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Published on: November 28, 2015
Inhibitory effects of IFN-gamma and acyclovir on the glioblastoma cell cycle
S L Kominsky1, P S Subramaniam, H M Johnson
1Department of Microbiology and Cell Science, University of Florida, Gainesville 32611, USA.
Abstract:
Glioblastoma multiforme is one of the most aggressive and frequently occurring forms of brain cancer. It originates from astrocytes and is characterized by a loss of cell cycle control frequently involving mutations in tumor suppressor genes, such as p53 and p16. Nucleoside analogs, such as acyclovir (ACV), are currently being used in the treatment of viral diseases, such as those caused by members of the herpes family. Further, ACV in combination with type I interferons (IFN) has been shown to be more effective at lower doses in treatment of viral diseases. We show here that ACV at high concentrations (up to 500 microg/ml) inhibited growth in tissue culture of the human glioblastoma cell lines T98G, SNB-19, and U-373 by as much as 68.3% while inhibiting normal human astrocytes by only 38.3%. Related to this, the tumor cells were more than sevenfold more efficient in phosphorylation of ACV to the active phosphate form than normal human astrocytes. Analogous to treatment of virus-infected cells, suboptimal concentrations of ACV were as effective as high concentrations when used in conjunction with low concentrations of IFN-gamma in inhibition of tumor cell growth. At the cellular level, ACV and IFN-gamma inhibited the cell cycle in both the G1 and S phases. The cooperative effect of ACV and IFN-gamma against the glioblastomas appears to be due to direct inhibition of DNA synthesis by ACV in the S phase of the cell cycle and induction by IFN-gamma of the tumor suppressor gene p21wAF1/CIP1, which in turn acts at the level of proliferating cell nuclear antigen (PCNA) and cyclin E/cyclin-dependent kinase 2 (Cdk2) binding and inhibition of function. These studies show that the combination of IFN-gamma and ACV at suboptimal concentrations elicits significant antiproliferative effects on the glioblastoma cell lines T98G, SNB-19, and U-373 while having very little effect on normal human astrocyte cell proliferation.
Insights
Acyclovir (ACV) and interferon-gamma (IFN-gamma) show significant antiproliferative effects on glioblastoma cells. This combination therapy is effective at low doses, with minimal impact on normal astrocytes, offering a promising new treatment avenue.
Area of Science:
- Oncology
- Virology
- Molecular Biology
Background:
- Glioblastoma multiforme (GBM) is an aggressive brain cancer characterized by cell cycle dysregulation.
- Nucleoside analogs like acyclovir (ACV) are used for viral infections.
- ACV combined with interferons (IFN) enhances efficacy in treating viral diseases.
Purpose of the Study:
- To investigate the antiproliferative effects of acyclovir (ACV) and interferon-gamma (IFN-gamma) on glioblastoma cell lines.
- To explore the synergistic potential of ACV and IFN-gamma in glioblastoma treatment.
Main Methods:
- Assessed ACV's effect on glioblastoma cell lines (T98G, SNB-19, U-373) and normal human astrocytes in tissue culture.
- Evaluated the phosphorylation efficiency of ACV in tumor cells versus normal astrocytes.
- Investigated the combined effects of suboptimal ACV concentrations with low IFN-gamma concentrations.
- Analyzed cell cycle progression (G1 and S phases) and molecular targets (p21WAF1/CIP1, PCNA, cyclin E/Cdk2).
Main Results:
- High concentrations of ACV significantly inhibited glioblastoma cell growth (up to 68.3%) with less effect on normal astrocytes (38.3%).
- Glioblastoma cells phosphorylated ACV more efficiently than normal astrocytes.
- Suboptimal ACV concentrations combined with low IFN-gamma concentrations showed significant tumor cell growth inhibition.
- ACV and IFN-gamma synergistically inhibited cell cycle progression in G1 and S phases.
- The combination therapy targets DNA synthesis inhibition by ACV and induces the tumor suppressor p21WAF1/CIP1 via IFN-gamma.
Conclusions:
- Combination therapy with suboptimal doses of IFN-gamma and ACV demonstrates significant antiproliferative effects on glioblastoma cell lines.
- This combination exhibits minimal toxicity to normal human astrocytes, suggesting a potential therapeutic window.
- The synergistic mechanism involves direct DNA synthesis inhibition by ACV and cell cycle arrest induced by IFN-gamma-mediated p21WAF1/CIP1 upregulation.
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