MAPK14/p38α confers irinotecan resistance to TP53-defective cells by inducing survival autophagy
Salome Paillas1, Annick Causse, Laetitia Marzi
1Institut de Recherche en Cancérologie de Montpellier, Montpellier, France.
Abstract:
Recently we have shown that the mitogen-activated protein kinase (MAPK) MAPK14/p38α is involved in resistance of colon cancer cells to camptothecin-related drugs. Here we further investigated the cellular mechanisms involved in such drug resistance and showed that, in HCT116 human colorectal adenocarcinoma cells in which TP53 was genetically ablated (HCT116-TP53KO), overexpression of constitutively active MAPK14/p38α decreases cell sensitivity to SN-38 (the active metabolite of irinotecan), inhibits cell proliferation and induces survival-autophagy. Since autophagy is known to facilitate cancer cell resistance to chemotherapy and radiation treatment, we then investigated the relationship between MAPK14/p38α, autophagy and resistance to irinotecan. We demonstrated that induction of autophagy by SN38 is dependent on MAPK14/p38α activation. Finally, we showed that inhibition of MAPK14/p38α or autophagy both sensitizes HCT116-TP53KO cells to drug therapy. Our data proved that the two effects are interrelated, since the role of autophagy in drug resistance required the MAPK14/p38α. Our results highlight the existence of a new mechanism of resistance to camptothecin-related drugs: upon SN38 induction, MAPK14/p38α is activated and triggers survival-promoting autophagy to protect tumor cells against the cytotoxic effects of the drug. Colon cancer cells could thus be sensitized to drug therapy by inhibiting either MAPK14/p38 or autophagy.
Insights
Mitogen-activated protein kinase (MAPK) MAPK14/p38α activation promotes colon cancer cell survival by inducing autophagy, a mechanism that confers resistance to irinotecan therapy. Inhibiting MAPK14/p38α or autophagy sensitizes cells to chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Mitogen-activated protein kinase (MAPK) MAPK14/p38α has been implicated in colon cancer drug resistance.
- Autophagy plays a role in cancer cell resistance to chemotherapy and radiation.
Purpose of the Study:
- To investigate the cellular mechanisms of colon cancer resistance to camptothecin-related drugs, specifically irinotecan.
- To elucidate the relationship between MAPK14/p38α, autophagy, and irinotecan resistance in TP53-ablated colon cancer cells.
Main Methods:
- Utilized HCT116 human colorectal adenocarcinoma cells with genetically ablated TP53 (HCT116-TP53KO).
- Overexpressed constitutively active MAPK14/p38α.
- Assessed cell sensitivity to SN-38 (irinotecan metabolite), cell proliferation, and autophagy induction.
- Investigated the effect of inhibiting MAPK14/p38α or autophagy on drug sensitivity.
Main Results:
- Overexpression of active MAPK14/p38α decreased sensitivity to SN-38, inhibited proliferation, and induced survival-autophagy in HCT116-TP53KO cells.
- SN-38-induced autophagy was dependent on MAPK14/p38α activation.
- Inhibition of either MAPK14/p38α or autophagy sensitized HCT116-TP53KO cells to irinotecan therapy.
- The role of autophagy in drug resistance was dependent on MAPK14/p38α.
Conclusions:
- A novel mechanism of resistance to camptothecin-related drugs involves SN38-induced activation of MAPK14/p38α, which triggers survival-promoting autophagy.
- This pathway protects colon tumor cells from cytotoxic effects of irinotecan.
- Colon cancer cells can be sensitized to irinotecan by inhibiting either MAPK14/p38α or autophagy.
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