# Effects of Autophagy Inhibition by SAR405, a Selective VPS34 Inhibitor, on Pleural Mesothelioma Cells

**Authors:** Yoshiki Kuwabara, Kosuke Sakai, Kota Shiraishi, Itsuka Matsumoto, Shigeru Ishii, Shin Yokosuka, Masatoshi Abe, Tomoyuki Takahashi, Yuichiro Kawano, Hiroaki Nishimura, Maiko Toda‐Sasaki, Yumiko Kobayashi‐Ogawa, Satoshi Kikuchi, Yusuke Hirata, Hiroyuki Kyoyama, Gaku Moriyama, Nobuyuki Koyama, Kazutsugu Uematsu

PMC · DOI: 10.1111/1759-7714.70255 · Thoracic Cancer · 2026-03-02

## TL;DR

This study shows that SAR405, a drug that blocks autophagy, reduces the growth and spread of pleural mesothelioma cells in lab experiments.

## Contribution

The study demonstrates that VPS34 inhibition by SAR405 is a novel approach to suppressing mesothelioma cell viability.

## Key findings

- SAR405 reduced cell viability, colony formation, and invasion in mesothelioma cell lines.
- SAR405 induced apoptosis specifically in H2452 cells.
- Combining SAR405 with cisplatin did not enhance cytotoxic effects.

## Abstract

Pleural mesothelioma is a highly aggressive malignancy with a poor prognosis due to the limited efficacy of currently available therapies. Macroautophagy (hereafter “autophagy”) is a lysosome‐mediated degradation pathway involved in cellular homeostasis that can either support or inhibit cancer progression depending on context. In this study, we investigated the effects of SAR405, an inhibitor of vacuolar protein‐sorting 34 (VPS34), which is important for regulating the early stage of autophagy, on pleural mesothelioma.

Human pleural mesothelioma cell lines H28, H2452, and 211H were cultured with SAR405. The effects of SAR405 on protein expression, cell viability, colony formation, cell invasion, and the cell cycle were investigated, as were its synergistic effects with cisplatin. Autophagy induction was evaluated in mesothelioma cells transfected with the pMRX‐IP‐GFP‐LC3‐RFP‐LC3ΔG plasmid, which was developed for the quantitative and statistical estimation of autophagy.

SAR405 treatment alone significantly reduced cell viability, colony formation, and cell invasion, and increased G2/M cell cycle arrest. In addition, SAR405 induced apoptosis in the H2452 cell line. Although cisplatin weakly induced autophagy in mesothelioma cells, its combination with SAR405 did not result in additive or synergistic effects on cell viability.

Based on these results, inhibition of VPS34 by SAR405 effectively suppressed cell viability in all mesothelioma cell lines and induced apoptosis in H2452 cells. The findings of this study indicate the potential for VPS34 inhibition as a new strategy for the treatment of mesothelioma and provide insights into the complex role of autophagy in this malignancy.

SAR405, a selective VPS34 inhibitor, suppressed autophagic flux and reduced cell viability, colony formation, and invasion in pleural mesothelioma cell lines. SAR405 induced apoptosis only in H2452 cells. Cisplatin weakly induced autophagy, but its combination with SAR405 showed no synergistic cytotoxic effects.

## Linked entities

- **Proteins:** PIK3C3 (phosphatidylinositol 3-kinase catalytic subunit type 3), MAP1LC3A (microtubule associated protein 1 light chain 3 alpha)
- **Chemicals:** SAR405 (PubChem CID 72709209), cisplatin (PubChem CID 5460033)
- **Diseases:** pleural mesothelioma (MONDO:0003308)
- **Species:** Homo sapiens (taxon 9606)

