Shuvalov Oleg, Kizenko Alena, Shakirova Aigul, Fedorova Olga, Petukhov Alexey, Aksenov Nikolai, Vasileva Elena, Daks Alexandra, Barlev Nickolai
Institute of Cytology RAS, Saint-Petersburg, Russian Federation.
Institute of Cytology RAS, Saint-Petersburg, Russian Federation; Institute of Hematology, Almazov Federal North-West Medical Research Centre, Saint-Petersburg, Russian Federation.
Biochem Biophys Res Commun. 2018 Jan 1;495(1):1233-1239. doi: 10.1016/j.bbrc.2017.11.118. Epub 2017 Nov 23.
As an anticancer therapeutic, Interferon-alpha (IFNα) is used to treat a number of malignancies. However, the application of IFNα is restricted mostly due to its high toxicity. Therefore, novel combination therapeutic regimens are required to decrease the toxicity of IFNα and enhance its efficacy. Here we show that the treatment of p53-deficient human non-small lung carcinoma H1299 cells with IFNα in combination with an inhibitor of MDM2, Nutlin-3a, synergistically affects the proliferation of cancer cells. Importantly, Nutlin-3a was able to reduce the effective dose of IFNα about 3.4 times. Strikingly, this phenomenon is p53-independent, because H1299 cells lack p53, but is highly dependent on MDM2 because its ablation makes tumor cells completely insensitive to IFNα alone or in combination with Nutlin-3a. On the contrary, overexpression of MDM2 makes H1299 cells more susceptible to both IFNα and IFNα/Nutlin-3a treatments. Mechanistically, treatment with combination of IFNα and Nutlin-3a attenuates cyclin D1/CDK4 on the protein level and hence blocks cell cycle progression. This mechanism may be responsible, at least in part, for the anti-proliferative effects on H1299 cells observed. Our data suggest that the expression of MDM2 confers sensitivity of cancer cells to IFNα/Nutlin-3a treatment. Moreover, our data also confirm positive effect of Nutlin even on p53-deficient neoplasms.
作为一种抗癌治疗药物,α干扰素(IFNα)被用于治疗多种恶性肿瘤。然而,IFNα的应用大多受到其高毒性的限制。因此,需要新的联合治疗方案来降低IFNα的毒性并提高其疗效。在此我们表明,用IFNα联合MDM2抑制剂Nutlin-3a处理p53缺陷型人非小细胞肺癌H1299细胞,可协同影响癌细胞的增殖。重要的是,Nutlin-3a能够将IFNα的有效剂量降低约3.4倍。引人注目的是,这种现象不依赖于p53,因为H1299细胞缺乏p53,但高度依赖于MDM2,因为其缺失使肿瘤细胞对单独的IFNα或与Nutlin-3a联合使用均完全不敏感。相反,MDM2的过表达使H1299细胞对IFNα和IFNα/Nutlin-3a处理更敏感。从机制上讲,IFNα和Nutlin-3a联合处理在蛋白质水平上减弱细胞周期蛋白D1/细胞周期蛋白依赖性激酶4(cyclin D1/CDK4),从而阻断细胞周期进程。这种机制可能至少部分地解释了所观察到的对H1299细胞的抗增殖作用。我们的数据表明,MDM2的表达赋予癌细胞对IFNα/Nutlin-3a治疗的敏感性。此外,我们的数据还证实了Nutlin即使对p53缺陷型肿瘤也有积极作用。