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Identification of ER Stress-Inducing Agents for Glioblastoma: Advancing Therapeutic Strategies
Background: The unfolded protein response (UPR) is activated by stresses in tumor cells, including hypoxia, acidosis, reactive oxygen species, radiation, and chemotherapy. It responds to unfolded/misfolded proteins in the endoplasmic reticulum (ER) by initiating pathways to enhance chaperone expression, boost protein degradation, and reduce protein synthesis, thereby regulating ER stress. If ER homeostasis cannot be restored, the UPR can shift from promoting cell survival to cell death. Targeting the UPR is a novel therapeutic approach for glioblastoma (GBM), especially against GBM stem-like cells (GSCs) that drive tumor regrowth, heterogeneity, and resistance. This strategy also shows potential for use before surgical resection of this aggressive brain tumor.
Methods We evaluated a series of curcumin derivatives against three GSC lines. MTS assay was used to determine the IC50 of the compounds. Western blot analysis determined protein expression of targets and downstream effectors, including C/EBP Homologous Protein (CHOP), GRP78/Bip, caspase 7, and PARP.
Results A trimethoxy bis-chalcone compound was identified that induces robust cell death in GSCs, with an average IC50 of just below 300 nM — 100-fold increase in potency compared to curcumin. This bis-chalcone showed minimal toxicity towards normal human mesenchymal stem cells. Western blot revealed that this compound effectively activated the pro-death UPR protein CHOP while reducing the expression of the pro-survival chaperone GRP78/Bip. It also induced caspase 7 expression and PARP cleavage, indicating apoptosis.
Conclusion Most ER stress-inducing agents activate both survival pathways and cell death pathways of UPR. In contrast, our identified compound selectively promotes UPR cell death signaling and is highly toxic against radiation and temozolomide-resistant GSCs, while showing no toxicity to non-tumor cells. This bis-chalcone compound is a promising lead for developing UPR-targeted therapies, particularly for GBM. Its potential application in pre-surgical resection of GBM is noteworthy due to its ability to reduce cell migration and tumor size.