Abstract
Bladder cancer is one of the most frequent cancers among males, and a poor survival rate reflects problems with aggressiveness and chemo-resistance. Accumulating evidence indicates that SIRT1 is involved in bladder cancer tumorigenesis and is positively associated with chemo-resistance and poor prognosis. We recently synthesized water-soluble chemical derivatives of heliomycin, an antibiotic from Streptomyces resistomycificus, and demonstrated that they possess anticancer properties. In this present study, we used the cellular thermal shift assay (CETSA) in T24 bladder cancer cells to show that heliomycin (designated compound (H1)) and its 4-(tert-butylamino)methyl derivative (HD2) directly engaged with SIRT1 in the native cellular environment, whereas another derivative (HD3) did not. Upon binding, heliomycin downregulated SIRT1 protein expression without altering its transcript level, and subsequently induced autophagy. Interestingly, the derivative (HD2) triggered apoptosis. The interaction between SIRT1 protein and heliomycin or its derivatives was also speculated by a molecular docking simulation, suggesting heliomycin (H1) and derivative (HD2) acting with the different binding modes to SIRT1. Given the increased water-solubility, hydrogen bonds were found on Ala262 and Ile347 residues in the docked complex of derivative (HD2) to produce more steady interaction and initiate signaling pathways that were not observed in the case of heliomycin. Meanwhile, it is evident that derivative (HD3) did not engage with SIRT1 by CETSA or molecular docking studies, nor did it downregulate SIRT1 expression. Taken together, these findings clearly show that SIRT1 is targeted and downregulated by heliomycin and its water-soluble 4-aminomethylated derivative (HD2) possibly through autophagic and/or proteasomal degradation, leading to cell death and growth suppression of T24 bladder cancer cells.
Keywords: Apoptosis; autophagy; bladder cancer; cellular thermal shift assay; heliomycin; resistomycin; silent mating type information regulation 1 (Sirtuin 1, SIRT1)
Introduction
The updated figures on the global cancer load from GLOBOCAN 2020 approximate that 19.3 million new cancer cases and nearly 10 million cancer deaths occurred in 2020. Bladder cancer ranked as the 10th most frequently identified cancer internationally, representing roughly 573,000 new cases and 213,000 deaths in 2020 [1]. Bladder cancer is more common in men than in women, ranking as the 6th most prevalent cancer disease in men [1]. Although most cases are initially recognized as having non-muscle-invasive bladder cancer, many patients eventually develop muscle-invasive tumors that display aggressive and metastatic clinical behavior even after treatment [2]. At present, surgical procedures and cisplatin-based chemotherapy represent the standard of care for bladder cancer. Unfortunately, however, chemo-resistance often evolves, leading to poor prognosis in patients [3,4]. Thus, researchers continue to seek effective treatments for bladder cancer.
Silent mating type information regulation 1 (Sirtuin 1, SIRT1) is a mammalian homolog of yeast silent information regulator 2. It belongs to the sirtuin protein family of histone deacetylases (HDACs), which target histones and nonhistone proteins for post-translational modifications to critically modulate many cellular functions under metabolic and environmental stresses [5-11]. Emerging evidence suggests that SIRT1 overexpression is positively associated with poor prognosis in different types of solid tumors, including liver, lung, breast, prostate, and bladder cancers [12-15]. Interestingly, metabolic reprogramming through SIRT1 was shown to upregulate GLUT1 and promote glycolysis and cell proliferation in bladder cancer cells, while the application of a SIRT1-specific inhibitor produced opposite effects on glucose uptake and cell growth [16]. Studies identified a complex regulatory network involving a peroxisome proliferator-activated receptor-γ (PPARγ)-SIRT1 feedback loop and its downstream targets, further supporting the idea that SIRT1 plays key roles in the tumorigenesis of bladder cancer cells [17,18]. The importance of SIRT1 in bladder cancer tumorigenesis and progression was further supported by a loss-of-function study showing that SIRT1 deficiency attenuated bladder cell proliferation and migration, and also increased cell cycle arrest through FOXO3a-related pathways [19]. Moreover, a positive correlation was established between the chemo-sensitivity of bladder cancer and the level of miR-34a, which is a downstream effector of p53 that targets and represses SIRT1 and Cdk6 [20]. Together, these lines of evidence indicate that SIRT1 critically impacts cellular processes and could be a promising therapeutic target for bladder cancer management [21].
