DIG-MSK regulates the expression of SP1 and key oncogenic genes in ovarian tumor cells.
(a) Relative changes in luciferase activity of a transfected Sp1-reported vector in the presence of 200 nM MTA or DIG-MSK compared to untreated ovarian cancer cells. qRT-PCR analysis of the expression of SP1 gene and several key Sp1-regulated oncogenic genes in ovarian cancer cells treated or untreated with 200 nM MTA or DIG-MSK. Data represent the mean ± SEM of Ct values obtained from at least three independent experiments made by duplicate. The relative mRNA expression was obtained by comparison of the expression profiles of untreated cells (DMSO) versus treated ones (*p<0.05; **p<0.01, Mann-Whitney U test).

DIG-MSK regulates the expression of SP1 and key oncogenic genes in ovarian tumor cells. (a) Relative changes in luciferase activity of a transfected Sp1-reported vector in the presence of 200 nM MTA or DIG-MSK compared to untreated ovarian cancer cells. qRT-PCR analysis of the expression of SP1 gene and several key Sp1-regulated oncogenic genes in ovarian cancer cells treated or untreated with 200 nM MTA or DIG-MSK. Data represent the mean ± SEM of Ct values obtained from at least three independent experiments made by duplicate. The relative mRNA expression was obtained by comparison of the expression profiles of untreated cells (DMSO) versus treated ones (*p<0.05; **p<0.01, Mann-Whitney U test).

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Demycarosyl-3D-ß-D-digitoxosyl-mithramycin SK (DIG-MSK) is a recently isolated analogue of mithramycin A (MTA) that showed differences with MTA in the DNA binding strength and selectivity. These differences correlated with a better therapeutic index and less toxicity in animal studies. Herein, we show that DIG-MSK displays a potent anti-tumor activ...

