R&D Division, Kyowa Hakko Kirin Co., Ltd., Sunto, Shizuoka, Japan.
School of Life Science and Technology, Tokyo Institute of Technology, Yokohama, Kanagawa, Japan.
Cancer Med. 2019 Mar;8(3):1157-1168. doi: 10.1002/cam4.1949. Epub 2019 Feb 8.
Keap1/Nrf2 pathway regulates the antioxidant stress response, detoxification response, and energy metabolism. Previous reports found that aberrant Keap1/Nrf2 pathway activation due to Kelch-like ECH-associated protein 1 (Keap1) mutations or Nuclear factor E2-related factor 2 (Nrf2) mutations induced resistance of cancer cells to chemotherapy and accelerated cell growth via the supply of nutrients. Therefore, Keap1/Nrf2 pathway activation is associated with a poor prognosis in many cancers. These previous findings suggested that inhibition of Keap1/Nrf2 pathway could be a target for anti-cancer therapies. To discover a small-molecule Keap1/Nrf2 pathway inhibitor, we conducted high-throughput screening in Keap1 mutant human lung cancer A549 cells using a transcriptional reporter assay. Through this screening, we identified the novel Keap1/Nrf2 pathway inhibitor K-563, which was isolated from actinomycete Streptomyces sp. K-563 suppressed the expression of Keap1/Nrf2 pathway downstream target genes or the downstream target protein, which induced suppression of GSH production, and activated reactive oxygen species production in A549 cells. K-563 also inhibited the expression of downstream target genes in other Keap1- or Nrf2-mutated cancer cells. Furthermore, K-563 exerted anti-proliferative activities in these mutated cancer cells. These in vitro analyses showed that K-563 was able to inhibit cell growth in Keap1- or Nrf2-mutated cancer cells by Keap1/Nrf2 pathway inhibition. K-563 also exerted synergistic combinational effects with lung cancer chemotherapeutic agents. An in vivo study in mice xenotransplanted with A549 cells to further explore the therapeutic potential of K-563 revealed that it also inhibited Keap1/Nrf2 pathway in lung cancer tumors. K-563, a novel Keap1/Nrf2 pathway inhibitor, may be a lead compound for development as an anti-cancer agent.
KEAP1/NRF2 通路调节抗氧化应激反应、解毒反应和能量代谢。先前的研究报告发现,由于 Kelch 样 ECH 相关蛋白 1(KEAP1)突变或核因子 E2 相关因子 2(NRF2)突变导致 KEAP1/NRF2 通路异常激活,癌细胞对化疗产生耐药性,并通过提供营养加速细胞生长。因此,KEAP1/NRF2 通路的激活与许多癌症的不良预后相关。这些先前的研究结果表明,抑制 KEAP1/NRF2 通路可能是癌症治疗的一个靶点。为了发现一种小分子 KEAP1/NRF2 通路抑制剂,我们使用转录报告基因检测法在 KEAP1 突变的人肺癌 A549 细胞中进行了高通量筛选。通过这种筛选,我们鉴定出了新型的 KEAP1/NRF2 通路抑制剂 K-563,它是从放线菌 Streptomyces sp. K-563 中分离出来的。K-563 抑制 KEAP1/NRF2 通路下游靶基因或下游靶蛋白的表达,诱导 GSH 产生抑制,并激活 A549 细胞中活性氧的产生。K-563 还抑制其他 KEAP1 或 NRF2 突变的癌细胞中的下游靶基因的表达。此外,K-563 对这些突变的癌细胞的增殖也有抑制作用。这些体外分析表明,K-563 通过抑制 KEAP1/NRF2 通路,能够抑制 KEAP1 或 NRF2 突变的癌细胞的生长。K-563 还与肺癌化疗药物产生协同组合效应。在 A549 细胞异种移植的小鼠体内研究进一步探索了 K-563 的治疗潜力,结果表明它也抑制了肺癌肿瘤中的 KEAP1/NRF2 通路。K-563,一种新型的 KEAP1/NRF2 通路抑制剂,可能是开发抗癌药物的先导化合物。