Schmidtova Silvia, Kalavska Katarina, Gercakova Katarina, Cierna Zuzana, Miklikova Svetlana, Smolkova Bozena, Buocikova Verona, Miskovska Viera, Durinikova Erika, Burikova Monika, Chovanec Michal, Matuskova Miroslava, Mego Michal, Kucerova Lucia
Cancer Research Institute, Biomedical Research Center, University Science Park for Biomedicine, Slovak Academy of Sciences, Dubravska cesta 9, 845 05 Bratislava, Slovakia.
Department of Oncology, Faculty of Medicine, Comenius University and National Cancer Institute, Klenova 1, 833 10 Bratislava, Slovakia.
Cancers (Basel). 2019 Aug 22;11(9):1224. doi: 10.3390/cancers11091224.
Cisplatin resistance in testicular germ cell tumors (TGCTs) is a clinical challenge. We investigated the underlying mechanisms associated with cancer stem cell (CSC) markers and modalities circumventing the chemoresistance. Chemoresistant models (designated as CisR) of human embryonal carcinoma cell lines NTERA-2 and NCCIT were derived and characterized using flow cytometry, gene expression, functional and protein arrays. Tumorigenicity was determined on immunodeficient mouse model. Disulfiram was used to examine chemosensitization of resistant cells. ALDH1A3 isoform expression was evaluated by immunohistochemistry in 216 patients' tissue samples. Chemoresistant cells were significantly more resistant to cisplatin, carboplatin and oxaliplatin compared to parental cells. NTERA-2 CisR cells exhibited altered morphology and increased tumorigenicity. High ALDH1A3 expression and increased ALDH activity were detected in both refractory cell lines. Disulfiram in combination with cisplatin showed synergy for NTERA-2 CisR and NCCIT CisR cells and inhibited growth of NTERA-2 CisR xenografts. Significantly higher ALDH1A3 expression was detected in TGCTs patients' tissue samples compared to normal testicular tissue. We characterized novel clinically relevant model of chemoresistant TGCTs, for the first time identified the ALDH1A3 as a therapeutic target in TGCTs and more importantly, showed that disulfiram represents a viable treatment option for refractory TGCTs.
睾丸生殖细胞肿瘤(TGCTs)中的顺铂耐药是一项临床挑战。我们研究了与癌症干细胞(CSC)标志物相关的潜在机制以及规避化疗耐药的方法。使用流式细胞术、基因表达、功能和蛋白质阵列对人胚胎癌细胞系NTERA-2和NCCIT的化疗耐药模型(命名为CisR)进行了推导和表征。在免疫缺陷小鼠模型上测定了致瘤性。使用双硫仑检测耐药细胞的化学增敏作用。通过免疫组织化学评估了216例患者组织样本中ALDH1A3亚型的表达。与亲代细胞相比,化疗耐药细胞对顺铂、卡铂和奥沙利铂的耐药性明显更高。NTERA-2 CisR细胞表现出形态改变和致瘤性增加。在两种难治性细胞系中均检测到高ALDH1A3表达和增加的ALDH活性。双硫仑与顺铂联合使用对NTERA-2 CisR和NCCIT CisR细胞显示出协同作用,并抑制了NTERA-2 CisR异种移植瘤的生长。与正常睾丸组织相比,在TGCTs患者的组织样本中检测到明显更高的ALDH1A3表达。我们表征了化疗耐药TGCTs的新型临床相关模型,首次将ALDH1A3鉴定为TGCTs的治疗靶点,更重要的是,表明双硫仑是难治性TGCTs的一种可行治疗选择。