Innovative challenge for the inhibition of hepatocellular carcinoma progression by combined targeting of HSP90 and STAT3/HIF-1α signaling - 13/01/23
, 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 
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.
Le texte complet de cet article est disponible en PDF.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. |
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
Plan
Vol 158
Article 114196- février 2023 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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