Advertisement
Research Article| Volume 266, P57-68, August 2022

Enhancement of MDM2 inhibitory effects through blocking nuclear export mechanisms in ovarian cancer cells

  • Amal Alzahrani
    Affiliations
    Rumbaugh-Goodwin Institute for Cancer Research, Nova Southeastern University, 3321, College Ave, Fort Lauderdale, Florida 33314, United States

    Department of Pharmacology and Toxicology, Faculty of Pharmacy, King Abdulaziz University, Jeddah, Saudi Arabia

    College of Pharmacy, Nova Southeastern University, Fort Lauderdale, Florida, United States
    Search for articles by this author
  • Umamaheswari Natarajan
    Affiliations
    Rumbaugh-Goodwin Institute for Cancer Research, Nova Southeastern University, 3321, College Ave, Fort Lauderdale, Florida 33314, United States
    Search for articles by this author
  • Appu Rathinavelu
    Correspondence
    Corresponding author at: Rumbaugh-Goodwin Institute for Cancer Research, Nova Southeastern University, 3321, College Ave, Fort Lauderdale, Florida 33314, United States.
    Affiliations
    Rumbaugh-Goodwin Institute for Cancer Research, Nova Southeastern University, 3321, College Ave, Fort Lauderdale, Florida 33314, United States

    College of Pharmacy, Nova Southeastern University, Fort Lauderdale, Florida, United States
    Search for articles by this author

      Highlights

      • Individual treatments with RG-7388 and Selinexor are able to reduce the viability of ovarian cancer cells.
      • The ovarian cancer cells (A2780) treated with the drug combination produced higher levels of apoptosis.
      • The combination treatments with RG-7388 and Selinexor are involved in the induction of caspase-mediated apoptotic mechanism via up-regulation of MDM2, p53, phospho-p53, and p21.
      • The combination treatments enhanced the Inhibitory effects of MDM2 through blocking nuclear export mechanisms in A2780 Ovarian Cancer Cells.

      Abstract

      Over 90% of ovarian cancer cells exhibit p53 mutations or inactivation. In addition, p53 is exported outside of the nucleus by exportin-1 (XPO1), a protein that mediates the nuclear export of several cancer suppressor proteins. Overexpression of XPO1 is associated with resistance to chemotherapy, leading to poor prognosis in various cancers. The MDM2 inhibitor, RG-7388, is a known reactivator of p53 and has been tested with high interest as a therapeutic agent for cancer treatment. In addition, Selinexor, which is a second-generation selective inhibitor of nuclear export (SINE), is known to cause an accumulation of p53 in the nucleus and is also being explored as a therapy potentiating agent in combination treatments. This study was conducted to assess the efficacy of RG-7388 in combination with Selinexor for treating ovarian cancer. A combination of Selinexor and RG-7388 treatments was able to reduce the cell viability compared to individual treatments. In addition, the combination treatment revealed significant up-regulation of several cancer suppressor proteins in the whole lysate, cytoplasm, and nucleus. Finally, our results confirm that the combination of Selinexor with RG-7388 can induce a caspase-mediated apoptotic mechanism via up-regulation of p53 and p21.

      Keywords

      To read this article in full you will need to make a payment

      Purchase one-time access:

      Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online access
      One-time access price info
      • For academic or personal research use, select 'Academic and Personal'
      • For corporate R&D use, select 'Corporate R&D Professionals'

      Subscribe:

      Subscribe to Cancer Genetics
      Already a print subscriber? Claim online access
      Already an online subscriber? Sign in
      Institutional Access: Sign in to ScienceDirect

      References

        • Siegel R.L.
        • Miller K.D.
        • Fuchs H.E.
        • Jemal A.
        Cancer Statistics 2021.
        CA Cancer J Clin. 2021; 71: 7-33
      1. CDC. 03/15/2021 [cited 2022 04/04], Division of cancer prevention and control, 2020, Centers for Disease Control and Prevention. https://www.cdc.gov/cancer/ovarian/basic_info/index.htm.

