ATM 和 ATR 对胶质母细胞瘤和恶性黑色素瘤细胞对甲基化抗癌药物替莫唑胺耐药性的贡献。
Contribution of ATM and ATR to the resistance of glioblastoma and malignant melanoma cells to the methylating anticancer drug temozolomide.
机构信息
Corresponding Author: Bernd Kaina, Institute of Toxicology, Medical Center of the University Mainz, Obere Zahlbacher Str. 67, D-55131 Mainz, Germany.
出版信息
Mol Cancer Ther. 2013 Nov;12(11):2529-40. doi: 10.1158/1535-7163.MCT-13-0136. Epub 2013 Aug 19.
The major cytotoxic DNA adduct induced by temozolomide and other methylating agents used in malignant glioma and metastasized melanoma therapy is O(6)-methylguanine (O(6)-MeG). This primary DNA damage is converted by mismatch repair into secondary lesions, which block replication and in turn induce DNA double-strand breaks that trigger the DNA damage response (DDR). Key upstream players in the DDR are the phosphoinositide 3-kinases ataxia telangiectasia mutated (ATM) and ataxia telangiectasia and Rad3 related (ATR). Here, we addressed the question of the importance of ATM and ATR in the cell death response following temozolomide. We show that (i) ATM- and ATR-mutated cells are hypersensitive to temozolomide, (ii) O(6)-MeG triggers ATM and ATR activation, (iii) knockdown of ATM and ATR enhances cell kill in gliobalstoma and malignant melanoma cells with a stronger and significant effect in ATR knockdown cells, (iv) ATR, but not ATM, knockdown abolished phosphorylation of H2AX, CHK1, and CHK2 in glioma cells, and (v) temozolomide-induced cell death was more prominently enhanced by pharmacologic inhibition of CHK1 compared with CHK2. The data suggest that ATM and, even better, ATR inhibition is a useful strategy in sensitizing cancer cells to temozolomide and presumably also other anticancer drugs.
替莫唑胺和其他用于治疗恶性神经胶质瘤和转移性黑色素瘤的甲基化药物诱导的主要细胞毒性 DNA 加合物是 O(6)-甲基鸟嘌呤 (O(6)-MeG)。这种初级 DNA 损伤通过错配修复转化为次级损伤,这些损伤会阻止复制,进而诱导 DNA 双链断裂,从而触发 DNA 损伤反应 (DDR)。DDR 中的关键上游参与者是磷酸肌醇 3-激酶共济失调毛细血管扩张突变 (ATM) 和共济失调毛细血管扩张和 Rad3 相关 (ATR)。在这里,我们探讨了 ATM 和 ATR 在替莫唑胺治疗后细胞死亡反应中的重要性。我们表明:(i) ATM 和 ATR 突变细胞对替莫唑胺敏感,(ii) O(6)-MeG 触发 ATM 和 ATR 激活,(iii) 敲低 ATM 和 ATR 可增强神经胶质瘤和恶性黑色素瘤细胞的细胞杀伤作用,在 ATR 敲低细胞中具有更强且显著的作用,(iv) ATR 而非 ATM 敲低可消除神经胶质瘤细胞中 H2AX、CHK1 和 CHK2 的磷酸化,以及 (v) 与 CHK2 相比,CHK1 的药理学抑制更显著地增强了替莫唑胺诱导的细胞死亡。这些数据表明,ATM 抑制,甚至更好的是 ATR 抑制,是一种有价值的策略,可以使癌细胞对替莫唑胺和可能其他抗癌药物敏感。