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Updated: Jul 10, 2025

Development and Maintenance of a Preclinical Patient Derived Tumor Xenograft Model for the Investigation of Novel Anti-Cancer Therapies
Published on: September 30, 2016
Protease-activated receptor 2 attenuates doxorubicin-induced apoptosis in colon cancer cells
Himani Shah1,2, Timothy A Hill1,2, Junxian Lim3,4
1Australian Research Council Centre of Excellence for Innovations in Peptide and Protein Science, Institute for Molecular Bioscience, University of Queensland, Brisbane, QLD, 4072, Australia.
Abstract:
Drug resistance represents a major problem in cancer treatment. Doxorubicin (adriamycin) is an injectable DNA intercalating drug that halts cancer cell growth by inhibiting topoisomerase 2, but its long-term effectiveness is compromised by onset of resistance. This study demonstrates that expression of the PAR2 gene in human colon adenocarcinoma tissue samples was the highest among 32 different cancer types (n = 10,989), and higher in colon adenocarcinoma tissues (n = 331) than normal colon tissues (n = 308), revealing an association between PAR2 expression and human colon cancer. HT29 cells are a human colorectal adenocarcinoma cell line that is sensitive to the chemotherapeutic drug doxorubicin and also expresses PAR2. We find that PAR2 activation in HT29 cells, either by an endogenous protease agonist (trypsin) or an exogenous peptide agonist (2f-LIGRL-NH2), significantly reduces doxorubicin-induced cell death, reactive oxygen species production, caspase 3/7 activity and cleavage of caspase-8 and caspase-3. Moreover, PAR2-mediated MEK1/2-ERK1/2 pathway induced by 2f-LIGRL-NH2 leads to upregulated anti-apoptotic MCL-1 and Bcl-xL proteins that promote cellular survival. These findings suggest that activation of PAR2 compromises efficacy of doxorubicin in colon cancer. Further support for this conclusion came from experiments with human colon cancer HT29 cells, either with the PAR2 gene deleted or in the presence of a pharmacological antagonist of PAR2, which showed full restoration of all doxorubicin-mediated effects. Together, these findings reveal a strong link between PAR2 activation and signalling in human colon cancer cells and increased survival against doxorubicin-induced cell death. They support PAR2 antagonism as a possible new strategy for enhancing doxorubicin therapy.
Insights
Activation of the PAR2 gene in colon cancer cells reduces the effectiveness of doxorubicin chemotherapy by promoting cell survival. Blocking PAR2 may enhance doxorubicin treatment efficacy for colon cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Drug resistance, particularly to doxorubicin, is a significant challenge in cancer therapy.
- Doxorubicin efficacy is limited by the development of resistance.
- The role of Protease-Activated Receptor 2 (PAR2) in colon cancer and its impact on chemotherapy response is not fully understood.
Purpose of the Study:
- To investigate the association between PAR2 expression and human colon cancer.
- To determine the effect of PAR2 activation on doxorubicin-induced cell death in colon cancer cells.
- To explore the potential of PAR2 antagonism as a strategy to overcome doxorubicin resistance.
Main Methods:
- Analysis of PAR2 gene expression in human colon adenocarcinoma tissues and cell lines.
- Activation of PAR2 in HT29 colon cancer cells using specific agonists.
- Assessment of doxorubicin-induced cell death, apoptosis markers, and signaling pathways (MEK1/2-ERK1/2).
- Evaluation of doxorubicin effects in HT29 cells with PAR2 gene deletion or PAR2 antagonist treatment.
Main Results:
- PAR2 gene expression is significantly higher in colon adenocarcinoma tissues compared to normal tissues and is elevated across various cancer types.
- PAR2 activation in HT29 cells reduces doxorubicin-induced cell death, apoptosis, and reactive oxygen species production.
- PAR2 activation upregulates anti-apoptotic proteins MCL-1 and Bcl-xL via the MEK1/2-ERK1/2 pathway, promoting cell survival.
- PAR2 antagonism or gene deletion restores doxorubicin sensitivity in colon cancer cells.
Conclusions:
- PAR2 activation compromises doxorubicin efficacy in colon cancer by promoting cell survival.
- PAR2 signaling plays a crucial role in mediating resistance to doxorubicin in colon adenocarcinoma.
- Targeting PAR2 through antagonism presents a potential therapeutic strategy to enhance doxorubicin treatment outcomes in colon cancer.
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