Sonocavitation-Induced Mitochondrial Dysfunction via ROS-Mediated Apoptosis for Paclitaxel-Resistant Ovarian Cancer

Jian Qiu1, Zhikang Xu2, Xiaodong Wu2

  • 1Women's Hospital, Zhejiang University School of Medicine, Hangzhou, China; Department of Obstetrics and Gynaecology, Huzhou Central Hospital, Fifth School of Clinical Medicine of Zhejiang Chinese Medical University, Affiliated Central Hospital Huzhou University, Huzhou, China.

PubMed
Abstract

Insights

Sonocavitation overcomes paclitaxel resistance in ovarian cancer by inducing apoptosis via reactive oxygen species (ROS)-mediated mitochondrial dysfunction. This ultrasound therapy shows promise for enhancing treatment outcomes.

Area of Science:

  • Biomedical Engineering
  • Oncology
  • Cell Biology

Background:

  • Paclitaxel resistance is a major challenge in ovarian cancer treatment.
  • Ovarian cancer cells can develop resistance to paclitaxel, limiting therapeutic efficacy.
  • Understanding the mechanisms of chemoresistance is crucial for developing new treatment strategies.

Purpose of the Study:

  • To investigate if sonocavitation can overcome paclitaxel resistance in ovarian cancer.
  • To determine if sonocavitation promotes apoptosis through reactive oxygen species (ROS)-mediated mitochondrial dysfunction.
  • To evaluate the in vivo efficacy and safety of sonocavitation in paclitaxel-resistant ovarian cancer models.

Main Methods:

  • Compared apoptosis-related protein expression in resistant vs. sensitive ovarian cancer cells.
  • Applied sonocavitation to resistant cells and assessed apoptosis, ROS production, and mitochondrial function.
  • Utilized flow cytometry, electron microscopy, Western blotting, and in vivo xenograft models for evaluation.

Main Results:

  • Sonocavitation significantly increased apoptosis in paclitaxel-resistant ovarian cancer cells.
  • Induced mitochondrial dysfunction, including reduced ATP and membrane potential, and cytochrome c release.
  • Suppressed tumor growth and prolonged survival in vivo without systemic toxicity, with ROS playing a key mediator role.

Conclusions:

  • Sonocavitation effectively induces apoptosis in paclitaxel-resistant ovarian cancer via ROS-mediated mitochondrial dysfunction.
  • Demonstrates significant tumor-suppressive activity and a favorable safety profile.
  • Represents a promising adjuvant strategy to overcome chemoresistance and improve ovarian cancer treatment.

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