General Information of the Disease (ID: DIS00022)
Name
Nasopharyngeal cancer
ICD
ICD-11: 2B6B
Full List of Target(s) of This Ferroptosis-centered Disease
Unspecific Target
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [1]
Responsed Disease Nasopharyngeal cancer [ICD-11: 2B6B]
Responsed Drug Lupeol Investigative
Responsed Regulator Transcription factor p65 (RELA) Suppressor
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
NF-kappa B signaling pathway hsa04064
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
Cell proliferation
In Vivo Model
BALB/c nude mice (6-week-old) were purchased from Junke biology Co., Ltd (Nanjing, China). All mice were individually housed and had free access to food and water. Then, 58?F and CNE1 cells (5x106 cells in 200 l medium) were inoculated into right flank of mice. Mice were divided into 2 groups: sham group and 10 mg/kg lupeol group (5 mice per group). Specifically, mice of the 10 mg/kg lupeol group were intraperitoneally administrated with lupeol (10 mg/kg, every 3 days) referring to previous studies [Citation23,Citation24]. Mice in the sham group received an equivalent volume of PBS. At day 40 after lupeol treatment, mice were euthanized by cervical dislocation after anesthetizing with 3% isoflurane. The tumor volume and weight were recorded, respectively. Animal experiments were conducted following the approval of the Ethics Committee of Shenzhen Peoples Hospital (No. SYXK(YUE)2017-0174).

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Response regulation Lupeol significantly elevated AMPK phosphorylation, and reduced the levels of p-IB and nuclear NF-kB p65 (RELA). Lupeol exerted the anti-cancer impacts by inducing oxidative stress, ferroptosis and apoptosis, and suppressing inflammation via the AMPK/NF-kB pathway in nasopharyngeal carcinoma.
Phospholipid hydroperoxide glutathione peroxidase (GPX4)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [2]
Target for Ferroptosis Suppressor
Responsed Disease Nasopharyngeal cancer [ICD-11: 2B6B]
Responsed Drug Cucurbitacin B Phase 3
Pathway Response Fatty acid metabolism hsa01212
Ferroptosis hsa04216
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
Cell migration
Cell invasion
In Vitro Model MCF-7 cells Breast carcinoma Homo sapiens CVCL_0031
A2780 cells Ovarian endometrioid adenocarcinoma Homo sapiens CVCL_0134
CNE1 cells Nasopharyngeal carcinoma Homo sapiens CVCL_6888
Hep-G2 cells Hepatoblastoma Homo sapiens CVCL_0027
H157 cells Oral cavity Squamous cell carcinoma Homo sapiens CVCL_2458
HCT-8 cells Ileocecal adenocarcinoma Homo sapiens CVCL_2478
In Vivo Model
The animal experiment was performed in accordance with protocols approved by the Institutional Animal Care and Use Committee of Guangzhou Medical University. BALB/c nude mice (5 weeks old, female, Guangdong Medical Laboratory Animal Centre, China) were used for animal experiments. Approximately 4 million CNE1 cells were injected subcutaneously into the right flank of each mouse. Palpable solid tumours developed within a month after tumour cell inoculation, and mice were randomly allocated to four different groups (five mice /group) as follows: control (PBS) group, CuB treatment groups [0.5 mg/kg (low-dose) group and 1 mg/kg (high-dose) group] and gemcitabine (GEM, 25 mg/kg) group. Mice received intraperitoneal injections of PBS, CuB, and gemcitabine 3 times weekly.

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Response regulation Cucurbitacin B caused intracellular accumulation of iron ions and depletion of glutathione. Detailed molecular mechanism investigation confirmed that CuB both induced widespread lipid peroxidation and downregulated the expression of GPX4, ultimately initiating a multipronged mechanism of ferroptosis. The study highlighted the therapeutic potential of CuB as a ferroptosis-inducing agent for nasopharyngeal cancer.
Heme oxygenase 1 (HMOX1)
In total 1 item(s) under this target
Experiment 1 Reporting the Ferroptosis-centered Disease Response by This Target [3]
Target for Ferroptosis Driver/Suppressor
Responsed Disease Nasopharyngeal cancer [ICD-11: 2B6B]
Responsed Drug Cephalosporin Approved
Pathway Response Ferroptosis hsa04216
MAPK signaling pathway hsa04010
Apoptosis hsa04210
Cell Process Cell ferroptosis
Cell apoptosis
Cell proliferation
In Vitro Model A-549 cells Lung adenocarcinoma Homo sapiens CVCL_0023
XWLC-05 cells Lung adenocarcinoma Homo sapiens CVCL_IQ71
Hep-G2 cells Hepatoblastoma Homo sapiens CVCL_0027
HCT 116 cells Colon carcinoma Homo sapiens CVCL_0291
SGC-7901 cells Gastric carcinoma Homo sapiens CVCL_0520
CNE2 cells Normal Homo sapiens CVCL_6889
U-251MG cells Astrocytoma Homo sapiens CVCL_0021
MCF-7 cells Breast carcinoma Homo sapiens CVCL_0031
K-562 cells Chronic myelogenous leukemia Homo sapiens CVCL_0004
ECV-304 cells Bladder carcinoma Homo sapiens CVCL_2029
In Vivo Model
6-8 week old male balb/cnude micewere purchased from Beijing Vital River Laboratory Animal Technology Co., Ltd. (Beijing, China). Nasopharyngeal carcinoma CNE2 cells were collected during logarithmic growth and rinsed with PBS twice and resuspended to a density of 1 x 107 cells/ml using fresh and cooled DMEM/F12 medium (free of FBS and antibiotics). Each mouse was inoculated subcutaneously with a 0.1 ml cell suspension on the right-side flank. Tumor-bearing mice were used for in vivo anticancer studies 8 days after inoculation when the average tumor volume reached ~200 mm3.

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Response regulation Cephalosporin antibiotics showed highly specific and selective anticancer activity on nasopharyngeal carcinoma CNE2 cells both in vitro and vivo with minimal toxicity. Pathway analyses indicate apoptotic and the ErbB-MAPK-p53 signaling pathways are significantly enriched. HMOX1 represents the top one ranked upregulated gene by COS and overlaps with 16 of 42 enriched apoptotic signaling pathways. Inhibition of HMOX1 significantly reduced the anticancer efficacy of cefotaxime in CNE2 cells.
References
Ref 1 Lupeol triggers oxidative stress, ferroptosis, apoptosis and restrains inflammation in nasopharyngeal carcinoma via AMPK/NF-B pathway. Immunopharmacol Immunotoxicol. 2022 Aug;44(4):621-631. doi: 10.1080/08923973.2022.2072328. Epub 2022 May 16.
Ref 2 Induction of ferroptosis in human nasopharyngeal cancer cells by cucurbitacin B: molecular mechanism and therapeutic potential. Cell Death Dis. 2021 Mar 4;12(3):237. doi: 10.1038/s41419-021-03516-y.
Ref 3 Cephalosporin antibiotics specifically and selectively target nasopharyngeal carcinoma through HMOX1-induced ferroptosis. Life Sci. 2021 Jul 15;277:119457. doi: 10.1016/j.lfs.2021.119457. Epub 2021 Apr 5.