Although surgery or the combination of
chemotherapy and radiation are reported to improve the quality of life and reduce symptoms in patients with
oral cancer, the prognosis of
oral cancer remains generally poor.
DNA alkylating agents, such as N-mustard, play an important role in
cancer drug development.
BO-1051 is a new
9-anilinoacridine N-mustard-derivative anti-
cancer drug that can effectively target a variety of
cancer cell lines and inhibit
tumorigenesis in vivo. However, the underlying mechanism of BO-1051-mediated
tumor suppression remains undetermined. In the present study,
BO-1051 suppressed cell viability with a low IC(50) in
oral cancer cells, but not in normal gingival fibroblasts. Cell cycle analysis revealed that the
tumor suppression by
BO-1051 was accompanied by cell cycle arrest and downregulation of stemness genes. The enhanced conversion of LC3-I to LC3-II and the formation of acidic vesicular organelles indicated that BO-1501 induced autophagy. The expression of checkpoint
kinases was upregulated as demonstrated with Western blot analysis, showing that
BO-1051 could induce DNA damage and participate in DNA repair mechanisms. Furthermore,
BO-1051 treatment alone exhibited a moderate
tumor suppressive effect against xenograft
tumor growth in immunocompromised mice. Importantly, the combination of
BO-1051 and radiation led to a potent inhibition on xenograft
tumorigenesis. Collectively, our findings demonstrated that
BO-1051 exhibited a cytotoxic effect via cell cycle arrest and the induction of autophagy. Thus, the combination of
BO-1051 and
radiotherapy may be a feasible therapeutic strategy against
oral cancer in the future.