PMID- 38228583 OWN - NLM STAT- MEDLINE DCOM- 20240118 LR - 20240125 IS - 2041-4889 (Electronic) VI - 15 IP - 1 DP - 2024 Jan 16 TI - Targeting POLRMT by a first-in-class inhibitor IMT1 inhibits osteosarcoma cell growth in vitro and in vivo. PG - 57 LID - 10.1038/s41419-024-06444-9 [doi] LID - 57 AB - Osteosarcoma (OS) is a highly aggressive form of bone cancer that predominantly affects adolescents and young adults. In this study, we have undertaken an investigation into the potential anti-OS cell activity of IMT1 (inhibitor of mitochondrial transcription 1), a first-in-class inhibitor of RNA polymerase mitochondrial (POLRMT). IMT1 exhibited a profound inhibitory effect on cell survival, proliferation, cell cycle progression, and migration in primary and immortalized OS cells. Furthermore, this POLRMT inhibitor elicited apoptosis in the OS cells, without, however, inducing cytotoxicity in human osteoblasts or osteoblastic cells. IMT1 disrupted mitochondrial functions in OS cells, resulting in mitochondrial depolarization, oxidative injury, lipid peroxidation, and ATP reduction in OS cells. Silencing POLRMT using targeted shRNA closely mimicked the actions of IMT1 and exerted potent anti-OS cell activity. Importantly, IMT1's effectiveness was diminished in POLRMT-silenced OS cells. Subsequent investigations revealed that IMT1 suppressed the activation of the Akt-mammalian target of rapamycin (mTOR) cascade in OS cells. IMT1 treatment or POLRMT silencing in primary OS cells led to a significant reduction in Akt1-S6K-S6 phosphorylation. Conversely, it was enhanced upon POLRMT overexpression. The restoration of Akt-mTOR activation through the introduction of a constitutively active S473D mutant Akt1 (caAkt1) mitigated IMT1-induced cytotoxicity in OS cells. In vivo, oral administration of IMT1 robustly curtailed the growth of OS xenografts in nude mice. Furthermore, IMT1 suppressed POLRMT activity, impaired mitochondrial function, repressed Akt-mTOR activation, and induced apoptosis within xenograft tissues. Collectively, these findings underscore the potent growth-inhibitory effects attributed to IMT1 via targeted POLRMT inhibition. The utilization of this POLRMT inhibitor carries substantial therapeutic promise in the context of OS treatment. CI - (c) 2024. The Author(s). FAU - Kong, Yang AU - Kong Y AD - Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou, China. AD - Department of Orthopedics, The First People's Hospital of ChuZhou, ChuZhou, China. FAU - Li, Xiangrong AU - Li X AD - Department of Pharmacy, Kongjiang Hospital of Yangpu District, Shanghai, China. FAU - Zhang, Huanle AU - Zhang H AD - Department of Radiotherapy, Suzhou Ninth People's Hospital, Suzhou, China. FAU - Fu, Bin AU - Fu B AD - Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Jiang, Hua-Ye AU - Jiang HY AD - Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou, China. FAU - Yang, Hui-Lin AU - Yang HL AUID- ORCID: 0000-0002-9459-7981 AD - Department of Orthopedics, the First Affiliated Hospital of Soochow University, Suzhou, China. suzhouspine@163.com. AD - Orthopedic Institute, Medical College, Soochow University, Suzhou, China. suzhouspine@163.com. FAU - Dai, Jin AU - Dai J AUID- ORCID: 0009-0001-9270-5205 AD - Department of Orthopedics, Suzhou Wujiang District Children's Hospital, Suzhou, China. drdaijinwj9@163.com. LA - eng GR - Z2022044/National Natural Science Foundation of China (National Science Foundation of China)/ PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20240116 PL - England TA - Cell Death Dis JT - Cell death & disease JID - 101524092 RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - W36ZG6FT64 (Sirolimus) RN - EC 2.7.7.6 (POLRMT protein, human) RN - EC 2.7.7.6 (DNA-Directed RNA Polymerases) SB - IM MH - Animals MH - Mice MH - Adolescent MH - Young Adult MH - Humans MH - Proto-Oncogene Proteins c-akt/metabolism MH - Mice, Nude MH - Cell Line, Tumor MH - TOR Serine-Threonine Kinases/metabolism MH - *Osteosarcoma/genetics MH - Sirolimus/pharmacology MH - Apoptosis MH - *Bone Neoplasms/drug therapy/metabolism MH - Cell Proliferation MH - Mitochondria/metabolism MH - Mammals MH - DNA-Directed RNA Polymerases PMC - PMC10791695 COIS- The authors declare no competing interests. EDAT- 2024/01/17 00:42 MHDA- 2024/01/18 06:42 PMCR- 2024/01/16 CRDT- 2024/01/16 23:13 PHST- 2023/09/18 00:00 [received] PHST- 2024/01/05 00:00 [accepted] PHST- 2024/01/03 00:00 [revised] PHST- 2024/01/18 06:42 [medline] PHST- 2024/01/17 00:42 [pubmed] PHST- 2024/01/16 23:13 [entrez] PHST- 2024/01/16 00:00 [pmc-release] AID - 10.1038/s41419-024-06444-9 [pii] AID - 6444 [pii] AID - 10.1038/s41419-024-06444-9 [doi] PST - epublish SO - Cell Death Dis. 2024 Jan 16;15(1):57. doi: 10.1038/s41419-024-06444-9.