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Foxo3a expression and acetylation regulate cancer cell growth and sensitivity to cisplatin
Masaki Shiota1, Akira Yokomizo, Eiji Kashiwagi
1Department of Urology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan.
Abstract:
Many advanced cancers receive cisplatin-based chemotherapy. However, cisplatin resistance is a major obstacle for cancer chemotherapy. Foxo3a is a member of the Foxo transcription factor family, which modulates the expression of genes involved in DNA damage repair, apoptosis, and other cellular processes. In this study, we found that cisplatin-resistant cells were more sensitive to the anticancer agent mithramycin than their parental cells, and had a decreased level of Foxo3a expression. Foxo3a knockdown increased cell proliferation and resistance to cisplatin. On the other hand, mithramycin stimulated Foxo3a expression through reactive oxygen species production and sensitized cells to cisplatin, which was abolished by Foxo3a knockdown, while the acetylation status of Foxo3a was decreased in response to cisplatin treatment and was lower in cisplatin-resistant cells. Knockdown of Foxo3a-associated acetyltransferase p300 promoted cancer-cell growth and cisplatin resistance. In addition, non-acetylation-mimicking Foxo3a overexpression decreased cancer cell growth and sensitized cells to cisplatin less than wild-type Foxo3a overexpression. The current work may contribute to the evaluation of the therapeutic potential of inducing the Foxo3a pathway and acetylating the Foxo3a transcription factor, and lead to the reevaluation of cancer treatments based on mithramycin.
Insights
Cisplatin resistance in advanced cancers can be overcome by targeting the Foxo3a transcription factor. Mithramycin enhances cisplatin sensitivity by increasing Foxo3a expression and acetylation, offering new therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Cisplatin resistance is a significant challenge in treating advanced cancers.
- The transcription factor Foxo3a regulates genes involved in DNA repair and apoptosis, crucial for chemotherapy response.
Purpose of the Study:
- To investigate the role of Foxo3a in cisplatin resistance.
- To explore the potential of mithramycin and Foxo3a modulation as a therapeutic strategy against cisplatin-resistant cancers.
Main Methods:
- Comparative analysis of cisplatin-resistant and parental cancer cells.
- Gene knockdown and overexpression studies of Foxo3a and p300.
- Assessment of cell proliferation, cisplatin sensitivity, reactive oxygen species production, and Foxo3a acetylation.
Main Results:
- Cisplatin-resistant cells exhibited decreased Foxo3a expression and increased sensitivity to mithramycin.
- Mithramycin enhanced cisplatin sensitivity by upregulating Foxo3a expression via reactive oxygen species.
- Foxo3a acetylation was reduced in resistant cells and upon cisplatin treatment; p300 knockdown promoted resistance.
Conclusions:
- Foxo3a expression and acetylation are critical determinants of cisplatin sensitivity.
- Inducing the Foxo3a pathway and promoting its acetylation represent promising therapeutic avenues for overcoming cisplatin resistance.
- Mithramycin's efficacy is linked to Foxo3a activation, suggesting its potential role in novel cancer treatment regimens.
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