Yacoub Adly, Mitchell Clint, Lebedeva Irina V, Sarkar Devanand, Su Zao-Zhong, McKinstry Robert, Gopalkrishnan Rahul V, Grant Steven, Fisher Paul B, Dent Paul
Department of Radiatin Oncology, Virginia Commonwealth University; Richmond, Virginia USA.
Cancer Biol Ther. 2003 Jul-Aug;2(4):347-53. doi: 10.4161/cbt.2.4.422.
Despite therapeutic interventions including surgery, chemotherapy and radiotherapy, glioblastoma multiforme (GBM) has a very poor prognosis and novel therapies are required. MDA-7 (IL-24), when expressed via a recombinant replication defective adenovirus, Ad.mda-7, has profound anti-proliferative and cytotoxic effects in a variety of tumor cells, but not in non-transformed cells. The present studies examined the combined impact of Ad.mda-7 and ionizing radiation on the proliferation and survival of GBM cells. Ad.mda-7 reduced the proliferation of rodent and human glioma cells in MTT assays and in colony formation assays. The anti-proliferative effects of Admda-7 were enhanced by radiation in a greater than additive fashion. In vitro, this cellular change correlated with enhanced cell numbers in G1/G0 and G2/M phases of the cell cycle, implying Ad.mda-7 radiosensitizes tumor cells in a cell cycle-independent manner. The radiosensitizing effects were not observed in cultures of non-transformed primary astrocytes. The enhanced reduction in growth correlated with increased necrosis and DNA degradation. Ad.mda-7 enhanced p38 and ERK1/2 activity but did not alter JNK or Akt activity. Irradiation of cells expressing MDA-7 suppressed ERK1/2 activity and dramatically enhanced JNK1/2 activity without altering either Akt or p38 activity. Inhibition of JNK1/2, but not p38, signaling abolished the radiosensitizing properties of MDA-7. Inhibition of neither ERK1/2 nor PI3K signaling enhanced the anti-proliferative effects of Ad.mda-7, whereas combined inhibition of both pathways enhanced cell killing, suggesting that ERK and PI3K signaling can be protective against MDA-7 lethality.
尽管采取了包括手术、化疗和放疗在内的治疗干预措施,多形性胶质母细胞瘤(GBM)的预后仍然很差,因此需要新的治疗方法。当通过重组复制缺陷型腺病毒Ad.mda-7表达时,黑色素瘤分化相关基因-7(MDA-7,即白细胞介素-24)在多种肿瘤细胞中具有显著的抗增殖和细胞毒性作用,但在未转化细胞中则无此作用。本研究检测了Ad.mda-7与电离辐射对GBM细胞增殖和存活的联合影响。在MTT试验和集落形成试验中,Ad.mda-7降低了啮齿动物和人胶质瘤细胞的增殖。辐射以大于相加的方式增强了Ad.mda-7的抗增殖作用。在体外,这种细胞变化与细胞周期G1/G0期和G2/M期细胞数量增加相关,这意味着Ad.mda-7以细胞周期非依赖性方式使肿瘤细胞对辐射敏感。在未转化的原代星形胶质细胞培养物中未观察到辐射增敏作用。生长的进一步降低与坏死增加和DNA降解相关。Ad.mda-7增强了p38和ERK1/2活性,但未改变JNK或Akt活性。对表达MDA-7的细胞进行辐射可抑制ERK1/2活性,并显著增强JNK1/2活性,而不改变Akt或p38活性。抑制JNK1/2信号通路而非p38信号通路可消除MDA-7的辐射增敏特性。抑制ERK1/2和PI3K信号通路均未增强Ad.mda-7的抗增殖作用,而同时抑制这两条通路则增强了细胞杀伤作用,这表明ERK和PI3K信号通路可能对MDA-7的致死性具有保护作用。