Ma Wenping, Shen Haiyang, Li Qian, Song Hao, Guo Yanyan, Li Fangrong, Zhou Xingang, Guo Xinwu, Shi Jingdong, Cui Qi, Xing Jinhao, Deng Jinhai, Yu Youtao, Liu Wenjie, Zhao Hongshan
Department of Medical Genetics, School of Basic Medical Sciences, Peking University Health Science Center, Beijing 100191, China.
Department of Intervention Therapy, The Fourth Medical Center of PLA General Hospital, Beijing 100048, China.
Ann Transl Med. 2019 May;7(9):200. doi: 10.21037/atm.2019.04.38.
Arsenic trioxide (AsO) is widely used for the treatment of acute promyelocytic leukemia (APL), and more recently, has also been applied to solid tumors. However, there are a fraction of patients with solid tumors, such as liver cancer, who respond to AsO treatment poorly. The underlying mechanisms for this remain unclear.
We determined the suitable concentration of drugs by IC50. Cell Counting Kit-8 (CCK-8) and flow cytometry were used to analyze the apoptosis. Morphological changes of the cells were observed by laser scanning confocal microscopy. Furthermore, reactive oxygen species (ROS) and mitochondrial membrane potential (MMP) were detected by flow cytometry. Quantitative polymerase chain reaction (qPCR) and Western blot tests were conducted to detect the mRNA and protein levels in different groups. Finally, a xenograft tumor assay and histopathological analysis were performed to evaluate the MARVELD1 function in cell proliferation and apoptosis.
Here, we show that MARVELD1 enhances the therapeutic effects of epirubicin, while inducing the strong resistance of liver cancer cells to AsO treatment. We further demonstrate that the AsO-induced apoptosis was inhibited by MARVELD1 overexpression (24 h Vector MARVELD1 =30.58% 17.41%, P<0.01; 48 h Vector MARVELD1 =46.50% 21.02%, P<0.01), possibly through inhibiting ROS production by enhancing TRXR1 expression. , we found a significantly increased size (Vector MARVELD1 =203.90±21.92 675.70±37.84 mm, P<0.001) and weight (Vector MARVELD1 =0.19±0.02 0.58±0.05 g, P<0.001) of tumors with high expression of MARVELD1 after AsO treatment. Consistently, a higher expression of MARVELD1 predicted a poor prognosis for liver cancer patients.
Our data identified a unique role of MARVELD1 in AsO-induced apoptosis and AsO cancer therapy resistance.
三氧化二砷(AsO)被广泛用于治疗急性早幼粒细胞白血病(APL),最近也被应用于实体瘤治疗。然而,有一部分实体瘤患者,如肝癌患者,对AsO治疗反应不佳。其潜在机制尚不清楚。
通过半数抑制浓度(IC50)确定合适的药物浓度。使用细胞计数试剂盒-8(CCK-8)和流式细胞术分析细胞凋亡。通过激光扫描共聚焦显微镜观察细胞的形态变化。此外,通过流式细胞术检测活性氧(ROS)和线粒体膜电位(MMP)。进行定量聚合酶链反应(qPCR)和蛋白质免疫印迹试验以检测不同组中的mRNA和蛋白质水平。最后,进行异种移植瘤试验和组织病理学分析以评估MARVELD1在细胞增殖和凋亡中的功能。
在此,我们表明MARVELD1增强了表柔比星的治疗效果,同时诱导肝癌细胞对AsO治疗产生强烈抗性。我们进一步证明,MARVELD1过表达抑制了AsO诱导的细胞凋亡(24小时:载体组MARVELD1组=30.58% 17.41%,P<0.01;48小时:载体组MARVELD1组=46.50% 21.02%,P<0.01),可能是通过增强TRXR1表达来抑制ROS产生。此外,我们发现AsO治疗后,MARVELD1高表达的肿瘤大小(载体组MARVELD1组=203.90±21.92 675.70±37.84mm,P<0.001)和重量(载体组MARVELD1组=0.19±0.02 0.58±0.05g,P<0.001)显著增加。一致地,MARVELD1的高表达预示着肝癌患者预后不良。
我们的数据确定了MARVELD1在AsO诱导的细胞凋亡和AsO癌症治疗抗性中的独特作用。