XPO1/CRM1介导的核输出选择性抑制剂在弥漫性恶性腹膜间皮瘤中的抗肿瘤活性:生存素的作用

Anti-tumor activity of selective inhibitors of XPO1/CRM1-mediated nuclear export in diffuse malignant peritoneal mesothelioma: the role of survivin.

作者信息

De Cesare Michelandrea, Cominetti Denis, Doldi Valentina, Lopergolo Alessia, Deraco Marcello, Gandellini Paolo, Friedlander Sharon, Landesman Yosef, Kauffman Michael G, Shacham Sharon, Pennati Marzia, Zaffaroni Nadia

机构信息

Molecular Pharmacology Unit, Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.

Peritoneal Surface Malignancy Program, Department of Surgery, Fondazione IRCCS Istituto Nazionale dei Tumori, Milano, Italy.

出版信息

Oncotarget. 2015 May 30;6(15):13119-32. doi: 10.18632/oncotarget.3761.

Abstract

Survivin, which is highly expressed and promotes cell survival in diffuse malignant peritoneal mesothelioma (DMPM), exclusively relies on exportin 1 (XPO1/CRM1) to be shuttled into the cytoplasm and perform its anti-apoptotic function. Here, we explored the efficacy of Selective Inhibitors of Nuclear Export (SINE), KPT-251, KPT-276 and the orally available, clinical stage KPT-330 (selinexor), in DMPM preclinical models. Exposure to SINE induced dose-dependent inhibition of cell growth, cell cycle arrest at G1-phase and caspase-dependent apoptosis, which were consequent to a decrease of XPO1/CRM1 protein levels and the concomitant nuclear accumulation of its cargo proteins p53 and CDKN1a. Cell exposure to SINE led to a time-dependent reduction of cytoplasmic survivin levels. In addition, after an initial accumulation, the nuclear protein abundance progressively decreased, as a consequence of an enhanced ubiquitination and proteasome-dependent degradation. SINE and the survivin inhibitor YM155 synergistically cooperated in reducing DMPM cell proliferation. Most importantly, orally administered SINE caused a significant anti-tumor effect in subcutaneous and orthotopic DMPM xenografts without appreciable toxicity. Overall, we have demonstrated a marked efficacy of SINE in DMPM preclinical models that may relay on the interference with survivin intracellular distribution and function. Our study suggests SINE-mediated XPO1/CRM1 inhibition as a novel therapeutic option for DMPM.

摘要

存活素在弥漫性恶性腹膜间皮瘤(DMPM)中高表达并促进细胞存活,它完全依赖核输出蛋白1(XPO1/CRM1)穿梭进入细胞质并发挥其抗凋亡功能。在此,我们在DMPM临床前模型中探究了核输出选择性抑制剂(SINE)KPT-251、KPT-276以及口服可用的临床阶段药物KPT-330(塞利尼索)的疗效。暴露于SINE会诱导细胞生长的剂量依赖性抑制、细胞周期停滞于G1期以及半胱天冬酶依赖性凋亡,这是由于XPO1/CRM1蛋白水平降低及其货物蛋白p53和CDKN1a伴随性核积累所致。细胞暴露于SINE会导致细胞质中存活素水平随时间下降。此外,在最初积累后,由于泛素化增强和蛋白酶体依赖性降解,核蛋白丰度逐渐降低。SINE与存活素抑制剂YM155在降低DMPM细胞增殖方面协同合作。最重要的是,口服给予SINE在皮下和原位DMPM异种移植模型中产生了显著的抗肿瘤作用,且无明显毒性。总体而言,我们已证明SINE在DMPM临床前模型中具有显著疗效,这可能依赖于对存活素细胞内分布和功能的干扰。我们的研究表明,SINE介导的XPO1/CRM1抑制是DMPM的一种新型治疗选择。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/12d9/4537003/127d529e5d9c/oncotarget-06-13119-g001.jpg

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