Allianz Pharmascience Limited, Taipei, Taiwan.
Graduate Institute of Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan; Ph.D. Program for Neural Regenerative Medicine, College of Medical Science and Technology, Taipei Medical University and National Health Research Institutes, Taipei, Taiwan; TMU Research Center of Neuroscience, Taipei Medical University, Taipei, Taiwan; TMU Research Center of Cancer Translational Medicine, Taipei Medical University, Taipei, Taiwan; Cell Physiology and Molecular Image Research Center, Wan Fang Hospital, Taipei Medical University, Taiwan.
Redox Biol. 2020 Feb;30:101413. doi: 10.1016/j.redox.2019.101413. Epub 2019 Dec 26.
Drug resistance is the main obstacle in the improvement of chemotherapeutic efficacy in glioblastoma. Previously, we showed that dehydroepiandrosterone (DHEA), one kind of androgen/neurosteroid, potentiates glioblastoma to acquire resistance through attenuating DNA damage. Androgen receptor (AR) activated by DHEA or other types of androgen was reported to promote drug resistance in prostate cancer. However, in DHEA-enriched microenvironment, the role of AR in acquiring resistance of glioblastoma remains unknown. In this study, we found that AR expression is significantly correlated with poor prognosis, and AR obviously induced the resistance to temozolomide (TMZ) treatment. Herein, we observed that ALZ003, a curcumin analog, induces FBXL2-mediated AR ubiquitination, leading to degradation. Importantly, ALZ003 significantly inhibited the survival of TMZ-sensitive and -resistant glioblastoma in vitro and in vivo. The accumulation of reactive oxygen species (ROS), lipid peroxidation and suppression of glutathione peroxidase (GPX) 4, which are characteristics of ferroptosis, were observed in glioblastoma cell after treatment of ALZ003. Furthermore, overexpression of AR prevented ferroptosis in the presence of GPX4. To evaluate the therapeutic effect in vivo, we transplanted TMZ-sensitive or -resistant U87MG cells into mouse brain followed by intravenous administration with ALZ003. In addition to inhibiting the growth of glioblastoma, ALZ003 significantly extended the survival period of transplanted mice, and significantly decreased AR expression in the tumor area. Taken together, AR potentiates TMZ resistance for glioblastoma, and ALZ003-mediated AR ubiquitination might open a new insight into therapeutic strategy for TMZ resistant glioblastoma.
耐药性是提高胶质母细胞瘤化疗疗效的主要障碍。以前,我们发现一种雄激素/神经甾体脱氢表雄酮(DHEA)通过减弱 DNA 损伤来增强胶质母细胞瘤获得耐药性。据报道,DHEA 或其他类型的雄激素激活的雄激素受体(AR)可促进前列腺癌的耐药性。然而,在 DHEA 富集的微环境中,AR 在胶质母细胞瘤获得耐药性中的作用尚不清楚。在这项研究中,我们发现 AR 表达与预后不良显著相关,并且 AR 明显诱导了对替莫唑胺(TMZ)治疗的耐药性。在此,我们观察到姜黄素类似物 ALZ003 诱导 FBXL2 介导的 AR 泛素化,导致其降解。重要的是,ALZ003 显著抑制了 TMZ 敏感和耐药胶质母细胞瘤在体外和体内的存活。在 ALZ003 处理后,观察到胶质母细胞瘤细胞中活性氧(ROS)的积累、脂质过氧化和谷胱甘肽过氧化物酶 4(GPX4)的抑制,这些都是铁死亡的特征。此外,在存在 GPX4 的情况下,AR 的过表达可阻止铁死亡。为了评估体内的治疗效果,我们将 TMZ 敏感或耐药的 U87MG 细胞移植到小鼠脑内,然后静脉给予 ALZ003。除了抑制胶质母细胞瘤的生长外,ALZ003 还显著延长了移植小鼠的存活期,并显著降低了肿瘤区域的 AR 表达。总之,AR 增强了胶质母细胞瘤对 TMZ 的耐药性,而 ALZ003 介导的 AR 泛素化可能为 TMZ 耐药性胶质母细胞瘤的治疗策略开辟新的思路。
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