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DRUG:

thiostrepton (RSO-021)

i
Other names: RSO-021
Associations
Trials
Company:
RS Oncology
Drug class:
Protein synthesis inhibitor, PRX3 inhibitor
Associations
Trials
4ms
Deciphering the predictive value of senescence-related signature in lung adenocarcinoma: Implications for antitumor immunity and immunotherapy efficacy. (PubMed, Heliyon)
Inhibiting FOXM1 pharmacologically with thiostrepton produced tumor-suppressive effects and improved immunotherapy responses in a Lewis lung carcinoma mouse model. The senescence-related signature demonstrates potential in predicting patient prognosis and immunotherapy efficacy in LUAD.
Journal • IO biomarker
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PIK3CD (Phosphatidylinositol-4 5-Bisphosphate 3-Kinase Catalytic Subunit Delta) • CCND3 (Cyclin D3) • FOXM1 (Forkhead Box M1) • PPP3CA (Protein Phosphatase 3 Catalytic Subunit Alpha) • VDAC1 (Voltage Dependent Anion Channel 1)
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thiostrepton (RSO-021)
4ms
Thiostrepton induces spindle abnormalities and enhances Taxol cytotoxicity in MDA-MB-231 cells. (PubMed, Mol Biol Rep)
These results suggest that, in addition to inhibiting FoxM1, TST may induce proteotoxicity and autophagy to disrupt cellular tubulin polymerization, and this mechanism might account for its antimitotic effects, enhancement of Taxol anticancer effects, and ability to overcome Taxol resistance in MDA-MB-231 cells. These data further imply that TST may be useful to improve the therapeutic efficacy of Taxol.
Journal
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FOXM1 (Forkhead Box M1)
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paclitaxel • thiostrepton (RSO-021)
5ms
High-throughput screening for Cushing disease: therapeutic potential of thiostrepton via cell cycle regulation. (PubMed, Endocrinology)
Thus, TS is a promising therapeutic agent for Cushing disease. Our list of hit compounds and new mechanistic insights into TS effects serve as a valuable foundation for future research.
Journal
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FOXM1 (Forkhead Box M1)
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thiostrepton (RSO-021)
6ms
Thiostrepton induces oxidative stress, mitochondrial dysfunction and ferroptosis in HaCaT cells. (PubMed, Cell Signal)
Analysis of ferroptosis-related genes confirms dysregulation following TST treatment in HaCaT cells. Furthermore, TST treatment exhibits effects on mitochondrial morphology and function, affirming its induction of apoptosis in the cells through heightened oxidative stress due to mitochondrial damage and dysregulation of mitochondrial membrane potential.
Journal
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FOXM1 (Forkhead Box M1) • CAT (Catalase)
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thiostrepton (RSO-021)
6ms
Expression of Forkhead Box M1 (FOXM1) and anticancer effects of FOXM1 inhibition in epithelial sarcoma. (PubMed, Lab Invest)
In addition, to investigate potential correlations between FOXM1 down-regulation and oncologic characteristics, we treated ES cell lines with thiostrepton, a naturally occurring antibiotic that inhibits both small interfering RNA (siRNA) and FOXM1...Finally, cDNA microarray analysis data showed that FOXM1 regulated cIAP2, which is one of the apoptosis inhibitors activated by the TNFα-mediated NF-κB pathway. In conclusion, the FOXM1 gene may be a promising therapeutic target for ES.
Journal
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TNFA (Tumor Necrosis Factor-Alpha) • BIRC3 (Baculoviral IAP repeat containing 3) • FOXM1 (Forkhead Box M1)
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thiostrepton (RSO-021)
8ms
Thiostrepton suppresses triple-negative breast cancer through downregulating c-FLIP/SMAD2/3 signaling pathway. (PubMed, J Asian Nat Prod Res)
Moreover, c-FLIP overexpression significantly increased the expression and phosphorylation of SMAD2/3 proteins and vice versa. In conclusion, our study reveals c-FLIP/SMAD2/3 signaling pathway as a novel mechanism of antitumor activity of thiostrepton.
Journal
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CFLAR (CASP8 and FADD-like apoptosis regulator)
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thiostrepton (RSO-021)
9ms
Activation of the FOXM1/ASF1B/PRDX3 axis confers hyperproliferative and antioxidative stress reactivity to gastric cancer. (PubMed, Cancer Lett)
Treatment with thiostrepton, a FOXM1 inhibitor, not only suppressed ASF1B expression, but also inhibited GC progression...The crucial role of ASF1B-regulated PRDX3 in GC cell proliferation and oxidative stress balance was also elucidated. In summary, our study suggests that the FOXM1-ASF1B-PRDX3 axis is a potential therapeutic target for treating GC.
