Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer

Abstract Excessive STAT3 signalling via gp130, the shared receptor subunit for IL-6 and IL-11, contributes to disease progression and poor survival outcomes in patients with colorectal cancer. Here, we provide evidence that bazedoxifene inhibits tumour growth via direct interaction with the gp130 re...

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Main Authors: Rhynelle S. Dmello, Michelle Palmieri, Pathum S. Thilakasiri, Larissa Doughty, Tracy L. Nero, Ashleigh R. Poh, Sarah Q. To, Erinna F. Lee, W. Douglas Fairlie, Lisa Mielke, Michael W. Parker, Ivan K. H. Poon, Eduard Batlle, Matthias Ernst, Ashwini L. Chand
Format: Article
Language:English
Published: Nature Publishing Group 2024-04-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-024-06631-8
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author Rhynelle S. Dmello
Michelle Palmieri
Pathum S. Thilakasiri
Larissa Doughty
Tracy L. Nero
Ashleigh R. Poh
Sarah Q. To
Erinna F. Lee
W. Douglas Fairlie
Lisa Mielke
Michael W. Parker
Ivan K. H. Poon
Eduard Batlle
Matthias Ernst
Ashwini L. Chand
author_facet Rhynelle S. Dmello
Michelle Palmieri
Pathum S. Thilakasiri
Larissa Doughty
Tracy L. Nero
Ashleigh R. Poh
Sarah Q. To
Erinna F. Lee
W. Douglas Fairlie
Lisa Mielke
Michael W. Parker
Ivan K. H. Poon
Eduard Batlle
Matthias Ernst
Ashwini L. Chand
author_sort Rhynelle S. Dmello
collection DOAJ
description Abstract Excessive STAT3 signalling via gp130, the shared receptor subunit for IL-6 and IL-11, contributes to disease progression and poor survival outcomes in patients with colorectal cancer. Here, we provide evidence that bazedoxifene inhibits tumour growth via direct interaction with the gp130 receptor to suppress IL-6 and IL-11-mediated STAT3 signalling. Additionally, bazedoxifene combined with chemotherapy synergistically reduced cell proliferation and induced apoptosis in patient-derived colon cancer organoids. We elucidated that the primary mechanism of anti-tumour activity conferred by bazedoxifene treatment occurs via pro-apoptotic responses in tumour cells. Co-treatment with bazedoxifene and the SMAC-mimetics, LCL161 or Birinapant, that target the IAP family of proteins, demonstrated increased apoptosis and reduced proliferation in colorectal cancer cells. Our findings provide evidence that bazedoxifene treatment could be combined with SMAC-mimetics and chemotherapy to enhance tumour cell apoptosis in colorectal cancer, where gp130 receptor signalling promotes tumour growth and progression.
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spelling doaj-art-edd38efeaa4746be83b35dd07210b0bf2025-08-20T02:25:12ZengNature Publishing GroupCell Death and Disease2041-48892024-04-0115411310.1038/s41419-024-06631-8Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancerRhynelle S. Dmello0Michelle Palmieri1Pathum S. Thilakasiri2Larissa Doughty3Tracy L. Nero4Ashleigh R. Poh5Sarah Q. To6Erinna F. Lee7W. Douglas Fairlie8Lisa Mielke9Michael W. Parker10Ivan K. H. Poon11Eduard Batlle12Matthias Ernst13Ashwini L. Chand14Olivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityWalter and Eliza Hall Institute of Medical Research (WEHI)Olivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityDepartment of Biochemistry and Pharmacology, and ACRF Facility for Innovative Cancer Drug Discovery, Bio21 Molecular Science and Biotechnology Institute, The University of MelbourneDepartment of Biochemistry and Pharmacology, and ACRF Facility for Innovative Cancer Drug Discovery, Bio21 Molecular Science and Biotechnology Institute, The University of MelbourneOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityDepartment of Biochemistry and Pharmacology, and ACRF Facility for Innovative Cancer Drug Discovery, Bio21 Molecular Science and Biotechnology Institute, The University of MelbourneDepartment of Biochemistry and Chemistry, School of Agriculture, Biomedicine and Environment, La Trobe Institute for Molecular Science, La Trobe UniversityInstitute for Research in Biomedicine (IRB Barcelona), The Barcelona Institute of Science and Technology (BIST)Olivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityOlivia Newton-John Cancer Research Institute and School of Cancer Medicine, La Trobe UniversityAbstract Excessive STAT3 signalling via gp130, the shared receptor subunit for IL-6 and IL-11, contributes to disease progression and poor survival outcomes in patients with colorectal cancer. Here, we provide evidence that bazedoxifene inhibits tumour growth via direct interaction with the gp130 receptor to suppress IL-6 and IL-11-mediated STAT3 signalling. Additionally, bazedoxifene combined with chemotherapy synergistically reduced cell proliferation and induced apoptosis in patient-derived colon cancer organoids. We elucidated that the primary mechanism of anti-tumour activity conferred by bazedoxifene treatment occurs via pro-apoptotic responses in tumour cells. Co-treatment with bazedoxifene and the SMAC-mimetics, LCL161 or Birinapant, that target the IAP family of proteins, demonstrated increased apoptosis and reduced proliferation in colorectal cancer cells. Our findings provide evidence that bazedoxifene treatment could be combined with SMAC-mimetics and chemotherapy to enhance tumour cell apoptosis in colorectal cancer, where gp130 receptor signalling promotes tumour growth and progression.https://doi.org/10.1038/s41419-024-06631-8
spellingShingle Rhynelle S. Dmello
Michelle Palmieri
Pathum S. Thilakasiri
Larissa Doughty
Tracy L. Nero
Ashleigh R. Poh
Sarah Q. To
Erinna F. Lee
W. Douglas Fairlie
Lisa Mielke
Michael W. Parker
Ivan K. H. Poon
Eduard Batlle
Matthias Ernst
Ashwini L. Chand
Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
Cell Death and Disease
title Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
title_full Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
title_fullStr Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
title_full_unstemmed Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
title_short Combination of bazedoxifene with chemotherapy and SMAC-mimetics for the treatment of colorectal cancer
title_sort combination of bazedoxifene with chemotherapy and smac mimetics for the treatment of colorectal cancer
url https://doi.org/10.1038/s41419-024-06631-8
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