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Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
Mutations of p53 decrease sensitivity to the anthracycline treatments in bladder cancer cells
Sony Pandey1, Jennifer Bourn1,2, Maria Cekanova1,2
1Department of Small Animal Clinical Sciences, College of Veterinary Medicine, The University of Tennessee, Knoxville, Tennessee 37996, USA.
Abstract:
Due to doxorubicin (Dox) cardiotoxicity, the next generation of novel non-cardiotoxic anthracyclines, including AD 312 and AD 198, were synthesized and validated. In this study, we assessed the efficacy and mechanisms of anthracyclines-induced apoptosis and inhibition of cell viability in human bladder cancer cells expressing wild-type (wt) p53 (RT4 and SW780) and mutated (mt) p53 (UM-UC-3, 5637, T-24, J82, and TCCSUP) protein. Anthracyclines inhibited cell viability in tested TCC cells, but were less effective in mt-p53 TCC cells, especially in the drug-resistant J82 and TCCSUP cells. Anthracyclines upregulated the expression of wt p53 protein in RT4 and SW780 cells, but had no effect on expression of mt p53 protein in UM-UC-3, 5637, T-24, J82, and TCCSUP cells. The anthracyclines activated caspase 3/7 and cleavage of PARP in wt-p53 RT4 and SW780 cells, and mt-p53 5637, UM-UC-3, and T-24, but not in mt-p53 J82 and TCCSUP cells. The anthracyclines-induced cleavage of PARP was blocked by p53 siRNA in wt-p53 RT4 cells. Co-treatment of AD 198 with PRIMA-1 significantly inhibited cell viability of mt-p53 J82 cells, but had no effect in wt-p53 RT4 cells. AD 198 blocked c-myc expression in mt-p53 UM-UC-3, 5637, T-24, and J82 cells, however no expression of c-myc was detected in wt-p53 RT4 and SW780 cells. In conclusion, our results demonstrated that the anthracycline-induced resistance in bladder cancer cells positively correlated with TP53 mutations in the tetramerization domain in J82 and TCCSUP cells. Further, AD 312 and AD 198 are promising chemotherapeutic drugs for bladder cancer, especially in combination with PRIMA-1.
Insights
Novel anthracyclines AD 312 and AD 198 show efficacy against bladder cancer by inducing apoptosis, particularly in wild-type p53 cells. Drug resistance in mutated p53 bladder cancer cells correlates with TP53 mutations, suggesting combination therapies.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Doxorubicin (Dox) causes cardiotoxicity, necessitating the development of safer anthracyclines.
- Novel non-cardiotoxic anthracyclines, AD 312 and AD 198, have been synthesized.
Purpose of the Study:
- To assess the efficacy of novel anthracyclines (AD 312, AD 198) in human bladder cancer cells.
- To investigate the mechanisms of anthracycline-induced apoptosis and cell viability inhibition.
- To evaluate the role of wild-type (wt) and mutated (mt) p53 protein in drug response.
Main Methods:
- Tested anthracycline efficacy in bladder cancer cell lines with wt p53 (RT4, SW780) and mt p53 (UM-UC-3, 5637, T-24, J82, TCCSUP).
- Analyzed p53 protein expression, caspase 3/7 activation, and PARP cleavage.
- Utilized p53 siRNA and co-treatment with PRIMA-1 to explore drug resistance mechanisms.
- Investigated c-myc expression in response to anthracyclines.
Main Results:
- Anthracyclines inhibited cell viability in TCC cells, with reduced efficacy in mt-p53 cells, especially drug-resistant J82 and TCCSUP.
- Anthracyclines upregulated wt p53 but not mt p53.
- Apoptosis markers (caspase 3/7, PARP cleavage) were activated in wt-p53 cells and some mt-p53 cells, but not in J82 and TCCSUP.
- p53 siRNA blocked anthracycline-induced PARP cleavage in wt-p53 cells.
- AD 198 combined with PRIMA-1 inhibited mt-p53 J82 cell viability.
- AD 198 reduced c-myc expression in mt-p53 cells but not in wt-p53 cells.
Conclusions:
- Anthracycline resistance in bladder cancer correlates with TP53 mutations in the tetramerization domain.
- AD 312 and AD 198 are promising for bladder cancer treatment, potentially enhanced by PRIMA-1.
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