Journal
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FOXM1 (Forkhead Box M1) • ASF1B (Anti-Silencing Function 1B Histone Chaperone)
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ASF1B overexpression
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thiostrepton (RSO-021)
10ms
FOXM1: a new therapeutic target of extramammary Paget disease. (PubMed, Sci Rep)
Inhibition of FOXM1 using thiostrepton also reduced tumor cell viability in a dose-dependent manner. These findings suggest that FOXM1 is a promising therapeutic target for patients with EMPD.
Journal
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FOXM1 (Forkhead Box M1)
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thiostrepton (RSO-021)
10ms
PLK1 and FoxM1 expressions positively correlate in papillary thyroid carcinoma and their combined inhibition results in synergistic anti-tumor effects. (PubMed, Mol Oncol)
The combined treatment of a PLK1 inhibitor (volasertib) and a FoxM1 inhibitor (thiostrepton) demonstrated a synergistic effect in reducing PTC cell growth in vitro and delaying tumor growth in vivo. This study highlights the important role of PLK1 in PTC tumorigenesis and prognosis. It also highlights the synergistic therapeutic potential of dual-targeting PLK1 and FoxM1 in PTC, unveiling a potential innovative therapeutic strategy for managing aggressive forms of PTC.
Journal
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PLK1 (Polo Like Kinase 1) • FOXM1 (Forkhead Box M1)
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volasertib (NBL-001) • thiostrepton (RSO-021)
1year
Enrollment change • Metastases
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paclitaxel • thiostrepton (RSO-021)
over1year
CRISPR/Cas9-Based Screening of FDA-Approved Drugs for NRF2 Activation: A Novel Approach to Discover Therapeutics for Non-Alcoholic Fatty Liver Disease. (PubMed, Antioxidants (Basel))
Our model was validated using a known NRF2 activator, after which we screened 1200 FDA-approved drugs, unearthing six compounds (Disulfiram, Thiostrepton, Auranofin, Thimerosal, Halofantrine, and Vorinostat) that enhanced NRF2 activity and antioxidant response. These compounds demonstrated protective effects against oxidative stress induced by hydrogen peroxide and lipid droplets accumulation in vitro with hepatoma HUH-7 cells. Our study underscores the utility of CRISPR/Cas9 tagging with Nanoluc luciferase in identifying potential NRF2 activators, paving the way for potential NAFLD therapeutics.
FDA event • Journal
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HMOX1 (Heme Oxygenase 1)
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HMOX1 expression
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Zolinza (vorinostat) • thiostrepton (RSO-021)
over1year
Spatial Transformation in Mesothelioma Involves a Hypoxia-TGF Beta-EMT axis that is Reversible via PRX3 Inhibition. (IASLC-WCLC 2023)
Our results suggest that sarcomatoid transformation exhibits adaption to hypoxia via a TGF-β/TEAD/EMT axis which is reversible by PRX3 inhibition.
Tumor mutational burden
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TMB (Tumor Mutational Burden) • BAP1 (BRCA1 Associated Protein 1) • MSLN (Mesothelin) • TGFB1 (Transforming Growth Factor Beta 1) • CDH2 (Cadherin 2) • DRD (DNA Repair Deficiency) • BCL9L (BCL9 Like) • VSIR (V-Set Immunoregulatory Receptor)
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DDR • DRD
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thiostrepton (RSO-021)
over1year
Activin and Hepatocyte Growth Factor Promotes Colorectal Cancer Stemness and Metastasis through FOXM1/SOX2/CXCR4 Signaling. (PubMed, Gut Liver)
Additionally, the inhibition of FOXM1 via thiostrepton suppressed activin/HGF-induced stemness, tumorigenesis and metastasis. Sequential treatment with activin and HGF promotes colorectal cancer stemness and metastasis through activation of the FOXM1/SOX2 signaling. FOXM1 could be a potential target for the treatment of colorectal cancer metastasis.
Journal
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HGF (Hepatocyte growth factor) • SOX2 • FOXM1 (Forkhead Box M1)
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SOX2 overexpression • SOX2 expression
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thiostrepton (RSO-021)
over1year
The DEAD-box RNA helicase DDX5 (p68) and β-catenin: The crucial regulators of FOXM1 gene expression in arbitrating colorectal cancer. (PubMed, Biochim Biophys Acta Gene Regul Mech)
Thiostrepton delineated the effect of FOXM1 inhibition on cell proliferation and migration. Colony formation assay, migration assay, and cell cycle data reveal the importance of the DDX5 (p68)/β-catenin/FOXM1 axis in oncogenesis. Collectively, our study mechanistically highlights the regulation of FOXM1 gene expression by DDX5 (p68) and β-catenin in colorectal cancer.
