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未折叠蛋白反应调节因子GRP78/BiP作为提高恶性胶质瘤化疗敏感性的新靶点。

The unfolded protein response regulator GRP78/BiP as a novel target for increasing chemosensitivity in malignant gliomas.

作者信息

Pyrko Peter, Schönthal Axel H, Hofman Florence M, Chen Thomas C, Lee Amy S

机构信息

Department of Pathology, and University of Southern California/Norris Comprehensive Cancer Center, University of Southern California Keck School of Medicine, Los Angeles, California 90033, USA.

出版信息

Cancer Res. 2007 Oct 15;67(20):9809-16. doi: 10.1158/0008-5472.CAN-07-0625.

Abstract

Poor chemosensitivity and the development of chemoresistance remain major obstacles to successful chemotherapy of malignant gliomas. GRP78 is a key regulator of the unfolded protein response (UPR). As a Ca2+-binding molecular chaperone in the endoplasmic reticulum (ER), GRP78 maintains ER homeostasis, suppresses stress-induced apoptosis, and controls UPR signaling. We report here that GRP78 is expressed at low levels in normal adult brain, but is significantly elevated in malignant glioma specimens and human malignant glioma cell lines, correlating with their rate of proliferation. Down-regulation of GRP78 by small interfering RNA leads to a slowdown in glioma cell growth. Our studies further reveal that temozolomide, the chemotherapeutic agent of choice for treatment of malignant gliomas, leads to induction of CHOP, a major proapoptotic arm of the UPR. Knockdown of GRP78 in glioblastoma cell lines induces CHOP and activates caspase-7 in temozolomide-treated cells. Colony survival assays further establish that knockdown of GRP78 lowers resistance of glioma cells to temozolomide, and, conversely, overexpression of GRP78 confers higher resistance. Knockdown of GRP78 also sensitizes glioma cells to 5-fluorouracil and CPT-11. Treatment of glioma cells with (-)-epigallocatechin gallate, which targets the ATP-binding domain of GRP78 and blocks its protective function, sensitizes glioma cells to temozolomide. These results identify a novel chemoresistance mechanism in malignant gliomas and show that combination of drugs capable of suppressing GRP78 with conventional agents such as temozolomide might represent a novel approach to eliminate residual tumor cells after surgery and increase the effectiveness of malignant glioma chemotherapy.

摘要

化疗敏感性差和化疗耐药的产生仍然是恶性胶质瘤化疗成功的主要障碍。GRP78是未折叠蛋白反应(UPR)的关键调节因子。作为内质网(ER)中的一种钙结合分子伴侣,GRP78维持内质网稳态,抑制应激诱导的细胞凋亡,并控制UPR信号传导。我们在此报告,GRP78在正常成人大脑中表达水平较低,但在恶性胶质瘤标本和人恶性胶质瘤细胞系中显著升高,与其增殖速率相关。通过小干扰RNA下调GRP78会导致胶质瘤细胞生长减缓。我们的研究进一步揭示,治疗恶性胶质瘤的首选化疗药物替莫唑胺会导致CHOP的诱导,CHOP是UPR的主要促凋亡分支。在替莫唑胺处理的细胞中,敲低胶质母细胞瘤细胞系中的GRP78会诱导CHOP并激活半胱天冬酶-7。集落存活试验进一步证实,敲低GRP78会降低胶质瘤细胞对替莫唑胺的耐药性,相反,GRP78的过表达会赋予更高的耐药性。敲低GRP78还使胶质瘤细胞对5-氟尿嘧啶和CPT-11敏感。用靶向GRP78的ATP结合结构域并阻断其保护功能的(-)-表没食子儿茶素没食子酸酯处理胶质瘤细胞,会使胶质瘤细胞对替莫唑胺敏感。这些结果确定了恶性胶质瘤中的一种新的化疗耐药机制,并表明将能够抑制GRP78的药物与替莫唑胺等传统药物联合使用,可能代表一种在手术后消除残留肿瘤细胞并提高恶性胶质瘤化疗效果的新方法。

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