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Published on: March 28, 2021
GINS2 regulates temozolomide chemosensitivity via the EGR1/ECT2 axis in gliomas
Hua He1,2, Lu Liang1,2, Shiyao Jiang1,2
1The Key Laboratory of Model Animal and Stem Cell Biology in Hunan Province, Hunan Normal University, Changsha, 410013, Hunan, China.
Abstract:
Temozolomide (TMZ), a DNA alkylating agent, has become the primary treatment for glioma, the most common malignancy of the central nervous system. Although TMZ-containing regimens produce significant clinical response rates, some patients inevitably suffer from inferior treatment outcomes or disease relapse, likely because of poor chemosensitivity of glioma cells due to a robust DNA damage response (DDR). GINS2, a subunit of DNA helicase, contributes to maintaining genomic stability and is highly expressed in various cancers, promoting their development. Here, we report that GINS2 was upregulated in TMZ-treated glioma cells and co-localized with γH2AX, indicating its participation in TMZ-induced DDR. Furthermore, GINS2 regulated the malignant phenotype and TMZ sensitivity of glioma cells, mostly by promoting DNA damage repair by affecting the mRNA stability of early growth response factor 1 (EGR1), which in turn regulates the transcription of epithelial cell-transforming sequence 2 (ECT2). We constructed a GINS2-EGR1-ECT2 prognostic model, which accurately predicted patient survival. Further, we screened Palbociclib/BIX-02189 which dampens GINS2 expression and synergistically inhibits glioma cell proliferation with TMZ. These findings delineate a novel mechanism by which GINS2 regulates the TMZ sensitivity of glioma cells and propose a promising combination therapy to treat glioma.
Insights
GINS2 enhances glioma cell resistance to temozolomide (TMZ) by promoting DNA repair. Targeting GINS2 with Palbociclib/BIX-02189 offers a promising combination therapy for glioma treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Temozolomide (TMZ) is a primary treatment for glioma, a common brain tumor.
- Glioma patients often experience treatment failure due to robust DNA damage response (DDR), leading to poor chemosensitivity.
- GINS2, a DNA helicase subunit, is upregulated in cancers and linked to genomic instability.
Purpose of the Study:
- To investigate the role of GINS2 in temozolomide resistance in glioma.
- To identify novel therapeutic targets and strategies for improving glioma treatment outcomes.
Main Methods:
- Analysis of GINS2 expression in TMZ-treated glioma cells.
- Investigation of GINS2's role in DNA damage repair and cell phenotype.
- Construction of a GINS2-EGR1-ECT2 prognostic model.
- Screening for drugs that inhibit GINS2 expression and enhance TMZ efficacy.
Main Results:
- GINS2 expression is upregulated in glioma cells upon TMZ treatment and participates in TMZ-induced DDR.
- GINS2 promotes DNA damage repair by regulating EGR1 mRNA stability, impacting ECT2 transcription.
- The GINS2-EGR1-ECT2 model accurately predicts patient survival.
- Palbociclib/BIX-02189 was identified to dampen GINS2 expression and synergize with TMZ to inhibit glioma cell proliferation.
Conclusions:
- GINS2 plays a critical role in regulating glioma cell chemosensitivity to TMZ by modulating DNA repair pathways.
- The GINS2-EGR1-ECT2 axis represents a novel mechanism influencing glioma progression and prognosis.
- Targeting GINS2 with agents like Palbociclib/BIX-02189 in combination with TMZ presents a promising therapeutic strategy for glioma.
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