Pterostilbene Sensitizes Cisplatin-Resistant Human Bladder Cancer Cells with Oncogenic HRAS

Yi-Ting Chen1, Zi-Yi Huang2, Han-Hsuan Tang3

  • 1Department of Human Development and Family Studies, National Taiwan Normal University, Taipei 106, Taiwan.

Cancers
|October 10, 2020
PubMed

Insights

This study shows pterostilbene enhances bladder cancer cell sensitivity to cisplatin by inducing autophagy and senescence, particularly in cells with HRAS mutations. This suggests a new therapeutic strategy for resistant bladder cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • HRAS gene mutations and elevated expression are common in bladder urothelial carcinoma.
  • Oncogenic HRAS, autophagy, and senescence pathways play roles in bladder cancer drug resistance.

Purpose of the Study:

  • To investigate the effects of pterostilbene on bladder cancer cells with oncogenic HRAS, focusing on sensitization to cisplatin.
  • To elucidate the molecular mechanisms underlying pterostilbene's action, including autophagy and senescence signaling.

Main Methods:

  • Utilized T24 bladder cancer cell line with oncogenic HRAS and HRAS wild-type E7 cells.
  • Administered pterostilbene alone and in combination with cisplatin.
  • Analyzed cell cytotoxicity, apoptosis, cell cycle arrest, autophagy, senescence, and key molecular pathways (PI3K/mTOR, MEK/ERK, RAS/RB).
  • Conducted animal studies with pterostilbene, cisplatin, and gemcitabine.

Main Results:

  • Pterostilbene significantly increased cytotoxicity in T24 cells, mediated by autophagy and senescence, not apoptosis or cell cycle arrest.
  • Pterostilbene modulated PI3K/mTOR, MEK/ERK, and class III PI3K pathways, and affected pan-RAS and phospho-RB expression.
  • Inhibitors of autophagy and MEK partially reversed pterostilbene's effects on cytotoxicity but not senescence.
  • Animal studies confirmed pterostilbene enhances the efficacy of cisplatin and gemcitabine.

Conclusions:

  • Pterostilbene shows therapeutic potential in sensitizing cisplatin-resistant bladder cancer with oncogenic HRAS.
  • The study highlights the roles of pterostilbene-induced autophagy and senescence in overcoming drug resistance.

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