Subverting ER-stress towards apoptosis by nelfinavir and curcumin coexposure augments docetaxel efficacy in castration resistant prostate cancer cells.

Subverting ER-stress towards apoptosis by nelfinavir and curcumin coexposure augments docetaxel efficacy in castration resistant prostate cancer cells.
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DOI:
10.1371/journal.pone.0103109
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发表时间:
2014
期刊:
影响因子:
3.7
通讯作者:
Mondal D
Mondal D
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Mathur A;Abd Elmageed ZY;Liu X;Kostochka ML;Zhang H;Abdel-Mageed AB;Mondal D

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尽管有副作用,多西他赛(DTX)仍然是去势抵抗性前列腺癌(CRPC)的一线治疗药物。因此,迫切需要提高其抗肿瘤功效并减少其副作用的策略。靶向癌细胞中的组成型内质网(ER)应激作为一种化学增敏方法正在研究中。我们推测,同时诱导ER应激和抑制PI 3 K/AKT存活通路将是一种更有效的方法。在CRPC细胞系C4-2B中,我们观察到在共暴露于毒胡萝卜素和AKT抑制剂后,DTX诱导的细胞毒性显著增强(p<0.005)。然而,由于这两种药物尚未获得临床批准,我们研究了已知靶向这两种代谢途径的奈非那韦(NFR)和姜黄素(CUR)的组合是否可以类似地增加CRPC细胞中的DTX细胞毒性。在暴露于生理浓度的NFR(5 μM)和CUR(5 μM)后24小时内,低浓度的DTX(10 nM)的细胞毒性明显显著增强(p<0.005)。这3种药物的组合迅速增加了侵袭性C4-2B细胞的凋亡,但在RWPE-1细胞或原代前列腺上皮细胞(PrEC)中没有。比较分子研究显示,与RWPE-1细胞相比,该3种药物组合在C4-2B细胞中引起更明显的磷酸化AKT抑制和更高的磷酸化eIF 2 α诱导。急性暴露(3-9小时)于该3种药物组合增强了ER应激诱导的促凋亡标志物,即ATF 4、CHOP和TRIB 3。在低得多的浓度下,慢性(3周)暴露于这三种药物大大减少了C4-2B细胞的集落形成单位(CFU)。使用含有C4-2B肿瘤异种移植物的小鼠的体内研究显示,在共暴露于NFR(20 mg/kg)和CUR(100 mg/kg)后,DTX(10 mg/kg)的抗肿瘤功效显著增强(p<0.05)。肿瘤切片的免疫组织化学(IHC)分析表明,在暴露于3种药物组合的小鼠中,Ki-67染色减少,TUNEL强度增加。因此,使用NFR和CUR的辅助疗法将ER-应激逆转为细胞凋亡可以使CRPC细胞对DTX疗法化学敏感。
Despite its side-effects, docetaxel (DTX) remains a first-line treatment against castration resistant prostate cancer (CRPC). Therefore, strategies to increase its anti-tumor efficacy and decrease its side effects are critically needed. Targeting of the constitutive endoplasmic reticulum (ER) stress in cancer cells is being investigated as a chemosensitization approach. We hypothesized that the simultaneous induction of ER-stress and suppression of PI3K/AKT survival pathway will be a more effective approach. In a CRPC cell line, C4-2B, we observed significant (p<0.005) enhancement of DTX-induced cytotoxicity following coexposure to thapsigargin and an AKT-inhibitor. However, since these two agents are not clinically approved, we investigated whether a combination of nelfinavir (NFR) and curcumin (CUR), known to target both these metabolic pathways, can similarly increase DTX cytotoxicity in CRPC cells. Within 24 hrs post-exposure to physiologic concentrations of NFR (5 µM) and CUR (5 µM) a significantly (p<0.005) enhanced cytotoxicity was evident with low concentration of DTX (10 nM). This 3-drug combination rapidly increased apoptosis in aggressive C4-2B cells, but not in RWPE-1 cells or in primary prostate epithelial cells (PrEC). Comparative molecular studies revealed that this 3-drug combination caused a more pronounced suppression of phosphorylated-AKT and higher induction in phosphorylated-eIF2α in C4-2B cells, as compared to RWPE-1 cells. Acute exposure (3–9 hrs) to this 3-drug combination intensified ER-stress induced pro-apoptotic markers, i.e. ATF4, CHOP, and TRIB3. At much lower concentrations, chronic (3 wks) exposures to these three agents drastically reduced colony forming units (CFU) by C4-2B cells. In vivo studies using mice containing C4-2B tumor xenografts showed significant (p<0.05) enhancement of DTX’s (10 mg/kg) anti-tumor efficacy following coexposure to NFR (20 mg/kg) & CUR (100 mg/kg). Immunohistochemical (IHC) analyses of tumor sections indicated decreased Ki-67 staining and increased TUNEL intensity in mice exposed to the 3-drug combination. Therefore, subverting ER-stress towards apoptosis using adjuvant therapy with NFR and CUR can chemosensitize the CRPC cells to DTX therapy.
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