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1) • DDX5 (DEAD-Box Helicase 5) • FOXM1 (Forkhead Box M1) • TCF4 (Transcription Factor 4)
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DDX5 overexpression
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thiostrepton (RSO-021)
over1year
Morin Sensitizes MDA-MB-231 Triple-Negative Breast Cancer Cells to Doxorubicin Cytotoxicity by Suppressing FOXM1 and Attenuating EGFR/STAT3 Signaling Pathways. (PubMed, Pharmaceuticals (Basel))
FOXM1 inhibition by thiostrepton showed that co-treatment caused FOXM1-mediated cell death. Flow cytometry showed that the accumulation of cells in the G2/M and S phases might be linked to cellular Dox uptake, p21 upregulation, and cyclin D1 downregulation. Taken together, our study shows that the anti-tumor effect of morin/Dox co-treatment is due to the suppression of FOXM1 and attenuation of EGFR/STAT3 signaling pathways in MDA-MB-231 TNBC cells, which suggests that morin offers a means of improving therapeutic efficacy in TNBC patients.
Journal
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BCL2 (B-cell CLL/lymphoma 2) • CCND1 (Cyclin D1) • RAD51 (RAD51 Homolog A) • BIRC5 (Baculoviral IAP repeat containing 5) • FOXM1 (Forkhead Box M1) • CASP7 (Caspase 7) • CDKN1A (Cyclin-dependent kinase inhibitor 1A) • ANXA5 (Annexin A5) • CCNB1 (Cyclin B1)
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doxorubicin hydrochloride • thiostrepton (RSO-021)
over1year
Clinical • P1 data • Metastases
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thiostrepton (RSO-021)
2years
Tocotrienols: Exciting Biological and Pharmacological Properties of Tocotrienols and Naturally Occurring Compounds, Part II. (PubMed, Ann Clin Case Rep)
Anticancer activities of thiostrepton, dexamethasone, 2-methoxyestradiol, δ-tocotrienol, quercetin, amiloride, quinine sulfate showed significant anti-proliferative properties in Hela cells, pancreatic, prostate, breast, lungs, melanoma, B-lymphocytes, T-cells (40% to 95%). Pure plasma mRNAs and miRNAs of pre-dose vs. post-dose of NS-3 treated samples were analyzed by Next Generation Sequencing (NGS). Venn diagrams have established genetic regulatory network images and canonical signaling pathways for mRNA, miRNA, and paired mRNA-miRNA.
Journal
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IL6 (Interleukin 6) • TNFA (Tumor Necrosis Factor-Alpha) • IL1B (Interleukin 1, beta)
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IL6 expression
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dexamethasone • Panzem (2-methoxyestradiol) • thiostrepton (RSO-021)
2years
Functional Drug Screen Identifies Thiostrepton, NAMPT Inhibitors and Metformin As Potential Candidates to Target the Macrophage Tumor Microenvironment in Acute Myeloid Leukemia (ASH 2022)
We identified that conventional drugs such as cytarabine and venetoclax had significant cytotoxic effects on AML blasts, albeit with heterogeneous efficacies dependent on AML subtype, while M2 macrophages remained largely unaffected. In conclusion, our screening setup allows for the identification of compounds that can target both leukemic blasts as well as their tumor supportive microenvironment, and thiostrepton, KPT-9274 and metformin emerged as potentially promising candidates. We hope that (combinatorial) targeted drug treatments that also take the tumor microenvironment into account can help to improve AML treatment and prevent relapse.
CD163 (CD163 Molecule) • CD34 (CD34 molecule) • PTPRC (Protein Tyrosine Phosphatase Receptor Type C) • FOXM1 (Forkhead Box M1) • MRC1 (Mannose Receptor C-Type 1) • NAMPT (Nicotinamide Phosphoribosyltransferase) • CD80 (CD80 Molecule)
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Venclexta (venetoclax) • cytarabine • metformin • padnarsertib (KPT-9274) • thiostrepton (RSO-021)
2years
Effects of thiostrepton alone or in combination with selumetinib on triple-negative breast cancer metastasis. (PubMed, Mol Biol Rep)
This study suggests that inhibiting FoxM1 as a single target is more effective than combined treatment with MEK in theTNBC allograft model. The therapeutic efficacy of THIO should be investigated with further studies on appropriate drug delivery systems.
