A Novel Indication for Panobinostat as a Senolytic Drug in NSCLC and HNSCC

Sci Rep. 2017 May 15;7(1):1900. doi: 10.1038/s41598-017-01964-1.

Abstract

Panobinostat (pano) is an FDA-approved histone deacetylase inhibitor. There is interest in evaluating alternate dosing schedules and novel combinations of pano for the treatment of upper aerodigestive and lung malignancies; thus we evaluated it in combination with Taxol, a chemotherapeutic with activity in both diseases. Dose-dependent synergy was observed in Non-Small Cell Lung Cancer (NSCLC) and Head and Neck Squamous Cell Carcinoma (HNSCC) cell lines and was due to senescence rather than potentiation of cell death. Senescence occurred following cisplatin- or Taxol-treatment in cell lines from both cancer types and was associated with decreased histone 3 (H3) acetylation and increased Bcl-xL expression: the latter a biomarker of senescence and target of anti-senescence therapeutics, or senolytics. Since H3 acetylation and Bcl-xL expression were altered in senescence, we subsequently evaluated pano as a senolytic in chemotherapy-treated cancer cells enriched for senescent cells. Pano caused cell death at significantly higher rates compared to repeat dosing with chemotherapy. This was associated with decreased expression of Bcl-xL and increased acetylated H3, reversing the expression patterns observed in senescence. These data support evaluating pano as a post-chemotherapy senolytic with the potential to kill persistent senescent cells that accumulate during standard chemotherapy in NSCLC and HNSCC.

Publication types

  • Research Support, N.I.H., Extramural
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Apoptosis / drug effects
  • Carcinoma, Non-Small-Cell Lung / metabolism
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Cellular Senescence / drug effects*
  • Dose-Response Relationship, Drug
  • Drug Synergism
  • Histone Deacetylase Inhibitors / pharmacology*
  • Humans
  • Lung Neoplasms / metabolism
  • Paclitaxel / pharmacology
  • Panobinostat / pharmacology*
  • Squamous Cell Carcinoma of Head and Neck / metabolism

Substances

  • Antineoplastic Agents
  • Histone Deacetylase Inhibitors
  • Panobinostat
  • Paclitaxel