Heliomycin (also known as resistomycin) is an antibiotic that was initially isolated from marine sponges. It is generated by Streptomyces resistomycificus as a secondary metabolite, and reportedly possesses different activities, including anticancer activities [22-27]. Given that heliomycin was previously suggested to be an HDAC inhibitor [28] and SIRT1 belongs to the class III HDACs, we hypothesized that heliomycin could obstruct SIRT1 in the context of cancer. Heliomycin exhibits extremely low solubility in an aqueous solution, limiting its medical applications. To improve the aqueous solubility of heliomycin, we previously used two new synthetic approaches to generate a series of aminoalkyl derivatives of heliomycin [29,30]. Importantly, heliomycin and some of its novel derivatives exhibited comparable cytotoxicities against a wide range of cancer cell lines, including drug-resistant variants [29]. We further validated that the introduction of aminoalkyl side chains to the parental compound enhanced the affinity of the derivatives to DNA secondary structures, compared to that of heliomycin. This resulted in attenuation of topoisomerase 1 (Top1) activity and induction of apoptosis by the water-soluble derivatives [29,30]. However, the anticancer mechanism of heliomycin remained unknown.
In the present study, we show that heliomycin (designated compound H1 herein) and one of the derivatives tested herein (HD2, but not HD3) directly targeted SIRT1, as assessed by cellular thermal shift assay (CETSA) and a molecular docking simulation. Upon direct binding, heliomycin suppressed SIRT1 expression to enhance autophagic influx and autophagy in bladder cancer cells. In contrast, as suggested in our previous study [29], the water-soluble 4-(tert-butylamino)methyl derivative (HD2) targeted SIRT1 to provoke apoptosis in bladder cancer cells.
Materials and methods
Cell culture and reagents
The anti-SIRT1, anti-Atg5, anti-p53, anti-acetyl-p53, anti-phosphorylated mTOR, anti-mTOR, anti-phosphorylated Akt, anti-PARP, anti-Bak, anti-Puma, anti-Noxa, anti-Bcl2, anti-c-Flip, anti-c-Myc, anti-cleaved caspase-3, and anti-caspase-8 antibodies were purchased from Cell Signaling Technology, Inc. (Beverly, MA, USA). The anti-β-actin and anti-acetyl-c-Myc antibodies were from Millipore Corp. (Temecula, CA, USA). The anti-Akt antibody was purchased from Santa Cruz Biotechnology, Inc. (Santa Cruz, CA, USA). The anti-atg6/Beclin 1, anti-Atg7, and anti-LC3 antibodies were obtained from Novus Biologicals (Centennial, CO, USA). Other chemicals were purchased from the Sigma Chemical Company (St. Louis, MO, USA), unless otherwise specified.
The T24 cell line was established from a human urinary bladder cancer patient with high-grade and invasive transitional cell carcinoma and was grown in RPMI medium (The Bioresource Collection and Research Center, BCRC, Hsinchu, Taiwan). Media were supplemented with 10% FBS, 100 units/ml penicillin, and 50 µg/ml streptomycin. Cells were maintained at 37°C in a humidified atmosphere of 5% CO2 in air, and the media were replaced every 2-3 days. Cells were treated with different concentrations of compounds, dissolved in DMSO (for heliomycin) or water (for HD2 or HD3), or with the same volume of vehicle control.
Chemistry
Heliomycin (H1) was generated at Gause Institute of New Antibiotics (Moscow, Russian Federation) using Actynomyces variabilis var. heliomycini [22]. 4-((tert-butylamino)methyl)-heliomycin hydrochloride (HD2) and 4-(2-(S)-(ethoxycarbonyl)pyrrolidine-1-yl)methyl)-heliomycin hydrochloride (HD3) were prepared by the previously reported method [29]. The structure of heliomycin and its derivatives are illustrated in Figure 1. The purities of the tested compounds of H1, HD2, and HD3 were 97, 99, and 99%, respectively, as examined by HPLC analysis.