        • Xie Q.L.
        • Liu Y.
        • Zhu Y.
        Chromosome region maintenance 1 expression and its association with clinical pathological features in primary carcinoma of the liver.
        Exp Ther Med. 2016; 12: 59-68
        • Sun H.
        • Hattori N.
        • Chien W.
        • Sun Q.
        • Sudo M.
        • E-Ling G.L.
        • Ding L.
        • Lim S.L.
        • Shacham S.
        • Kauffman M.
        • Nakamaki T.
        • Koeffler H.P.
        KPT-330 has antitumour activity against non-small cell lung cancer.
        Br J Cancer. 2014; 111: 281-291
        • Fornerod M.
        • Ohno M.
        • Yoshida M.
        • Mattaj I.W.
        CRM1 is an export receptor for leucine-rich nuclear export signals.
        Cell. 1997; 90: 1051-1060
        • Santiago A.
        • Li D.
        • Zhao L.Y.
        • Godsey A.
        • Liao D.
        p53 SUMOylation promotes its nuclear export by facilitating its release from the nuclear export receptor CRM1.
        Mol Biol Cell. 2013; 24: 2739-2752
        • Brodie K.M.
        • Henderson B.R.
        Characterization of BRCA1 protein targeting, dynamics, and function at the centrosome: a role for the nuclear export signal, CRM1, and Aurora A kinase.
        J Biol Chem. 2012; 287: 7701-7716
        • Turner J.G.
        • Dawson J.
        • Sullivan D.M.
        Nuclear export of proteins and drug resistance in cancer.
        Biochem Pharmacol. 2012; 83: 1021-1032
        • Ishizawa J.
        • Kojima K.
        • Hail N.
        • Tabe Y.
        • Andreeff M.
        Expression, function, and targeting of the nuclear exporter chromosome region maintenance 1 (CRM1) protein.
        Pharmacol Ther. 2015; 153: 25-35
        • Xu D.
        • Grishin N.V.
        • Chook Y.M.
        NESdb: a database of NES-containing CRM1 cargoes.
        Mol Biol Cell. 2012; 23: 3673-3676
        • Turner J.G.
        • Marchion D.C.
        • Dawson J.L.
        • Emmons M.F.
        • Hazlehurst L.A.
        • Washausen P.
        • Sullivan D.M.
        Human multiple myeloma cells are sensitized to topoisomerase II inhibitors by CRM1 inhibition.
        Cancer Res. 2009; 69: 6899-6905
        • Kojima K.
        • Kornblau S.M.
        • Ruvolo V.
        • Dilip A.
        • Duvvuri S.
        • Davis R.E.
        • Zhang M.
        • Wang Z.
        • Coombes K.R.
        • Zhang N.
        • Qiu Y.H.
        • Burks J.K.
        • Kantarjian H.
        • Shacham S.
        • Kauffman M.
        • Andreeff M.
        Prognostic impact and targeting of CRM1 in acute myeloid leukemia.
        Blood. 2013; 121: 4166-4174
        • Tai Y.T.
        • Landesman Y.
        • Acharya C.
        • Calle Y.
        • Zhong M.Y.
        • Cea l.
        • Tannenbaum D.
        • Cagnetta A.
        • Reagan M.
        • Munshi A.A.
        • Senapedis W.
        • Saint-Martin J.R.
        • Kashyap T.
        • Shacham S.
        • Kauffman M.
        • Gu Y.
        • Wu L.
        • Ghobrial I.
        • Zhan F.
        • Kung A.L.
        • Schey S.A.
        • Richardson P.
        • Munshi N.C.
        • Anderson K.C.
        CRM1 inhibition induces tumor cell cytotoxicity and impairs osteoclastogenesis in multiple myeloma: molecular mechanisms and therapeutic implications.
        Leukemia. 2014; 28: 155-165
        • Fabregat I.
        Dysregulation of apoptosis in hepatocellular carcinoma cells.
        World J Gastroenterol. 2009; 15: 513
        • Chiorazzi N.
        Cell proliferation and death: forgotten features of chronic lymphocytic leukemia B cells.
        Best Pract Res Clin Haematol. 2007; 20: 399-413
