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Published on: May 19, 2023
Modulation of doxorubicin resistance by the glucose-6-phosphate dehydrogenase activity
Manuela Polimeni1, Claudia Voena, Joanna Kopecka
1Department of Genetics, Biology and Biochemistry, University of Torino, Via Santena 5/bis, 10126 Torino, Italy. manuela.polimeni@unito.it
Abstract:
How anti-neoplastic agents induce MDR (multidrug resistance) in cancer cells and the role of GSH (glutathione) in the activation of pumps such as the MRPs (MDR-associated proteins) are still open questions. In the present paper we illustrate that a doxorubicin-resistant human colon cancer cell line (HT29-DX), exhibiting decreased doxorubicin accumulation, increased intracellular GSH content, and increased MRP1 and MRP2 expression in comparison with doxorubicin-sensitive HT29 cells, shows increased activity of the PPP (pentose phosphate pathway) and of G6PD (glucose-6-phosphate dehydrogenase). We observed the onset of MDR in HT29 cells overexpressing G6PD which was accompanied by an increase in GSH. The G6PD inhibitors DHEA (dehydroepiandrosterone) and 6-AN (6-aminonicotinamide) reversed the increase of G6PD and GSH and inhibited MDR both in HT29-DX cells and in HT29 cells overexpressing G6PD. In our opinion, these results suggest that the activation of the PPP and an increased activity of G6PD are necessary to some MDR cells to keep the GSH content high, which is in turn necessary to extrude anticancer drugs out of the cell. We think that our data provide a new further mechanism for GSH increase and its effects on MDR acquisition.
Insights
Increased glucose-6-phosphate dehydrogenase (G6PD) activity boosts glutathione (GSH) levels, enhancing cancer cell resistance to chemotherapy drugs by activating efflux pumps. Inhibiting G6PD reverses this multidrug resistance (MDR).
Area of Science:
- Biochemistry
- Cancer Biology
- Pharmacology
Background:
- Multidrug resistance (MDR) in cancer is a significant clinical challenge.
- The precise mechanisms by which anti-neoplastic agents induce MDR and the role of glutathione (GSH) in pump activation remain incompletely understood.
- MDR-associated proteins (MRPs) are implicated in drug efflux.
Purpose of the Study:
- To investigate the role of the pentose phosphate pathway (PPP) and glucose-6-phosphate dehydrogenase (G6PD) in the development of doxorubicin resistance in human colon cancer cells.
- To elucidate the relationship between G6PD activity, intracellular GSH levels, and MDR.
- To explore the potential of G6PD inhibitors in overcoming MDR.
Main Methods:
- Comparison of doxorubicin-sensitive (HT29) and doxorubicin-resistant (HT29-DX) human colon cancer cell lines.
- Measurement of doxorubicin accumulation, intracellular GSH content, MRP1 and MRP2 expression.
- Assay of pentose phosphate pathway (PPP) activity and glucose-6-phosphate dehydrogenase (G6PD) activity.
- Treatment with G6PD inhibitors dehydroepiandrosterone (DHEA) and 6-aminonicotinamide (6-AN).
Main Results:
- Doxorubicin-resistant HT29-DX cells exhibited decreased doxorubicin accumulation, increased intracellular GSH, and elevated MRP1/MRP2 expression compared to sensitive HT29 cells.
- HT29 cells overexpressing G6PD showed increased MDR and elevated GSH levels.
- G6PD inhibitors (DHEA, 6-AN) reduced G6PD and GSH levels and inhibited MDR in both HT29-DX and G6PD-overexpressing HT29 cells.
Conclusions:
- Activation of the PPP and increased G6PD activity are crucial for maintaining high GSH levels in certain MDR cancer cells.
- Elevated GSH is necessary for the extrusion of anticancer drugs, contributing to MDR acquisition.
- These findings suggest a novel mechanism linking G6PD, GSH, and MDR, offering potential therapeutic targets.
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