Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan; Department of Radiation Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Department of Environmental and Occupational Health, College of Medicine, National Cheng Kung University, Tainan, Taiwan.
Cancer Lett. 2017 Aug 1;400:79-88. doi: 10.1016/j.canlet.2017.04.023. Epub 2017 Apr 25.
Triple-negative breast cancer (TNBC) treatment offers only limited benefits, and it is very relevant given the significant number of deaths that it causes. DNA repair pathways can enable tumor cells to survive DNA damage that is induced by chemotherapeutic or radiation treatments. Histone deacetylase inhibitors (HDACi) inhibited DNA repair proteins. However, the detailed mechanisms for this inhibition remain unclear. In the present study, we investigated whether a newly developed HDACi, TMU-35435, could enhance etoposide cytotoxicity by inhibiting DNA repair proteins in triple-negative breast cancer. We found synergistic cytotoxicity following treatment of 4T1 cells with etoposide and TMU-35435. Furthermore, TMU-35435 enhances etoposide-induced DNA damage by inhibiting the DNA repair pathway (non-homologous end joining, NHEJ). TMU-35435 suppresses the NHEJ pathway through the ubiquitination of DNA-dependent protein kinase catalytic subunit (DNA-PKcs). In addition, TMU-35435 ubiquitinated DNA-PKcs by inducing the interaction between RNF144A (an E3 ligase) and DNA-PKcs. The combined treatment induced apoptosis and autophagic cell death in 4T1 cells. In an orthotopic breast cancer model, combined treatment with TMU-35435 and etoposide showed anti-tumor growth through the increase of DNA damage and cell death. Taken together, our data suggest that TMU-35435 enhances etoposide cytotoxicity by regulating ubiquitin-proteasome system and inhibiting the DNA repair pathway in TNBC.
三阴性乳腺癌(TNBC)的治疗获益有限,鉴于其导致的大量死亡,这一点非常重要。DNA 修复途径可使肿瘤细胞在化疗或放疗诱导的 DNA 损伤后存活。组蛋白去乙酰化酶抑制剂(HDACi)抑制 DNA 修复蛋白。然而,这种抑制的详细机制尚不清楚。在本研究中,我们研究了一种新开发的 HDACi,TMU-35435,是否可以通过抑制 TNBC 中的 DNA 修复蛋白来增强依托泊苷的细胞毒性。我们发现,4T1 细胞在用依托泊苷和 TMU-35435 处理后,表现出协同的细胞毒性。此外,TMU-35435 通过抑制 DNA 修复途径(非同源末端连接,NHEJ)增强依托泊苷诱导的 DNA 损伤。TMU-35435 通过抑制 DNA 依赖性蛋白激酶催化亚基(DNA-PKcs)的泛素化来抑制 NHEJ 途径。此外,TMU-35435 通过诱导 E3 连接酶 RNF144A 和 DNA-PKcs 之间的相互作用来泛素化 DNA-PKcs。联合治疗在 4T1 细胞中诱导细胞凋亡和自噬性细胞死亡。在原位乳腺癌模型中,TMU-35435 和依托泊苷联合治疗通过增加 DNA 损伤和细胞死亡来抑制肿瘤生长。综上所述,我们的数据表明,TMU-35435 通过调节泛素-蛋白酶体系统和抑制 TNBC 中的 DNA 修复途径来增强依托泊苷的细胞毒性。