        • Fulda S.
        • Debatin K.M.
        Death receptor signaling in cancer therapy.
        Curr Med Chem Anticancer Agents. 2003; 3: 253-262
        • Gravina G.L.
        • Senapedis W.
        • McCauley D.
        • Baloglu E.
        • Shacham S.
        • Festuccia C.
        Nucleo-cytoplasmic transport as a therapeutic target of cancer.
        J Hematol Oncol. 2014; 7: 85
        • Huang W.Y.
        • Yue L.
        • Qiu W.S.
        • Wang L.W.
        • Zhou X.H.
        • Sun Y.J.
        Prognostic value of CRM1 in pancreas cancer.
        Clin Invest Med. 2009; 32: e315
        • Wang S.
        • Han X.
        • Wang J.
        • Yao J.
        • Shi Y.
        Antitumor effects of a novel chromosome region maintenance 1 (CRM1) inhibitor on non-small cell lung cancer cells in vitro and in mouse tumor xenografts.
        PLoS One. 2014; 9: e89848
        • Noske A.
        • Weichert W.
        • Niesporek S.
        • Röske A.
        • Buckendahl A.C.
        • Koch I.
        • Sehouli J.
        • Dietel M.
        • Denkert C.
        Expression of the nuclear export protein chromosomal region maintenance/exportin 1/Xpo1 is a prognostic factor in human ovarian cancer.
        Cancer. 2008; 112: 1733-1743
        • van der Watt P.J.
        • Maske C.P.
        • Hendricks D.T.
        • Parker M.I.
        • Denny L.
        • Govender D.
        • Birrer M.J.
        • Leaner V.D.
        The Karyopherin proteins, Crm1 and Karyopherin beta1, are overexpressed in cervical cancer and are critical for cancer cell survival and proliferation.
        Int J Cancer. 2009; 124: 1829-1840
        • Zhou F.
        • Qiu W.
        • Yao R.
        • Xiang J.
        • Sun X.
        • Liu S.
        • Lv J.
        • Yue L.
        CRM1 is a novel independent prognostic factor for the poor prognosis of gastric carcinomas.
        Med Oncol. 2013; 30: 726
        • Yao Y.
        • Dong Y.
        • Lin F.
        • Zhao H.
        • Shen Z.
        • Chen P.
        • Sun Y.J.
        • Tang L.N.
        • Zheng S.E.
        The expression of CRM1 is associated with prognosis in human osteosarcoma.
        Oncol Rep. 2009; 21: 229-235
        • Cosson A.
        • Chapiro E.
        • Bougacha N.
        • Lambert J.
        • Herbi L.
        • Cung H.-A.
        • Algrin C.
        • Keren B.
        • Damm F.
        • Gabillaud C.
        • Brunelle-Navas M.-N.
        • Davi F.
        • Merle-Béral H.
        • Le Garff-Tavernier M.
        • Roos-Weil D.
        • Choquet S.
        • Uzunov M.
        • Morel V.
        • Leblond V.
        • Maloum K.
        • Lepretre S.
        • Feugier P.
        • Lesty C.
        • Lejeune J.
        • Sutton L.
        • Landesman Y.
        • Susin S.A.
        • Nguyen-Khac F.
        Gain in the short arm of chromosome 2 (2p+) induces gene overexpression and drug resistance in chronic lymphocytic leukemia: analysis of the central role of XPO1.
        Leukemia. 2017; 31: 1625-1629
        • Lu M.
        • Miller P.
        • Lu X.
        Restoring the tumour suppressive function of p53 as a parallel strategy in melanoma therapy.
        FEBS Lett. 2014; 588: 2616-2621
        • Schmidt J.
        • Braggio E.
        • Kortuem K.M.
        • Egan J.B.
        • Zhu Y.X.
        • Xin C.S.
        • Tiedemann R.E.
        • Palmer S.E.
        • Garbitt V.M.
        • McCauley D.
        • Kauffman M.
        • Shacham S.
        • Chesi M.
        • Bergsagel P.L.
        • Stewart A.K.
