Activation of protein phosphatase 2A tumor suppressor as potential treatment of pancreatic cancer
Open accessAbstract
We utilized three tiers of screening to identify novel therapeutic agents for pancreatic cancers. First, we analyzed 14 pancreatic cancer cell lines against a panel of 66 small-molecule kinase inhibitors and dasatinib was the most potent. Second, we performed RNA expression analysis on 3 dasatinib-resistant and 3 dasatinib-sensitive pancreatic cancer cell lines to profile their gene expression. Third, gene profiling data was integrated with the Connectivity Map database to search for potential drugs. Thioridazine was one of the top ranking small molecules with highly negative enrichment. Thioridazine and its family members of phenothiazine including penfluridol caused pancreatic cancer cell death and affected protein expression levels of molecules involved in cell cycle regulation, apoptosis, and multiple kinase activities. This family of drugs causes activation of protein phosphatase 2 (PP2A). The drug FTY-720 (activator of PP2A) induced apoptosis of pancreatic cancer cells. Silencing catalytic unit of PP2A rendered pancreatic cancer cells resistant to penfluridol. Our observations suggest potential therapeutic use of penfluridol or similar agent associated with activation of PP2A in pancreatic cancers.
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Thioridazine diminished phosphorylated GSK3β and MCL-1 levels when combined with metformin.
“Thioridazine, another PP2A activator (Chien et al., 2015) that we found to diminish phosphorylated GSK3 b and MCL-1 levels when combined with metformin (Figure S5B)”
From Combination of Hypoglycemia and Metformin Impairs Tumor Metabolic Plasticity and Growth by Modulating the PP2A-GSK3β-MCL-1 Axis (2019) · cites this paper as Chien et al., 2015
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“Thioridazine, another PP2A activator (Chien et al., 2015) that we found to diminish phosphorylated GSK3b and MCL-1 levels when combined with metformin (Figure S5B), exerted synergistic cytotoxic effects with metformin similar to PPZ (Figure S5K).”
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“In another recent study, penfluridol was shown to induce apoptosis in pancreatic cancer cells by activating protein phosphatase 2A (PP2A; ref.”
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ResultPenfluridol suppresses pancreatic tumor growth by autophagy-mediated apoptosis
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“These observations implicate PP2A as a potential tumor suppressor [20, 21].”
Drug Repurposing Opportunities in Pancreatic Ductal Adenocarcinoma
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“Drug Pharmacological Class Original Indication Evidence Biological Models Tested Concentrations Described Mechanisms References In Vitro In Vivo Clinical Carglumic acid Amino acids andderivatives Hyperammonemia + + • Human (AsPC-1 and Capan-1) and Murine (Pan02) pancreatic cancer cell lines • Human pancreatic ductal e…”
BackgroundInfluentialDrug repurposing: Antimicrobial and antibiofilm effects of penfluridol against Enterococcus faecalis
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“Similarly, synergy was found between FTY720 and the RTK/SRC/TEC inhibitor dasatinib in inhibiting pancreatic cancer proliferation [27].”
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Phosphatases and solid tumors: focus on glioblastoma initiation, progression and recurrences
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“Recently, microarray technology has been widely used in investigating gene alterations in metastasis, tumorigenesis, drug resistance, and cancer recurrence, as well as to identify biomarkers for tumor diagnosis, prognosis, and therapy (Hu et al., 2010; Chien et al., 2015; Tabaries et al., 2015).”
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“In recent decade, a considerable number of studies have been conducted on FTY720induced anticancer effect through diverse pathways, including inhibition of histone deacetylase [11], activation of protein phosphatase 2A [12], inhibition of STAT3 signaling [13], up-regulation of death receptor mediating signaling [14] a…”
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“PP2A has been implicated in meiosis and mitosis in numerous studies (47, 48) and is currently being explored as a treatment target for pancreatic cancer (49).”
BackgroundUpregulation of C1-inhibitor in pancreatic cancer
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“com contrast to PP2A, which has been suggested to be a target to be activated in conjunction to therapies [7].”
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“Besides in PDAC [38, 68] some progress has already been achieved with these molecules in several treatmentresistant forms of cancer, including KRAS-mutant and TKI-resistant non-small cell lung cancer [37, 70], castration-resistant prostate cancer [71], endometrial cancer [72], leukemia [38, 73–75] and neuroblastoma [7…”
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PATHOME-Drug: a subpathway-based polypharmacology drug-repositioning method
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The Effects of Protein Phosphatase 2A Activation with Novel Tricyclic Sulfonamides on Hepatoblastoma
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Discovery of Turn-On Fluorescent Probes for Detecting PDEδ Protein in Living Cells and Tumor Slices
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Prediction and identification of synergistic compound combinations against pancreatic cancer cells
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Phosphatase Dysregulation in Cancer: Signaling Pathways and Therapeutic Opportunities
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“Dasatinib is a potent receptor tyrosine kinase/Src inhibitor, which reduces pancreatic tumor cell growth in vitro (11).”
