Mukherjee Sudeshna, Dash Subhra, Lohitesh K, Chowdhury Rajdeep
Department of Biological Sciences, Birla Institute of Technology and Science (BITS), Pilani, Rajasthan, India.
PLoS One. 2017 Jun 9;12(6):e0179203. doi: 10.1371/journal.pone.0179203. eCollection 2017.
Osteosarcoma (OS) is an aggressive bone malignancy commonly observed in children and adolescents. Sub-optimal therapy for years has irretrievably compromised the chances of OS patient survival; also, lack of extensive research on this rare disease has hindered therapeutic development. Cisplatin, a common anti-tumor drug, is currently an integral part of treatment regime for OS along with methotrexate and doxorubicin. However, toxicity issues associated with combination module impede OS therapy. Also, despite the proven benefits of cisplatin, acquisition of resistance remains a concern with cisplatin-based therapy. This prompted us to investigate the molecular effects of cisplatin exposure and changes associated with acquired resistance in OS cells. Cisplatin shock was found to activate MAPK signaling and autophagy in OS cells. An activation of JNK and autophagy acted as pro-survival strategy, while ERK1/2 triggered apoptotic signals upon cisplatin stress. A crosstalk between JNK and autophagy was observed. Maximal sensitivity to cisplatin was obtained with simultaneous inhibition of both autophagy and JNK pathway. Cisplatin resistant cells were further developed by repetitive drug exposure followed by clonal selection. The resistant cells showed an altered signaling circuitry upon cisplatin exposure. Our results provide valuable cues to possible molecular alterations that can be considered for development of improved therapeutic strategy against osteosarcoma.
骨肉瘤(OS)是一种常见于儿童和青少年的侵袭性骨恶性肿瘤。多年来的次优治疗已无可挽回地损害了骨肉瘤患者的生存机会;此外,对这种罕见疾病缺乏广泛研究阻碍了治疗的发展。顺铂是一种常见的抗肿瘤药物,目前是骨肉瘤治疗方案中与甲氨蝶呤和阿霉素不可或缺的一部分。然而,联合治疗模块相关的毒性问题阻碍了骨肉瘤的治疗。此外,尽管顺铂已被证明有益,但获得性耐药仍然是基于顺铂治疗的一个问题。这促使我们研究顺铂暴露的分子效应以及骨肉瘤细胞中与获得性耐药相关的变化。发现顺铂休克可激活骨肉瘤细胞中的MAPK信号传导和自噬。JNK的激活和自噬起到了促生存策略的作用,而ERK1/2在顺铂应激时触发凋亡信号。观察到JNK与自噬之间存在相互作用。同时抑制自噬和JNK途径可获得对顺铂的最大敏感性。通过重复药物暴露和克隆选择进一步培养出顺铂耐药细胞。耐药细胞在顺铂暴露时显示出信号通路的改变。我们的结果为可能的分子改变提供了有价值的线索,这些改变可用于开发改进的骨肉瘤治疗策略。
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