帕比司他通过在人非小细胞肺癌中触发自噬来增强阿达格拉西布诱导的细胞死亡。
Panobinostat potentiates adagrasib-induced cell death by triggering autophagy in human non-small cell lung cancer.
作者信息
Lu Hui, Fu Wenying, Xia Yiqun, Yan Ying, Shu Chongchong, Chen Yinghua, Xu Chenxin, Zheng Peisen, Shen Xin, Cui Ri, Zou Peng, Ni Daoyong
机构信息
Affiliated Yueqing Hospital, Wenzhou Medical University, Wenzhou, China.
School of Pharmaceutical Sciences, Wenzhou Medical University, Wenzhou, China.
出版信息
Cell Death Discov. 2025 Aug 1;11(1):360. doi: 10.1038/s41420-025-02657-9.
Adagrasib, a KRASG12C inhibitor, recently received accelerated approval from the US FDA for the treatment of patients diagnosed with KRASG12C-mutated non-small cell lung cancer. Although adagrasib has demonstrated excellent clinical efficacy and good safety, the molecular mechanism underlying the antitumor activity of adagrasib remains elusive. Here, we report that adagrasib treatment markedly inhibited the growth of cells harboring the KRASG12C mutation, whereas the non-KRASG12C cell lines H1299 and PC-9 were also sensitive to adagrasib, indicating that adagrasib exerted off-target effects. Mechanism studies indicated that adagrasib treatment reduced the level of NRF2 via upregulating its ubiquitination, and NRF2 overexpression can reverse the adagrasib-induced cell death in H23 and H1299 cells. Furthermore, adagrasib treatment significantly increased the cellular ROS level and thereby activating autophagy and AKT signaling pathways in H23 and H1299 cells. Importantly, combination of adagrasib with panobinostat demonstrated enhanced antitumor activity in vitro and in vivo. Overall, our data elucidate a novel mechanism of adagrasib, which will be critical for the clinical application of adagrasib.
阿达格拉西布是一种KRASG12C抑制剂,最近获得了美国食品药品监督管理局(FDA)的加速批准,用于治疗被诊断为KRASG12C突变的非小细胞肺癌患者。尽管阿达格拉西布已显示出优异的临床疗效和良好的安全性,但其抗肿瘤活性的分子机制仍不清楚。在此,我们报告阿达格拉西布治疗显著抑制了携带KRASG12C突变的细胞的生长,而非KRASG12C细胞系H1299和PC-9对阿达格拉西布也敏感,这表明阿达格拉西布发挥了脱靶效应。机制研究表明,阿达格拉西布治疗通过上调NRF2的泛素化降低了其水平,并且NRF2过表达可逆转H23和H1299细胞中阿达格拉西布诱导的细胞死亡。此外,阿达格拉西布治疗显著提高了细胞内活性氧水平,从而激活了H23和H1299细胞中的自噬和AKT信号通路。重要的是,阿达格拉西布与帕比司他联合使用在体外和体内均显示出增强的抗肿瘤活性。总体而言,我们的数据阐明了阿达格拉西布的一种新机制,这对阿达格拉西布的临床应用至关重要。