determined half maximal effective concentration (EC50) for top-performing drugs.

Main Results:

  • 263 drugs reduced viability in 2D models; 87 drugs reduced spheroid volume in 3D models at 10 µM.
  • 60 drugs demonstrated efficacy in both 2D and 3D models.
  • Four drugs, including a HIF-1α inhibitor and three anti-infectives, selectively targeted metastatic LUSC cells.

Conclusions:

  • 2-methoxyestradiol (a HIF-1α inhibitor), cetylpyridinium chloride, chlorhexidine-2HCl, and zinc pyrithione show potential for treating metastatic LUSC.
  • These findings support further investigation of these repurposed drugs for LUSC therapy.

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