Synergistic antitumor activity of artesunate and HDAC inhibitors through elevating heme synthesis via synergistic upregulation of ALAS1 expression

Artemisinin and its derivatives (ARTs) were reported to display heme-dependent antitumor activity. On the other hand, histone deacetylase inhibitors (HDACi) were known to be able to promote heme synthesis in erythroid cells. Nevertheless, the effect of HDACi on heme homeostasis in non-erythrocytes r...

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Main Authors: Cai-Ping Chen (Author), Kun Chen (Author), Zhiqi Feng (Author), Xiaoan Wen (Author), Hongbin Sun (Author)
Format: Book
Published: Elsevier, 2019-09-01T00:00:00Z.
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100 1 0 |a Cai-Ping Chen  |e author 
700 1 0 |a Kun Chen  |e author 
700 1 0 |a Zhiqi Feng  |e author 
700 1 0 |a Xiaoan Wen  |e author 
700 1 0 |a Hongbin Sun  |e author 
245 0 0 |a Synergistic antitumor activity of artesunate and HDAC inhibitors through elevating heme synthesis via synergistic upregulation of ALAS1 expression 
260 |b Elsevier,   |c 2019-09-01T00:00:00Z. 
500 |a 2211-3835 
500 |a 10.1016/j.apsb.2019.05.001 
520 |a Artemisinin and its derivatives (ARTs) were reported to display heme-dependent antitumor activity. On the other hand, histone deacetylase inhibitors (HDACi) were known to be able to promote heme synthesis in erythroid cells. Nevertheless, the effect of HDACi on heme homeostasis in non-erythrocytes remains unknown. We envisioned that the combination of HDACi and artesunate (ARS) might have synergistic antitumor activity through modulating heme synthesis. In vitro studies revealed that combination of ARS and HDACi exerted synergistic tumor inhibition by inducing cell death. Moreover, this combination exhibited more effective antitumor activity than either ARS or HDACi monotherapy in xenograft models without apparent toxicity. Importantly, mechanistic studies revealed that HDACi coordinated with ARS to increase 5-aminolevulinate synthase (ALAS1) expression, and subsequent heme production, leading to enhanced cytotoxicity of ARS. Notably, knocking down ALAS1 significantly blunted the synergistic effect of ARS and HDACi on tumor inhibition, indicating a critical role of ALAS1 upregulation in mediating ARS cytotoxicity. Collectively, our study revealed the mechanism of synergistic antitumor action of ARS and HDACi. This finding indicates that modulation of heme synthesis pathway by the combination based on ARTs and other heme synthesis modulators represents a promising therapeutic approach to solid tumors. Keywords: Artesunate, HDAC inhibitor, Heme, ALAS1, Antitumor 
546 |a EN 
690 |a Therapeutics. Pharmacology 
690 |a RM1-950 
655 7 |a article  |2 local 
786 0 |n Acta Pharmaceutica Sinica B, Vol 9, Iss 5, Pp 937-951 (2019) 
787 0 |n http://www.sciencedirect.com/science/article/pii/S2211383518313984 
787 0 |n https://doaj.org/toc/2211-3835 
856 4 1 |u https://doaj.org/article/1ed746682aee46ffaa8f6ac1bb4579aa  |z Connect to this object online.