RRM1 modulates mitotane activity in adrenal cancer cells interfering with its metabolization

Antonina Germano1, Ida Rapa2, Marco Volante2

  • 1Department of Clinical and Biological Sciences, University of Turin at San Luigi Hospital, Orbassano, 10043 Turin, Italy.

Insights

Ribonucleotide reductase M1 (RRM1) impacts mitotane metabolism in adrenocortical cancer cells. RRM1 gene up-modulation may cause resistance to mitotane and its metabolites, o,p

Area of Science:

  • Pharmacology
  • Oncology
  • Molecular Biology

Background:

  • Mitotane (o,p'DDD) exhibits anti-proliferative effects in adrenocortical cancer, mediated by its metabolites o,p'DDE and o,p'DDA.
  • A prior study established a link between ribonucleotide reductase M1 (RRM1) expression and o,p'DDD activity, but the underlying mechanism remains unclear.

Purpose of the Study:

  • To investigate the influence of RRM1 on the bioavailability and cytotoxic activity of mitotane and its metabolites (o,p'DDE, o,p'DDA).
  • To explore the role of RRM1 in mitotane resistance mechanisms within adrenocortical cancer cells.

Main Methods:

  • Assessment of mitotane, o,p'DDE, and o,p'DDA cytotoxicity in SW13 and H295R adrenocortical cancer cell lines.
  • Evaluation of RRM1 expression levels in response to drug treatment.
  • Investigation of RRM1 gene silencing effects on intracellular drug metabolism.

Main Results:

  • In H295R cells, mitotane and its metabolites displayed similar cytotoxicity, with no observed impact on RRM1 expression.
  • In SW13 cells, only o,p'DDA showed cytotoxicity without altering RRM1 expression.
  • Lack of sensitivity to o,p'DDE in SW13 cells correlated with RRM1 gene up-modulation, similar to o,p'DDD.
  • RRM1 silencing in SW13 cells enhanced the intracellular conversion of mitotane to o,p'DDE and o,p'DDA.

Conclusions:

  • RRM1 gene expression significantly interferes with mitotane metabolism in adrenocortical cancer cells.
  • RRM1 up-modulation represents a potential mechanism contributing to mitotane drug resistance in this cancer type.

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