罗格列酮介导的Klotho诱导对黑色素瘤中与年龄相关的治疗抗性的抑制作用
Inhibition of Age-Related Therapy Resistance in Melanoma by Rosiglitazone-Mediated Induction of Klotho.
作者信息
Behera Reeti, Kaur Amanpreet, Webster Marie R, Kim Suyeon, Ndoye Abibatou, Kugel Curtis H, Alicea Gretchen M, Wang Joshua, Ghosh Kanad, Cheng Phil, Lisanti Sofia, Marchbank Katie, Dang Vanessa, Levesque Mitchell, Dummer Reinhard, Xu Xiaowei, Herlyn Meenhard, Aplin Andrew E, Roesch Alexander, Caino Cecilia, Altieri Dario C, Weeraratna Ashani T
机构信息
The Wistar Institute, Philadelphia, Pennsylvania.
University of the Sciences, Philadelphia, Pennsylvania.
出版信息
Clin Cancer Res. 2017 Jun 15;23(12):3181-3190. doi: 10.1158/1078-0432.CCR-17-0201. Epub 2017 Feb 23.
Aging is a poor prognostic factor for melanoma. We have shown that melanoma cells in an aged microenvironment are more resistant to targeted therapy than identical cells in a young microenvironment. This is dependent on age-related secreted factors. Klotho is an age-related protein whose serum levels decrease dramatically by age 40. Most studies on klotho in cancer have focused on the expression of klotho in the tumor cell. We have shown that exogenous klotho inhibits internalization and signaling of Wnt5A, which drives melanoma metastasis and resistance to targeted therapy. We investigate here whether increasing klotho in the aged microenvironment could be an effective strategy for the treatment of melanoma. PPARγ increases klotho levels and is increased by glitazones. Using rosiglitazone, we queried the effects of rosiglitazone on Klotho/Wnt5A cross-talk, and , and the implications of that for targeted therapy in young versus aged animals. We show that rosiglitazone increases klotho and decreases Wnt5A in tumor cells, reducing the burden of both BRAF inhibitor-sensitive and BRAF inhibitor-resistant tumors in aged, but not young mice. However, when used in combination with PLX4720, tumor burden was reduced in both young and aged mice, even in resistant tumors. Using glitazones as adjuvant therapy for melanoma may provide a new treatment strategy for older melanoma patients who have developed resistance to vemurafenib. As klotho has been shown to play a role in other cancers too, our results may have wide relevance for multiple tumor types. .
衰老对于黑色素瘤而言是一个不良预后因素。我们已经表明,处于衰老微环境中的黑色素瘤细胞比处于年轻微环境中的相同细胞对靶向治疗更具抗性。这取决于与年龄相关的分泌因子。α-klotho是一种与年龄相关的蛋白质,其血清水平在40岁时会急剧下降。大多数关于α-klotho在癌症中的研究都集中在肿瘤细胞中α-klotho的表达上。我们已经表明,外源性α-klotho会抑制Wnt5A的内化和信号传导,而Wnt5A会驱动黑色素瘤转移和对靶向治疗的抗性。我们在此研究,在衰老微环境中增加α-klotho是否可能是治疗黑色素瘤的有效策略。过氧化物酶体增殖物激活受体γ(PPARγ)会增加α-klotho水平,而噻唑烷二酮类药物会使其升高。使用罗格列酮,我们探究了罗格列酮对α-klotho/Wnt5A相互作用的影响,以及这对年轻和老年动物靶向治疗的意义。我们发现,罗格列酮会增加肿瘤细胞中的α-klotho并降低Wnt5A,从而减轻老年而非年轻小鼠中对BRAF抑制剂敏感和对BRAF抑制剂耐药的肿瘤负担。然而,当与PLX4720联合使用时,年轻和老年小鼠的肿瘤负担均会减轻,即使是耐药肿瘤。使用噻唑烷二酮类药物作为黑色素瘤的辅助治疗可能为对维莫非尼产生耐药性的老年黑色素瘤患者提供一种新的治疗策略。由于α-klotho已被证明在其他癌症中也起作用,我们的结果可能对多种肿瘤类型具有广泛的相关性。