Hassan Mohamed, El Khattouti Abdelouahid, Ejaeidi Ahmed, Ma Tangeng, Day William A, Espinoza Ingrid, Vijayakumar Srinivasan, Gomez Christian R
Cancer Institute, University of Mississippi Medical Center, 2500 N State St. Jackson, Mississippi, 39216.
Department of Pathology, University of Mississippi Medical Center, 2500 N State St. Jackson, Mississippi, 39216.
J Cell Biochem. 2016 Jun;117(6):1308-18. doi: 10.1002/jcb.25419. Epub 2015 Nov 17.
Despite progression in diagnosis and treatment, prostate cancer (PCa) still represents the main cause of cancer-related mortality and morbidity in men. Although radiation therapy offers clinical benefit over other therapeutic modalities, the success of this therapeutic modality is commonly hampered by the resistance of advanced tumors. So far, the mechanisms governing tumor resistance to radiotherapy are not discussed in detail. Here, we demonstrate for the first time that the resistance of PCa to radiation therapy is attributed to elevated expression of Hepatoma Up-Regulated Protein (HURP). In PCa cells, the induction of HURP expression suppresses γ-irradiation-induced apoptosis. γ-irradiation-induced apoptosis of PCa cells is associated with expression of E2F1, p53, p21 proteins together with the phosphorylation of apoptosis signal-regulating kinase1 (ASK1), c-jun-N-terminal kinase (JNK) and Ataxia-telangiectasia mutated (ATM) and histone family member X (H2AX). Whereas, the induction of HURP expression is able to suppress γ-irradiation-induced effects on E2F1, p53, p21, ATM, ASK1, JNK and ATM, and H2AX. Also, inhibition of γ-irradiation-induced- cytochrome c release, cleavage of caspase-9, caspase-3, PARP, and reactive oxygen species (ROS) were noted in PCa cells induced for HURP expression. The observed radio-resistance of PCa is thought to be the consequence of HURP-mediated destabilization of p53 and ATM proteins that are essential for the modulation of γ-irradiation-induced apoptosis. Thus, based on our findings, PCa resistance to radiation therapy results from the deregulation of ASK1/ JNK; ATM/ H2AX; ATM/p53 and checkpoint kinase 2 (Chk2)/ E2F-1 in response to the elevated expression of HURP.
尽管在前列腺癌(PCa)的诊断和治疗方面取得了进展,但它仍是男性癌症相关死亡率和发病率的主要原因。虽然放射治疗比其他治疗方式具有临床优势,但这种治疗方式的成功通常受到晚期肿瘤耐药性的阻碍。到目前为止,关于肿瘤对放射治疗耐药的机制尚未详细讨论。在此,我们首次证明PCa对放射治疗的耐药性归因于肝癌上调蛋白(HURP)表达的升高。在PCa细胞中,HURP表达的诱导抑制了γ射线诱导的细胞凋亡。PCa细胞中γ射线诱导的细胞凋亡与E2F1、p53、p21蛋白的表达以及凋亡信号调节激酶1(ASK1)、c-jun氨基末端激酶(JNK)、共济失调毛细血管扩张突变蛋白(ATM)和组蛋白家族成员X(H2AX)的磷酸化有关。然而,HURP表达的诱导能够抑制γ射线对E2F1、p53、p21、ATM、ASK1、JNK和H2AX的诱导作用。此外,在诱导HURP表达的PCa细胞中还观察到抑制γ射线诱导的细胞色素c释放、半胱天冬酶-9、半胱天冬酶-3、聚(ADP-核糖)聚合酶(PARP)的裂解以及活性氧(ROS)的产生。观察到的PCa放射抗性被认为是HURP介导的p53和ATM蛋白不稳定的结果,而这两种蛋白对于调节γ射线诱导的细胞凋亡至关重要。因此,基于我们的研究结果,PCa对放射治疗的抗性是由于HURP表达升高导致ASK1/JNK、ATM/H2AX、ATM/p53和检查点激酶2(Chk2)/E2F-1失调所致。