The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers

The dual tyrosine kinase (EGFR/HER2) inhibitor lapatinib is currently used to clinically treat HER2-positive breast cancer. However, a majority of patients do not respond to lapatinib therapy within 6 months. Therefore, potentiating the anti-tumor effect of lapatinib by combination treatment has a g...

Full description

Bibliographic Details
Main Authors: Ziyin Tian, Yan Yang, He Wu, Yongye Chen, Hao Jia, Lei Zhu, Runjia He, Yibo Jin, Bei Zhou, Chunpo Ge, Yanxia Sun, Yun Yang
Format: Article
Language:English
Published: Elsevier 2022-08-01
Series:Heliyon
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S240584402201698X
_version_ 1818472720406413312
author Ziyin Tian
Yan Yang
He Wu
Yongye Chen
Hao Jia
Lei Zhu
Runjia He
Yibo Jin
Bei Zhou
Chunpo Ge
Yanxia Sun
Yun Yang
author_facet Ziyin Tian
Yan Yang
He Wu
Yongye Chen
Hao Jia
Lei Zhu
Runjia He
Yibo Jin
Bei Zhou
Chunpo Ge
Yanxia Sun
Yun Yang
author_sort Ziyin Tian
collection DOAJ
description The dual tyrosine kinase (EGFR/HER2) inhibitor lapatinib is currently used to clinically treat HER2-positive breast cancer. However, a majority of patients do not respond to lapatinib therapy within 6 months. Therefore, potentiating the anti-tumor effect of lapatinib by combination treatment has a great potential to overcome the obstacle. Herein, we aim to investigate the anti-tumor activity of lapatinib in combination with brusatol and explore the potential mechanism involved in the combinatorial treatment. Our findings revealed that the Nrf2 inhibitor brusatol potently enhanced the anti-tumor effect of lapatinib against SK-BR-3, SK-OV-3 and AU565 cancer cells in a synergistic manner. Furthermore, we found that lapatinib plus brusatol more effectively decreased Nrf2 level and induced ROS generation in both SK-BR-3 and SK-OV-3 cells. Moreover, we also observed a significant reduction on the phosphorylation of HER2, EGFR, AKT and ERK1/2 in SK-BR-3 and SK-OV-3 cells when treated with lapatinib plus brusatol compared to either agent alone. More importantly, brusatol significantly augmented the anti-tumor effects of lapatinib in the SK-OV-3 xenograft model. In summary, these data provide a potential rationale for the combination of brusatol and lapatinib on the treatment of HER2-positive cancers.
first_indexed 2024-04-14T04:12:34Z
format Article
id doaj.art-0cda42353b374491acc3d881568451cc
institution Directory Open Access Journal
issn 2405-8440
language English
last_indexed 2024-04-14T04:12:34Z
publishDate 2022-08-01
publisher Elsevier
record_format Article
series Heliyon
spelling doaj.art-0cda42353b374491acc3d881568451cc2022-12-22T02:13:04ZengElsevierHeliyon2405-84402022-08-0188e10410The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancersZiyin Tian0Yan Yang1He Wu2Yongye Chen3Hao Jia4Lei Zhu5Runjia He6Yibo Jin7Bei Zhou8Chunpo Ge9Yanxia Sun10Yun Yang11School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Nucleus Radiation-related Injury Treatment, PLA Rocket Force Characteristic Medical Center, Beijing, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaSchool of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, ChinaDepartment of Galactophore, The First People's Hospital of Xinxiang, Xinxiang, China; Corresponding author.School of Basic Medical Sciences, Xinxiang Medical University, Xinxiang, China; Henan International Joint Laboratory of Immunity and Targeted Therapy for Liver-intestinal Tumors, Xinxiang, China; Corresponding author.The dual tyrosine kinase (EGFR/HER2) inhibitor lapatinib is currently used to clinically treat HER2-positive breast cancer. However, a majority of patients do not respond to lapatinib therapy within 6 months. Therefore, potentiating the anti-tumor effect of lapatinib by combination treatment has a great potential to overcome the obstacle. Herein, we aim to investigate the anti-tumor activity of lapatinib in combination with brusatol and explore the potential mechanism involved in the combinatorial treatment. Our findings revealed that the Nrf2 inhibitor brusatol potently enhanced the anti-tumor effect of lapatinib against SK-BR-3, SK-OV-3 and AU565 cancer cells in a synergistic manner. Furthermore, we found that lapatinib plus brusatol more effectively decreased Nrf2 level and induced ROS generation in both SK-BR-3 and SK-OV-3 cells. Moreover, we also observed a significant reduction on the phosphorylation of HER2, EGFR, AKT and ERK1/2 in SK-BR-3 and SK-OV-3 cells when treated with lapatinib plus brusatol compared to either agent alone. More importantly, brusatol significantly augmented the anti-tumor effects of lapatinib in the SK-OV-3 xenograft model. In summary, these data provide a potential rationale for the combination of brusatol and lapatinib on the treatment of HER2-positive cancers.http://www.sciencedirect.com/science/article/pii/S240584402201698XNrf2BrusatolLapatinibHER2ROSERK1/2
spellingShingle Ziyin Tian
Yan Yang
He Wu
Yongye Chen
Hao Jia
Lei Zhu
Runjia He
Yibo Jin
Bei Zhou
Chunpo Ge
Yanxia Sun
Yun Yang
The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
Heliyon
Nrf2
Brusatol
Lapatinib
HER2
ROS
ERK1/2
title The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
title_full The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
title_fullStr The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
title_full_unstemmed The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
title_short The Nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in HER2-positive cancers
title_sort nrf2 inhibitor brusatol synergistically enhances the cytotoxic effect of lapatinib in her2 positive cancers
topic Nrf2
Brusatol
Lapatinib
HER2
ROS
ERK1/2
url http://www.sciencedirect.com/science/article/pii/S240584402201698X
work_keys_str_mv AT ziyintian thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yanyang thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT hewu thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yongyechen thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT haojia thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT leizhu thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT runjiahe thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yibojin thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT beizhou thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT chunpoge thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yanxiasun thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yunyang thenrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT ziyintian nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yanyang nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT hewu nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yongyechen nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT haojia nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT leizhu nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT runjiahe nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yibojin nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT beizhou nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT chunpoge nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yanxiasun nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers
AT yunyang nrf2inhibitorbrusatolsynergisticallyenhancesthecytotoxiceffectoflapatinibinher2positivecancers