Co-inhibition of BET proteins and PI3Kα triggers mitochondrial apoptosis in rhabdomyosarcoma cells

Oncogene. 2020 May;39(19):3837-3852. doi: 10.1038/s41388-020-1229-0. Epub 2020 Mar 11.

Abstract

Remodeling transcription by targeting bromodomain and extraterminal (BET) proteins has emerged as promising anticancer strategy. Here, we identify a novel synergistic interaction of the BET inhibitor JQ1 with the PI3Kα-specific inhibitor BYL719 to trigger mitochondrial apoptosis and to suppress tumor growth in models of rhabdomyosarcoma (RMS). RNA-Seq revealed that JQ1/BYL719 co-treatment shifts the overall balance of BCL-2 family gene expression towards apoptosis and upregulates expression of BMF, BCL2L11 (BIM), and PMAIP1 (NOXA) while downregulating BCL2L1 (BCL-xL). These changes were confirmed by qRT-PCR and western blot analysis. Ingenuity pathway analysis (IPA) of RNA-Seq data followed by validation qRT-PCR and western blot identified MYC and FOXO3a as potential transcription factors (TFs) upstream of the observed gene expression pattern. Immunoprecipitation (IP) studies showed that JQ1/BYL719-stimulated increase in BIM expression enhances the neutralization of antiapoptotic BCL-2, BCL-xL, and MCL-1. This promotes the activation of BAK and BAX and caspase-dependent apoptosis, as (1) individual silencing of BMF, BIM, NOXA, BAK, or BAX, (2) overexpression of BCL-2 or MCL-1 or (3) the caspase inhibitor N-Benzyloxycarbonyl-Val-Ala-Asp(O-Me) fluoromethylketone (zVAD.fmk) all rescue JQ1/BYL719-induced cell death. In conclusion, co-inhibition of BET proteins and PI3Kα cooperatively induces mitochondrial apoptosis by proapoptotic re-balancing of BCL-2 family proteins. This discovery opens exciting perspectives for therapeutic exploitation of BET inhibitors in RMS.

MeSH terms

  • Adaptor Proteins, Signal Transducing / genetics
  • Animals
  • Apoptosis / drug effects
  • Azepines / pharmacology
  • Bcl-2-Like Protein 11 / genetics
  • Drug Synergism
  • Gene Expression Regulation, Neoplastic / genetics
  • Histone Deacetylase Inhibitors / pharmacology
  • Humans
  • Mice
  • Mitochondria / drug effects*
  • Myeloid Cell Leukemia Sequence 1 Protein / genetics
  • Proto-Oncogene Proteins c-bcl-2 / genetics*
  • RNA-Seq
  • Rhabdomyosarcoma / drug therapy*
  • Rhabdomyosarcoma / genetics
  • Rhabdomyosarcoma / pathology
  • Thiazoles / pharmacology
  • Transcription Factors / antagonists & inhibitors
  • Transcription Factors / genetics*
  • Triazoles / pharmacology
  • bcl-X Protein / genetics

Substances

  • (+)-JQ1 compound
  • Adaptor Proteins, Signal Transducing
  • Azepines
  • BCL2 protein, human
  • BCL2L11 protein, human
  • BMF protein, human
  • Bcl-2-Like Protein 11
  • Histone Deacetylase Inhibitors
  • MCL1 protein, human
  • Myeloid Cell Leukemia Sequence 1 Protein
  • PI3KCA protein, human
  • PMAIP1 protein, human
  • Proto-Oncogene Proteins c-bcl-2
  • Thiazoles
  • Transcription Factors
  • Triazoles
  • bcl-X Protein
  • Alpelisib