Targeting DDX3 with a small molecule inhibitor for lung cancer therapy

EMBO Mol Med. 2015 May;7(5):648-69. doi: 10.15252/emmm.201404368.

Abstract

Lung cancer is the most common malignancy worldwide and is a focus for developing targeted therapies due to its refractory nature to current treatment. We identified a RNA helicase, DDX3, which is overexpressed in many cancer types including lung cancer and is associated with lower survival in lung cancer patients. We designed a first-in-class small molecule inhibitor, RK-33, which binds to DDX3 and abrogates its activity. Inhibition of DDX3 by RK-33 caused G1 cell cycle arrest, induced apoptosis, and promoted radiation sensitization in DDX3-overexpressing cells. Importantly, RK-33 in combination with radiation induced tumor regression in multiple mouse models of lung cancer. Mechanistically, loss of DDX3 function either by shRNA or by RK-33 impaired Wnt signaling through disruption of the DDX3-β-catenin axis and inhibited non-homologous end joining-the major DNA repair pathway in mammalian somatic cells. Overall, inhibition of DDX3 by RK-33 promotes tumor regression, thus providing a compelling argument to develop DDX3 inhibitors for lung cancer therapy.

Keywords: DDX3; DNA repair; lung cancer; radiation‐sensitizing agent; small molecule inhibitor.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Animals
  • Antineoplastic Agents / isolation & purification
  • Antineoplastic Agents / pharmacology*
  • Apoptosis
  • Azepines / isolation & purification
  • Azepines / pharmacology*
  • Cell Cycle / drug effects
  • Cell Cycle Checkpoints
  • Cell Line
  • DEAD-box RNA Helicases / antagonists & inhibitors*
  • Humans
  • Imidazoles / isolation & purification
  • Imidazoles / pharmacology*
  • Lung Neoplasms / drug therapy*
  • Lung Neoplasms / radiotherapy*
  • Mice, Nude
  • Mice, Transgenic
  • Radiation-Sensitizing Agents / isolation & purification
  • Radiation-Sensitizing Agents / pharmacology*

Substances

  • 3,7-dihydro-3,7-bis((4-methoxyphenyl)methyl)-2H-diimidazo(4,5-d:4',5'-f)(1,3)diazepin-2-one
  • Antineoplastic Agents
  • Azepines
  • Imidazoles
  • Radiation-Sensitizing Agents
  • DDX3X protein, human
  • DEAD-box RNA Helicases