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

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.