Synergistic antitumor activity of artesunate and HDAC inhibitors through elevating heme synthesis via synergistic upregulation of ALAS1 expression

Autor: Feng Zhiqi, Xiaoan Wen, Caiping Chen, Hongbin Sun, Kun Chen
Jazyk: angličtina
Rok vydání: 2019
Předmět:
CMCNa
carboxymethyl cellulose

Artesunate
HDAC
histone deacetylase

chemistry.chemical_compound
0302 clinical medicine
ALAS
5-aminolevulinate synthase

GSDME
gasdermin E

General Pharmacology
Toxicology and Pharmaceutics

Cytotoxicity
Heme
0303 health sciences
LBH589
panobinostat

ATP synthase
biology
Chemistry
ART
artemisinin

SA
succinyl acetone

HDACi
HDAC inhibitor

ALAD
5-aminolevulinate dehydratase

DHA
dihydroartemisinin

DMAB
(dimethylamino)benzaldehyde

PDT
photodynamic therapy

030220 oncology & carcinogenesis
PpIX
protoporphyrin IX

Programmed cell death
Original article
PI
propidium iodide

03 medical and health sciences
FECH
ferrochelatase

ROS
reactive oxygen species

Downregulation and upregulation
HDAC inhibitor
SAHA
vorinostat

HMBS
hydroxymethylbilane synthase

030304 developmental biology
KD
knockdown

ARS
artesunate

KO
knockout

lcsh:RM1-950
sgRNA
single guide RNA

CI
combination index

Antitumor
WT
wild-type

ALAS1
lcsh:Therapeutics. Pharmacology
Cancer research
biology.protein
ALA
5-aminolevulinic acid

Histone deacetylase
CCK-8
cell counting kit 8

Homeostasis
Zdroj: Acta Pharmaceutica Sinica. B
Acta Pharmaceutica Sinica B, Vol 9, Iss 5, Pp 937-951 (2019)
ISSN: 2211-3843
2211-3835
Popis: Artemisinin and its derivatives (ARTs) were reported to display heme-dependent antitumor activity. On the other hand, histone deacetylase inhibitors (HDACi) were known to be able to promote heme synthesis in erythroid cells. Nevertheless, the effect of HDACi on heme homeostasis in non-erythrocytes remains unknown. We envisioned that the combination of HDACi and artesunate (ARS) might have synergistic antitumor activity through modulating heme synthesis. In vitro studies revealed that combination of ARS and HDACi exerted synergistic tumor inhibition by inducing cell death. Moreover, this combination exhibited more effective antitumor activity than either ARS or HDACi monotherapy in xenograft models without apparent toxicity. Importantly, mechanistic studies revealed that HDACi coordinated with ARS to increase 5-aminolevulinate synthase (ALAS1) expression, and subsequent heme production, leading to enhanced cytotoxicity of ARS. Notably, knocking down ALAS1 significantly blunted the synergistic effect of ARS and HDACi on tumor inhibition, indicating a critical role of ALAS1 upregulation in mediating ARS cytotoxicity. Collectively, our study revealed the mechanism of synergistic antitumor action of ARS and HDACi. This finding indicates that modulation of heme synthesis pathway by the combination based on ARTs and other heme synthesis modulators represents a promising therapeutic approach to solid tumors.
Graphical abstract HDAC inhibitors (HDACi) cooperate with artesunate (ARS) to synergistically induce tumor cell death through promoting ALAS1 expression and subsequent heme synthesis, leading to enhanced cytotoxicity of ARS. This finding demonstrates a promising therapeutic approach to solid tumors based on modulating heme synthesis by the combination of artemisinin derivatives with HDACi.Image 1
Databáze: OpenAIRE