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Innovative challenge for the inhibition of hepatocellular carcinoma progression by combined targeting of HSP90 and STAT3/HIF-1α signaling - 13/01/23

Doi : 10.1016/j.biopha.2022.114196 
Sameh Saber a, , Eslam E. Abd El-Fattah b , Amir Mohamed Abdelhamid a , Ahmed A.E. Mourad c , Manal Ali Mahrous Hamouda d , Amr Elrabat e , Sahar Zakaria f , Amira A. Haleem g , Sherin Z. Mohamed h , Rehab Mohamed Elgharabawy i , Nesreen Elsayed Morsy j , Noura El Adle Khalaf k , Osama A. Mohammed l , Waleed Barakat El-Bahouty m , Sally Abdallah Mostafa g , Rasha Abdelhady n , Omneya Galal o , Zeinab H. ElSaid p , Galal Yahya q , Ahmed Shata k, r , Mahmoud E. Youssef a
a Department of Pharmacology, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 
b Department of Biochemistry, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 
c Pharmacology and Toxicology Department, Faculty of Pharmacy, Port-Said University, Port-Said 42511, Egypt 
d Clinical Pharmacy Department, Faculty of Pharmacy, Menoufia University, Menoufia 32511, Egypt 
e Gastroenterology and Hepatology Department, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
f Department of Tropical Medicine, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
g Medical Biochemistry and Molecular Biology Department, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
h Department of Internal Medicine, Faculty of Medicine, Horus University, New Damietta 34518, Egypt 
i Pharmacology and Toxicology Department, Faculty of Pharmacy, Tanta University, Tanta 31527, Egypt 
j Pulmonary Medicine Department, Mansoura University Sleep Center, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
k Department of Clinical Pharmacology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
l Department of Clinical Pharmacology, Faculty of Medicine, Ain Shams University, Cairo 11566, Egypt 
m Pharmacology Department, Faculty of Medicine, Tanta University, Tanta 31527, Egypt 
n Pharmacology and Toxicology Department, Faculty of Pharmacy, Fayoum University, Fayoum, Egypt 
o Department of Pharmacology, Faculty of Pharmacy, Ahram Canadian University, Giza 12451, Egypt 
p Department of Medical Physiology, Faculty of Medicine, Mansoura University, Mansoura 35516, Egypt 
q Department of Microbiology and Immunology, Faculty of Pharmacy, Zagazig University, Al Sharqia 44519, Egypt 
r Department of Clinical Pharmacy, Faculty of Pharmacy, Delta University for Science and Technology, Gamasa 11152, Egypt 

Corresponding author.

Abstract

Hepatocellular carcinoma (HCC) is the third foremost cause of cancer-related deaths. HCC has a very bad prognosis because it is asymptomatic in the early stages, resulting in a late diagnosis, and it is highly resistant to conventional chemotherapy. Such chemotherapies have been proven disappointing because they provide extremely low survival benefits. This study discloses that the STAT3/HIF-1α is an auspicious therapeutic attack site for conceivable repression of HCC development. A site that can be targeted by simultaneous administration of a STAT3 inhibitor in the context of HSP90 inhibition. 17-DMAG binds to HSP90 and constrains its function, resulting in the degradation of HSP90 client proteins HIF-1α and STAT3. Hypoxia recruits STAT3/HIF-1α complex within the VEGF promoter. Additionally, it was acknowledged that STAT3 is an essential mediator of VEGF transcription by direct binding to its promoter. Furthermore, it induces HIF-1α stability and enhances its transcriptional activity. Herein, we revealed that the combination therapy using 17-DMAG and nifuroxazide, a STAT3 inhibitor, repressed the diethylnitrosamine-induced alterations in the structure of the liver. This effect was mediated via decreasing the levels of the HSP90 client proteins HIF-1α and pSTAT3 resulting in the suppression of the STAT3/HIF-1α complex transcriptional activity. To conclude, 17-DMAG/NFXZD combination therapy-induced disruption in the STAT3/HIF-1α loop led to a potential antiangiogenic activity and showed apoptotic potential by inhibiting autophagy and inducing ROS/apoptosis signaling. Additionally, this combination therapy exhibited promising survival prolongation in mice with HCC. Consequently, the use of 17-DMAG/NFXZD renders an inspirational perspective in managing HCC. However, further investigations are compulsory.

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Highlights

17-DMAG and nifuroxazide suppressed STAT3/HIF-1α complex transcriptional activity.
17-DMAG and nifuroxazide led to potential antiangiogenic and apoptotic activity.
17-DMAG and nifuroxazide prolonged the survival of mice with HCC.
STAT3/HIF-1α is a therapeutic attack site for repression of HCC development.
17-DMAG and nifuroxazide rendered an inspirational perspective for managing HCC.

Le texte complet de cet article est disponible en PDF.

Abbreviations : 17-DMAG, AFP, Bax, BCL-2, DENA, HCC, HIF-1, HSPs, MMP-2, mTOR, NFκB, NFXZD, ROS, STAT3, VEGF

Keywords : Hepatocellular carcinoma, Nifuroxazide, 17-DMAG, HSP90, STAT3, HIF-1α


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© 2023  The Authors. Publié par Elsevier Masson SAS. Tous droits réservés.
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