Peng Qiaohua, Yu Yan, Ye Lele, Zhang Songfa, Li Yang, Hua Xiaoping, Shen Shizhen, Hu Dongxiao, Lu Weiguo
Department of Gynecologic Oncology, Women's Hospital, School of Medicine, Zhejiang University, Hangzhou 310000, China.
Zhejiang Key Laboratory of Maternal and Infant Safety, Women's Hospital School of Medicine Zhejiang University, Hangzhou 310000, China.
iScience. 2024 Jun 27;27(8):110376. doi: 10.1016/j.isci.2024.110376. eCollection 2024 Aug 16.
Ovarian cancer (OC) remains the most lethal gynecological malignant tumor. PARP inhibitors (PARPi) have significantly improved survival, particularly in patients with OC with BRCA1/2 mutations. However, the majority of patients eventually develop resistance to PARPi. Cancer stem cells (CSCs) are considered the source of drug resistance in cancer. Our study found that the synergistic effect of astragalus polysaccharides (APSs) and PARPi was observed in ovarian cancer stem cells (OCSCs) by decreasing cell viability and self-renewal potential while inducing apoptosis. The present study also demonstrated that OCSCs had increased mitophagy. Furthermore, it was observed that APS in combination with PARPi inhibits mitophagy and downregulates the PINK1 protein level in OCSCs. The overexpression of PINK1 via the pEGFP(+)-PINK1 plasmid resulted in a partial reversal of the increased susceptibility of OCSCs when PARPi were administrated concurrently with APS. In conclusion, APS increases OCSC sensitivity to PARPi by inhibiting mitophagy via the PINK1/Parkin pathway regulation.
卵巢癌(OC)仍然是最致命的妇科恶性肿瘤。聚(ADP-核糖)聚合酶抑制剂(PARPi)显著提高了生存率,尤其是在携带BRCA1/2突变的OC患者中。然而,大多数患者最终会对PARPi产生耐药性。癌症干细胞(CSCs)被认为是癌症耐药性的来源。我们的研究发现,黄芪多糖(APSs)和PARPi在卵巢癌干细胞(OCSCs)中具有协同作用,通过降低细胞活力和自我更新潜能,同时诱导细胞凋亡来实现。本研究还表明,OCSCs的线粒体自噬增加。此外,观察到APS与PARPi联合使用可抑制OCSCs中的线粒体自噬并下调PINK1蛋白水平。通过pEGFP(+)-PINK1质粒过表达PINK1,导致在PARPi与APS同时给药时,OCSCs增加的易感性出现部分逆转。总之,APS通过PINK1/帕金蛋白途径调节抑制线粒体自噬,从而增加OCSCs对PARPi的敏感性。