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FOXM1 and STAT3 interaction confers radioresistance in glioblastoma cells
Uday B Maachani1, Uma Shankavaram1, Tamalee Kramp1
1Radiation Oncology Branch, National Cancer Institute, National Institutes of Health, Bethesda, Maryland, USA.
Abstract:
Glioblastoma multiforme (GBM) continues to be the most frequently diagnosed and lethal primary brain tumor. Adjuvant chemo-radiotherapy remains the standard of care following surgical resection. In this study, using reverse phase protein arrays (RPPAs), we assessed the biological effects of radiation on signaling pathways to identify potential radiosensitizing molecular targets. We identified subsets of proteins with clearly concordant/discordant behavior between irradiated and non-irradiated GBM cells in vitro and in vivo. Moreover, we observed high expression of Forkhead box protein M1 (FOXM1) in irradiated GBM cells both in vitro and in vivo. Recent evidence of FOXM1 as a master regulator of metastasis and its important role in maintaining neural, progenitor, and GBM stem cells, intrigued us to validate it as a radiosensitizing target. Here we show that FOXM1 inhibition radiosensitizes GBM cells by abrogating genes associated with cell cycle progression and DNA repair, suggesting its role in cellular response to radiation. Further, we demonstrate that radiation induced stimulation of FOXM1 expression is dependent on STAT3 activation. Co-immunoprecipitation and co-localization assays revealed physical interaction of FOXM1 with phosphorylated STAT3 under radiation treatment. In conclusion, we hypothesize that FOXM1 regulates radioresistance via STAT3 in GBM cells. We also, show GBM patients with high FOXM1 expression have poor prognosis. Collectively our observations might open novel opportunities for targeting FOXM1 for effective GBM therapy.
Insights
Targeting Forkhead box protein M1 (FOXM1) radiosensitizes glioblastoma multiforme (GBM) cells by impacting cell cycle and DNA repair. Inhibition of FOXM1, regulated by STAT3, offers a potential therapeutic strategy for GBM.
Area of Science:
- Neuro-oncology
- Molecular Biology
- Cancer Research
Background:
- Glioblastoma multiforme (GBM) is an aggressive primary brain tumor with poor prognosis.
- Standard treatment involves surgical resection followed by chemo-radiotherapy.
- Identifying molecular targets to enhance radiosensitivity is crucial for improving GBM treatment outcomes.
Purpose of the Study:
- To investigate the role of Forkhead box protein M1 (FOXM1) as a radiosensitizing target in GBM.
- To elucidate the molecular mechanisms underlying FOXM1's role in GBM radioresistance.
- To explore the prognostic significance of FOXM1 expression in GBM patients.
Main Methods:
- Utilized reverse phase protein arrays (RPPAs) to analyze signaling pathways in irradiated and non-irradiated GBM cells.
- Investigated the effect of FOXM1 inhibition on GBM cell radiosensitivity.
- Employed co-immunoprecipitation and co-localization assays to study protein interactions.
- Analyzed patient data to correlate FOXM1 expression with prognosis.
Main Results:
- Identified high expression of FOXM1 in irradiated GBM cells both in vitro and in vivo.
- Demonstrated that FOXM1 inhibition radiosensitizes GBM cells by affecting cell cycle progression and DNA repair genes.
- Showed that radiation-induced FOXM1 expression is dependent on STAT3 activation, with physical interaction between FOXM1 and phosphorylated STAT3.
- Found that high FOXM1 expression in GBM patients correlates with poor prognosis.
Conclusions:
- FOXM1 plays a significant role in GBM radioresistance, potentially mediated through STAT3 activation.
- Targeting FOXM1 represents a promising therapeutic strategy to enhance the efficacy of radiotherapy in GBM.
- FOXM1 expression level can serve as a prognostic biomarker for GBM patients.
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