Sphingosine kinase-1 activation causes acquired resistance against Sunitinib in renal cell carcinoma cells
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1Medical College, Qingdao University, Qingdao, 266023, Shandong, China.
Abstract:
Multi-target tyrosine kinase inhibitor Sunitinib has been widely used in cancer treatment, including metastatic renal cell carcinoma. However, most patients who initially benefit from Sunitinib develop resistance with extended usage of Sunitinib, which is referred to as "acquired resistance". The molecular mechanisms contributing to this acquired resistance remain poorly understood. In this present study, we established Sunitinib-resistant cell lines from human renal cell lines (786-O, A498, ACHN and CAKI1) by continuous treatment with Sunitinib to explore the molecular mechanism leading to Sunitinib resistance. We found that PDGFR-β expression in cell seems to be a protective factor against Sunitinib resistance formation. In addition, we found that both SK1 and ERK were activated in Sunitinib-resistance cell lines and SK1 and ERK inhibitors could resensitize Sunitinib-resistant cell lines. In conclusion, our observations suggest that SK1 and ERK activation is a feature of resistant cell lines, which serves as an alternative pathway evading anti-tumor activity of Sunitinib.
Insights
Acquired resistance to Sunitinib, a cancer drug, is common. This study found that activating SK1 and ERK pathways contributes to Sunitinib resistance in renal cell carcinoma, offering new therapeutic targets.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Sunitinib is a multi-target tyrosine kinase inhibitor used for metastatic renal cell carcinoma.
- Acquired resistance limits Sunitinib's long-term efficacy in many cancer patients.
- The precise molecular mechanisms driving Sunitinib resistance are not fully understood.
Purpose of the Study:
- To investigate the molecular mechanisms underlying acquired resistance to Sunitinib in renal cell carcinoma.
- To establish Sunitinib-resistant cell lines for mechanistic studies.
- To identify potential targets for overcoming Sunitinib resistance.
Main Methods:
- Established Sunitinib-resistant human renal cell lines (786-O, A498, ACHN, CAKI1) through continuous Sunitinib exposure.
- Analyzed the expression of platelet-derived growth factor receptor beta (PDGFR-β).
- Assessed the activation status of Sphingosine kinase 1 (SK1) and Extracellular signal-regulated kinase (ERK).
Main Results:
- PDGFR-β expression appeared to confer protection against the development of Sunitinib resistance.
- Both SK1 and ERK pathways were found to be activated in Sunitinib-resistant cell lines.
- Inhibition of SK1 and ERK successfully resensitized resistant cell lines to Sunitinib.
Conclusions:
- Activation of SK1 and ERK signaling is a characteristic feature of Sunitinib-resistant renal cell carcinoma.
- These activated pathways represent an alternative mechanism for evading Sunitinib's anti-tumor effects.
- Targeting SK1 and ERK may offer a strategy to overcome acquired resistance to Sunitinib.
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