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Updated: Aug 9, 2026

Long-term Live-cell Imaging to Assess Cell Fate in Response to Paclitaxel
Published on: May 14, 2018
PDMP sensitizes neuroblastoma to paclitaxel by inducing aberrant cell cycle progression leading to hyperploidy
Anne-Jan Dijkhuis1, Karin Klappe, Susan Jacobs
1Department of Cell Biology, Section Membrane Cell Biology, University Medical Center Groningen, A. Deusinglaan 1, 9713 AV Groningen, the Netherlands.
Abstract:
The sphingolipid ceramide has been recognized as an important mediator in the apoptotic machinery, and its efficient conversion to glucosylceramide has been associated with multidrug resistance. Therefore, inhibitors of glucosylceramide synthase are explored as tools for treatment of cancer. In this study, we used D,L-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol to sensitize Neuro-2a murine neuroblastoma cells to the microtubule-stabilizing agent paclitaxel. This treatment resulted in a synergistic inhibition of viable cell number increase, which was based on a novel mechanism: (a) After a transient mitotic arrest, cells proceeded through an aberrant cell cycle resulting in hyperploidy. Apoptosis also occurred but to a very limited extent. (b) Hyperploidy was not abrogated by blocking de novo sphingolipid biosynthesis using ISP-1, ruling out involvement of ceramide as a mediator. (c) Cyclin-dependent kinase 1 and 2 activities were synergistically decreased on treatment. In conclusion, instead of inducing apoptosis through ceramide accumulation, D,L-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol by itself affects cell cycle-related proteins in paclitaxel-arrested Neuro-2a cells resulting in aberrant cell cycle progression leading to hyperploidy.
Insights
This study shows that a glucosylceramide synthase inhibitor, when combined with paclitaxel, causes cancer cells to undergo abnormal cell division and become hyperploid, rather than inducing apoptosis.
Area of Science:
- Biochemistry
- Cell Biology
- Pharmacology
Background:
- Sphingolipid metabolism, particularly ceramide conversion to glucosylceramide, is linked to multidrug resistance in cancer.
- Inhibitors of glucosylceramide synthase are investigated as potential anti-cancer therapeutics.
- Ceramide accumulation is a known mediator of apoptosis.
Purpose of the Study:
- To investigate the synergistic effect of D,L-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol and paclitaxel on Neuro-2a murine neuroblastoma cells.
- To elucidate the underlying mechanism of cell death or cell cycle alteration induced by this drug combination.
Main Methods:
- Treatment of Neuro-2a cells with D,L-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol and paclitaxel.
- Analysis of cell cycle progression, ploidy, and apoptosis.
- Assessment of sphingolipid biosynthesis using ISP-1.
- Measurement of cyclin-dependent kinase 1 and 2 activities.
Main Results:
- The combination treatment resulted in synergistic inhibition of viable cell number increase.
- Cells exhibited a transient mitotic arrest followed by aberrant cell cycle progression and hyperploidy.
- Apoptosis occurred to a limited extent and was not dependent on ceramide accumulation.
- Cyclin-dependent kinase 1 and 2 activities were synergistically decreased.
Conclusions:
- D,L-threo-1-phenyl-2-decanoylamino-3-morpholino-1-propanol does not induce apoptosis via ceramide accumulation in paclitaxel-treated cells.
- The drug combination leads to aberrant cell cycle progression and hyperploidy through mechanisms independent of ceramide.
- This novel mechanism involves the modulation of cell cycle-related proteins, offering a new perspective for cancer therapy.
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