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... The treatment of the cells with a combination of mithramycin and cycloheximide (a protein synthesis inhibitor) or MG132 (a 26S proteasome inhibitor) demonstrated that the inhibitory effect of mithramycin on SP1 was related to proteasome functioning [45]. Incubation of testicular carcinoma cells with 200 nM mithramycin or its analog DIG-MSK resulted in a decrease in the SP1 mRNA concentration by more than 20% as early as in 8 h [47]. The SP1 inhibition in murine myeloma 5TGM1 cells was not nearly observed, which did not allow an unambiguous conclusion on the mithramycin effect on the SP1 expression [48]. ...
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... One of the most promising mithralogs, demycarosyl-3D-betat-D-digitoxosyl-mithramycin SK (MTM-DIG-MSK or EC-8042), has demonstrated retained anti-tumor properties, including in vitro ovarian cancer lines, but reduced in vitro toxicity in fibroblasts and mononuclear blood cells, compared to mithramycin [37,40,70,82]. Mithramycin and EC-8042 reduced the viability and invasiveness of malignant melanoma cell lines [85]. ...
... Mithramycin analogs also demonstrated efficacy in pre-clinical ovarian studies. EC-8042 displayed significant anti-tumor activity against ovarian cancer cell lines with significantly lower toxicity to fibroblasts and peripheral blood cells compared to mithramycin; while strongly inhibiting Sp1 transcription and reduction in several genes implicated in tumorigenesis including VEGF, BRCA2, cMyc, and src [38,70]. In one of the most detailed studies involving ovarian cancer and MTM analogs, MTM-SDK and MTM-SK, demonstrated considerable inhibition of Sp1 dependent transcription in vitro. ...
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... In a functional study, it was found that two new analogs of MTA, namely MTMSDK and MTM-SK, hindered the growth of OC cells in xenografts via inhibition of Sp1-based transcription [87]. Another efficient analog of MTA is demycarosyl-3D-ß-D-digitoxosyl-mithramycin SK (DIG-MSK), as it can inhibit Sp1-mediated transcription, mRNA expression, and various other genes regulated by Sp1 that have a pivotal role in OC, like VEGFA, BCL2L1 (Bcl-2-like 1; Bcl-XL), human telomerase Reverse Transcriptase (hTERT), BRCA2, and MYC [88]. Similar to this study, Vizcaino et al. also observed that DIG-MSK can downregulate the binding of Sp1 to pro-oncogenes in OC cells [89]. ...
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Ovarian cancer (OC) is one of the deadliest cancers among women contributing to high risk of mortality, mainly owing to delayed detection. There is no specific biomarker for its detection in early stages. However, recent findings show that over-expression of specificity protein 1 (Sp1) is involved in many OC cases. The ubiquitous transcription of Sp1 apparently mediates the maintenance of normal and cancerous biological processes such as cell growth, differentiation, angiogenesis, apoptosis, cellular reprogramming and tumorigenesis. Sp1 exerts its effects on cellular genes containing putative GC-rich Sp1-binding site in their promoters. A better understanding of the mechanisms underlying Sp1 transcription factor (TF) regulation and functions in OC tumorigenesis could help identify novel prognostic markers, to target cancer stem cells (CSCs) by following cellular reprogramming and enable the development of novel therapies for future generations. In this review, we address the structure, function, and biology of Sp1 in normal and cancer cells, underpinning the involvement of Sp1 in OC tumorigenesis. In addition, we have highlighted the influence of Sp1 TF in cellular reprogramming of iPSCs and how it plays a role in controlling CSCs. This review highlights the drugs targeting Sp1 and their action on cancer cells. In conclusion, we predict that research in this direction will be highly beneficial for OC treatment, and chemotherapeutic drugs targeting Sp1 will emerge as a promising therapy for OC.
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... EC-8042 is one of the most recent analogs generated via this approach [13,17]. EC-8042 exhibits much lower toxicity than MTM and has antitumor activity in a variety of cellular and xenograft models [18][19][20][21][22][23]. In terms of the favorable therapeutic index, EC-8042 is currently the lead MTM analog for clinical testing. ...
... Recently, the new mithralog demycarosyl-3Dβ-D-digitoxosyl-mithramycin SK (EC-8042; DIG-MSK) has been obtained and characterized [17]. As expected, EC-8042 preferentially binds GC-rich sequences, is a potent inhibitor of SP-driven gene expression and shows pleiotropic anti-angiogenic and anti-oncogenic activities [18][19][20]. EC-8042 altered the expression of cell cycle related genes resulting in cell cycle arrest and apoptosis in breast cancer cell lines [21]. In Ewing sarcoma, EC-8042 was substantially less toxic than mithramycin but maintained suppression of EWS-FLI1 at similar concentrations as MTM, and markedly suppressed Ewing sarcoma xenograft growth [22]. ...
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Tumor initiating cells (TICs), responsible for tumor initiation, and cancer stem cells (CSCs), responsible for tumor expansion and propagation, are often resistant to chemotherapeutic agents. To find therapeutic targets against sarcoma initiating and propagating cells we used models of myxoid liposarcoma (MLS) and undifferentiated pleomorphic sarcoma (UPS) developed from human mesenchymal stromal/stem cells (hMSCs), which constitute the most likely cell-of-origin for sarcoma. We found that SP1-mediated transcription was among the most significantly altered signaling. To inhibit SP1 activity, we used EC-8042, a mithramycin (MTM) analog (mithralog) with enhanced anti-tumor activity and highly improved safety. EC-8042 inhibited the growth of TIC cultures, induced cell cycle arrest and apoptosis and upregulated the adipogenic factor CEBPα. SP1 knockdown was able to mimic the anti-proliferative effects induced by EC-8042. Importantly, EC-8042 was not recognized as a substrate by several ABC efflux pumps involved in drug resistance, and, opposite to the chemotherapeutic drug doxorubicin, repressed the expression of many genes responsible for the TIC/CSC phenotype, including SOX2, C-MYC, NOTCH1 and NFκB1. Accordingly, EC-8042, but not doxorubicin, efficiently reduced the survival of CSC-enriched tumorsphere sarcoma cultures. In vivo, EC-8042 induced a profound inhibition of tumor growth associated to a strong reduction of the mitotic index and the induction of adipogenic differentiation and senescence. Finally, EC-8042 reduced the ability of tumor cells to reinitiate tumor growth. These data suggest that EC-8042 could constitute an effective treatment against both TIC and CSC subpopulations in sarcoma.