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The small molecule chemical compound cinobufotalin attenuates resistance to DDP by inducing ENKUR expression to suppress MYH9-mediated c-Myc deubiquitination in lung adenocarcinoma

Jia-hao Liu1, Hui-ling Yang2,3, Shu-ting Deng1, Zhe Hu1, Wei-feng Chen1, Wei-wei Yan1, Ren-tao Hou1, Yong-hao Li1, Rui-ting Xian1,4, Ying-ying Xie1, Yun Su5, Li-yang Wu5, Ping Xu6, Zhi-bo Zhu1, Xiong Liu4, Yu-ling Deng7, Yu-bing Wang1,8, Zhen Liu1,4, Wei-yi Fang1
1 Cancer Center, Integrated Hospital of Traditional Chinese Medicine, Southern Medical University, Guangzhou 510515, China
2 Cancer Research Institute, School of Basic Medical Sciences, Southern Medical University, Guangzhou 510515, China
3 School of Pharmacy, Guangdong Medical University, Dongguan 523808, China
4 Nanfang Hospital, Southern Medical University, Guangzhou 510515, China
5 Key Laboratory of Protein Modification and Degradation, Basic School of Guangzhou Medical University, Guangzhou 511436, China
6 Respiratory Department, Peking University Shenzhen Hospital, Shenzhen 518034, China
7 Department of Chinese Medicine Rehabilitation, Pingxiang People’s Hospital, Pingxiang 337055, China
8 Guangzhou Eighth People’s Hospital, Guangzhou Medical University, Guangzhou 510060, China
Correspondence to: Yu-bing Wang: wangyubing95117@163.com, Zhen Liu: narcissus_jane@163.com, Wei-yi Fang: fangweiyi1975@163.com,
DOI: 10.1038/s41401-022-00890-x
Received: 24 August 2021
Accepted: 15 February 2022
Advance online: 16 March 2022

Abstract

The small molecule chemical compound cinobufotalin (CB) is reported to be a potential antitumour drug that increases cisplatin (DDP) sensitivity in nasopharyngeal carcinoma. In this study, we first found that CB decreased DDP resistance, migration and invasion in lung adenocarcinoma (LUAD). Mechanistic studies showed that CB induced ENKUR expression by suppressing PI3K/AKT signalling to downregulate c-Jun, a negative transcription factor of ENKUR. Furthermore, ENKUR was shown to function as a tumour suppressor by binding to β-catenin to decrease c-Jun expression, thus suppressing MYH9 transcription. Interestingly, MYH9 is a binding protein of ENKUR. The Enkurin domain of ENKUR binds to MYH9, and the Myosin_tail of MYH9 binds to ENKUR. Downregulation of MYH9 reduced the recruitment of the deubiquitinase USP7, leading to increased c-Myc ubiquitination and degradation, decreased c-Myc nuclear translocation, and inactivation of epithelial-mesenchymal transition (EMT) signalling, thus attenuating DDP resistance. Our data demonstrated that CB is a promising antitumour drug and may be a candidate chemotherapeutic drug for LUAD patients.
Keywords: cinobufotalin; ENKUR; MYH9; chemoresistance; lung adenocarcinoma

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