Auranofin, a
gold complex that has been used to treat
rheumatoid arthritis in clinics and has documented pharmacokinetic and safety profiles in humans, has recently been investigated for its anticancer activity in
leukemia and some solid
cancers. However,
auranofin's single agent activity in
lung cancer is not well characterized. To determine whether
auranofin has single agent activity in
lung cancer, we evaluated
auranofin's activity in a panel of 10
non-small cell lung cancer (NSCLC) cell lines. Cell viability analysis revealed that
auranofin induced growth inhibition in a subset of NSCLC cell lines with a half maximal inhibitory concentration (IC50) below 1.0 μM. Treatment with
auranofin elicited apoptosis and necroptosis in
auranofin-sensitive cell lines. Moreover, the susceptibility of NSCLC cells to
auranofin was inversely correlated with TXNRD1 expression in the cells. Transient transfection of the TXNRD1-expressing plasmid in
auranofin-sensitive Calu3 cells resulted in partial resistance, indicating that high TXNRD level is one of causal factors for resistance to
auranofin. Further mechanistic characterization with proteomic analysis revealed that
auranofin inhibits expression and/or phosphorylation of multiple key nodes in the PI3K/AKT/mTOR pathway, including S6, 4EBP1, Rictor,
p70S6K, mTOR, TSC2, AKT and GSK3. Ectopic expression of TXNRD1 partially reversed
auranofin-mediated PI3K/AKT/mTOR inhibition, suggesting that TXNRD1 may participate in the regulation of PI3K/AKT/mTOR pathway. Administration of
auranofin to mice with xenograft
tumors derived from NSCLC cells significantly suppressed
tumor growth without inducing obvious toxic effects. Our results demonstrated feasibility of repurposing
auranofin for treatment of
lung cancer.