Continuous observation of cell proliferation by cell impedance determinations
For continuous monitoring of changes in cell proliferation, cells (104 cells/well) were plated onto E-plates and incubated for 30 min at room temperature, after which E-plates were placed onto the xCELLigence System (Roche, Mannhein, Germany). Cells were grown overnight before being exposed to heliomycin (dissolved in DMSO) or derivatives (dissolved in water) and impedance was measured every hour, as previously described [31]. Cell impedance is defined by the cell index (CI) = (Zi - Z0) [Ohm]/15 [Ohm], where Z0 is background resistance and Zi is the resistance at an individual time point. A normalized cell index was determined as the cell index at a certain time point (CIti) divided by the cell index at the normalization time point (CInml_time).
Analysis of the sub-G1 phases
In brief, after treatments, 106 cells were collected and washed in PBS, slowly fixed in 75% ethanol, and kept at -20°C overnight. Next, the cell pellet was washed with PBS, centrifuged at 500× g for 5 min, then resuspended in 200 μl cold PBS, and then the nuclear DNA was stained with propidium iodide (PI) solution (20 mM Tris pH 8.0, 1 mM NaCl, 0.1% NP-40, 1.4 mg/mL RNase A, 0.05 mg/mL PI) for 30 min on ice in the dark. The total cellular DNA content was analyzed with an FC500 flow cytometer (Beckman Coulter Inc. Brea, CA, USA).
Autophagy determination
Autophagosomes-acidic intracellular compartments that mediate the degradation of cytoplasmic materials during autophagy-were visualized by staining with Acridine Orange (AO; Sigma Chemical Co.). After incubation, cells were washed with PBS and stained with 2 mg/ml AO for 10 min at 37°C. AO-stained cells were then washed, trypsinized, and analyzed using a Beckman Coulter FC500. The results are expressed as a percentage of total cells.
Reverse transcriptase-polymerase chain reaction (RT-PCR)
Total RNA from bladder cancer cells was isolated using the TRIzol reagent (Gibco, Carlsbad, CA, USA). First-strand cDNA was synthesized from 1 μg of total RNA using Superscript II (Life Technologies, Rockville, MD, USA). The following primers sets were used for PCR amplifications: SIRT1, 5’-GCCAGTGGATTCGCTCTTT-3” (sense) and 5’-GCTCTATCCTCCTCATCACTTTCAC-3’ (antisense), and β-actin, 5’-ACTCACCTTGGTGGTGCATA-3’ (sense) and 5’-ACACCTTGATGGGAAAGGTGG-3’ (antisense). The reaction conditions consisted of 30 cycles of 95°C for 30 sec, 55°C for 30 sec, and 72°C for 1 min, followed by a final extension of 5 min at 72°C. The obtained PCR products were resolved by 1.4% agarose gels electrophoresis and visualized by ethidium bromide staining.
Cellular target identification of heliomycin by cellular thermal shift assay (CETSA)
Intracellular SIRT1 as a cellular target of heliomycin and its derivatives were established by CETSA. Samples were prepared from control and compound-exposed cells. For each set, 2×107 cells were seeded in a 10-cm cultured dish. After 24 h of culture, the cells were pretreated with 10 μM MG132 for 1 h, washed with PBS, treated with trypsin, and collected. Samples were centrifuged at 12,000 rpm for 3 min at room temperature, the pellets were gently resuspended with 1 mL of PBS, and the samples were centrifuged at 7,500 rpm for 3 min at room temperature. The pellets were resuspended with 1 mL of PBS containing 20 mM Tris-HCl pH 7.4, 100 mM NaCl, 5 mM EDTA, 2 mM phenylmethylsulfonyl fluoride (PMSF), 10 ng/ml leupeptin, and 10 μg/ml aprotinin. The samples were transferred to Eppendorf tubes and subjected to three freeze-thaw cycles; for each cycle, they were exposed to liquid nitrogen for 3 min, placed in a heating block at 37°C for 3 min, and vortexed briefly. For the experimental sample set, heliomycin or its derivative was added to a final concentration of 20 μM; the same volume of vesicle solvent was added. The samples were heated at 37°C for 1 h and dispensed to 100 μl aliquots. Pairs consisting of one control aliquot and one experimental aliquot were heated at 40°C, 43°C, 46°C, 49°C, 52°C, 55°C, 58°C, 61°C, or 67°C for 3 min. Insoluble proteins were separated by centrifugation at 12,000 rpm for 30 min at 4°C, and the supernatants with soluble proteins were used for SDS-PAGE and Western blot analysis using commercially available SIRT1 antibodies. β-actin was used as the control.
