REDD1 is a determinant of low-dose metronomic doxorubicin-elicited endothelial cell dysfunction through

Minsik Park1, Joohwan Kim1, Taesam Kim1

  • 1Department of Molecular and Cellular Biochemistry, Kangwon National University School of Medicine, Chuncheon, Gangwon-do, 24341, Republic of Korea.

Insights

Low-dose metronomic chemotherapy uses regulated in development and DNA damage responses 1 (REDD1) to inhibit tumor growth. REDD1 represses vascular endothelial growth factor receptor (VEGFR) expression, reducing angiogenesis and metastasis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Low-dose metronomic chemotherapy (LDMC) inhibits tumor angiogenesis and growth.
  • The precise molecular mechanisms underlying LDMC's effects on endothelial cells are not fully understood.
  • Regulated in development and DNA damage responses 1 (REDD1) is an inhibitor of mammalian target of rapamycin complex 1 (mTORC1).

Purpose of the Study:

  • To investigate the functional role of REDD1 in LDMC-induced endothelial cell dysfunction.
  • To elucidate the molecular pathway through which LDMC affects angiogenesis and lymphangiogenesis.
  • To assess the therapeutic potential of targeting REDD1 in cancer treatment.

Main Methods:

  • Treatment of cultured endothelial cells with low-dose doxorubicin (DOX).
  • Analysis of REDD1 and mTORC1 signaling pathway components.
  • Loss- and gain-of-function studies to evaluate REDD1's role.
  • In vivo studies using B16 melanoma xenografts in wild-type and Redd1-deficient mice.

Main Results:

  • Low-dose doxorubicin (DOX) treatment increased REDD1 expression in endothelial cells.
  • REDD1 repressed the mRNA expression of vascular endothelial growth factor receptor (VEGFR)-2/3, inhibiting mTORC1-dependent translation.
  • DOX-induced REDD1 suppressed tumor angiogenesis, lymphangiogenesis, vascular permeability, growth, and metastasis in vivo.
  • These effects were dependent on REDD1 expression, as Redd1-deficient mice showed suppressed responses.

Conclusions:

  • REDD1 is a critical mediator of LDMC-induced endothelial cell dysfunction.
  • REDD1 functions by translationally repressing VEGFR-2/3 transcripts, thereby inhibiting angiogenesis and lymphangiogenesis.
  • REDD1 holds potential as a therapeutic target for progressive or metastatic tumors.