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Bortezomib and belinostat inhibit renal cancer growth synergistically by causing
ubiquitinated protein accumulation and endoplasmic reticulum stress
#MMPMID26623018
Asano T
; Sato A
; Isono M
; Okubo K
; Ito K
; Asano T
Biomed Rep
2015[Nov]; 3
(6
): 797-801
PMID26623018
show ga
There is no curative treatment for advanced renal cancer, and a novel treatment
approach is urgently required. Inducing ubiquitinated protein accumulation and
endoplasmic reticulum (ER) stress has recently emerged as a new approach in the
treatment of malignancies. In the present study, we hypothesized that the histone
deacetylase inhibitor belinostat would increase the amount of unfolded proteins
in cells by inhibiting heat-shock protein (HSP) 90, and that the proteasome
inhibitor bortezomib would inhibit their degradation by inhibiting the
proteasome, thus causing ubiquitinated protein accumulation and ER stress
synergistically. The combination of bortezomib and belinostat induced significant
increases in apoptosis and inhibited renal cancer growth synergistically
(combination indexes <1). The combination also suppressed colony formation
significantly (P<0.05). As co-treatment with the pan-caspase inhibitor Z-VAD-FMK
changed the number of Annexin V-positive cells, this combination-induced
apoptosis was considered caspase dependent. Mechanistically, the combination
synergistically caused ubiquitinated proteins to accumulate and induced ER
stress, as evidenced by the increased expression of glucose-regulated protein 78
and HSP70. To the best of our knowledge, this is the first study demonstrating
the beneficial combined effect of bortezomib and belinostat in renal cancer
cells. The study provides a basis for clinical studies with the combination in
patients with advanced renal cancer.