        Genome-wide studies in multiple myeloma identify XPO1/CRM1 as a critical target validated using the selective nuclear export inhibitor KPT-276.
        Leukemia. 2013; 27: 2357-2365
        • Natarajan U.
        • Venkatesan T.
        • Radhakrishnan V.
        • Samuel S.
        • Rasappan P.
        • Rathinavelu A.
        Cell cycle arrest and cytotoxic effects of SAHA and RG7388 mediated through p21(WAF1/CIP1) and p27(KIP1) in cancer cells.
        Medicina. 2019; 55 (Kaunas)
        • Natarajan U.
        • Venkatesan T.
        • Dhandayuthapani D.
        • Dondapatti P.
        • Rathinavelu A.
        Differential mechanisms involved in RG-7388 and Nutlin-3 induced cell death in SJSA-1 osteosarcoma cells.
        Cell Signal. 2020; 75109742
        • Jayson G.C.
        • Kohn E.C.
        • Kitchener H.C.
        • Ledermann J.A.
        Ovarian cancer.
        Lancet North Am Ed. 2014; 384: 1376-1388
        • Hing Z.A.
        • Mantel R.
        • Beckwith K.A.
        • Guinn D.
        • Williams E.
        • Smith L.L.
        • Williams K.
        • Johnson A.J.
        • Lehman A.M.
        • Byrd J.C.
        • Woyach J.A.
        • Lapalombella R.
        Selinexor is effective in acquired resistance to ibrutinib and synergizes with ibrutinib in chronic lymphocytic leukemia.
        Blood. 2015; 125: 3128-3132
        • Zanjirband M.
        • Curtin N.
        • Edmondson R.J.
        • Lunec J.
        Combination treatment with rucaparib (Rubraca) and MDM2 inhibitors, Nutlin-3 and RG7388, has synergistic and dose reduction potential in ovarian cancer.
        Oncotarget. 2017; 8: 69779-69796
        • Garg M.
        • Kanojia D.
        • Mayakonda A.
        • Said J.W.
        • Doan N.B.
        • Chien W.
        • Ganesan T.S.
        • Chuang L.S.H.
        • Venkatachalam N.
        • Baloglu E.
        • Shacham S.
        • Kauffman M.
        • Koeffler H.P.
        Molecular mechanism and therapeutic implications of selinexor (KPT-330) in liposarcoma.
        Oncotarget. 2017; 8: 7521-7532
        • Konopleva M.
        • Martinelli G.
        • Daver N.
        • Papayannidis C.
        • Wei A.
        • Higgins B.
        • Ott M.
        • Mascarenhas J.
        • Andreeff M.
        MDM2 inhibition: an important step forward in cancer therapy.
        Leukemia. 2020; 34: 2858-2874
        • Cui Y.
        • Zhou J.
        • Rong F.
        Combination of metformin and RG7388 enhances inhibition of growth and induction of apoptosis of ovarian cancer cells through the PI3K/AKT/mTOR pathway.
        Biochem Biophys Res Commun. 2020; 533: 665-671
        • Natarajan U.
        • Venkatesan T.
        • Radhakrishnan V.
        • Samuel S.
        • Rathinavelu A.
        Differential mechanisms of cell death induced by HDAC inhibitor SAHA and MDM2 inhibitor RG7388 in MCF-7 cells.
        Cells. 2018; 8
        • Garzon R.
        • Savona M.
        • Baz R.
        • Andreeff M.
        • Gabrail N.
        • Gutierrez M.
        • Savoie L.
        • Mau-Sorensen P.M.
        • Wagner-Johnston N.
        • Yee K.
        • Unger T.J.
        • Saint-Martin J.R.
        • Carlson R.
        • Rashal T.
        • Kashyap T.
        • Klebanov B.
        • Shacham S.
        • Kauffman M.
        • Stone R.
        A phase 1 clinical trial of single-agent selinexor in acute myeloid leukemia.
        Blood. 2017; 129: 3165-3174
        • Sakakibara K.
        • Saito N.
        • Sato T.
        • Suzuki A.
        • Hasegawa Y.
        • Friedman J.M.
        • Kufe D.W.
        • Vonhoff D.D.
        • Iwami T.
        • Kawabe T.
        CBS9106 is a novel reversible oral CRM1 inhibitor with CRM1 degrading activity.
