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Mitotic Exit Dysfunction through the Deregulation of APC/C Characterizes Cisplatin-Resistant State in Epithelial
Anil Belur Nagaraj1, Olga Kovalenko2, Rita Avelar1
1Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio.
Abstract:
Purpose: Acquired resistance to cisplatin is a major barrier to success in treatment of various cancers, and understanding mitotic mechanisms unique to cisplatin-resistant cancer cells can provide the basis for developing novel mitotic targeted therapies aimed at eradicating these cells.Experimental Design: Using cisplatin-resistant models derived from primary patient epithelial ovarian cancer (EOC) cells, we have explored the status of mitotic exit mechanisms in cisplatin-resistant cells.Results: We have uncovered an unexpected role of long-term cisplatin treatment in inducing mitotic exit vulnerability characterized by increased spindle checkpoint activity and functional dependency on Polo-like kinase 1 (PLK1) for mitotic exit in the presence of anaphase promoting complex/cyclosome (APC/C) dysfunction in a cisplatin-resistant state. Accordingly, PLK1 inhibition decreased the survival of cisplatin-resistant cells in vitro and in vivo and exacerbated spindle checkpoint response in these cells. APC/CCDC20 inhibition increased sensitivity to pharmacologic PLK1 inhibition, further confirming the existence of APC/C dysfunction in cisplatin-resistant cells. In addition, we uncovered that resistance to volasertib, PLK1 inhibitor, is due to maintenance of cells with low PLK1 expression. Accordingly, stable PLK1 downregulation in cisplatin-resistant cells induced tolerance to volasertib.Conclusions: We provide the first evidence of APC/C dysfunction in cisplatin-resistant state, suggesting that understanding APC/C functions in cisplatin-resistant state could provide a basis for developing novel mitotic exit-based therapies to eradicate cisplatin-resistant cancer cells. Our results also show that PLK1 downregulation could underlie emergence of resistance to PLK1-targeted therapies in cancers. Clin Cancer Res; 24(18); 4588-601. ©2018 AACR.
Insights
Cisplatin resistance in cancer cells involves a unique vulnerability in mitotic exit, dependent on Polo-like kinase 1 (PLK1). Targeting PLK1 offers a new strategy against resistant cancers, though PLK1 downregulation can cause resistance to therapies.
Area of Science:
- Oncology
- Cell Biology
- Cancer Therapeutics
Background:
- Acquired resistance to cisplatin is a significant challenge in cancer treatment.
- Understanding the unique cellular mechanisms of resistant cancer cells is crucial for developing effective therapies.
Purpose of the Study:
- To investigate mitotic exit mechanisms in cisplatin-resistant cancer cells.
- To identify potential therapeutic targets for overcoming cisplatin resistance.
Main Methods:
- Utilized cisplatin-resistant epithelial ovarian cancer (EOC) cell models.
- Analyzed spindle checkpoint activity and Polo-like kinase 1 (PLK1) dependency.
- Investigated the role of anaphase promoting complex/cyclosome (APC/C) dysfunction.
- Assessed the efficacy of PLK1 inhibition and its relation to volasertib resistance.
Main Results:
- Cisplatin-resistant cells exhibit increased spindle checkpoint activity and rely on PLK1 for mitotic exit despite APC/C dysfunction.
- PLK1 inhibition reduced survival of resistant cells and enhanced spindle checkpoint response.
- Resistance to the PLK1 inhibitor volasertib is linked to low PLK1 expression.
Conclusions:
- Discovered APC/C dysfunction in cisplatin-resistant cells, suggesting novel mitotic exit-based therapies.
- PLK1 downregulation is a mechanism for resistance to PLK1-targeted therapies in cancer.
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