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Bazedoxifene, a GP130 Inhibitor, Modulates EMT Signaling and Exhibits Antitumor Effects in HPV-Positive Cervical Cancer

Int J Mol Sci. 2021 Aug 13;22(16):8693. doi: 10.3390/ijms22168693.

Abstract

Persistent HPV (Human Papillomavirus) infection is the primary cause of cervical cancer. Despite the development of the HPV vaccine to prevent infections, cervical cancer is still a fatal malignant tumor and metastatic disease, and it is often difficult to treat, so a new treatment strategy is needed. The FDA-approved drug Bazedoxifene is a novel inhibitor of protein-protein interactions between IL-6 and GP130. Multiple ligand simultaneous docking and drug repositioning approaches have demonstrated that an IL-6/GP130 inhibitor can act as a selective estrogen modulator. However, the molecular basis for GP130 activation in cervical cancer remains unclear. In this study, we investigated the anticancer properties of Bazedoxifene in HPV-positive cervical cancer cells. In vitro and in vivo experiments showed that Bazedoxifene inhibited cell invasion, migration, colony formation, and tumor growth in cervical cancer cells. We also confirmed that Bazedoxifene inhibits the GP130/STAT3 pathway and suppresses the EMT (Epithelial-mesenchymal transition) sub-signal. Thus, these data not only suggest a molecular mechanism by which the GP130/STAT3 pathway may promote cancer, but also may provide a basis for cervical cancer replacement therapy.

Keywords: Bazedoxifene; EMT signaling; HPV-positive; cervix cancer.

MeSH terms

  • Animals
  • Cell Line, Tumor
  • Cell Proliferation / drug effects
  • Cell Survival / drug effects
  • Cytokine Receptor gp130 / metabolism*
  • Drug Repositioning
  • Epithelial-Mesenchymal Transition / drug effects
  • Female
  • HeLa Cells
  • Humans
  • Indoles / administration & dosage*
  • Indoles / pharmacology
  • Interleukin-6 / metabolism*
  • Mice
  • Mice, Nude
  • Papillomavirus Infections / drug therapy*
  • Papillomavirus Infections / metabolism
  • Phosphorylation / drug effects
  • Protein Interaction Maps / drug effects
  • Signal Transduction / drug effects
  • Uterine Cervical Neoplasms / drug therapy*
  • Uterine Cervical Neoplasms / metabolism
  • Uterine Cervical Neoplasms / virology*
  • Xenograft Model Antitumor Assays

Substances

  • IL6 protein, human
  • IL6ST protein, human
  • Indoles
  • Interleukin-6
  • Cytokine Receptor gp130
  • bazedoxifene