黑色素瘤是由黑色素细胞癌变而来的皮肤癌症,具有侵袭性强、易转移、预后差等特点1。近年来,黑色素瘤发病率和病死率逐年上升,严重危害人类的生命健康2。脱氧羟腐胺赖氨酸合酶(deoxyhypusine synthase,DHPS)是催化真核细胞翻译起始因子5A(eukaryotic translation initiation factor 5A,eIF5A)羟腐胺化的关键酶,羟腐胺化修饰过程是将亚精胺的4-氨基丁基转移到eIF5A前体的特定赖氨酸上,eIF5A经过修饰后的才具有完整功能,在多种细胞进程中起关键作用3,4。研究发现,DHPS在多种肿瘤中高表达,
经羟腐胺化的eIF5A能促进肿瘤的发展,使用DHPS抑制剂限制DHPS的催化功能可以有效抑制肿瘤细胞的增殖5。
在黑色素瘤中,DHPS除了具有上述功能外,还具有与其他肿瘤不同的作用:DHPS能够抑制黑色素瘤细胞中细胞周期抑制因子p21的表达,这种负调节作用与催化功能无关,仅出现在人黑色素瘤细胞A375和SK-MEL-28细胞系中,被称为“细胞种类特异性”6。此外,DHPS催化抑制剂在黑色素瘤细胞和神经母细胞瘤细胞中对p21表现出相反的调节能力,DHPS催化抑制剂能够抑制黑色素瘤细胞中p21的表达6,却会增加神经母细胞瘤细胞中p21的含量7,8,这也是黑色素瘤细胞与其他肿瘤细胞的不同之处。一直以来对p21的认知是:
p21是肿瘤抑制因子p53的主要效应物,能够抑制细胞周期的进程而发挥抑癌作用9,然而研究表明,p21在肿瘤中是一把双刃剑,在不经p53调控时,具有促癌作用10。在黑色素瘤细胞中,p21的表达与p53含量无关11。p21可以与小眼畸形相关转录因子(microphthalmia-associated transcription factor,MITF)形成正反馈回路,促进黑色素相关蛋白的表达,进而促进黑色素瘤的发展11。
由此可初步推断,针对DHPS开发基因药物、PROTAC药物或分子胶药物与抑制DHPS催化功能的小分子药物作用机制不同,这一点在指导教师的前期研究中也得到证实,针对DHPS靶点的siRNA和DHPS催化功能抑制剂进行基因测序,发现它们对黑色素瘤细胞中癌基因的
影响不同,小分子药物比siRNA更能够有效下调多种癌基因的表达,进一步证实了DHPS催化功能抑制剂的优越性。
针对DHPS催化功能对的抑制剂分两大类,一类是DHPS底物抑制剂,这类小分子化合物是模拟DHPS底物亚精胺的结构,占据DHPS蛋白上亚精胺的结合位点,阻碍4-氨基丁基的转移,从而抑制eIF5A的羟腐胺化12。DHPS底物抑制剂发现早,种类多,以GC7为代表,能够抑制多种癌细胞的增殖13–17。而体内亚精胺的生理功能并不局限于eIF5A的活化,导致亚精胺的作用位点多,如β肾上腺素受体18和线粒体三功能蛋白(mitochondrial trifunctional protein,MTP)19,因此通过模拟亚精胺的结构得到的DHPS底物抑制剂具有多靶点的缺点。目前所有DHPS底物抑制剂中,研究最为深入的GC7具有选择性低、体内活性差的缺点,在异种移植黑色素瘤模型中无肿瘤抑制能力20。
另一类抑制剂为DHPS变构抑制剂,这类抑制剂发现较晚,目前关于变构抑制剂的新化合物的文献仅有三篇。其中两篇是Yuta Tanaka等人于2020年根据高通量筛选发现DHPS变构位点,设计并合成了两类DHPS变构抑制剂,分别是酰胺吲哚类21和二氢噻吩并吡啶类22,这两类化合物与DHPS变构位点结合后,导致NAD(DHPS需要在NAD的参与下才能够进行羟腐胺化修饰)和亚精胺结合位点附近的α螺旋展开,发生空间位置变化的氨基酸残基占据NAD或亚精胺的结合位点,从而抑制DHPS的催化活性,这为开发高选择性的DHPS抑制剂提供了思路,也是开发以DHPS为靶点的抗黑色素瘤药物的出路。但是Yuta Tanaka等人并没有进一步检测这两类化合物的肿瘤抑制能力。第三篇是指导教师于2021年根据DHPS变构位点开发而来的苯基嘧啶类化合物A8m23,并进一步深入研究发现DHPS变构抑制剂与黑色素瘤之间的关系。
指导教师近年来一直从事DHPS变构抑制剂的抗黑色素瘤研究,首次报道了苯基嘧啶类DHPS变构抑制剂,该类化合物结构新颖、选择性高、毒性低。其中化合物A8m23在体内和体外的抗黑色素瘤能力均优于GC7,应用前景广阔,值得深入研究。
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