Hirose Y, Berger M S, Pieper R O
Brain Tumor Research Center, Department of Neurological Surgery, University of California-San Francisco, 2340 Sutter Street, San Francisco, CA 94143-0875, USA.
Cancer Res. 2001 Aug 1;61(15):5843-9.
Temozolomide (TMZ) produces O(6)-methylguanine in DNA, which in turn mispairs with thymine, triggering futile DNA mismatch repair (MMR) and ultimately cell death. We found previously that in p53-proficient human glioma cells, TMZ-induced futile DNA MMR resulted not in apoptosis but rather in prolonged, p53- and p21-associated G(2)-M arrest and senescence. Additionally, p53-deficient cells were relatively more TMZ resistant than p53-deficient glioma cells, which underwent only transient G(2)-M arrest before death by mitotic catastrophe. These results suggested that prolonged G(2)-M arrest might protect cells from TMZ-induced cytotoxicity. In the present study, we therefore focused on the mechanism by which TMZ induces G(2)-M arrest and on whether inhibition of such G(2)-M arrest might sensitize glioma cells to TMZ-induced toxicity. U87MG glioma cells treated with TMZ underwent G(2)-M arrest associated with Chk1 activation and phosphorylation of both cdc25C and cdc2. These TMZ-induced effects were inhibited by the Chk1 kinase inhibitor UCN-01. Although not in itself toxic, UCN-01 increased the cytotoxicity of TMZ 5-fold, primarily by inhibiting cellular senescence and increasing the percentage of cells bypassing G(2)-M arrest and undergoing mitotic catastrophe. In addition to enhancing TMZ-induced cytotoxicity in p53-proficient cells, UCN-01 also blocked TMZ-induced Chk1 activation and transient G(2)-M arrest in p53-deficient U87MG-E6 cells and similarly enhanced TMZ-induced mitotic catastrophe and cell death. Taken together, these results indicate that Chk1 links TMZ-induced MMR to G(2)-M arrest. Furthermore, inhibition of the cytoprotective G(2) arrest pathway sensitizes cells to TMZ-induced cytotoxicity and may represent a novel, mechanism-based means of increasing TMZ efficacy in both p53 wild-type and p53 mutant glioma cells.
替莫唑胺(TMZ)可在DNA中产生O(6)-甲基鸟嘌呤,进而与胸腺嘧啶错配,引发无效的DNA错配修复(MMR),最终导致细胞死亡。我们之前发现,在p53功能正常的人胶质瘤细胞中,TMZ诱导的无效DNA错配修复并未导致细胞凋亡,而是导致了与p53和p21相关的G(2)-M期延长阻滞及细胞衰老。此外,p53缺失的细胞比p53功能正常的胶质瘤细胞对TMZ的抗性相对更强,后者仅经历短暂的G(2)-M期阻滞,随后因有丝分裂灾难而死亡。这些结果表明,延长的G(2)-M期阻滞可能保护细胞免受TMZ诱导的细胞毒性作用。因此,在本研究中,我们重点关注TMZ诱导G(2)-M期阻滞的机制,以及抑制这种G(2)-M期阻滞是否会使胶质瘤细胞对TMZ诱导的毒性更敏感。用TMZ处理的U87MG胶质瘤细胞出现了与Chk1激活以及cdc25C和cdc2磷酸化相关的G(2)-M期阻滞。这些TMZ诱导的效应被Chk1激酶抑制剂UCN-01抑制。尽管UCN-01本身无毒,但它使TMZ的细胞毒性增加了5倍,主要是通过抑制细胞衰老以及增加绕过G(2)-M期阻滞并经历有丝分裂灾难的细胞百分比来实现的。除了增强TMZ对p53功能正常细胞的细胞毒性作用外,UCN-01还阻断了TMZ诱导的p53缺失的U87MG-E6细胞中的Chk1激活和短暂的G(2)-M期阻滞,同样增强了TMZ诱导的有丝分裂灾难和细胞死亡。综上所述,这些结果表明Chk1将TMZ诱导的错配修复与G(2)-M期阻滞联系起来。此外,抑制具有细胞保护作用的G(2)期阻滞途径可使细胞对TMZ诱导的细胞毒性更敏感,这可能代表了一种基于机制的新方法,可提高TMZ在p53野生型和p53突变型胶质瘤细胞中的疗效。