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.

Autophagy
|June 1, 2012
PubMed

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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