Immunoblotting
Cell extracts were prepared in lysis buffer (20 mM Tris-HCl pH 7.4, 100 mM NaCl, 5 mM EDTA, 2 mM phenylmethylsulfonyl fluoride (PMSF), 10 ng/ml leupeptin, 10 μg/ml aprotinin). Volumes of extract containing equal amounts of proteins (40 µg) were applied to SDS-PAGE gels, and resolved proteins were transferred to PVDF membranes (Schleicher & Schuell, Keene, NH, USA). The membranes were blocked, washed, and probed with primary antibodies. After washing to remove unbound primary antibody, membranes were incubated with horseradish peroxidase-conjugated secondary antibody for 2 hours. The blots were washed again and developed using enhanced chemiluminescence (ECL) reagents, according to the manufacturer’s protocol (Amersham Biosciences, Piscataway, NJ, USA).
Molecular docking simulation
A crystal structure of the SIRT1 catalytic domain bound to an EX527 analog (PDB: 4I5I) [32] was employed for the molecular docking study. EX-527 is a nanomolar SIRT1 inhibitor with an IC50 value as low as 38 nM [33], and therefore its co-crystal structure of SIRT1 protein is suitable in the docking analysis. The water molecule and ligand molecule of the initial crystal structure were removed using the PyMOL program (https://pymol.org/2021) to prepare for the docking analysis. Molecular docking was performed using the AutoDock Vina package [34] in the PyRx software [35] to assess the probably binding modes of heliomycin and its derivatives in the SIRT1 catalytic domain. The docking site was determined according to the inhibitor binding site of EX527 analog in the crystal structure of SIRT1, as the setting in the grid selection. Each compound was optimized in molecular geometry, torsional barriers, and intermolecular-interaction geometry using the MMFF94 forcefield in CHARMM [36]. The best pose of each compound was chosen based on the lowest binding affinity calculated in kcal/mol by AutoDock Vina, for further interaction analyses. The post-docking analyses were conducted using the LigPlot+ software [37] to identify the ligand-protein hydrogen bonds and hydrophobic contacts. The docking results were visualized using the PyMOL program.
Statistics
All data are expressed as the means ± SEs of three independent experiments. The significance of differences between control and treatment groups was calculated using a one-way ANOVA.
Results
Heliomycin and its water-soluble derivatives attenuate cell proliferation in bladder cancer cells
We previously reported that heliomycin and its 4-aminomethylated derivatives exhibited anticancer activity against several cancer cell lines, including drug-resistance lines [29]. Cellular function studies and protein analyses indicated that the cytotoxicity of the water-soluble aminomethylated derivatives arose from their apoptotic activity [29]. However, the mechanisms underlying the cytotoxicity of heliomycin itself remained unknown. Among the first series of derivatives, heliomycin (H1) and the 4-(tert-butylamino)methyl derivative (HD2) demonstrated high antiproliferative potency on HCT116 p53-null and K562 cells, but not with the 4-(2-(S)-(ethoxycarbonyl)pyrrolidine-1-yl)methyl derivative (HD3) in our previous study (Figure 1) [29]. Here, we explored the molecular mechanisms underpinning the antitumor activity of these three compounds against bladder cancer cells. Analysis with an electrical impedance-based xCELLigence System showed that heliomycin (H1) and its water-soluble 4-(tert-butylamino)methyl derivative (HD2) exhibited considerable cytotoxicity at 1 μM in T24 bladder cancer cells, as evidenced by reduced cell index values (Figure 2A and 2B). However, the derivative (HD3) showed less cytotoxicity compared to the other two compounds against T24 bladder cancer cells (Figure 2C).
