Abstract

Targeting oncogenic proteins for degradation using proteolysis-targeting chimera (PROTAC) recently has drawn increasing attention in the field of cancer research. Bromodomain and extra-terminal (BET) family proteins are newly identified cancer-related epigenetic regulators, which have a role in the pathogenesis and progression of osteosarcoma. In this study, we investigated the in vitro and in vivo anti-osteosarcoma activity by targeting BET with a PROTAC molecule BETd-260. The results showed that BETd-260 completely depletes BET proteins and potently suppresses cell viability in MNNG/HOS, Saos-2, MG-63, and SJSA-1 osteosarcoma cell lines. Compared with BET inhibitors HJB-97 and JQ1, the activity of BETd-260 increased over 1000 times. Moreover, BETd-260 substantially inhibited the expression of anti-apoptotic Mcl-1, Bcl-xl while increased the expression of pro-apoptotic Noxa, which resulted in massive apoptosis in osteosarcoma cells within hours. In addition, pro-oncogenic protein c-Myc also was substantially inhibited by BETd-260 in the OS cells. Of note, BETd-260 induced degradation of BET proteins, triggered apoptosis in xenograft osteosarcoma tumor tissue, and profoundly inhibited the growth of cell-derived and patient-derived osteosarcoma xenografts in mice. Our findings indicate that BET PROTACs represent a promising therapeutic agent for human osteosarcoma.

Highlights

  • Osteosarcoma (OS) is the most common type of primary malignant bone tumor, predominantly affecting the health and life of children and young adults[1]

  • The results showed that BETd-260 potently and dose-dependently inhibited cell viability in all four OS cell lines with low nanomolar EC50 values

  • Because the Bcl-2 family of proteins plays a key role in the initiation and execution of apoptosis, we investigated whether the robust apoptotic activity of BETd-260 in OS cells was associated with the modification of these key apoptotic proteins

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Summary

Introduction

Osteosarcoma (OS) is the most common type of primary malignant bone tumor, predominantly affecting the health and life of children and young adults[1]. Current treatment measures for OS include surgical resection and adjuvant chemotherapy. These conventional treatments offer a significant survival advantage in patients with localized OS2. Patients with metastasized or recurrent OS often do not respond adequately to these standard treatments. BET inhibitor JQ1 as a single agent or in combination with other anticancer agents leads to anti-proliferative activity and modestly inhibits OS xenograft tumor growth[9,10,11]. This suggests that targeting BET may have beneficial effects for OS patients

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