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Blockade of NMT1 enzymatic activity inhibits N-myristoylation of VILIP3 protein and suppresses liver cancer progression

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DOI: 10.1038/s41392-022-01248-9

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In this study, a compound library of FDA approved drugs was screened and desloratadine, an antiallergic drug, was found to inhibit the proliferation of hepatocellular carcinoma (HCC) cells. NMT1 was identified as the target protein of desloratadine and its upregulation promoted HCC growth, while NMT1 inhibitors showed anti-tumor effects. Furthermore, NMT1-mediated N-myristoylation modification was found to play a crucial role in HCC progression, and desloratadine disrupted this process by inhibiting NMT1 activity.
Hepatocellular carcinoma (HCC) is one of the most common malignant tumors. Identification of the underlying mechanism of HCC progression and exploration of new therapeutic drugs are urgently needed. Here, a compound library consisting of 419 FDA approved drugs was taken to screen potential anticancer drugs. A series of functional assays showed that desloratadine, an antiallergic drug, can repress proliferation in HCC cell lines, cell-derived xenograft (CDX), patient-derived organoid (PDO) and patient-derived xenograft (PDX) models. N-myristoyl transferase 1 (NMT1) was identified as a target protein of desloratadine by drug affinity responsive target stability (DARTS) and surface plasmon resonance (SPR) assays. Upregulation of NMT1 expression enhanced but NMT1 knockdown suppressed tumor growth in vitro and in vivo. Metabolic labeling and mass spectrometry analyses revealed that Visinin-like protein 3 (VILIP3) was a new substrate of NMT1 in protein N-myristoylation modification, and high NMT1 or VILIP3 expression was associated with advanced stages and poor survival in HCC. Mechanistically, desloratadine binds to Asn-246 in NMT1 and inhibits its enzymatic activity, disrupting the NMT1-mediated myristoylation of the VILIP3 protein and subsequent NF kappa B/Bcl-2 signaling. Conclusively, this study demonstrates that desloratadine may be a novel anticancer drug and that NMT1mediated myristoylation contributes to HCC progression and is a potential biomarker and therapeutic target in HCC.

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