Abstract

Chemotherapy has been a standard intervention for a variety of cancers to impede tumor growth, mainly by inducing apoptosis. However, development of resistance to this regimen has led to a growing interest and demand for drugs targeting alternative cell death modes, such as paraptosis. Here, we designed and synthesized a novel derivative of a pyrazolo[3,4-h]quinoline scaffold (YRL1091), evaluated its cytotoxic effect, and elucidated the underlying molecular mechanisms of cell death in MDA-MB-231 and MCF-7 breast cancer (BC) cells. We found that YRL1091 induced cytotoxicity in these cells with numerous cytoplasmic vacuoles, one of the distinct characteristics of paraptosis. YRL1091-treated BC cells displayed several other distinguishing features of paraptosis, excluding autophagy or apoptosis. Briefly, YRL1091-induced cell death was associated with upregulation of microtubule-associated protein 1 light chain 3B, downregulation of multifunctional adapter protein Alix, and activation of extracellular signal-regulated kinase 1/2 and c-Jun N-terminal kinase. Furthermore, the production of reactive oxygen species (ROS) and newly synthesized proteins were also observed, subsequently causing ubiquitinated protein accumulation and endoplasmic reticulum (ER) stress. Collectively, these results indicate that YRL1091 induces paraptosis in BC cells through ROS generation and ER stress. Therefore, YRL1091 can serve as a potential candidate for the development of a novel anticancer drug triggering paraptosis, which may provide benefit for the treatment of cancers resistant to conventional chemotherapy.

Highlights

  • IntroductionAccording to the International Agency for Research on Cancer (https://gco.iarc.fr, accessed on 1 September 2021), breast cancer (BC) has overtaken lung cancer as the most frequently diagnosed cancer globally as of 2020, accounting for approximately 12% of all new cases [1]

  • According to the International Agency for Research on Cancer, breast cancer (BC) has overtaken lung cancer as the most frequently diagnosed cancer globally as of 2020, accounting for approximately 12% of all new cases [1]

  • Numerous vacuoles were observed in the cytoplasm of both MDA-MB-231 and MCF-7 cells treated with YRL1091 at the concentration of 30 μM for 24 h (Figure 1B)

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Summary

Introduction

According to the International Agency for Research on Cancer (https://gco.iarc.fr, accessed on 1 September 2021), breast cancer (BC) has overtaken lung cancer as the most frequently diagnosed cancer globally as of 2020, accounting for approximately 12% of all new cases [1]. The mortality of BC ranks first in women worldwide and is responsible for about 16% of cancer deaths [1]. BC is a heterogeneous disease comprising distinct subtypes with different responses and clinical outcomes [2]. Despite recent advances in early detection and treatment, acquired resistance to chemotherapy often leads to therapeutic failures in BC [3]. There is a constant need for the discovery of novel potential anticancer agents that can address the challenges of heterogeneity and resistance in BC. Many cancer cells, probably due to their ever-evolving nature, acquire the capability to circumvent apoptotic cell death and develop resistance to conventional chemotherapy. There has been a growing interest in and demand for the discovery of drugs targeting alternative cell death

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