a Department of Biology, Faculty of Science II , Lebanese University , Fanar , Lebanon.
b Department of Pediatrics and Adolescent Medicine , American University of Beirut , Beirut , Lebanon.
Cancer Biol Ther. 2019;20(3):272-283. doi: 10.1080/15384047.2018.1529093. Epub 2018 Oct 11.
Rhabdomyosarcoma (RMS) is an aggressive childhood sarcoma with two distinct subtypes, embryonal (ERMS) and alveolar (ARMS) histologies. More effective treatment is needed to improve outcomes, beyond conventional cytotoxic chemotherapy. The pan-histone deacetylase inhibitor, Suberoylanilide Hydroxamic Acid (SAHA), has shown promising efficacy in limited preclinical studies. We used a panel of human ERMS and ARMS cell lines and xenografts to evaluate the effects of SAHA as a therapeutic agent in both RMS subtypes. SAHA decreased cell viability by inhibiting S-phase progression in all cell lines tested, and induced apoptosis in all but one cell line. Molecularly, SAHA-treated cells showed activation of a DNA damage response, induction of the cell cycle inhibitors p21 and p27 and downregulation of Cyclin D1. In a subset of RMS cell lines, SAHA promoted features of cellular senescence and myogenic differentiation. Interestingly, SAHA treatment profoundly decreased protein levels of the driver fusion oncoprotein PAX3-FOXO1 in ARMS cells at a post-translational level. In vivo, SAHA-treated xenografts showed increased histone acetylation and induction of a DNA damage response, along with variable upregulation of p21 and p27. However, while the ARMS Rh41 xenograft tumor growth was significantly inhibited, there was no significant inhibition of the ERMS tumor xenograft RD. Thus, our work shows that, while SAHA is effective against ERMS and ARMS tumor cells in vitro, it has divergent in vivo effects . Together with the observed effects on the PAX3-FOXO1 fusion protein, these data suggest SAHA as a possible therapeutic agent for clinical testing in patients with fusion protein-positive RMS.
横纹肌肉瘤(RMS)是一种具有两种不同亚型的侵袭性儿童肉瘤,即胚胎型(ERMS)和肺泡型(ARMS)组织学。为了改善预后,除了传统的细胞毒性化疗外,还需要更有效的治疗方法。组蛋白去乙酰化酶抑制剂,丁酸钠(SAHA),在有限的临床前研究中显示出了有希望的疗效。我们使用一组人 ERMS 和 ARMS 细胞系和异种移植来评估 SAHA 作为两种 RMS 亚型的治疗剂的效果。SAHA 通过抑制所有测试的细胞系中的 S 期进展来降低细胞活力,并诱导除一种细胞系之外的所有细胞系凋亡。在分子水平上,SAHA 处理的细胞显示出 DNA 损伤反应的激活,细胞周期抑制剂 p21 和 p27 的诱导以及细胞周期蛋白 D1 的下调。在一组 RMS 细胞系中,SAHA 促进了细胞衰老和肌源性分化的特征。有趣的是,SAHA 处理在 ARMS 细胞中以翻译后水平显著降低驱动融合癌蛋白 PAX3-FOXO1 的蛋白水平。在体内,SAHA 处理的异种移植显示出组蛋白乙酰化增加和 DNA 损伤反应的诱导,同时 p21 和 p27 的表达水平也发生了不同程度的上调。然而,虽然 ARMS Rh41 异种移植肿瘤的生长明显受到抑制,但 ERMS 肿瘤异种移植 RD 没有明显抑制。因此,我们的工作表明,虽然 SAHA 在体外对 ERMS 和 ARMS 肿瘤细胞有效,但它在体内具有不同的作用。结合对 PAX3-FOXO1 融合蛋白的观察到的影响,这些数据表明 SAHA 可能是融合蛋白阳性 RMS 患者临床测试的一种潜在治疗剂。