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SPHK1 enhances olaparib resistance in ovarian cancer through the NFκB/NRF2/ferroptosis pathway
Kai Teng1, Hanlin Ma2,3, Panpan Gai4
1Department of Radiation Oncology, Shandong Cancer Hospital and Institute, Shandong First Medical University and Shandong Academy of Medical Sciences, Jinan, China.
Abstract:
PARPis resistance is a challenge in the treatment of ovarian cancer. To investigate the potential mechanism involved in olaparib resistance of ovarian cancer, high-throughput sequencing was performed on olaparib-resistant SKOV3 cell line named SK/Ola. SPHK1 was upregulated in SK/Ola cells and was related to the PFS and OS in ovarian cancer patients. However, the effect and mechanism of SPHK1 on olaparib sensitivity in ovarian cancer were obscure. In this study, we found that SPHK1 promoted olaparib resistance. While, SPHK1 knockdown and SPHK1 inhibitor (PF-543 hydrochloride, named PF-543 in this article) enhanced the effect of olaparib on ovarian cancer cells. In mechanism, SPHK1 activated the NF-κB pathway through promoting p-IκBα degradation. Moreover, SPHK1 inhibited, but PF-543 activated ferroptosis in OC cells. Further investigation revealed that SPHK1 activated NF-κB p65, which in turn transcriptionally regulated NRF2 to inhibit ferroptosis in OC cells. Functionally, NF-κB p65 attenuated the PF-543-induced ferroptosis, and this effect was rescued by ferroptosis inducer erastin and RSL3. We conclude that SPHK1 inhibition triggers ferroptosis by restricting NF-κB-activated NRF2 transcription, thereby enhancing olaparib sensitivity in ovarian cancer. In vivo experiments also confirmed that the SPHK1 inhibitor increased olaparib sensitivity. A combination of SPHK1 inhibitors and olaparib may provide a therapeutic strategy for ovarian cancer.
Insights
Sphingosine kinase 1 (SPHK1) promotes resistance to olaparib in ovarian cancer by inhibiting ferroptosis via the NF-κB/NRF2 pathway. Inhibiting SPHK1 enhances olaparib sensitivity and triggers ferroptosis, offering a potential therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Olaparib resistance is a significant challenge in ovarian cancer treatment.
- The precise mechanisms underlying olaparib resistance, particularly the role of SPHK1, remain unclear.
Purpose of the Study:
- To investigate the role of SPHK1 in olaparib resistance in ovarian cancer.
- To elucidate the underlying molecular mechanisms, including the involvement of the NF-κB and ferroptosis pathways.
Main Methods:
- High-throughput sequencing of olaparib-resistant SKOV3 cells (SK/Ola).
- In vitro studies involving SPHK1 knockdown and treatment with SPHK1 inhibitor PF-543.
- Analysis of NF-κB pathway activation, p-IκBα degradation, and ferroptosis induction.
- In vivo experiments to validate findings.
Main Results:
- SPHK1 was upregulated in olaparib-resistant cells and correlated with poor prognosis in ovarian cancer patients.
- SPHK1 promoted olaparib resistance by activating the NF-κB pathway, leading to p-IκBα degradation.
- SPHK1 inhibited ferroptosis, while its inhibition (via knockdown or PF-543) activated ferroptosis.
- SPHK1 activated NF-κB p65, which transcriptionally regulated NRF2 to suppress ferroptosis.
Conclusions:
- SPHK1 inhibition enhances olaparib sensitivity in ovarian cancer by triggering ferroptosis through the suppression of NF-κB-activated NRF2 transcription.
- Combination therapy with SPHK1 inhibitors and olaparib shows promise for treating ovarian cancer.
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