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DHFR/TYMS are positive regulators of glioma cell growth and modulate chemo-sensitivity to temozolomide
Mengting Zhao1, Biqin Tan2, Xiaoyang Dai1
1Institute of Pharmacology and Toxicology, Zhejiang Province Key Laboratory of Anti-Cancer Drug Research, College of Pharmaceutical Sciences, Zhejiang University, Hangzhou, 310058, China.
Abstract:
Glioma is one of the most lethal malignancies and molecular regulators driving gliomagenesis are incompletely understood. Although temozolomide (TMZ) has been applied for malignant gliomas as a canonical chemotherapy, the treatment of glioma still remains limited due to frequently developed resistance to TMZ. Therefore, promising strategies that sensitize glioma cells to temozolomide are overwhelming to develop. Here we found that the expression of dihydrofolate reductase (DHFR) and thymidylate synthetase (TYMS), which played an essential role in folate metabolism and several types of tumors, were up-regulated in both human glioma tissues and cell lines, and overexpression of DHFR/TYMS promoted the proliferation of glioma cells. Notably, inhibition of DHFR/TYMS by pemetrexed exhibited synergistic anti-glioma activity with TMZ in both cell lines and U251 xenografts, which suggested potential combined chemotherapy for glioma. Mechanistically, the synergistic effect of inhibition of DHFR/TYMS with TMZ was due to activated AMPK and subsequently suppressed mTOR signaling pathway. Taken together, these findings identify an uncharacterized role of DHFR/TYMS in glioma growth and TMZ sensitivity mediated by AMPK-mTOR signal pathway, and provide a prospective approach for improving the anti-tumor activity of TMZ in glioma.
Insights
Dihydrofolate reductase (DHFR) and thymidylate synthetase (TYMS) promote glioma growth. Inhibiting DHFR/TYMS with pemetrexed synergizes with temozolomide (TMZ) chemotherapy, offering a new strategy for glioma treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Glioma is a lethal brain malignancy with limited treatment options.
- Resistance to temozolomide (TMZ) chemotherapy is a major challenge in glioma treatment.
- Molecular drivers of gliomagenesis and TMZ resistance are not fully understood.
Purpose of the Study:
- To investigate the role of dihydrofolate reductase (DHFR) and thymidylate synthetase (TYMS) in glioma.
- To evaluate the potential of inhibiting DHFR/TYMS as a strategy to sensitize glioma cells to TMZ.
- To elucidate the molecular mechanisms underlying the combined efficacy of DHFR/TYMS inhibition and TMZ.
Main Methods:
- Analysis of DHFR and TYMS expression in human glioma tissues and cell lines.
- In vitro and in vivo studies using glioma cell lines and U251 xenografts.
- Pharmacological inhibition of DHFR/TYMS using pemetrexed in combination with TMZ.
- Western blot analysis to assess the activation of AMPK and mTOR signaling pathways.
Main Results:
- DHFR and TYMS were upregulated in glioma tissues and cell lines, promoting glioma cell proliferation.
- Pemetrexed, an inhibitor of DHFR/TYMS, demonstrated synergistic anti-glioma activity with TMZ.
- Combined treatment activated the AMPK signaling pathway and suppressed the mTOR signaling pathway.
Conclusions:
- DHFR and TYMS play a significant role in glioma progression and TMZ resistance.
- Inhibiting DHFR/TYMS with pemetrexed offers a promising synergistic approach with TMZ for glioma treatment.
- The AMPK-mTOR pathway mediates the anti-glioma effects of combined DHFR/TYMS inhibition and TMZ therapy.
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