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Published on: September 30, 2016
Targeting MEK1/2 inhibits mitochondrial respiration and redox homeostasis in resistant rectal cancer
Hu Chenghao1,2, Wu Feng3, Chen Chunli3
1Department of Radiation Oncology, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, China. huchenghao@hbmu.edu.cn.
Abstract:
Chemo-resistance is a major challenge in rectal cancer treatment. This study investigates the therapeutic potential of MEK inhibitors, cobimetinib and trametinib, in 5-fluorouracil (5-FU)-resistant rectal cancer cells. High-throughput drug screening identified these inhibitors as top candidates based on their selective drug sensitivity scores (sDSS). Both drugs exhibited dose-dependent cytotoxicity against rectal cancer cells while sparing normal epithelial cells and showed synergistic interactions with 5-FU. MEK inhibition disrupted redox homeostasis, increasing reactive oxygen species (ROS) and oxidative damage markers, including protein carbonyl and malondialdehyde (MDA), while also decreasing mitochondrial respiration, as evidenced by reduced oxygen consumption rates (OCR). Apoptotic induction was significantly reduced in mitochondrial respiration-deficient p⁰ cells, supporting the role of mitochondrial respiration in MEK inhibitor activity. Genetic MEK1/2 knockdown mimicked these effects, confirming MEK1/2 as a key regulator of oxidative stress and mitochondrial respiration. In vivo, cobimetinib and trametinib suppressed tumor growth in a chemo-resistant colorectal cancer xenograft model without significant toxicity, inducing oxidative stress and decreasing mitochondrial respiration. These findings highlight MEK inhibitors as promising candidates for overcoming chemo-resistance in rectal cancer by targeting oxidative stress and mitochondrial respiration.
Insights
MEK inhibitors like cobimetinib show promise in overcoming 5-fluorouracil resistance in rectal cancer by targeting oxidative stress and mitochondrial respiration, offering new therapeutic strategies for chemo-resistant tumors.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Chemo-resistance presents a significant hurdle in effective rectal cancer treatment.
- Identifying novel therapeutic targets is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the efficacy of MEK inhibitors (cobimetinib, trametinib) against 5-fluorouracil (5-FU)-resistant rectal cancer.
- To elucidate the underlying mechanisms of MEK inhibition in chemo-resistant rectal cancer cells.
Main Methods:
- High-throughput drug screening to identify MEK inhibitors.
- In vitro cytotoxicity assays and synergistic interaction studies with 5-FU.
- Assessment of redox homeostasis, reactive oxygen species (ROS) levels, oxidative damage markers (protein carbonyl, MDA), and mitochondrial respiration (OCR).
- In vivo studies using chemo-resistant colorectal cancer xenograft models.
Main Results:
- Cobimetinib and trametinib demonstrated dose-dependent cytotoxicity against rectal cancer cells and synergized with 5-FU.
- MEK inhibition led to increased ROS, oxidative damage, and decreased mitochondrial respiration.
- Genetic MEK1/2 knockdown confirmed MEK's role in regulating oxidative stress and mitochondrial function.
- In vivo, MEK inhibitors suppressed tumor growth in chemo-resistant models with minimal toxicity.
Conclusions:
- MEK inhibitors are effective in overcoming 5-FU resistance in rectal cancer models.
- Targeting MEK impacts oxidative stress and mitochondrial respiration, offering a novel therapeutic approach.
- Cobimetinib and trametinib show potential as adjunct therapies for chemo-resistant rectal cancer.
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