Li Xiaolei, Wu Zhiqiang, An Xiaojing, Mei Qian, Bai Miaomiao, Hanski Leena, Li Xiang, Ahola Tero, Han Weidong
Department of Molecular Biology, Immunological and Bio-therapeutic, Institute of Basic Medicine, Chinese PLA General Hospital, Beijing, China.
Department of Pathology, Chinese PLA General Hospital, Beijing, China.
Elife. 2017 Aug 18;6:e27301. doi: 10.7554/eLife.27301.
Acquired therapeutic resistance by tumors is a substantial impediment to reducing the morbidity and mortality that are attributable to human malignancies. The mechanisms responsible for the dramatic shift between chemosensitivity and chemoresistance in colorectal carcinoma have not been defined. Here, we report that LRP16 selectively interacts and activates double-stranded RNA-dependent kinase (PKR), and also acts as scaffolds to assist the formation of a ternary complex of PKR and IKKβ, prolonging the polymers of ADP-ribose (PAR)-dependent nuclear factor kappa B (NF-κB) transactivation caused by DNA-damaging agents and confers acquired chemoresistance. We also identified a small molecule, MRS2578, which strikingly abrogated the binding of LRP16 to PKR and IKKβ, converting LRP16 into a death molecule and forestalling colon tumorigenesis. Inclusion of MRS2578 with etoposide, versus each drug alone, exhibited synergistic antitumor cytotoxicity in xenografts. Our combinatorial approach introduces a strategy to enhance the efficacy of genotoxicity therapies for the treatment of tumors.
肿瘤获得性治疗耐药性是降低人类恶性肿瘤所致发病率和死亡率的重大障碍。结直肠癌中化疗敏感性和化疗耐药性之间发生显著转变的机制尚未明确。在此,我们报告LRP16选择性地与双链RNA依赖性激酶(PKR)相互作用并激活它,还作为支架协助PKR和IKKβ形成三元复合物,延长由DNA损伤剂引起的ADP核糖(PAR)依赖性核因子κB(NF-κB)反式激活的聚合物,并赋予获得性化疗耐药性。我们还鉴定出一种小分子MRS2578,它显著消除了LRP16与PKR和IKKβ的结合,将LRP16转化为死亡分子并预防结肠肿瘤发生。在异种移植中,将MRS2578与依托泊苷联合使用,与单独使用每种药物相比,表现出协同抗肿瘤细胞毒性。我们的联合方法引入了一种提高基因毒性疗法治疗肿瘤疗效的策略。