## Full-text entities

- **Genes:** MTOR (mechanistic target of rapamycin kinase) [NCBI Gene 2475] {aka FRAP, FRAP1, FRAP2, RAFT1, RAPT1, SKS}, HSPA4 (heat shock protein family A (Hsp70) member 4) [NCBI Gene 3308] {aka APG-2, HEL-S-5a, HS24/P52, HSPH2, RY, hsp70}, MDM2 (MDM2 proto-oncogene) [NCBI Gene 4193] {aka ACTFS, HDMX, LSKB, hdm2}, UVRAG (UV radiation resistance associated) [NCBI Gene 7405] {aka DHTX, VPS38, p63}, BCL2L1 (BCL2 like 1) [NCBI Gene 598] {aka BCL-XL/S, BCL2L, BCLX, Bcl-X, PPP1R52}, MAP1LC3B (microtubule associated protein 1 light chain 3 beta) [NCBI Gene 81631] {aka ATG8F, LC3B, MAP1A/1BLC3, MAP1LC3B-a}, BCL2 (BCL2 apoptosis regulator) [NCBI Gene 596] {aka Bcl-2, PPP1R50}, SRC (SRC proto-oncogene, non-receptor tyrosine kinase) [NCBI Gene 6714] {aka ASV, SRC1, THC6, c-SRC, p60-Src}, PARP1 (poly(ADP-ribose) polymerase 1) [NCBI Gene 142] {aka ADPRT, ADPRT 1, ADPRT1, ARTD1, PARP, PARP-1}, Cd274 (CD274 antigen) [NCBI Gene 60533] {aka A530045L16Rik, B7h1, Pdcd1l1, Pdcd1lg1, Pdl1}, HMGCR (3-hydroxy-3-methylglutaryl-CoA reductase) [NCBI Gene 3156] {aka LDLCQ3, LGMDR28, MYPLG}, PIK3R1 (phosphoinositide-3-kinase regulatory subunit 1) [NCBI Gene 5295] {aka AGM7, GRB1, IMD36, p85, p85-ALPHA, p85alpha}, PTGS2 (prostaglandin-endoperoxide synthase 2) [NCBI Gene 5743] {aka COX-2, COX2, GRIPGHS, PGG/HS, PGHS-2, PHS-2}, ATM (ATM serine/threonine kinase) [NCBI Gene 472] {aka AT1, ATA, ATC, ATD, ATDC, ATE}, BAX (BCL2 associated X, apoptosis regulator) [NCBI Gene 581] {aka BCL2L4}, AKT1 (AKT serine/threonine kinase 1) [NCBI Gene 207] {aka AKT, PKB, PKB-ALPHA, PRKBA, RAC, RAC-ALPHA}, DPP4 (dipeptidyl peptidase 4) [NCBI Gene 1803] {aka ADABP, ADCP2, CD26, DPPIV, TP103}, BAK1 (BCL2 antagonist/killer 1) [NCBI Gene 578] {aka BAK, BAK-LIKE, BCL2L7, CDN1}, PIK3C3 (phosphatidylinositol 3-kinase catalytic subunit type 3) [NCBI Gene 5289] {aka VPS34, Vps34, hVps34}, SQSTM1 (sequestosome 1) [NCBI Gene 8878] {aka A170, DMRV, EBIAP, FTDALS3, NADGP, OSIL}, ANXA5 (annexin A5) [NCBI Gene 308] {aka ANX5, CPB-I, ENX2, HEL-S-7, PP4, RPRGL3}, VMP1 (vacuole membrane protein 1) [NCBI Gene 81671] {aka EPG3, TANGO5, TMEM49}, CASP9 (caspase 9) [NCBI Gene 842] {aka APAF-3, APAF3, ICE-LAP6, MCH6, PPP1R56}, GAPDH (glyceraldehyde-3-phosphate dehydrogenase) [NCBI Gene 2597] {aka G3PD, GAPD, HEL-S-162eP}, BECN1 (beclin 1) [NCBI Gene 8678] {aka ATG6, VPS30, beclin1}, CASP3 (caspase 3) [NCBI Gene 836] {aka CPP32, CPP32B, SCA-1}, PIK3CB (phosphatidylinositol-4,5-bisphosphate 3-kinase catalytic subunit beta) [NCBI Gene 5291] {aka P110BETA, PI3K, PI3KBETA, PIK3C1}, ATR (ATR checkpoint kinase) [NCBI Gene 545] {aka FCTCS, FRP1, MEC1, SCKL, SCKL1}, CDK1 (cyclin dependent kinase 1) [NCBI Gene 983] {aka CDC2, CDC28A, P34CDC2}, Cd4 (CD4 antigen) [NCBI Gene 12504] {aka L3T4, Ly-4}, MAP1LC3A (microtubule associated protein 1 light chain 3 alpha) [NCBI Gene 84557] {aka ATG8E, LC3, LC3A, MAP1ALC3, MAP1BLC3}, TP53INP2 (tumor protein p53 inducible nuclear protein 2) [NCBI Gene 58476] {aka C20orf110, DOR, PINH, dJ1181N3.1}, BAP1 (BRCA1 associated deubiquitinase 1) [NCBI Gene 8314] {aka HUCEP-13, KURIS, TPDS1, UBM2, UCHL2, UVM2}, CDKN2A (cyclin dependent kinase inhibitor 2A) [NCBI Gene 1029] {aka ARF, CAI2, CDK4I, CDKN2, CMM2, INK4}, Pdcd1 (programmed cell death 1) [NCBI Gene 18566] {aka Ly101, PD-1, Pdc1}, MCL1 (MCL1 apoptosis regulator, BCL2 family member) [NCBI Gene 4170] {aka BCL2L3, EAT, MCL1-ES, MCL1L, MCL1S, Mcl-1}, TP53 (tumor protein p53) [NCBI Gene 7157] {aka BCC7, BMFS5, LFS1, P53, TRP53}
