El-Awady Raafat A, Hersi Fatema, Al-Tunaiji Hala, Saleh Ekram M, Abdel-Wahab Abdel-Hady A, Al Homssi Amer, Suhail Mousa, El-Serafi Ahmed, Al-Tel Taleb
a College of Pharmacy; University of Sharjah ; Sharjah , United Arab Emirates.
Cancer Biol Ther. 2015;16(7):1056-70. doi: 10.1080/15384047.2015.1046023.
Lung cancer cells show inherent and acquired resistance to chemotherapy. The lack of good predictive markers/novel targets and the incomplete understanding of the mechanisms of resistance limit the success of lung cancer response to chemotherapy. In the present study, we used an isogenic pair of lung adenocarcinoma cell lines; A549 (wild-type) and A549DOX11 (doxorubicin resistant) to study the role of epigenetics and miRNA in resistance/response of non-small cell lung cancer (NSCLC) cells to doxorubicin. Our results demonstrate differential expression of epigenetic markers whereby the level of HDACs 1, 2, 3 and4, DNA methyltransferase, acetylated H2B and acetylated H3 were lower in A549DOX11 compared to A549 cells. Fourteen miRNAs were dys-regulated in A549DOX11 cells compared to A549 cells, of these 14 miRNAs, 4 (has-mir-1973, 494, 4286 and 29b-3p) have shown 2.99 - 4.44 fold increase in their expression. This was associated with reduced apoptosis and higher resistance of A549DOX11cells to doxorubicin and etoposide. Sequential treatment with the epigenetic modifiers trichostatin A or 5-aza-2'-deoxycytidine followed by doxorubicin resulted in: (i) enhanced sensitivity of both cell lines to doxorubicin especially at low concentrations, (ii) enhanced doxorubicin-induced DNA damage in both cell lines, (iii) dysregulation of some miRNAs in A549 cells. In conclusion, A549DOX11 cells resistant to DNA damaging drugs have epigenetic profile and miRNA expression different from the sensitive cells. Moreover, epigenetic modifiers may reverse the resistance of certain NSCLC cells to DNA damaging agents by enhancing induction of DNA damage. This may open the door for using epigenetic profile/miRNA expression of some cancer cells as resistance markers/targets to improve response of resistant cells to doxorubicin and for the use of combination doxorubicin/epigenetic modifiers to reduce doxorubicin toxicity.
肺癌细胞对化疗表现出内在和获得性耐药。缺乏良好的预测标志物/新靶点以及对耐药机制的不完全理解限制了肺癌化疗反应的成功。在本研究中,我们使用了一对同基因的肺腺癌细胞系;A549(野生型)和A549DOX11(阿霉素耐药)来研究表观遗传学和微小RNA在非小细胞肺癌(NSCLC)细胞对阿霉素的耐药/反应中的作用。我们的结果表明表观遗传标志物存在差异表达,与A549细胞相比,A549DOX11中HDACs 1、2、3和4、DNA甲基转移酶、乙酰化H2B和乙酰化H3的水平较低。与A549细胞相比,A549DOX11细胞中有14种微小RNA表达失调,在这14种微小RNA中,4种(has-mir-1973、494、4286和29b-3p)的表达增加了2.99 - 4.44倍。这与A549DOX11细胞凋亡减少以及对阿霉素和依托泊苷的更高耐药性相关。用表观遗传修饰剂曲古抑菌素A或5-氮杂-2'-脱氧胞苷随后再用阿霉素进行序贯治疗导致:(i)两种细胞系对阿霉素的敏感性增强,尤其是在低浓度时,(ii)两种细胞系中阿霉素诱导的DNA损伤增强,(iii)A549细胞中一些微小RNA表达失调。总之,对DNA损伤药物耐药的A549DOX11细胞具有与敏感细胞不同的表观遗传学特征和微小RNA表达。此外,表观遗传修饰剂可能通过增强DNA损伤诱导来逆转某些NSCLC细胞对DNA损伤剂的耐药性。这可能为将某些癌细胞的表观遗传学特征/微小RNA表达用作耐药标志物/靶点以改善耐药细胞对阿霉素的反应以及使用阿霉素/表观遗传修饰剂联合用药以降低阿霉素毒性打开大门。