Abstract

Heparanase (HPA) is an enzyme that plays an important role in cancer metastasis and angiogenesis and is a potential target for molecular treatment of tumors. We previously found that abnormally high HPA expression in cervical cancer tissues is associated with poor survival and increased lymph node metastasis. The present study was conducted to assess the utility of inhibiting HPA enzyme activity in cervical cancer treatment. Two series of 13 novel HPA inhibitors were synthesized and optimized. All tested inhibitors reduced HPA enzyme activity (IC50 values ranged from 4.47 μM to 47.19 μM) and inhibited the growth of HeLa cells (IC50 values ranged from 48.16 μM to 96.64 μM). The No. 16 inhibitor inhibited the migration and growth of HeLa and Siha cells in a dose- and time-dependent manner, and increased cell apoptosis and cell cycle G0/G1 and G2/M phase arrest, while decreasing the S phase cell population. More importantly, No. 16 sensitized cervical cancer cells to low concentrations of nedaplatin, decreased HPA, c-Myc and h-TERT levels, and increased p53 levels in HeLa and Siha cells. These results suggest that this HPA inhibitor reduced proliferation and HPA expression in cervical cancer cells by restoring p53 activity and downregulating h-TERT and c-Myc expression.

Highlights

  • Chemotherapy is the main treatment for relieving symptoms and reducing tumor load in cervical cancer patients with advanced, recurrent, and persistent diseases; mono-chemotherapy treatments do not increase the total patient survival rate [1]

  • We previously found that abnormally high HPA expression in cervical cancer tissues is associated with poor survival and increased lymph node metastasis

  • All tested inhibitors reduced HPA enzyme activity (IC50 values ranged from 4.47 μM to 47.19 μM) and inhibited the growth of HeLa cells (IC50 values ranged from 48.16 μM to 96.64 μM)

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Summary

Introduction

Chemotherapy is the main treatment for relieving symptoms and reducing tumor load in cervical cancer patients with advanced, recurrent, and persistent diseases; mono-chemotherapy treatments do not increase the total patient survival rate [1]. The development of new agents, including targeted molecular therapies, with different mechanisms of action is crucial for improving the treatment of cervical cancer. Clinical trials have been conducted using drugs that target several different biological agents, including vascular endothelial growth factor and its receptors, histone deacetylase, matrix metalloproteinase, cell cycle checkpoint molecules, notch, and mammal target of rapamycin [3, 4]. The GOG240 clinical study was the first to show that targeted drugs can be effective for treating patients with advanced, recurrent, and persistent cervical cancer [5]. Anti-angiogenic agents are effective in treating some cervical cancer patients, changes in complementary biological pathways can make cancer cells resistant to these treatments. We investigated heparanase (HPA), which plays an important role in cervical cancer metastasis and angiogenesis, as a molecular target for cervical cancer treatment

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