- **Diseases:** Spheroid (MESH:C000598645), colon cancer (MESH:D015179), urothelial carcinoma (MESH:D014523), melanoma (MESH:D008545), metastasis (MESH:D009362), head and neck squamous cancer (MESH:D006258), cytotoxic (MESH:D064420), lung cancer (MESH:D008175), Cancer (MESH:D009369), malignant rhabdoid tumor (MESH:D018335), uveal melanoma (MESH:C536494), Mesothelioma (MESH:D008654), retinopathy (MESH:D058437), ovarian carcinoma (MESH:D010051), carcinogenesis (MESH:D063646), cholangiocarcinoma (MESH:D018281), breast cancer (MESH:D001943), clear-cell renal cell carcinoma (MESH:D002292), non-small cell lung cancer (MESH:D002289), blindness (MESH:D001766), Pleural Mesothelioma (MESH:D000086002), hypoxia (MESH:D000860)
- **Chemicals:** Hydroxychloroquine (MESH:D006886), chitosan (MESH:D048271), penicillin (MESH:D010406), Cisplatin (MESH:D002945), PI (MESH:D011419), H28 (-), pemetrexed (MESH:D000068437), methanol (MESH:D000432), sodium chloride (MESH:D012965), sulforaphane (MESH:C016766), 2-mercaptoethanol (MESH:D008623), stilbenoid (MESH:D013267), streptomycin (MESH:D013307), infigratinib (MESH:C568950), celecoxib (MESH:D000068579), polyacrylamide (MESH:C016679), quinacrine (MESH:D011796), Lys05 (MESH:C573930), Hoechst 33342 (MESH:C017807), asbestos (MESH:D001194), phosphatidylinositol 3-phosphate (MESH:C055525), lipid (MESH:D008055), JSI-124 (MESH:C038106), abemaciclib (MESH:C000590451), water (MESH:D014867), methylene blue (MESH:D008751), CO2 (MESH:D002245), chloroquine diphosphate (MESH:C023676), DMSO (MESH:D004121), CQ (MESH:D002738), PKI-402 (MESH:C550550), resveratrol (MESH:D000077185), TBS-T (MESH:C027647), bafilomycin A1 (MESH:C040929), sodium dodecyl sulfate (MESH:D012967), SAR405 (MESH:C000594652), simvastatin (MESH:D019821), VER-155008 (MESH:C550733)
- **Species:** Homo sapiens (human, species) [taxon 9606], Mus musculus (house mouse, species) [taxon 10090]
- **Cell lines:** A549 — Homo sapiens (Human), Lung adenocarcinoma, Cancer cell line (CVCL_0023), 211H — Homo sapiens (Human), Lung small cell carcinoma, Cancer cell line (CVCL_1529), H2452 — Homo sapiens (Human), Pleural biphasic mesothelioma, Cancer cell line (CVCL_1553), H460 — Homo sapiens (Human), Lung large cell carcinoma, Cancer cell line (CVCL_0459), H28 — Homo sapiens (Human), Pleural malignant mesothelioma, Cancer cell line (CVCL_1555), Mesothelioma — Homo sapiens (Human), Pleural malignant mesothelioma, Cancer cell line (CVCL_U344)

## Full text

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## Figures

9 figures with captions in the complete paper: https://tomesphere.com/paper/PMC12952911/full.md

## References

56 references — full list in the complete paper: https://tomesphere.com/paper/PMC12952911/full.md

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Source: https://tomesphere.com/paper/PMC12952911