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Eurasian Journal of
            Medicine and Oncology                                              FN3K–Nrf2 axis inhibition in breast cancer



            integration of statistical planning from exploratory   hydrogen bond occupancy – were performed to evaluate
            to confirmatory phases aligns with best practices  in   complex stability and dynamic binding features, offering
            translational cancer research and ensures rigorous evidence   comprehensive insights into the affinity and interaction
            generation in subsequent stages of drug development.  profiles of the selected lead compounds. 65
            3.13. Scope and generalizability of findings       4.1. Selection of lead molecules for MD simulations

            The present study employed three molecularly distinct   The selection of lansoprazole, capivasertib, and oxaliplatin
                                                        +
                                                     +
            breast cancer cell lines – MCF-7 (luminal A, ER /PR ),   for MD simulations was based on three primary criteria.
            T-47D (luminal B, ER /PR /HER2 ), and BT-474 (HER2    First, all three compounds demonstrated strong FN3K
                                 +
                                        −
                                                          +
                              +
            subtype) – to explore the role of FN3K inhibition across   inhibition, with reductions ranging from 99.6% to 99.99%
            hormone-driven and HER2-amplified breast  cancer   across multiple breast cancer cell lines (MCF-7, T-47D,
            models. This experimental design was intended to capture   BT-474). Second, these compounds exhibited minimal off-
            a broad segment of the clinical breast cancer spectrum,   target effects in non-malignant Vero cells, reinforcing their
            particularly those subtypes where redox adaptation   tumor-selective properties. Finally, their favorable ADMET
            contributes to treatment resistance.               profiles further supported their candidacy: Capivasertib and
              However, we acknowledge that these models do not   lansoprazole showed high gastrointestinal absorption, while
            encompass the full heterogeneity of breast cancer, especially   oxaliplatin demonstrated high solubility, making all three
            TNBC,  which  exhibits  distinct  redox vulnerabilities  and   suitable for further evaluation through MD simulations.
            metabolic plasticity. In addition, cancer types outside the   4.2. Objective of MD simulations
            breast tissue may exhibit different dependencies on FN3K
            or Nrf2 signaling, potentially limiting the generalizability   To investigate the molecular interactions and dynamic
            of our present findings.                           stability of the lead candidates – lansoprazole, capivasertib,
                                                               and oxaliplatin – in complex with FN3K, MD simulations
              This study was conceptualized as a focused proof-of-  were  conducted  for  200  ns  using  Desmond.  Several  key
            concept investigation into  the feasibility  of repurposing   parameters were evaluated to characterize the behavior
            FN3K-targeted  agents in  selected  breast  cancer subtypes.   and  binding  profiles  of  the  complexes.  RMSD  was
            Moving forward, we aim to expand our experimental scope by   employed to monitor the overall structural stability of the
            incorporating TNBC cell lines and non-breast cancer models   protein-ligand complex throughout the simulation, while
            with known oxidative stress signatures, such as lung, liver,   RMSF assessed the flexibility and mobility of amino acid
            and pancreatic cancers. These comparative studies will enable
            systematic mapping of FN3K expression, redox pathway   residues, particularly within the active site, in response to
            activation, and drug responsiveness across cancer types.  ligand  binding.  Hydrogen  bond  analysis  was  performed
                                                               to  examine  the  consistency  and  strength  of  hydrogen
            4. Molecular dynamics (MD) simulations of          bonding interactions between the ligand and FN3K over
            lead molecules                                     the simulation trajectory. In addition, binding free energy
                                                               was calculated using MM-GBSA or MM-PBSA methods
            Following  in vitro confirmation of FN3K inhibition by   to estimate the thermodynamic favorability and strength of
            lansoprazole, capivasertib, and oxaliplatin, MD simulations   binding for each compound. Finally, total energy calculations
            were employed to gain deeper insight into their binding   were conducted within Desmond to analyze the system’s
            stability, conformational behavior, and key molecular   potential and interaction energies, offering insights into
            interactions within the FN3K active site. Simulations were   conformational stability and favorable binding orientations.
            conducted using Desmond version 13.7 (Schrödinger, LLC,
            USA) with the OPLS5 force field, placing the complexes in   Findings from the MD simulations offer valuable
            an orthorhombic simulation box solvated with TIP3P water   mechanistic insights into FN3K inhibition, supporting the
            molecules. The system was initially energy-minimized and   therapeutic relevance of the identified lead compounds.
            subsequently equilibrated under NPT ensemble conditions   The full simulation trajectories and detailed parameter-
            at 300 K and 1 atm pressure. A production simulation was   specific results – such as RMSD, RMSF, rGyr, hydrogen
            carried out for 200 ns with a 2-femtosecond timestep,   bonding, and MM-GBSA binding energy analyses – are
            applying  the  Particle  Mesh  Ewald  (PME)  method  for   presented in Supplementary Figures S7-S40.
            long-range  electrostatics and  a 9 Å cutoff  for van der   5. Future perspectives
            Waals interactions. Post-simulation trajectory analyses –
            including root mean square deviation (RMSD), root mean   The findings of this study provide a strong foundation for
            square fluctuation (RMSF), radius of gyration (rGyr), and   exploring FN3K inhibition as a novel therapeutic strategy


            Volume 9 Issue 3 (2025)                        220                         doi: 10.36922/EJMO025150114
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