Cui Juncheng, Dean Dylan, Hornicek Francis J, Pollock Raphael E, Hoffman Robert M, Duan Zhenfeng
Department of Orthopedic Surgery, The First Affiliated Hospital of University of South China 69 Chuanshan Road, Hengyang 421001, Hunan, China.
Department of Orthopedic Surgery, Sarcoma Biology Laboratory, Sylvester Comprehensive Cancer Center, and The University of Miami Miller School of Medicine, Papanicolaou Cancer Research Building 1550 NW. 10th Avenue, Miami, Florida 33136, USA.
Am J Cancer Res. 2022 Apr 15;12(4):1577-1592. eCollection 2022.
Liposarcomas account for approximately 20% of all adult sarcomas and have limited therapeutic options outside of surgery. Inhibition of ataxia-telangiectasia and Rad3 related protein kinase (ATR) has emerged as a promising chemotherapeutic strategy in various cancers. However, its activation, expression, and function in liposarcoma remain unkown. In this study, we investigated the expression, function, and potential of ATR as a therapeutic target in liposarcoma. Activation and expression of ATR in liposarcoma was analyzed by immunohistochemistry, which was further explored for correlation with patient clinical characteristics. ATR-specific siRNA and the ATR inhibitor VE-822 were applied to determine the effect of ATR inhibition on liposarcoma cell proliferation and anti-apoptotic activity. Migration activity and clonogenicity were examined using wound healing and clonogenic assays. ATR (p-ATR) was overexpressed in 88.1% of the liposarcoma specimens and correlated with shorter overall survival in patients. Knockdown of ATR via specific siRNA or inhibition with VE-822 suppressed liposarcoma cell growth, proliferation, migration, colony-forming ability, and spheroid growth. Importantly, ATR inhibition significantly and synergistically enhanced liposarcoma cell line chemosensitivity to doxorubicin. Our findings support ATR as critical to liposarcoma proliferation and doxorubicin resistance. Therefore, the addition of ATR inhibition to a standard doxorubicin regimen is a potential treatment strategy for liposarcoma.
脂肪肉瘤约占所有成人肉瘤的20%,除手术外治疗选择有限。抑制共济失调毛细血管扩张症和Rad3相关蛋白激酶(ATR)已成为各种癌症中一种有前景的化疗策略。然而,其在脂肪肉瘤中的激活、表达和功能仍不清楚。在本研究中,我们调查了ATR在脂肪肉瘤中的表达、功能以及作为治疗靶点的潜力。通过免疫组织化学分析脂肪肉瘤中ATR的激活和表达,并进一步探讨其与患者临床特征的相关性。应用ATR特异性小干扰RNA(siRNA)和ATR抑制剂VE-822来确定抑制ATR对脂肪肉瘤细胞增殖和抗凋亡活性的影响。使用伤口愈合试验和克隆形成试验检测迁移活性和克隆形成能力。在88.1%的脂肪肉瘤标本中ATR(磷酸化ATR)过表达,且与患者较短的总生存期相关。通过特异性siRNA敲低ATR或用VE-822抑制可抑制脂肪肉瘤细胞生长、增殖、迁移、集落形成能力和球体生长。重要的是,抑制ATR可显著协同增强脂肪肉瘤细胞系对多柔比星的化疗敏感性。我们的研究结果支持ATR对脂肪肉瘤增殖和多柔比星耐药性至关重要。因此,在标准多柔比星治疗方案中加入ATR抑制是脂肪肉瘤的一种潜在治疗策略。