Small molecule NMD and MDM2 inhibitors synergistically trigger apoptosis in HeLa cells

Abstract

The nonsense-mediated mRNA decay (NMD) pathway and the p53 pathway, linked to tumorgenesis and are also promising targets for cancer treatment. NMD plays an important role in RNA quality control, while the p53 pathway is involved in cancer suppression. However, their individual and combined effects on cervical cancer (CC) are poorly understood. In this study, we evaluated the impacts of NMD inhibitor, MDM2 inhibitor, and their combination on cell apoptosis, cell cycle, and p53 target genes in HPV-18-positive HeLa cells. Our findings revealed that XR-2failed to activate p53 or induce apoptosis in HeLa cells, whereas SMG1i repressed cell proliferation at high concentrations. Notably the combination of these two agents significantly inhibited cell proliferation, arrested the cell cycle, and triggered cell apoptosis. Mechanistically, MDM2 inhibitor and NMD inhibitor likely exert a synergistically through the truncated E6 protein. These results underscore the potential of employing a combination of MDM2 inhibitor and NMD inhibitor as a promising candidate for the clinical treatment of HPV-infected tumors.