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Mitochondrial targeting overcomes ABCA1-dependent resistance of lung carcinoma to α-tocopheryl succinate
Lubomir Prochazka1, Stepan Koudelka, Lan-Feng Dong
1Veterinary Research Institute, Brno, Czech Republic. lubomir.pr@gmail.com
Abstract:
α-Tocopheryl succinate (α-TOS) is a promising anti-cancer agent due to its selectivity for cancer cells. It is important to understand whether long-term exposure of tumour cells to the agent will render them resistant to the treatment. Exposure of the non-small cell lung carcinoma H1299 cells to escalating doses of α-TOS made them resistant to the agent due to the upregulation of the ABCA1 protein, which caused its efflux. Full susceptibility of the cells to α-TOS was restored by knocking down the ABCA1 protein. Similar resistance including ABCA1 gene upregulation was observed in the A549 lung cancer cells exposed to α-TOS. The resistance of the cells to α-TOS was overcome by its mitochondrially targeted analogue, MitoVES, that is taken up on the basis of the membrane potential, bypassing the enhanced expression of the ABCA1 protein. The in vitro results were replicated in mouse models of tumours derived from parental and resistant H1299 cells. We conclude that long-term exposure of cancer cells to α-TOS causes their resistance to the drug, which can be overcome by its mitochondrially targeted counterpart. This finding should be taken into consideration when planning clinical trials with vitamin E analogues.
Insights
Long-term exposure to alpha-tocopheryl succinate (α-TOS) can cause cancer cell resistance by upregulating ABCA1 protein. A mitochondrially targeted analogue, MitoVES, overcomes this resistance, offering a potential therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Alpha-tocopheryl succinate (α-TOS) shows promise as a selective anti-cancer agent.
- Understanding potential drug resistance mechanisms is crucial for therapeutic efficacy.
Purpose of the Study:
- To investigate the development of resistance in cancer cells upon long-term exposure to α-TOS.
- To explore strategies for overcoming α-TOS resistance.
Main Methods:
- Exposure of non-small cell lung carcinoma H1299 and A549 cells to escalating doses of α-TOS.
- ABCA1 protein and gene expression analysis.
- ABCA1 protein knockdown experiments.
- Treatment with mitochondrially targeted α-TOS analogue (MitoVES).
- In vivo studies using mouse tumor models.
Main Results:
- Long-term α-TOS exposure led to resistance in H1299 and A549 cells, associated with ABCA1 protein upregulation and increased efflux.
- Knocking down ABCA1 restored sensitivity to α-TOS.
- MitoVES effectively overcame α-TOS resistance by bypassing ABCA1-mediated efflux.
- In vitro findings were validated in mouse models.
Conclusions:
- Acquired resistance to α-TOS in cancer cells is mediated by ABCA1 upregulation.
- Mitochondrially targeted analogues like MitoVES can circumvent ABCA1-mediated resistance.
- These findings have implications for clinical trial design involving vitamin E analogues.
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