D'Souza Amber M, Cast Ashley, Kumbaji Meenasri, Rivas Maria, Gulati Ruhi, Johnston Michael, Smithrud David, Geller James, Timchenko Nikolai
Departments of Oncology, Cincinnati Children's Hospital Medical Center, Cincinnati, OH, United States.
Department of Pediatrics, Hematology and Oncology, University of Illinois College of Medicine, Peoria, IL, United States.
Front Pharmacol. 2021 Mar 4;12:580722. doi: 10.3389/fphar.2021.580722. eCollection 2021.
Relapsed hepatoblastoma (HBL) and upfront hepatocellular carcinoma (HCC) are notoriously chemoresistant tumors associated with poor outcomes. Gankyrin (Gank) is a known oncogene that is overexpressed in pediatric liver cancer and implicated in chemo-resistance. The goal of this study was to evaluate if the Gank-tumor suppressor axis is activated in chemoresistant hepatoblastoma patients and examine if an inhibitor of Gank, Cjoc42, might improve the chemosensitivity of cancer cells. Expression of Gank and its downstream targets were examined in fresh human HBL samples using immunostaining, QRT-PCR, and Western Blot. Cancer cells, Huh6 (human HBL) and Hepa1c1c7 (mouse HCC) were treated with Cjoc42 and with Cjoc42 in combination with cisplatin or doxorubicin. Cell proliferation, apoptosis, and chemoresistance were examined. To examine activities of Cjoc42 , mice were treated with different doses of Cjoc42, and biological activities of Gank and cytotoxicity of Cjoc42 were tested. Elevation of Gank and Gank-mediated elimination of TSPs are observed in patients with minimal necrosis after chemotherapy and relapsed disease. The treatment of Huh6 and Hepa1c1c7 with Cjoc42 was not cytotoxic; however, in combination with cisplatin or doxorubicin, Cjoc42 caused a significant increase in cytotoxicity compared to chemotherapy alone with increased apoptosis. Examination of Cjoc42 in WT mice showed that Cjoc42 is well tolerated without systemic toxicity, and levels of tumor suppressors CUGBP1, Rb, p53, C/EBPα, and HNF4α are increased by blocking their Gank-dependent degradation. Our work shows that Cjoc42 might be a promising adjunct to chemotherapy for the treatment of severe pediatric liver cancer and presents mechanisms by which Cjoc42 increases chemo-sensitivity.
复发性肝母细胞瘤(HBL)和初治肝细胞癌(HCC)是出了名的化疗耐药性肿瘤,预后较差。Gankyrin(Gank)是一种已知的致癌基因,在儿童肝癌中过度表达,并与化疗耐药有关。本研究的目的是评估Gank-肿瘤抑制轴在化疗耐药性肝母细胞瘤患者中是否被激活,并研究Gank抑制剂Cjoc42是否可以提高癌细胞的化疗敏感性。使用免疫染色、定量逆转录聚合酶链反应(QRT-PCR)和蛋白质免疫印迹法检测新鲜人类HBL样本中Gank及其下游靶点的表达。用Cjoc42以及Cjoc42与顺铂或阿霉素联合处理癌细胞Huh6(人类HBL)和Hepa1c1c7(小鼠HCC)。检测细胞增殖、凋亡和化疗耐药性。为了检测Cjoc42的活性,用不同剂量的Cjoc42处理小鼠,并测试Gank的生物学活性和Cjoc42的细胞毒性。在化疗后坏死最小和复发疾病的患者中观察到Gank升高以及Gank介导的肿瘤抑制蛋白(TSPs)消除。用Cjoc42处理Huh6和Hepa1c1c7没有细胞毒性;然而,与顺铂或阿霉素联合使用时,与单独化疗相比,Cjoc42导致细胞毒性显著增加,凋亡增加。在野生型小鼠中检测Cjoc42表明,Cjoc42耐受性良好,无全身毒性,通过阻断其依赖Gank的降解增加了肿瘤抑制因子CUGBP-1、视网膜母细胞瘤蛋白(Rb)、p53、C/EBPα和肝细胞核因子4α(HNF4α)水平。我们的研究表明,Cjoc42可能是治疗严重儿童肝癌化疗的一种有前景的辅助药物,并提出了Cjoc42增加化疗敏感性的机制。