1. Antifungal agent Terbinafine restrains tumor growth in preclinical models of hepatocellular carcinoma via AMPK-mTOR axis
- Author
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Qian-Wen Zheng, Zhigang Li, Yi-Kang Wang, Qian-Zhi Ni, Dong Xie, Hui-Jun Cao, Feng-Kun Zhang, Shu-Qun Cheng, Jingjing Li, Xiang Wang, Ning Ma, Sheng Xu, Ji Xia, Kang Wang, Er-Bin Zhang, Xu-Fen Ding, Xiuping Zhang, Tian-Wei Chen, and Bing Zhu
- Subjects
Sorafenib ,Cancer Research ,Programmed cell death ,Cell growth ,AMPK ,mTORC1 ,Biology ,medicine.disease ,digestive system diseases ,Tumor progression ,Hepatocellular carcinoma ,Genetics ,medicine ,Cancer research ,Terbinafine ,neoplasms ,Molecular Biology ,medicine.drug - Abstract
The prognosis of hepatocellular carcinoma (HCC) remains unsatisfactory due to limited effective treatment options. In this work, we investigated the therapeutic efficacy of Terbinafine for HCC and the underlying mechanism. The influence of Terbinafine on cell growth, 3D spheroid formation, clonogenic survival, and protein synthesis was investigated in human HCC cell lines. Co-immunoprecipitation, immunofluorescence, and other techniques were employed to explore how Terbinafine exerts its anticancer effect. Subcutaneous tumorigenicity assay, orthotopic and patient-derived xenograft (PDX) HCC models were used to evaluate the anticancer effect of Terbinafine monotherapy and the combinatorial treatment with Terbinafine and sorafenib against HCC. The anticancer activity of Terbinafine was Squalene epoxidase (SQLE)-independent. Instead, Terbinafine robustly suppressed the proliferation of HCC cells by inhibiting mTORC1 signaling via activation of AMPK. Terbinafine alone or in combination with sorafenib delayed tumor progression and markedly prolonged the survival of tumor-bearing mice. The synergy between Terbinafine and sorafenib was due to concomitant inhibition of mTORC1 and induction of severe persistent DNA double-strand breaks (DSBs), which led to the delayed proliferation and accelerated cell death. Terbinafine showed promising anticancer efficacy in preclinical models of HCC and may serve as a potential therapeutic strategy for HCC.
- Published
- 2021