Journal • Combination therapy
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CDH1 (Cadherin 1) • VIM (Vimentin) • FOXM1 (Forkhead Box M1)
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CDH1 expression • VIM expression
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Koselugo (selumetinib) • thiostrepton (RSO-021)
2years
FOXM1 Inhibition Enhances the Therapeutic Outcome of Lung Cancer Immunotherapy by Modulating PD-L1 Expression and Cell Proliferation. (PubMed, Adv Sci (Weinh))
Selective small interfering RNA knockdown of FOXM1 or treatment with thiostrepton (TST) significantly reduces PD-L1 expression in non-small-cell lung cancer (NSCLC) cells and inhibits proliferation...In vivo animal studies have shown that TST treatment significantly downregulates PD-L1 expression in human NSCLC tumors, while greatly reducing tumor size without side effects on normal tissues. Combined treatment with TST and anti-4-1BB antibody in the LLC-1 syngeneic tumor model induces synergistic therapeutic outcomes against immune resistant lung tumors as well as 2.72-folds higher CD3 T cells in tumor tissues compared to that in the anti-4-1BB antibody treatment group.
Journal • PD(L)-1 Biomarker • IO biomarker
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FOXM1 (Forkhead Box M1)
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PD-L1 expression
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thiostrepton (RSO-021)
2years
Thiostrepton confers protection against reactive oxygen species-related apoptosis by restraining FOXM1-triggerred development of gastric cancer. (PubMed, Free Radic Biol Med)
Both in vitro and in vivo studies illustrated that THIO strongly promoted the drug-resistant gastric cancer cells to chemotherapies, proved by the considerably decreased cell proliferation and epithelial-mesenchymal transition (EMT) process. Together, these findings revealed that FOXM1 was a promising therapeutic target for gastric cancer treatment, and THIO exerted potential as an therapeutic agent for the disease.
Journal
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FOXM1 (Forkhead Box M1)
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FOXM1 overexpression
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thiostrepton (RSO-021)
over2years
Thiostrepton induces ferroptosis in pancreatic cancer cells through STAT3/GPX4 signalling. (PubMed, Cell Death Dis)
Finally, in vivo experiments revealed that TST inhibited the growth of subcutaneously transplanted tumours and had considerable biosafety. In conclusion, our study identified the mechanism by which TST-induced ferroptosis in pancreatic cancer cells through STAT3/GPX4 signalling.
Journal
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GPX4 (Glutathione Peroxidase 4)
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GPX4 expression
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thiostrepton (RSO-021)
over2years
Bioinformatics Analysis Reveals FOXM1/BUB1B Signaling Pathway as a Key Target of Neosetophomone B in Human Leukemic Cells: A Gene Network-Based Microarray Analysis. (PubMed, Front Oncol)
Interestingly combination treatment of thiostrepton and NSP-B suppressed of cell viability and inducted apoptosis in leukemic cells via enhancing the activation of caspase-3 and caspase-8 compared with single-agent treatment. These results demonstrate the important role of the FOXM1/BUB1B pathway in leukemia and thus a potential therapeutic target.
Journal
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CDK4 (Cyclin-dependent kinase 4) • CDK6 (Cyclin-dependent kinase 6) • AURKA (Aurora kinase A) • CASP3 (Caspase 3) • AURKB (Aurora Kinase B) • CASP8 (Caspase 8) • FOXM1 (Forkhead Box M1) • BUB1B (BUB1 Mitotic Checkpoint Serine/Threonine Kinase B)
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thiostrepton (RSO-021)
over2years
c-FLIP promotes drug resistance in non-small-cell lung cancer cells via upregulating FoxM1 expression. (PubMed, Acta Pharmacol Sin)
Taken together, these results reveal a new mechanism by which c-FLIP regulates FoxM1 and the function of this interaction in the development of thiostrepton and osimertinib resistance. This study provides experimental evidence for the potential therapeutic benefit of targeting the c-FLIP-FoxM1 axis for lung cancer treatment.
Journal
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CTNNB1 (Catenin (cadherin-associated protein), beta 1) • FOXM1 (Forkhead Box M1) • CFLAR (CASP8 and FADD-like apoptosis regulator) • RELA (RELA Proto-Oncogene)
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Tagrisso (osimertinib) • thiostrepton (RSO-021)
over2years
Systems medicine dissection of chr1q-amp reveals a novel PBX1-FOXM1 axis for targeted therapy in multiple myeloma. (PubMed, Blood)
Notably, pharmacological disruption of the PBX1-FOXM1 axis with existing agents (thiostrepton) and a novel PBX1 small-molecule inhibitor (T417) is selectively toxic against chr1q-amplified myeloma and solid tumour cells. Overall, our systems medicine approach successfully identifies CNA-driven oncogenic circuitries, links them to clinical phenotypes and proposes novel CNA-targeted therapy strategies in multiple myeloma and other types of cancer.
Journal
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PBX1 (PBX Homeobox 1) • FOXM1 (Forkhead Box M1)
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thiostrepton (RSO-021)