TP53 regulates human AlkB homologue 2 expression in glioma resistance to Photofrin-mediated photodynamic therapy

S Y Lee1, S K Luk, C P Chuang

  • 1Department of Health Technology and Informatics, The Hong Kong Polytechnic University, Hung Hom, Kowloon, Hong Kong Special Administrative Region, China.

Abstract

Insights

This study reveals that increased DNA repair via ALKBH2, activated by TP53, drives resistance to photodynamic therapy (PDT) in glioma cells. Targeting this pathway could improve PDT efficacy for cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Photodynamic therapy (PDT) shows promise as an adjuvant cancer treatment.
  • Cancer resistance to PDT can be mediated by photosensitizer efflux or DNA repair mechanisms.
  • The specific DNA repair pathways involved in PDT resistance remain largely uncharacterized.

Purpose of the Study:

  • To investigate the role of six major DNA repair mechanisms in glioma cells exhibiting resistance to Photofrin-mediated PDT (Ph-PDT).

Main Methods:

  • U87 glioma cells with relative Ph-PDT resistance were established.
  • Quantitative real-time RT-PCR and western blotting assessed DNA repair gene expression.
  • Small-interfering RNA and ChIP assays explored the ALKBH2-Ph-PDT responsiveness link and its transcriptional regulation.

Main Results:

  • AlkB, an alkylation repair homologue 2 (Escherichia coli) (ALKBH2) expression significantly increased post-Ph-PDT at mRNA and protein levels.
  • Down-regulating ALKBH2 enhanced Ph-PDT efficiency, indicating its role in resistance.
  • Tumor protein 53 (TP53) was identified as a direct transcriptional activator of ALKBH2, mediating Ph-PDT resistance.

Conclusions:

  • DNA damage reversal mechanisms, particularly ALKBH2, play a crucial role in Ph-PDT resistance.
  • TP53 activation of ALKBH2 is a key pathway conferring Ph-PDT resistance in glioma.
  • Targeting the TP53-ALKBH2 axis may represent a strategy to overcome Ph-PDT resistance.