Since the aminomethylated derivative (HD2), but not heliomycin (H1), was previously demonstrated to induce apoptosis [29], we assessed whether cell death contributed to the cytotoxicity of these compounds in bladder cancer cells. Consistent with our previous report, the water-soluble derivative (HD2), but not heliomycin (H1) or (HD3), induced marked changes in the sub-G1 population percentage assessed by PI staining and flow cytometry, indicating that apoptosis was induced (Figure 3A). Furthermore, protein analysis showed that derivative (HD2) enhanced the expression levels of pro-apoptotic Bak, acetylated p53/p53, Noxa, Puma, cleaved caspase-8, 9, and 3, and cleaved PARP, all indicative of apoptosis induction (Figure 3B). The anticancer activity of the derivative (HD2) was also supported by the downregulation of anti-apoptotic Flip in these bladder cancer cells (Figure 3B). However, these indications were not observed in cells treated with heliomycin (H1) or derivative (HD3) (Figure 3B).
To explore other types of cells death, we utilized AO staining, which detects autophagolysosomes, to determine whether the tested compounds could induce autophagy. Interestingly, our results suggested that heliomycin triggered autophagy, whereas derivatives (HD2) and (HD3) did not (Figure 4A). Western blot analyses illustrated that heliomycin-mediated autophagy was associated with upregulation of the autophagy-related proteins, Atg 5, 6, 7, and ULK1, along with cleaved LC-3 II, and downregulation of the phosphorylation/activation of mTOR and Akt (Figure 4B). The changes in these protein markers were much less obvious in cells treated with derivative (HD2) and (HD3) compared to those of their controls (Figure 4B). We also examined the autophagic influx using the autophagosome-lysosome binding inhibitor, chloroquine (CQ). As expected, heliomycin exposure markedly enhanced LC-3 II expression compared to that seen in control cells (Figure 4B and 4C). Western blot analysis showed that co-treatment with CQ and heliomycin further augmented the level of LC-3 II beyond that seen in the heliomycin-alone group, indicating an increased accumulation of autophagosomes and enhancement of autophagic flux (Figure 4C). These lines of evidence support the idea that heliomycin provokes autophagy while the water-soluble derivative (HD2) induces apoptosis in a bladder cancer cell line.
Cellular target identification of heliomycin or its water-soluble 4-aminomethylated derivative (HD2) with SIRT1 by CETSA
To validate SIRT1 as a potential protein target of heliomycin, we used the cellular thermal shift assay (CETSA), which has emerged as a powerful label-free method to assess target engagement for compounds in the native cellular environment [38-40]. Since ligand binding thermally stabilizes a target protein, the relative intensity of SIRT1 protein identified by Western blot was plotted against the temperature to generate CETSA melting curves. Based on these curves, we calculated the melting temperature, T m, as the temperature at which 50% of SIRT1 proteins were precipitated. Our results demonstrated that heliomycin treatment increased the T m from 49.3°C (control) to 55.1°C (heliomycin (H1)-treated), indicating that there was direct binding between SIRT1 and heliomycin in T24 bladder cells (Figure 5A). The aminomethylated derivative (HD2) was also found to target SIRT1, as evidenced by T m increasing from 52.1°C (control) to 57.7°C (HD2-treated) (Figure 5B). On the contrary, the CETSA melting curve of derivative (HD3)-exposed cells was similar to that of the control, suggesting that there was no direct binding between this compound and SIRT1 (Figure 5C).
