Title A novel small molecule inhibitor of MDM2-p53 (APG-115) enhances radiosensitivity of gastric adenocarcinoma
Authors Yi, Hanjie
Yan, Xianglei
Luo, Qiuyun
Yuan, Luping
Li, Baoxia
Pan, Wentao
Zhang, Lin
Chen, Haibo
Wang, Jing
Zhang, Yubin
Zhai, Yifan
Qiu, Miao-Zhen
Yang, Da-Jun
Affiliation Sun Yat Sen Univ, Dept Expt Res, State Key Lab Oncol South China, Collaborat Innovat Ctr Canc Med,Canc Ctr, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Ningbo Univ, Med Sch, YinZhou Hosp, Ningbo 315000, Zhejiang, Peoples R China.
Peking Univ, Shenzhen Hosp, Guangzhou 510060, Guangdong, Peoples R China.
Guangzhou Red Cross Hosp, Guangzhou 510060, Guangdong, Peoples R China.
Ascentage Pharma, Taizhou 225300, Jiangsu, Peoples R China.
Suzhou Ascentage Pharma Inc, Taizhou 215123, Jiangsu, Peoples R China.
Sun Yat Sen Univ, Canc Ctr, Dept Med Oncol, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Sun Yat Sen Univ, Dept Expt Res, State Key Lab Oncol South China, Collaborat Innovat Ctr Canc Med,Canc Ctr, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Qiu, MZ (reprint author), Sun Yat Sen Univ, Canc Ctr, Dept Med Oncol, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Qiu, MZ (reprint author), Collaborat Innovat Ctr Canc Med, State Key Lab Oncol South China, 651 Dongfeng Rd East, Guangzhou 510060, Guangdong, Peoples R China.
Keywords Small molecule inhibitors
MDM2
p53
Gastric cancer
Radiation
Apoptosis
P53 TUMOR SUPPRESSION
DNA-DAMAGE RESPONSE
CANCER CELLS
PERIOPERATIVE CHEMOTHERAPY
P53-INDEPENDENT ROLE
MDM-2 ONCOGENE
RADIATION
MICE
PHOSPHORYLATION
ACTIVATION
Issue Date 2018
Publisher JOURNAL OF EXPERIMENTAL & CLINICAL CANCER RESEARCH
Citation JOURNAL OF EXPERIMENTAL & CLINICAL CANCER RESEARCH. 2018, 37.
Abstract Background: Gastric cancer is the leading cause of cancer related death worldwide. Radiation alone or combined with chemotherapy plays important role in locally advanced and metastatic gastric adenocarcinoma. MDM2-p53 interaction and downstream signaling affect cellular response to DNA damage which leads to cell cycle arrest and apoptosis. Therefore, restoring p53 function by inhibiting its interaction with MDM2 is a promising therapeutic strategy for cancer. APG-115 is a novel small molecule inhibitor which blocks the interaction of MDM2 and p53. In this study, we investigated that the radiosensitivity of APG-115 in gastric adenocarcinoma in vitro and in vivo. Methods: The role of APG-115 in six gastric cancer cells viability in vitro was determined by CCK-8 assay. The expression level of MDM2, p21, PUMA and BAX in AGS and MKN45 cell lines was measured via real-time PCR (RT-PCR). The function of treatment groups on cell cycle and cell apoptosis were detected through Flow Cytometry assay. Clonogenic assays were used to measure the radiosensitivity of APG-115 in p53 wild type gastric cancer cell lines. Western blot was conducted to detect the protein expressions of mdm2-p53 signal pathway. Xenograft models in nude mice were established to explore the radiosensitivity role of APG-115 in gastric cancer cells in vivo. Results: We found that radiosensitization by APG-115 occurred in p53 wild-type gastric cancer cells. Increasing apoptosis and cell cycle arrest was observed after administration of APG-115 and radiation. Radiosensitivity of APG-115 was mainly dependent on MDM2-p53 signal pathway. In vivo, APG-115 combined with radiation decreased xenograft tumor growth much more significantly than either single treatment. Moreover, the number of proliferating cells (Ki-67) significantly decreased in combination group compared with single treatment group. Conclusions: In summary, we found that combination of MDM2-p53 inhibitor (APG-115) and radiotherapy can enhance antitumor effect both in vitro and in vivo. This is the first report on radiosensitivity of APG-115 which shed light on clinical trial of the combination therapy of radiation with APG-115 in gastric adenocarcinoma.
URI http://hdl.handle.net/20.500.11897/513237
ISSN 1756-9966
DOI 10.1186/s13046-018-0765-8
Indexed SCI(E)
PubMed
Appears in Collections: 深圳医院

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