突变型p53可增强胰腺腺癌细胞对吉西他滨的化疗耐药性。

Mutant p53 stimulates chemoresistance of pancreatic adenocarcinoma cells to gemcitabine.

作者信息

Fiorini Claudia, Cordani Marco, Padroni Chiara, Blandino Giovanni, Di Agostino Silvia, Donadelli Massimo

机构信息

Department of Life and Reproduction Sciences, Biochemistry Section, University of Verona, Verona, Italy.

Translational Oncogenomic Unit, Regina Elena National Cancer Institute-IFO, Rome, Italy.

出版信息

Biochim Biophys Acta. 2015 Jan;1853(1):89-100. doi: 10.1016/j.bbamcr.2014.10.003. Epub 2014 Oct 13.

Abstract

Pancreatic adenocarcinoma (PDAC) is the fourth leading cause of cancer-related deaths worldwide; PDAC is characterized by poor prognosis, resistance to conventional chemotherapy and high mortality rate. TP53 tumor suppressor gene is frequently mutated in PDAC, resulting in the accumulation of mutated protein with potential gain-of-function (GOF) activities, such as genomic instability, hyperproliferation and chemoresistance. The purpose of this study was to assess the relevance of the p53 status on the PDAC cells response to the standard drug gemcitabine. We also examined the potential therapeutic effect of p53-reactivating molecules to restore the mutant p53 function in GEM treated PDAC cells. We showed that gemcitabine stabilized mutant p53 protein in the nuclei and induced chemoresistance, concurrent with the mutant p53-dependent expression of Cdk1 and CCNB1 genes, resulting in a hyperproliferation effect. Despite the adverse activation of mutant p53 by gemcitabine, simultaneous treatment of PDAC cells with gemcitabine and p53-reactivating molecules (CP-31398 and RITA) reduced growth rate and induced apoptosis. This synergistic effect was observed in both wild-type and mutant p53 cell lines and was absent in p53-null cells. The combination drug treatment induced p53 phosphorylation on Ser15, apoptosis and autophagosome formation. Furthermore, pharmacological inhibition of autophagy further increased apoptosis stimulated by gemcitabine/CP-31398 treatment. Together, our results show that gemcitabine aberrantly stimulates mutant p53 activity in PDAC cells identifying key processes with potential for therapeutic targeting. Our data also support an anti-tumoral strategy based on inhibition of autophagy combined with p53 activation and standard chemotherapy for both wild-type and mutant p53 expressing PDACs.

摘要

胰腺腺癌(PDAC)是全球癌症相关死亡的第四大主要原因;PDAC的特点是预后差、对传统化疗耐药且死亡率高。TP53肿瘤抑制基因在PDAC中经常发生突变,导致具有潜在功能获得(GOF)活性的突变蛋白积累,如基因组不稳定、过度增殖和化疗耐药。本研究的目的是评估p53状态与PDAC细胞对标准药物吉西他滨反应的相关性。我们还研究了p53激活分子在吉西他滨处理的PDAC细胞中恢复突变p53功能的潜在治疗效果。我们发现吉西他滨使细胞核中的突变p53蛋白稳定并诱导化疗耐药,同时伴有Cdk1和CCNB1基因的突变p53依赖性表达,导致过度增殖效应。尽管吉西他滨对突变p53有不良激活作用,但将吉西他滨与p53激活分子(CP - 31398和RITA)同时处理PDAC细胞可降低生长速率并诱导凋亡。在野生型和突变型p53细胞系中均观察到这种协同效应,而在p53缺失细胞中未观察到。联合药物治疗诱导了Ser15位点的p53磷酸化、凋亡和自噬体形成。此外,自噬的药理学抑制进一步增加了吉西他滨/CP - 31398治疗刺激的凋亡。总之,我们的结果表明吉西他滨异常刺激PDAC细胞中的突变p53活性,确定了具有潜在治疗靶点的关键过程。我们的数据还支持一种基于抑制自噬、联合激活p53和对野生型和表达突变p53的PDAC进行标准化疗的抗肿瘤策略。

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