14th International Symposium on Pharmaceutical Sciences (ISOPS), Ankara, Turkey, 25 - 28 June 2024, pp.364, (Full Text)
Introduction: Proteasome inhibitors and histone deacetylase (HDAC)
inhibitors hold promise in lung cancer treatment by enhancing cancer cell
sensitivity to therapy. Specifically, combining bortezomib, a proteasome
inhibitor, with HDAC inhibitors has been shown to sensitize non-small cell lung
cancer cells (1). This combined therapy exhibits heightened cytotoxic effects
in sensitive cell lines, offering a potential strategy against treatment
resistance in lung cancer. Additionally, co-culturing with macrophages has been
found to induce alterations in gene expression profiles in lung cancer cell
lines (2). Therefore, this study aimed to investigate changes in gene
expressions associated with apoptosis in lung cancer cells when exposed to a
combination of the proteasome inhibitor ixazomib, the HDAC inhibitor
givinostat, and differentiated M1 macrophages.
Materials and Methods: The IC50
values of ixazomib and givinostat on A549 lung cancer cells were determined
using the MTT method. A range of concentrations of these drugs (400, 100, 10,
and 1 µM) were administered to A549 cells, and their viabilities were assessed
after 24 hours. Following exposure to the determined IC50
concentrations for 24 hours, total RNA was isolated from A549 cells treated
with ixazomib alone, ixazomib+givinostat, and THP-1 monocyte cells
differentiated into M1 macrophages and co-cultured with this combination.
Subsequently, RT-PCR experiments were conducted to assess alterations in
apoptosis-related genes.
Results: Based on the results of the
anti-proliferative effect analysis, the IC50 values for ixazomib and
givinostat were determined to be 2.42 µM and 7.32 µM, respectively. According
to the RT-PCR results, variations of up to 48.99-fold were observed in the
NFKB2, NFKBIA, NFKBIB, RELB, IL-6, IL-8, TP53, PIK3CA, and BCR genes.
Conclusions: Significant
alterations were particularly observed in genes involved in apoptosis-related
pathways, especially in the presence of M1 macrophages. Additional
investigation is warranted to thoroughly explore the heightened inflammatory
response observed in lung cancer cells in the presence of these drugs.
References:
1. Denlinger
CE et al. (2004). The Journal of Thoracic and Cardiovascular Surgery, 127(4):1078-1086.
2. Yuan A et al. (2015). Scientific
Reports, 5(1), 14273.