Yeon Minjeong, Byun Jaewhan, Kim Hyuna, Kim Misun, Jung Hyun Suk, Jeon Doyong, Kim Youngmi, Jeoung Dooil
Department of Biochemistry, Kangwon National University, Chunchon, South Korea.
L-Base Company, Seoul, South Korea.
Front Oncol. 2018 Dec 10;8:599. doi: 10.3389/fonc.2018.00599. eCollection 2018.
The objective of this study was to determine the role of CAGE, a cancer/testis antigen, in resistance of non-small cell lung cancers to anti-cancer drugs. Erlotinib-resistant PC-9 cells (PC-9/ER) with EGFR mutations (ex 19 del + T790M of EGFR), showed higher level of autophagic flux than parental sensitive PC-9 cells. Erlotinib and osimertinib increased autophagic flux and induced the binding of CAGE to Beclin1 in PC-9 cells. The inhibition or induction of autophagy regulated the binding of CAGE to Beclin1 and the responses to anti-cancer drugs. CAGE showed binding to HER2 while HER2 was necessary for binding of CAGE to Beclin1. CAGE was responsible for high level of autophagic flux and resistance to anti-cancer drugs in PC-9/ER cells. A peptide corresponding to the DEAD box domain of CAGE, AQTGTGKT, enhanced the sensitivity of PC-9/ER cells to erlotinib and osimertinib, inhibited the binding of CAGE to Beclin1 and regulated autophagic flux in PC-9/ER cells. Mutant CAGE-derived peptide AQTGTGAT or AQTGTGKA did not affect autophagic flux or the binding of CAGE to Beclin1. AQTGTGKT peptide showed binding to CAGE, but not to Beclin1. FITC-AQTGTGKT peptide showed co-localization with CAGE. AQTGTGKT peptide decreased tumorigenic potentials of PC-9/ER and H1975 cells, non-small cell lung cancer (NSCLC) cells with EGFR mutation (L885R/T790M), by inhibiting autophagic fluxand inhibiting the binding of CAGE to Beclin1. AQTGTGKT peptide also enhanced the sensitivity of H1975 cells to anti-cancer drugs. AQTGTGKT peptide showed tumor homing potential based on homing assays of xenograft of H1975 cells. AQTGTGKT peptide restored expression levels of miR-143-3p and miR-373-5p, decreased autophagic flux and conferred sensitivity to anti-cancer drugs. These results present evidence that combination of anti-cancer drug with CAGE-derived peptide could overcome resistance of non-small cell lung cancers to anti-cancer drugs.
本研究的目的是确定癌症/睾丸抗原CAGE在非小细胞肺癌对抗癌药物耐药性中的作用。具有EGFR突变(EGFR外显子19缺失+T790M)的厄洛替尼耐药PC-9细胞(PC-9/ER)比亲代敏感PC-9细胞表现出更高水平的自噬通量。厄洛替尼和奥希替尼增加了PC-9细胞中的自噬通量,并诱导CAGE与Beclin1结合。自噬的抑制或诱导调节了CAGE与Beclin1的结合以及对抗癌药物的反应。CAGE显示与HER2结合,而HER2是CAGE与Beclin1结合所必需的。CAGE导致PC-9/ER细胞中高水平的自噬通量和对抗癌药物的耐药性。一种与CAGE的DEAD框结构域对应的肽AQTGTGKT增强了PC-9/ER细胞对厄洛替尼和奥希替尼的敏感性,抑制了CAGE与Beclin1的结合,并调节了PC-9/ER细胞中的自噬通量。突变的CAGE衍生肽AQTGTGAT或AQTGTGKA不影响自噬通量或CAGE与Beclin1的结合。AQTGTGKT肽显示与CAGE结合,但不与Beclin1结合。FITC-AQTGTGKT肽与CAGE共定位。AQTGTGKT肽通过抑制自噬通量和抑制CAGE与Beclin1的结合,降低了PC-9/ER和H1975细胞(具有EGFR突变(L885R/T790M)的非小细胞肺癌(NSCLC)细胞)的致瘤潜力。AQTGTGKT肽还增强了H1975细胞对抗癌药物的敏感性。基于H1975细胞异种移植的归巢试验,AQTGTGKT肽显示出肿瘤归巢潜力。AQTGTGKT肽恢复了miR-143-3p和miR-373-5p的表达水平,降低了自噬通量,并赋予了对抗癌药物的敏感性。这些结果表明,抗癌药物与CAGE衍生肽联合使用可以克服非小细胞肺癌对抗癌药物的耐药性。