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Extracellular matrix proteins modulate antimigratory and apoptotic effects of Doxorubicin
Georges Said1, Marie Guilbert, Hamid Morjani
1UFR Pharmacie, FRE CNRS/URCA no. 3481, Université de Reims Champagne-Ardenne, 51096 Reims, Cedex, France.
Abstract:
Anticancer drug resistance is a multifactorial process that includes acquired and de novo drug resistances. Acquired resistance develops during treatment, while de novo resistance is the primary way for tumor cells to escape chemotherapy. Tumor microenvironment has been recently shown to be one of the important factors contributing to de novo resistance and called environment-mediated drug resistance (EMDR). Two forms of EMDR have been described: soluble factor-mediated drug resistance (SFM-DR) and cell adhesion-mediated drug resistance (CAM-DR). Anthracyclines, among the most potent chemotherapeutic agents, are widely used in clinics against hematopoietic and solid tumors. Their main mechanism of action relies on the inhibition of topoisomerase I and/or II and the induction of apoptosis. Beyond this well-known antitumor activity, it has been recently demonstrated that anthracyclines may display potent anti-invasive effects when used at subtoxic concentrations. In this paper, we will describe two particular modes of EMDR by which microenvironment may influence tumor-cell response to one of these anthracyclines, doxorubicin. The first one considers the influence of type I collagen on the antimigratory effect of doxorubicin (CAM-DR). The second considers the protection of tumor cells by thrombospondin-I against doxorubicin-induced apoptosis (SFM-DR).
Insights
The tumor microenvironment influences anticancer drug resistance. This study explores how collagen and thrombospondin-I affect doxorubicin
Area of Science:
- Oncology
- Cancer Biology
- Pharmacology
Background:
- Anticancer drug resistance is a major challenge in chemotherapy.
- The tumor microenvironment contributes to de novo drug resistance through environment-mediated drug resistance (EMDR).
- Anthracyclines like doxorubicin are potent chemotherapeutics, but resistance limits their efficacy.
Purpose of the Study:
- To investigate two specific modes of EMDR influencing tumor cell response to doxorubicin.
- To elucidate the roles of type I collagen and thrombospondin-I in doxorubicin resistance.
- To understand how the microenvironment modulates chemotherapy effectiveness.
Main Methods:
- Examined cell adhesion-mediated drug resistance (CAM-DR) involving type I collagen and doxorubicin's antimigratory effects.
- Investigated soluble factor-mediated drug resistance (SFM-DR) with thrombospondin-I protecting tumor cells from doxorubicin-induced apoptosis.
- Utilized in vitro models to assess microenvironment-drug interactions.
Main Results:
- Type I collagen influences the antimigratory effect of doxorubicin, demonstrating CAM-DR.
- Thrombospondin-I protects tumor cells against doxorubicin-induced apoptosis, illustrating SFM-DR.
- The tumor microenvironment significantly modulates cellular response to doxorubicin.
Conclusions:
- The tumor microenvironment plays a critical role in mediating resistance to anthracyclines like doxorubicin.
- Understanding EMDR mechanisms, including CAM-DR and SFM-DR, is crucial for overcoming chemotherapy resistance.
- Targeting microenvironmental factors could enhance the efficacy of anticancer drugs.
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