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Wild-type p53 reactivation by small-molecule Minnelide™ in human papillomavirus (HPV)-positive head and neck squamous cell carcinoma
Journal article   Peer reviewed

Wild-type p53 reactivation by small-molecule Minnelide™ in human papillomavirus (HPV)-positive head and neck squamous cell carcinoma

Emiro Caicedo-Granados, Rui Lin, Caitlin Fujisawa, Bevan Yueh, Veena Sangwan and Ashok Saluja
Oral oncology, Vol.50(12), pp.1149-1156
12/01/2014
DOI: 10.1016/j.oraloncology.2014.09.013
PMCID: PMC4678773
PMID: 25311433

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Abstract

The incidence of high-risk human papillomavirus (HR-HPV) head and neck squamous cell carcinoma (HNSCC) continues to increase, particularly oropharyngeal squamous cell carcinoma (OPSCC) cases. The inactivation of the p53 tumor suppressor gene promotes a chain of molecular events, including cell cycle progression and apoptosis resistance. Reactivation of wild-type p53 function is an intriguing therapeutic strategy. The aim of this study was to investigate whether a novel compound derived from diterpene triepoxide (Minnelide™) can reactivate wild-type p53 function in HPV-positive HNSCC. For all of our in vitro experiments, we used 2 HPV-positive HNSCC cell lines, University of Michigan squamous cell carcinoma (UM-SCC) 47 and 93-VU-147, and 2 HPV-positive human cervical cancer cell lines, SiHa and CaSki. Cells were treated with different concentrations of triptolide and analyzed for p53 activation. Mice bearing UM-SCC 47 subcutaneous xenografts and HPV-positive patient-derived tumor xenografts were treated with Minnelide and evaluated for tumor growth and p53 activation. In HPV-positive HNSCC, Minnelide reactivated p53 by suppressing E6 oncoprotein. Activation of apoptosis followed, both in vitro and in vivo. In 2 preclinical HNSCC animal models (a subcutaneous xenograft model and a patient-derived tumor xenograft model), Minnelide reactivated p53 function and significantly decreased tumor progression and tumor volume. Triptolide and Minnelide caused cell death in vitro and in vivo in HPV-positive HNSCC by reactivating wild-type p53 and thus inducing apoptosis. In addition, in 2 HPV-positive HNSCC animal models, Minnelide decreased tumor progression and induced apoptosis.
Animals Antineoplastic Agents, Alkylating - pharmacology Apoptosis - drug effects Carcinoma, Squamous Cell - drug therapy Carcinoma, Squamous Cell - metabolism Diterpenes - pharmacology Epoxy Compounds - pharmacology Head and Neck Neoplasms - drug therapy Head and Neck Neoplasms - metabolism Human papillomavirus 16 - metabolism Humans Mice Organophosphates - pharmacology Papillomavirus Infections - metabolism Phenanthrenes - pharmacology Treatment Outcome Tumor Suppressor Protein p53 - drug effects Tumor Suppressor Protein p53 - metabolism

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