Tamoxifen magnifies therapeutic impact of ceramide in human colorectal cancer cells independent of p53.

Tamoxifen magnifies therapeutic impact of ceramide in human colorectal cancer cells independent of p53.
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DOI:
10.1016/j.bcp.2013.01.015
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发表时间:
2013-04-15
影响因子:
5.8
通讯作者:
Cabot, Myles C.
Cabot, Myles C.
中科院分区:
医学2区
文献类型:
--
作者:
Morad, Samy A. F.;Madigan, James P.;Levin, Jonathan C.;Abdelmageed, Noha;Karimi, Ramin;Rosenberg, Daniel W.;Kester, Mark;Shanmugavelandy, Sriram S.;Cabot, Myles C.

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Poor prognosis in patients with later stage colorectal cancer (CRC) necessitates the search for new treatment strategies. Ceramide, because of its role in orchestrating death cascades in cancer cells, is a versatile alternative. Ceramide can be generated by exposure to chemotherapy or ionizing radiation, or it can be administered in the form of short-chain analogs (C6-ceramide). Because intracellular P-glycoprotein (P-gp) plays a role in catalyzing the conversion of ceramide to higher sphingolipids, we hypothesized that administration of P-gp antagonists with C6-ceramide would magnify cell death cascades. Human CRC cell lines were employed, HCT-15, HT-29, and LoVo. The addition of either tamoxifen, VX-710, verapamil, or cyclosporin A, antagonists of P-gp, enhanced C6-ceramide cytotoxicity in all cell lines. In depth studies with C6-ceramide and tamoxifen in LoVo cells showed the regimen induced PARP cleavage, caspase-dependent apoptosis, mitochondrial membrane permeabilization (MMP), and cell cycle arrest at G1 and G2. At the molecular level, the regimen, but not single agents, induced time-dependent upregulation of tumor suppressor protein p53; however, introduction of a p53 inhibitor staved neither MMP nor apoptosis. Nanoliposomal formulations of C6-ceramide and tamoxifen were also effective, yielding synergistic cell kill. We conclude that tamoxifen is a favorable adjuvant for enhancing C6-ceramide cytotoxicity in CRC, and demonstrates uniquely integrated effects. The high frequency of expression of P-gp in CRC presents an adventitious target for complementing ceramide-based therapies, a strategy that could hold promise for treatment of resistant disease.
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