We next evaluated how the binding of heliomycin or its derivatives affected SIRT1 expression at the protein and transcript levels. Our data suggested that the transcript level of SIRT1 was not significantly affected by heliomycin or its derivatives in T24 cells (Figure 6A). In contrast, protein analysis indicated that treatment with 1 or 2 μM heliomycin (H1) or derivative (HD2) markedly attenuated SIRT1 protein expression, whereas no such effect was seen for the other derivative (HD3) (Figure 6B). To further validate these results, we showed that the pretreatment with the autophagy inhibitor bafilomycin A1 (Baf A1) markedly reversed SIRT1 downregulation, indicating that the autophagic degradation pathway might be involved in this heliomycin-mediated SIRT1 suppression. Similarly, SIRT1 downregulation was prevented by treating T24 cells with the proteasome inhibitor MG132, insinuating a possible proteasomal degradation of SIRT1 (Figure 6C). Given that significant apoptosis rather than autophagy predominated in T24 cells treated by the water-soluble derivative (HD2), we found that MG132 effectively inhibited SIRT1 downregulation, conceivably through a proteasomal mechanism (Figure 6D). These lines of evidence point towards that heliomycin and its water-soluble derivative (HD2) mediated multiple pathways to degrade SIRT1 protein.
The docking of heliomycin or its water-soluble 4-aminomethylated derivative (HD2) into SIRT1 by a molecular docking simulation
Additionally, by a molecular docking study, we took it a step further to explore the binding mode of heliomycin and its derivatives in the inhibitor binding pocket of the crystal structure of the SIRT1 catalytic domain [32]. The binding poses of heliomycin (H1) and its derivatives were generated by molecular docking, which could be observed to superimpose with obviously different orientations (Figure 7A). The docking energy score for the heliomycin (H1) complex (-9.5 kcal/mol) and the derivative (HD2) complex (-9.1 kcal/mol) indicated that showed significantly more affinity than the derivative (HD3) complex (-0.6 kcal/mol). Moreover, further analysis showed that the hydrophobic interactions were found in several consistent residues surrounding the binding pocket of SIRT1 protein among the docking orientations of heliomycin and its derivatives (Figure 7B). The consistent interaction residues in the three docked complexes are shown in red circles and ellipses, including Gly261, Ala262, Phe273, Phe297, Gln345, Asn346, Ile347, His363, Val412, Phe413, Phe414, and Val445. It can be seen from the post docking analysis that the higher affinities of heliomycin (H1) and derivatives (HD2) to SIRT1 were supported by the hydrophobic moieties surrounding the whole molecules. Furthermore, the hydrogen bonds were also found on Ala262 and Ile347 residues in the docked complex of water-soluble derivative (HD2) to produce steady interaction. On the other hand, derivative (HD3) was formed the hydrophobic moieties on almost all consistent residues, except for Gly 261 of SIRT1. By this result, we speculate that the lack of interaction residues surrounded the derivative (HD3) leading to the lower affinity to SIRT1.
Discussion
The growing interest in sirtuins (SIRTs) largely arises from studies showing that these highly conserved NAD+-dependent histone deacetylases, commonly known as the type III HDACs, are important for an array of cellular events and characteristics, including transcriptional regulation, metabolism, and longevity [7,8,41,42]. SIRT1, which is the most highly studied member of the SIRT family, has been shown to utilize NAD+ as a cofactor to deacetylate histone and non-histone proteins at different stages of cancer and is thus poised to affect tumorigenesis [9,10,43]. Many substrate proteins involved in a wide range of pathways are post-translational modified by SIRT1, such that its tight regulation may offer a potential therapeutic strategy against cancer. Here, we reveal that the heliomycin-induced downregulation of SIRT1 reduces cell growth and enhances autophagy in bladder cancer cells, providing additional evidence for the oncogenic functions of SIRT1. SIRT1 was previously suggested to regulate autophagy through deacetylation of the important autophagic components, ATG5, 7 and 8 [44], or via deacetylation of the FOXO transcription factors, leading to enhanced expression of the autophagic machinery [45].
