Protein Phosphatase 2A Inhibition with LB100 Enhances Radiation-Induced Mitotic Catastrophe and Tumor Growth Delay in Glioblastoma
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Published on: July 21, 2018
Ira K Gordon1, Jie Lu2, Christian A Graves1
1Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, MD 20892.
Abstract:
Protein phosphatase 2A (PP2A) is a tumor suppressor whose function is lost in many cancers. An emerging, though counterintuitive, therapeutic approach is inhibition of PP2A to drive damaged cells through the cell cycle, sensitizing them to radiotherapy. We investigated the effects of PP2A inhibition on U251 glioblastoma cells following radiation treatment in vitro and in a xenograft mouse model in vivo. Radiotherapy alone augmented PP2A activity, though this was significantly attenuated with combination LB100 treatment. LB100 treatment yielded a radiation dose enhancement factor of 1.45 and increased the rate of postradiation mitotic catastrophe at 72 and 96 hours. Glioblastoma cells treated with combination LB100 and radiotherapy maintained increased γ-H2AX expression at 24 hours, diminishing cellular repair of radiation-induced DNA double-strand breaks. Combination therapy significantly enhanced tumor growth delay and mouse survival and decreased p53 expression 3.68-fold, compared with radiotherapy alone. LB100 treatment effectively inhibited PP2A activity and enhanced U251 glioblastoma radiosensitivity in vitro and in vivo. Combination treatment with LB100 and radiation significantly delayed tumor growth, prolonging survival. The mechanism of radiosensitization appears to be related to increased mitotic catastrophe, decreased capacity for repair of DNA double-strand breaks, and diminished p53 DNA-damage response pathway activity.
Insights
Inhibiting protein phosphatase 2A (PP2A) with LB100 enhances glioblastoma cell sensitivity to radiation therapy. This combination therapy reduces tumor growth and improves survival by impairing DNA repair and increasing cell death.
Area of Science:
- Oncology
- Cancer Biology
- Radiotherapy
Background:
- Protein phosphatase 2A (PP2A) is a tumor suppressor frequently inactivated in cancers.
- Inhibiting PP2A is an emerging strategy to sensitize cancer cells to radiotherapy.
- Glioblastoma is an aggressive brain tumor with limited treatment options.
Purpose of the Study:
- To investigate the effects of PP2A inhibition using LB100 on U251 glioblastoma cells treated with radiotherapy.
- To evaluate the efficacy of combination LB100 and radiotherapy in vitro and in a xenograft mouse model.
- To elucidate the mechanisms underlying PP2A inhibition-induced radiosensitization.
Main Methods:
- In vitro studies on U251 glioblastoma cells.
- In vivo studies using a glioblastoma xenograft mouse model.
- Assessed PP2A activity, γ-H2AX expression, mitotic catastrophe, and p53 expression.
- Measured tumor growth delay and mouse survival.
Main Results:
- LB100 treatment attenuated radiation-induced PP2A activity.
- Combination therapy resulted in a radiation dose enhancement factor of 1.45.
- Increased mitotic catastrophe and diminished DNA double-strand break repair (indicated by sustained γ-H2AX expression) were observed.
- Combination treatment significantly delayed tumor growth, prolonged survival, and decreased p53 expression.
Conclusions:
- LB100 effectively inhibits PP2A activity and enhances glioblastoma radiosensitivity.
- Combination therapy with LB100 and radiation offers a promising strategy for glioblastoma treatment.
- Radiosensitization is mediated by increased mitotic catastrophe, impaired DNA repair, and reduced p53 activity.
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