Mechanisms associated with temozolomide resistance in U87MG cell line: in silico and in vitro approaches

Felipe Umpierre Conter1, Rafael Rodrigues Dihl2, Daniel Simon1

  • 1Laboratory of Cancer Biology, Graduate Program in Cellular and Molecular Biology Applied to Health, Lutheran University of Brazil, Canoas, Brazil.

Insights

Demethoxycurcumin (DMC) enhances temozolomide (TMZ) efficacy against aggressive IDH-wildtype diffuse gliomas by sensitizing cells to DNA damage and apoptosis. This combination therapy offers a promising strategy to overcome treatment resistance in brain tumors.

Area of Science:

  • Neuro-oncology
  • Molecular Biology
  • Systems Biology

Background:

  • IDH-wildtype glioblastoma is an aggressive brain tumor with poor outcomes despite temozolomide (TMZ) treatment.
  • TMZ resistance is linked to DNA repair mechanisms, tumor heterogeneity, and the tumor microenvironment.
  • Novel therapeutic strategies are crucial for improving patient survival.

Purpose of the Study:

  • To identify key regulators of TMZ resistance in IDH-wildtype diffuse glioma using a systems biology approach.
  • To evaluate the therapeutic potential of demethoxycurcumin (DMC) alone and in combination with TMZ.
  • To elucidate the mechanisms by which DMC sensitizes glioma cells to TMZ.

Main Methods:

  • Construction of compound-protein and protein-protein interaction networks using STRING and STITCH databases.
  • Topological and gene ontology analyses to identify hub proteins and functional modules.
  • In vitro studies with U87MG cells, including cell viability assays and comet assays.
  • Assessment of DNA damage, apoptosis, and expression of key proteins (PARP1, PCNA, TP53, MSH2, MLH1, caspases).

Main Results:

  • Key regulators of TMZ resistance identified include PARP1, PCNA, TP53, MSH2, and HSPA1a.
  • HSPA1a was found to inhibit TP53 and caspase signaling, and upregulate MSH2/MLH1, contributing to resistance.
  • Demethoxycurcumin (DMC) demonstrated greater sensitivity than TMZ in U87MG cells and synergized with TMZ.
  • DMC enhanced TMZ-induced DNA damage, PCNA expression, and apoptosis, while prolonging DNA damage and downregulating PARP1 upon co-treatment.

Conclusions:

  • Demethoxycurcumin (DMC) acts as an effective chemosensitizer, significantly enhancing the efficacy of temozolomide (TMZ).
  • The combination of DMC and TMZ overcomes resistance by amplifying DNA damage and apoptosis.
  • Combining DMC with DNA repair inhibitors presents a promising therapeutic avenue for IDH-wildtype diffuse glioma.