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Proteasomal inhibition potentiates drugs targeting DNA topoisomerase II
Ka C Lee1, Rebecca L Bramley1, Ian G Cowell1
1Institute for Cell and Molecular Biosciences, Newcastle University, Newcastle upon Tyne NE2 4HH, United Kingdom.
Abstract:
The reaction mechanism of DNA topoisomerase II (TOP2) involves a covalent double-strand break intermediate in which the enzyme is coupled to DNA via a 5'-phosphotyrosyl bond. This normally transient enzyme-bridged break is stabilised by drugs such as mitoxantrone, mAMSA, etoposide, doxorubicin, epirubicin and idarubicin, which are referred to as TOP2 poisons. Removal of topoisomerase II by the proteasome is involved in the repair of these lesions. In K562 cells, inhibiting the proteasome with MG132 significantly potentiated the growth inhibition by these six drugs that target topoisomerase II, and the highest level of potentiation was observed with mitoxantrone. Mitoxantrone also showed the greatest potentiation by MG132 in three Nalm 6 cell lines with differing levels of TOP2A or TOP2B. Mitoxantrone was also potentiated by the clinically used proteasome inhibitor PS341 (Velcade). We have also shown that proteasome inhibition with MG132 in K562 cells reduces the rate of removal of mitoxantrone or etoposide stabilised topoisomerase complexes from DNA, suggesting a possible mechanism for the potentiation of topoisomerase II drugs by proteasomal inhibition.
Insights
Proteasome inhibition enhances the efficacy of DNA topoisomerase II (TOP2) poisons. Blocking proteasome activity stabilizes TOP2-DNA complexes, increasing growth inhibition by drugs like mitoxantrone.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- DNA topoisomerase II (TOP2) creates transient double-strand breaks during DNA replication and repair.
- TOP2 poisons stabilize these breaks, leading to cell death.
- Proteasome-mediated removal is a key mechanism for repairing TOP2-induced DNA damage.
Purpose of the Study:
- To investigate the effect of proteasome inhibition on the efficacy of TOP2 poisons.
- To explore the mechanism by which proteasome inhibitors potentiate TOP2-targeting drugs.
Main Methods:
- Utilized K562 and Nalm 6 cell lines.
- Treated cells with various TOP2 poisons (mitoxantrone, mAMSA, etoposide, doxorubicin, epirubicin, idarubicin).
- Inhibited proteasome activity using MG132 and PS341 (Velcade).
- Assessed cell growth inhibition and TOP2-DNA complex stability.
Main Results:
- Proteasome inhibition with MG132 significantly potentiated growth inhibition by all tested TOP2 poisons.
- Mitoxantrone exhibited the highest potentiation by MG132 across different cell lines.
- Proteasome inhibition reduced the removal rate of stabilized TOP2-DNA complexes.
Conclusions:
- Proteasome inhibition enhances the cytotoxic effects of TOP2 poisons.
- This potentiation may occur by reducing the repair rate of TOP2-DNA lesions.
- Combining proteasome inhibitors with TOP2 poisons represents a potential therapeutic strategy.
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