        Blood. 2011; 118: 3922-3931
        • Sun Q.
        • Carrasco Y.P.
        • Hu Y.
        • Guo X.
        • Mirzaei H.
        • Macmillan J.
        • Chook Y.M.
        Nuclear export inhibition through covalent conjugation and hydrolysis of Leptomycin B by CRM1.
        Proc Natl Acad Sci U S A. 2013; 110: 1303-1308
        • Abdul Razak A.R.
        • Mau-Soerensen M.
        • Gabrail N.Y.
        • Gerecitano J.F.
        • Shields A.F.
        • Unger 1
        • Jean Saint-Martin T.J.R.
        • Carlson R.
        • Landesman Y.
        • McCauley D.
        • Rashal T.
        • Lassen U.
        • Kim R.
        • Stayner L.A.
        • Mirza M.R.
        • Kauffman M.
        • Shacham S.
        • Mahipal A.
        First-in-class, first-in-human phase i study of selinexor, a selective inhibitor of nuclear export, in patients with advanced solid tumors.
        J Clin Oncol. 2016; 34: 4142-4150
        • Gounder M.M.
        • Zer A.
        • Tap W.D.
        • Salah S.
        • Dickson M.A.
        • Gupta A.A.
        • Keohan M.L.
        • Loong H.H.
        • D'Angelo S.P.
        • Baker S.
        • Condy M.
        • Nyquist-Schultz K.
        • Tanner L.
        • Erinjeri J.P.
        • Jasmine F.H.
        • Friedlander S.
        • Carlson R.
        • Unger T.J.
        • Saint-Martin J.R.
        • Rashal T.
        • Ellis J.
        • Kauffman M.
        • Shacham S.
        • Schwartz G.K.
        • Abdul Razak A.R.
        Phase IB study of selinexor, a first-in-class inhibitor of nuclear export, in patients with advanced refractory bone or soft tissue sarcoma.
        J Clin Oncol. 2016; 34: 3166-3174
        • Alexander T.B.
        • Lacayo N.J.
        • Choi J.K.
        • Ribeiro R.C.
        • Pui C.H.
        • Rubnitz J.E.
        Phase I study of selinexor, a selective inhibitor of nuclear export, in combination with fludarabine and cytarabine, in pediatric relapsed or refractory acute Leukemia.
        J Clin Oncol. 2016; 34: 4094-4101
        • Etchin J.
        • Sanda T.
        • Mansour M.R.
        • Kentsis A.
        • Montero J.
        • Le B.T.
        • Christie A.L.
        • McCauley D.
        • Rodig S.J.
        • Kauffman M.
        • Shacham S.
        • Stone R.
        • Letai S.
        • Kung A.L.
        • Look A.T.
        KPT-330 inhibitor of CRM1 (XPO1)-mediated nuclear export has selective anti-leukaemic activity in preclinical models of T-cell acute lymphoblastic leukaemia and acute myeloid leukaemia.
        Br J Haematol. 2013; 161: 117-127
        • Mutka S.C.
        • Yang W.Q.
        • Dong S.D.
        • Ward S.L.
        • Craig D.A.
        • Timmermans P.B.M.W.M.
        • Murli S.
        Identification of nuclear export inhibitors with potent anticancer activity in vivo.
        Cancer Res. 2009; 69: 510-517
        • Cmielová J.
        • Rezáčová M.
        p21Cip1/Waf1 protein and its function based on a subcellular localization [corrected].
        J Cell Biochem. 2011; 112: 3502-3506
        • Attiyeh E.F.
        • Maris J.M.
        • Lock R.
        • Reynolds C.P.
        • Kang M.H.
        • Carol H.
        • Gorlick R.
        • Kolb E.A.
        • Keir S.T.
        • Wu J.
        • Landesman Y.
        • Shacham S.
        • Lyalin L.
        • Kurmasheva R.T.
        • Houghton P.J.
        • Smith M.A.
        Pharmacodynamic and genomic markers associated with response to the XPO1/CRM1 inhibitor selinexor (KPT-330): a report from the pediatric preclinical testing program.
        Pediatr Blood Cancer. 2016; 63: 276-286