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Tanshinone IIA induces ER stress and JNK activation to inhibit tumor growth and enhance anti-PD-1 immunotherapy in non-small cell lung cancer
Zhang YiZhong1; Lai HuanLing5; Huang Chen1; Jiang ZeBo6; Yan HaoXin1; Wang XuanRun2,3; Xie Chun2,3; Huang JuMin2,3; Ren WenKang1; Li JiaXin1; Zhai ZhiRan1; Yao XiaoJun4; Wu QiBiao1; Leung Elaine Lai Han2,3
2024-06-01
Source PublicationPhytomedicine
ISSN0944-7113
Volume128Pages:155431
Abstract

Background: Non-small cell lung cancer (NSCLC) remains at the forefront of new cancer cases, and there is an urgent need to find new treatments or improve the efficacy of existing therapies. In addition to the application in the field of cerebrovascular diseases, recent studies have revealed that tanshinone IIA (Tan IIA) has anticancer activity in a variety of cancers. Purpose: To investigate the potential anticancer mechanism of Tan IIA and its impact on immunotherapy in NSCLC. Methods: Cytotoxicity and colony formation assays were used to detect the Tan IIA inhibitory effect on NSCLC cells. This research clarified the mechanisms of Tan IIA in anti-tumor and programmed death-ligand 1 (PD-L1) regulation by using flow cytometry, transient transfection, western blotting and immunohistochemistry (IHC) methods. Besides, IHC was also used to analyze the nuclear factor of activated T cells 1 (NFAT2) expression in NSCLC clinical samples. Two animal models including xenograft mouse model and Lewis lung cancer model were used for evaluating tumor suppressive efficacy of Tan IIA. We also tested the efficacy of Tan IIA combined with programmed cell death protein 1 (PD-1) inhibitors in Lewis lung cancer model. Results: Tan IIA exhibited good NSCLC inhibitory effect which was accompanied by endoplasmic reticulum (ER) stress response and increasing Ca levels. Moreover, Tan IIA could suppress the NFAT2/ Myc proto oncogene protein (c-Myc) signaling, and it also was able to control the Jun Proto-Oncogene(c-Jun)/PD-L1 axis in NSCLC cells through the c-Jun N-terminal kinase (JNK) pathway. High NFAT2 levels were potential factors for poor prognosis in NSCLC patients. Finally, animal experiments data showed a stronger immune activation phenotype, when we performed treatment of Tan IIA combined with PD-1 monoclonal antibody. Conclusion: The findings of our research suggested a novel mechanism for Tan IIA to inhibit NSCLC, which could exert anti-cancer effects through the JNK/NFAT2/c-Myc pathway. Furthermore, Tan IIA could regulate tumor PD-L1 levels and has the potential to improve the efficacy of PD-1 inhibitors.

KeywordEr Stress Jnk Nfat2 Nsclc Pd-l1 Tanshinone Iia
DOI10.1016/j.phymed.2024.155431
URLView the original
Indexed BySCIE
Language英語English
WOS Research AreaPlant Sciences ; Pharmacology & Pharmacy ; Integrative & Complementary Medicine
WOS SubjectPlant Sciences ; Chemistry, Medicinal ; Integrative & Complementary Medicine ; Pharmacology & Pharmacy
WOS IDWOS:001211224600001
PublisherELSEVIER GMBHHACKERBRUCKE 6, 80335 MUNICH, GERMANY
Scopus ID2-s2.0-85188915701
Fulltext Access
Citation statistics
Document TypeJournal article
CollectionFaculty of Health Sciences
INSTITUTE OF COLLABORATIVE INNOVATION
Cancer Centre
DEPARTMENT OF BIOMEDICAL SCIENCES
Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau
Corresponding AuthorYao XiaoJun; Wu QiBiao; Leung Elaine Lai Han
Affiliation1.State Key Laboratory of Quality Research in Chinese Medicine, Dr. Neher's Biophysics of Innovative Drug Discovery, Macau Institute For Applied Research in Medicine and Health, Macau University of Science and Technology, Macau (SAR), China
2.Cancer Center, Faculty of Health Science, University of Macau, Macau (SAR), China. MOE Frontiers Science Center for Precision Oncology, University of Macau, Macau (SAR), China
3.State Key Laboratory of Quality Research in Chinese Medicine, University of Macau, Macau (SAR), China
4.Faculty of Applied Sciences, Macao Polytechnic University, 999078, Macao
5.Guangzhou National Laboratory, Guangzhou, No. 9 XingDaoHuanBei Road, Guangzhou International Bio Island, Guangdong Province, 510005, China
6.Affiliated Zhuhai Hospital, Southern Medical University, Zhuhai Hospital of Integrated Traditional Chinese & Western Medicine, Zhuhai, Guangdong, 519000, China
First Author AffilicationUniversity of Macau
Corresponding Author AffilicationUniversity of Macau;  Cancer Centre
Recommended Citation
GB/T 7714
Zhang YiZhong,Lai HuanLing,Huang Chen,et al. Tanshinone IIA induces ER stress and JNK activation to inhibit tumor growth and enhance anti-PD-1 immunotherapy in non-small cell lung cancer[J]. Phytomedicine, 2024, 128, 155431.
APA Zhang YiZhong., Lai HuanLing., Huang Chen., Jiang ZeBo., Yan HaoXin., Wang XuanRun., Xie Chun., Huang JuMin., Ren WenKang., Li JiaXin., Zhai ZhiRan., Yao XiaoJun., Wu QiBiao., & Leung Elaine Lai Han (2024). Tanshinone IIA induces ER stress and JNK activation to inhibit tumor growth and enhance anti-PD-1 immunotherapy in non-small cell lung cancer. Phytomedicine, 128, 155431.
MLA Zhang YiZhong,et al."Tanshinone IIA induces ER stress and JNK activation to inhibit tumor growth and enhance anti-PD-1 immunotherapy in non-small cell lung cancer".Phytomedicine 128(2024):155431.
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