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Updated: Nov 16, 2025

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Published on: May 21, 2020
Transketolase regulates sensitivity to APR-246 in p53-null cells independently of oxidative stress modulation
Julia V Milne1,2, Bonnie Z Zhang1,2, Kenji M Fujihara1,2
1Peter MacCallum Cancer Centre, 305 Grattan St, Melbourne, VIC, 3000, Australia.
Abstract:
The prevalence and dire implications of mutations in the tumour suppressor, p53, highlight its appeal as a chemotherapeutic target. We recently showed that impairing cellular antioxidant systems via inhibition of SLC7A11, a component of the system xc- cystine-glutamate antiporter, enhances sensitivity to mutant-p53 targeted therapy, APR-246. We investigated whether this synergy extends to other genes, such as those encoding enzymes of the pentose phosphate pathway (PPP). TKT, one of the major enzymes of the PPP, is allegedly regulated by NRF2, which is in turn impaired by accumulated mutant-p53 protein. Therefore, we investigated the relationship between mutant-p53, TKT and sensitivity to APR-246. We found that mutant-p53 does not alter expression of TKT, nor is TKT modulated directly by NRF2, suggesting a more complex mechanism at play. Furthermore, we found that in p53null cells, knockdown of TKT increased sensitivity to APR-246, whilst TKT overexpression conferred resistance to the drug. However, neither permutation elicited any effect on cells overexpressing mutant-p53 protein, despite mediating oxidative stress levels in a similar fashion to that in p53-null cells. In sum, this study has unveiled TKT expression as a determinant for sensitivity to APR-246 in p53-null cells.
Insights
Tumor suppressor p53 mutations are common. Inhibiting SLC7A11 enhances sensitivity to APR-246 therapy. This study explores the role of TKT in this synergy, finding TKT expression determines drug sensitivity in p53-null cells.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Mutations in the tumor suppressor p53 are prevalent and drive cancer progression.
- Inhibition of SLC7A11 enhances sensitivity to mutant-p53 targeted therapy (APR-246).
- The pentose phosphate pathway (PPP) and its enzyme TKT are potential modulators of drug sensitivity.
Purpose of the Study:
- To investigate the relationship between mutant-p53, TKT expression, and sensitivity to APR-246.
- To determine if TKT modulates the synergistic effect of SLC7A11 inhibition with APR-246 therapy.
Main Methods:
- Investigated TKT expression in relation to mutant-p53 and NRF2.
- Utilized TKT knockdown and overexpression in p53-null and mutant-p53 expressing cells.
- Assessed cellular sensitivity to APR-246 and oxidative stress levels.
Main Results:
- Mutant-p53 did not alter TKT expression; NRF2 did not directly modulate TKT.
- In p53-null cells, TKT knockdown increased APR-246 sensitivity, while TKT overexpression conferred resistance.
- These effects were not observed in cells overexpressing mutant-p53, despite similar oxidative stress mediation.
Conclusions:
- TKT expression is a key determinant of sensitivity to APR-246 in p53-null cancer cells.
- The mechanism of TKT's influence on APR-246 sensitivity is complex and p53-dependent.
- Targeting TKT may offer a strategy to enhance APR-246 efficacy in specific cancer contexts.
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