Fu Zhiwen, Wu Tingting, Gao Chen, Wang Lulu, Zhang Yu, Shi Chen
Department of Pharmacy, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Hubei Province Clinical Research Center for Precision Medicine for Critical Illness, Wuhan 430022, China.
Acta Pharm Sin B. 2024 Dec;14(12):5305-5320. doi: 10.1016/j.apsb.2024.08.031. Epub 2024 Sep 2.
Oxaliplatin (OXA), a platinum-based chemotherapeutic agent, remains a mainstay in first-line treatments for advanced colorectal cancer (CRC). However, the eventual development of OXA resistance represents a significant clinical challenge. In the present study, we demonstrate that the aldo-keto reductase 1C1 (AKR1C1) is overexpressed in CRC cells upon acquisition of OXA resistance, evident in OXA-resistant CRC cell lines. We employed genetic silencing and pharmacological inhibition strategies to establish that suppression of AKR1C1 restores OXA sensitivity. Mechanistically, AKR1C1 interacts with and activates the transcription factor STAT3, which upregulates the glutamate transporter EAAT3, thereby elevating intracellular glutathione levels and conferring OXA resistance. Alantolactone, a potent natural product inhibitor of AKR1C1, effectively reverses this chemoresistance, restricting the growth of OXA-resistant CRC cells both and . Our findings uncover a critical AKR1C1-dependent mechanism behind OXA resistance and propose a promising combinatorial therapeutic strategy to overcome this resistance in CRC.
奥沙利铂(OXA)是一种铂类化疗药物,仍然是晚期结直肠癌(CRC)一线治疗的主要药物。然而,奥沙利铂耐药性的最终出现是一个重大的临床挑战。在本研究中,我们证明醛糖还原酶1C1(AKR1C1)在获得奥沙利铂耐药性的CRC细胞中过表达,这在奥沙利铂耐药的CRC细胞系中很明显。我们采用基因沉默和药理学抑制策略来确定抑制AKR1C1可恢复奥沙利铂敏感性。机制上,AKR1C1与转录因子STAT3相互作用并激活它,STAT3上调谷氨酸转运体EAAT3,从而提高细胞内谷胱甘肽水平并赋予奥沙利铂耐药性。土木香内酯是一种有效的AKR1C1天然产物抑制剂,可有效逆转这种化疗耐药性,在体内和体外均能抑制奥沙利铂耐药CRC细胞的生长。我们的研究结果揭示了奥沙利铂耐药背后一种关键的依赖AKR1C1的机制,并提出了一种有前景的联合治疗策略来克服CRC中的这种耐药性。