Heliomycin (also known as resistomycin) was first identified more than 60 years ago as a metabolite generated by marine sponges; it possesses many biological activities, including antibacterial and antifungal activities [23-26], anticancer properties [24,27,46,47], and HDAC inhibitor activity [28]. Here, we explored whether heliomycin could directly target SIRT1 by cellular thermal shift assay (CETSA). In the presence of heliomycin, the SIRT1 protein maintained its native antibody-recognized configuration at a higher temperature compared with that observed in the absence of heliomycin (H1) (Figure 5). Upon binding, heliomycin suppressed SIRT1 protein expression to enhance autophagy and attenuate the growth of a bladder cancer cell line. We further validated that SIRT1 downregulation by heliomycin might be via autophagic degradation and/or proteasomal degradation, based on our inhibitor experiments (Figure 6). With limited information on the homeostasis of SIRT1 at the protein level, our findings replicated in a recent study suggest autophagy plays an imperative role in SIRT1 degradation [48,49]. Equally important, SIRT1 is reported to be ubiquitinated and degraded through proteasome pathways in response to stresses [50-52].
Although heliomycin is demonstrated to possess multiple biological activities, its medical applications have been limited due to the extremely low solubility. We previously synthesized a series of novel water-soluble heliomycin derivatives that exhibit chemotherapeutic potential [29,30]. Among them, the water-soluble 4-aminomethylated derivative (HD2) of heliomycin was demonstrated to be apoptotic, but its cellular target remained unknown [29]. Here, we verified the apoptotic activity of the derivative (HD2) and used CETSA to further identify SIRT1 as a cellular protein target of this derivative (Figure 5). The binding between the aminomethylated derivative (HD2) and SIRT1 inhibited SIRT1 to increase the acetylations of C-myc and p53, which contributed to apoptotic pathways (Figure 3). A potent and selective SIRT1 inhibitor, EX527, was shown to induce apoptosis through enhancing p53 acetylation in glioma cancer cell lines [53]. This same inhibitor was highly effective in sensitizing multidrug-resistant human cancer cells to therapeutic treatments, suggesting that targeting SIRT1 could serve as a novel strategy to overcome multidrug resistance [54,55]. A second example is BZD9L1, the novel sirtuin inhibitor, which was recently shown to exhibit anticancer properties in colorectal cancer through the induction of apoptosis [56]. Furthermore, key molecular targets of BZD9L1 were identified by both experimental and computational modeling approaches, and were found to be associated with the p53-dependent apoptotic pathways in colorectal cancer [57]. Combination treatment with BZD9L1 plus 5-FU exerted synergistic cytotoxic effects and diminished cancer growth both in vitro and in vivo, further highlighting the therapeutic potential of SIRT1 inhibitors [58]. These small molecule inhibitors, as well as heliomycin and its water-soluble derivative, have been used to modulate SIRT1 activity that would assist in the elucidation of the complex biological function of SIRT1. At this point, we are not certain of the exact inhibition mechanism of heliomycin and its derivative on SIRT1. However, we speculate that extra hydrogen bonds formed between the water-soluble derivative (HD2) and Ala262 and Ile347 residues of SIRT1 protein might interfere with its substrate binding. Subsequently, depending on the bound substrate, the interaction would initiate a distinct cell death pathway that differs from the one triggered by heliomycin. To confirm this hypothesis, it is necessary to conduct further structure determination of the SIRT1/inhibitor complexes or the complexes containing reaction intermediates.
In sum, we herein employed CETSA to show that heliomycin targets SIRT1 to provoke autophagy of bladder cancer cells through SIRT1 downregulation, whereas a water-soluble aminomethylated derivative of heliomycin (HD2) also targets SIRT1 and induces apoptosis. Our experimental and computational evidence clearly suggest that SIRT1 is a promising drug target, and that heliomycin and its water-soluble derivative may warrant further development as potential cancer remedies.
Acknowledgements
This work was supported by grants from the Ministry of Sciences and Technology, Taiwan (MOST 106-2320-B-005-008-MY3 to PJC and MOST 108-2923-B-005-001-MY3 to PJC), the Russian Foundation for Basic Research (Project 19-53-52008 to AES), and An Nan Hospital, China Medical University, Tainan, Taiwan (ANHRF108-05 and ANHRF109-11).
Disclosure of conflict of interest
None.
Abbreviations
- AO
Acridine orange
- CETSA
Cellular thermal shift assay
- ROS
Reactive oxygen species
- tNOX
tumor-associated NADH oxidase
- SIRT1
Sirtuin 1
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