Cancer Institute, Fudan University Shanghai Cancer Center, Shanghai, 200032, China.
Department of Oncology, Shanghai Medical College, Fudan University, Shanghai, 200032, China.
Theranostics. 2019 Jan 30;9(4):1096-1114. doi: 10.7150/thno.29673. eCollection 2019.
The interplay between p53 and RAS signaling regulates cancer chemoresistance, but the detailed mechanism is unclear. In this study, we investigated the interactive effects of p53 and RAS on ovarian cancer cisplatin resistance to explore the potential therapeutic targets. : An inducible p53 and RAS mutants active in either MAPK/ERK (S35 and E38) or PI3K/AKT (C40) or both (V12) were sequentially introduced into a p53-null ovarian cancer cell line-SKOV3. Comparative microarray analysis was performed using Gene Chip Prime View Human Gene Expression arrays (Affymetrix). In vitro assays of autophagy and apoptosis and in vivo animal experiments were performed by p53 induction and/or cisplatin treatment using the established cell lines. The correlation between HDAC4 and HIF-1α or CREBZF and the association of HDAC4, HIF-1α, CREBZF, ERK, AKT, and p53 mRNA levels with patient survival in 523 serous ovarian cancer cases from TCGA was assessed. : We show that p53 and RAS mutants differentially control cellular apoptosis and autophagy to inhibit or to promote chemoresistance through dysregulation of Bax, Bcl2, ATG3, and ATG12. ERK and AKT active RAS mutants are mutually suppressive to confer or to deprive cisplatin resistance. Further studies demonstrate that p53 induces HIF-1α degradation and HDAC4 cytoplasmic translocation and phosphorylation. S35, E38, and V12 but not C40 promote HDAC4 phosphorylation and its cytoplasmic translocation along with HIF-1α. Wild-type p53 expression in RAS mutant cells enhances HIF-1α turnover in ovarian and lung cancer cells. Autophagy and anti-apoptotic processes can be promoted by the overexpression and cytoplasmic translocation of HDAC4 and HIF1-α. Moreover, the phosphorylation and cytoplasmic translocation of HDAC4 activate the transcription factor CREBZF to promote ATG3 transcription. High HDAC4 or CREBZF expression predicted poor overall survival (OS) and/or progression-free survival (PFS) in ovarian cancer patients, whereas high HIF-1α expression was statistically correlated with poor or good OS depending on p53 status. : HIF-1α and HDAC4 may mediate the interaction between p53 and RAS signaling to actively control ovarian cancer cisplatin resistance through dysregulation of apoptosis and autophagy. Targeting HDAC4, HIF-1α and CREBZF may be considered in treatment of ovarian cancer with p53 and RAS mutations.
p53 和 RAS 信号之间的相互作用调节癌症的化疗耐药性,但详细的机制尚不清楚。在这项研究中,我们研究了 p53 和 RAS 对卵巢癌顺铂耐药性的相互作用,以探索潜在的治疗靶点。
我们将诱导型 p53 和 RAS 突变体(S35 和 E38 或 PI3K/AKT 中的 C40 或两者均为 V12)依次引入 p53 缺失的卵巢癌细胞系 SKOV3 中。使用 Gene Chip Prime View Human Gene Expression Arrays(Affymetrix)进行比较微阵列分析。通过 p53 诱导和/或使用已建立的细胞系进行顺铂处理,进行自噬和细胞凋亡的体外测定以及体内动物实验。评估了 523 例 TCGA 浆液性卵巢癌病例中 HDAC4 与 HIF-1α 或 CREBZF 之间的相关性,以及 HDAC4、HIF-1α、CREBZF、ERK、AKT 和 p53 mRNA 水平与患者生存的关联。
我们发现 p53 和 RAS 突变体通过调节 Bax、Bcl2、ATG3 和 ATG12 来控制细胞凋亡和自噬,从而抑制或促进化疗耐药性。ERK 和 AKT 活性 RAS 突变体相互抑制以赋予或剥夺顺铂耐药性。进一步的研究表明,p53 诱导 HIF-1α 降解和 HDAC4 细胞质易位和磷酸化。S35、E38 和 V12 但不是 C40 促进 HDAC4 磷酸化及其与 HIF-1α 一起的细胞质易位。RAS 突变细胞中野生型 p53 的表达增强了卵巢和肺癌细胞中 HIF-1α 的周转。HDAC4 和 HIF1-α 的过表达和细胞质易位可促进自噬和抗凋亡过程。此外,HDAC4 的磷酸化和细胞质易位激活转录因子 CREBZF 以促进 ATG3 转录。在卵巢癌患者中,高 HDAC4 或 CREBZF 表达预测总体生存(OS)和/或无进展生存(PFS)不良,而 HIF-1α 表达根据 p53 状态与 OS 不良或良好相关。
HIF-1α 和 HDAC4 可能介导 p53 和 RAS 信号之间的相互作用,通过调节凋亡和自噬来主动控制卵巢癌顺铂耐药性。针对 HDAC4、HIF-1α 和 CREBZF 可能被认为是治疗具有 p53 和 RAS 突变的卵巢癌的方法。