BackgroundMethodInfluentialNovel PP2A-Activating Compounds in Neuroblastoma
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“PP2A reactivation has recently emerged as a medicinally tractable target for cancer therapeutics [12,13].”
Drug repositioning: examining antipsychotic drugs and their anticancer effects
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“The possibility of using several phenothiazines as a treatment for pancreatic cancer was investigated by Chien et al. (2015).”
Repurposing the antipsychotic drug penfluridol for cancer treatment (Review)
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“PF inhibited the proliferation and colony formation of pancreatic cancer cells (28‑31) through the suppression of prolactin receptor (PRLR) signalling (30) and the activation of protein phosphatase 2A (PP2A) protein phos‑ phatase (31).”
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Anticancer Properties of Antipsychotic Drugs
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Isolation of Primary Hepatocytes for Testing Tumor Penetrating Peptides
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Anticancer effect of the antipsychotic agent penfluridol on epithelial ovarian cancer
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“Studies have reported that penfluridol induces the tumor suppressor PP2A in pancreatic cancer and leukemia cells, leading to AKT deactivation and resulting in apoptosis [20,34].”
Application of Connectivity Map Database to Research on Chinese Materia Medica
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THEEFFECT OF DOXORUBICIN AND THIORIDAZINE ON SQUAMOUS CARCINOMA CELL LINE
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Application of Connectivity Map (CMAP) Database to Research on Traditional Chinese Medicines (TCMs)
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- Authors
- Chien, W., Sun, Q.-Y., Lee, K. L., Ding, L.-W., Wuensche, P., Torres-Fernandez, L. A., Tan, S. Z., Tokatly, I., Zaiden, N., Poellinger, L., Mori, S., Yang, H., Tyner, J. W., & Koeffler, H. P.
- Affiliations
- National University of Singapore (SG)
- Sheba Medical Center (IL)
- Oregon Health & Science University (US)
- Cedars-Sinai Medical Center (US)
- Corresponding author
- Chien, Wenwen
- ORCID
- Venue
- Molecular Oncology
- Publisher
- Wiley
- Published
- 2015-01-15
- Volume
- 9
- Issue
- 4
- Pages
- 889-905
- ISSN
- 1574-7891 (ISSN-L)
- 1878-0261
- PMC
- PMC4387089
- OpenAlex
- W2033599624
- Cited by
- 80
- References
- 58
- Citations by year
- 2025: 6 · 2024: 18 · 2023: 5 · 2022: 2 · 2021: 9 · 2020: 6 · 2019: 13 · 2018: 5 · 2017: 5 · 2016: 6 · 2015: 5
- FWCI
- 3.06
- Type
- journal article
- Language
- en
- Update notices
- expression_of_concern (2025-07-08)
- Open access
- bronze
- doi.org
- Locations
- Molecular Oncology (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion)
- Funders
- Singapore Ministry of Health's National Medical Research Council (NMRC) (NMRC/StaR/00007/2008)
- National Research Foundation Singapore (NRF/RCE R-713-003-012-271)
- Singapore Ministry of Education under its Research Centres of Excellence initiative (NRF/RCE R-713-003-012-271)
- NIH (2R01CA026038-32)
- Topics
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Tyrosine Phosphatases
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Protein Kinase Regulation and GTPase Signaling
- Keywords
- pancreatic cancer, protein phosphatase 2A, PP2A activation, dasatinib, dasatinib resistance, thioridazine, phenothiazines, penfluridol, apoptosis, kinase inhibitors, drug repurposing, Connectivity Map, gene expression profiling, cell cycle regulation
- MeSH terms
- Dasatinib, Antineoplastic Agents, Cell Cycle, Computer Simulation, Drug Evaluation, Preclinical, Enzyme Activation, Humans, Pancreatic Neoplasms, Penfluridol, Phenothiazines, Gene Expression Regulation, Neoplastic, Apoptosis, Inhibitory Concentration 50, Tumor Suppressor Proteins, Cell Line, Tumor, Protein Kinase Inhibitors, Cell Proliferation, Protein Phosphatase 2
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