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Combination of Proteasome and Histone Deacetylase Inhibitors Overcomes the Impact of Gain-of-Function p53 Mutations
Journal article   Open access   Peer reviewed

Combination of Proteasome and Histone Deacetylase Inhibitors Overcomes the Impact of Gain-of-Function p53 Mutations

Xiangbing Meng, Shujie Yang, Yujun Li, Yiyang Li, Eric J Devor, Jianling Bi, Xinhao Wang, Shaikamjad Umesalma, Dawn E Quelle, William H Thiel, …
Disease markers, Vol.2018, 3810108
2018
DOI: 10.1155/2018/3810108
PMCID: PMC6311857
PMID: 30647797
url
https://doi.org/10.1155/2018/3810108View
Published (Version of record) Open Access

Abstract

Mutations in the "guardian of the genome" predominate in solid tumors. In addition to loss of tumor suppressor activity, a specific subset of missense mutations confers additional oncogenic properties. These "gain-of-function" (GOF) mutations portend poor prognosis across cancer types regardless of treatment. Our objective in this study was to identify novel therapeutic opportunities to overcome the deleterious effects of GOF mutants. Using gynecologic cancer cell lines with known mutational status, we established that treatment with a proteasome inhibitor induced cell death in cells with two recurrent GOF mutations (R175H and R248Q), and addition of a histone deacetylase inhibitor (HDACi) enhanced this effect. By contrast, p53-null cancer cells were relatively resistant to the combination. Proteasome inhibition promoted apoptosis of cells with GOF mutations, potentially through induction of the unfolded protein response. In line with the reported hyperstabilization of GOF p53 protein, cells treated with HDACi exhibited reduced levels of p53 protein. Together, these data form the basis for future clinical studies examining therapeutic efficacy in a preselected patient population with GOF mutations.
Cell Survival - drug effects Cell Proliferation Proteasome Inhibitors - pharmacology Down-Regulation Humans Panobinostat - pharmacology Endometrial Neoplasms - metabolism Tumor Suppressor Protein p53 - metabolism Bortezomib - pharmacology Mutation, Missense Unfolded Protein Response Tumor Suppressor Protein p53 - genetics Antineoplastic Combined Chemotherapy Protocols - pharmacology Gain of Function Mutation - drug effects Endometrial Neoplasms - genetics Cell Line, Tumor Endometrial Neoplasms - drug therapy Female Histone Deacetylase Inhibitors - pharmacology Gene Expression Regulation, Neoplastic - drug effects

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