http://www.pnas.org/content/107/34/15027.full
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PRX1 knockdown potentiates vitamin K3 toxicity in cancer cells: a potential new therapeutic perspective for an old drug.
Abstract
BACKGROUND:
Many
promising anticancer molecules are abandoned during the course from
bench to bedside due to lack of clear-cut efficiency and/or severe side
effects. Vitamin K3 (vitK3) is a synthetic naphthoquinone exhibiting
significant in vitro and in vivo anticancer activity against multiple
human cancers, and has therapeutic potential when combined with other
anticancer molecules. The major mechanism for the anticancer activity of
vitK3 is the generation of cytotoxic reactive oxygen species (ROS). We
thus reasoned that a rational redox modulation of cancer cells could
enhance vitK3 anticancer efficiency.
METHODS:
Cancer
cell lines with peroxiredoxin 1 (PRX1) gene transiently or stably
knocked-down and corresponding controls were exposed to vitK3 as well as
a set of anticancer molecules, including vinblastine, taxol,
doxorubicin, daunorubicin, actinomycin D and 5-fluorouracil. Cytotoxic
effects and cell death events were evaluated by
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT)-based
assay, cell clonogenic assay, measurement of mitochondrial membrane
potential and annexin V/propidium iodide double staining. Global ROS
accumulation and compartment-specific H2O2 generation were determined
respectively by a redox-sensitive chemical probe and H2O2-sensitive
sensor HyPer. Oxidation of endogenous antioxidant proteins including
TRX1, TRX2 and PRX3 was monitored by redox western blot.
RESULTS:
We
observed that the PRX1 knockdown in HeLa and A549 cells conferred
enhanced sensitivity to vitK3, reducing substantially the necessary
doses to kill cancer cells. The same conditions (combination of vitK3
and PRX1 knockdown) caused little cytotoxicity in non-cancerous cells,
suggesting a cancer-cell-selective property. Increased ROS accumulation
had a crucial role in vitK3-induced cell death in PRX1 knockdown cells.
The use of H2O2-specific sensors HyPer revealed that vitK3 lead to
immediate accumulation of H2O2 in the cytosol, nucleus, and
mitochondrial matrix. PRX1 silencing significantly up-regulated mRNA and
protein levels of NRH:quinone oxidoreductase 2, which was partially
responsible for vitK3-induced ROS accumulation and consequent cell
death.
CONCLUSION:
Our
data suggest that PRX1 inactivation could represent an interesting
strategy to enhance cancer cell sensitivity to vitK3, providing a
potential new therapeutic perspective for this old molecule.
Conceptually, a combination of drugs that modulate intracellular redox
states and drugs that operate through the generation of ROS could be a
new therapeutic strategy for cancer treatment.
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