Effects of KEAP1 Silencing on NRF2 and NOTCH Pathways in SCLC Cell Lines
Federico Pio Fabrizio1,2,3, Angelo Sparaneo1, Giusy Gorgoglione1
1Laboratory of Oncology, Fondazione IRCCS Casa Sollievo della Sofferenza, 71013 San Giovanni Rotondo, Italy.
Abstract:
The KEAP1/NRF2 pathway is a master regulator of several redox-sensitive genes implicated in the resistance of tumor cells against therapeutic drugs. The dysfunction of the KEAP1/NRF2 system has been correlated with neoplastic patients' outcomes and responses to conventional therapies. In lung tumors, the growth and the progression of cancer cells may also involve the intersection between the molecular NRF2/KEAP1 axis and other pathways, including NOTCH, with implications for antioxidant protection, survival of cancer cells, and drug resistance to therapies. At present, the data concerning the mechanism of aberrant NRF2/NOTCH crosstalk as well as its genetic and epigenetic basis in SCLC are incomplete. To better clarify this point and elucidate the contribution of NRF2/NOTCH crosstalk deregulation in tumorigenesis of SCLC, we investigated genetic and epigenetic dysfunctions of the KEAP1 gene in a subset of SCLC cell lines. Moreover, we assessed its impact on SCLC cells' response to conventional chemotherapies (etoposide, cisplatin, and their combination) and NOTCH inhibitor treatments using DAPT, a γ-secretase inhibitor (GSI). We demonstrated that the KEAP1/NRF2 axis is epigenetically controlled in SCLC cell lines and that silencing of KEAP1 by siRNA induced the upregulation of NRF2 with a consequent increase in SCLC cells' chemoresistance under cisplatin and etoposide treatment. Moreover, KEAP1 modulation also interfered with NOTCH1, HES1, and DLL3 transcription. Our preliminary data provide new insights about the downstream effects of KEAP1 dysfunction on NRF2 and NOTCH deregulation in this type of tumor and corroborate the hypothesis of a cooperation of these two pathways in the tumorigenesis of SCLC.
Insights
Dysfunctional KEAP1/NRF2 signaling in small cell lung cancer (SCLC) promotes tumor growth and chemoresistance. Epigenetic silencing of KEAP1 disrupts NRF2 and NOTCH pathways, impacting cancer cell survival and drug response.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The KEAP1/NRF2 pathway regulates genes involved in tumor cell drug resistance.
- KEAP1/NRF2 system dysfunction correlates with patient outcomes and therapy response.
- In lung tumors, NRF2/KEAP1 crosstalk with pathways like NOTCH impacts survival and drug resistance.
Purpose of the Study:
- To investigate the genetic and epigenetic basis of NRF2/NOTCH crosstalk in SCLC.
- To elucidate the role of KEAP1 dysfunction in SCLC tumorigenesis.
- To assess the impact of KEAP1 modulation on SCLC response to chemotherapy and NOTCH inhibitors.
Main Methods:
- Investigated genetic and epigenetic KEAP1 dysfunctions in SCLC cell lines.
- Assessed the impact of KEAP1 modulation on response to etoposide, cisplatin, and DAPT.
- Utilized siRNA to silence KEAP1 and analyzed downstream effects on NRF2 and NOTCH pathway components.
Main Results:
- KEAP1/NRF2 axis is epigenetically controlled in SCLC cell lines.
- KEAP1 silencing via siRNA upregulated NRF2, increasing chemoresistance to cisplatin and etoposide.
- KEAP1 modulation affected transcription of NOTCH1, HES1, and DLL3.
Conclusions:
- KEAP1 dysfunction epigenetically impacts NRF2 and NOTCH pathways in SCLC.
- KEAP1/NRF2 and NOTCH pathway cooperation contributes to SCLC tumorigenesis.
- These findings offer insights into SCLC treatment strategies targeting KEAP1/NRF2 and NOTCH signaling.
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