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2015 ; 34
(ä): 152
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PRX1 knockdown potentiates vitamin K3 toxicity in cancer cells: a potential new
therapeutic perspective for an old drug
#MMPMID26689287
He T
; Hatem E
; Vernis L
; Lei M
; Huang ME
J Exp Clin Cancer Res
2015[Dec]; 34
(ä): 152
PMID26689287
show ga
BACKGROUND: Many promising anticancer molecules are abandoned during the course
from bench to bedside due to lack of clear-cut efficiency and/or severe side
effects. Vitamin K3 (vitK3) is a synthetic naphthoquinone exhibiting significant
in vitro and in vivo anticancer activity against multiple human cancers, and has
therapeutic potential when combined with other anticancer molecules. The major
mechanism for the anticancer activity of vitK3 is the generation of cytotoxic
reactive oxygen species (ROS). We thus reasoned that a rational redox modulation
of cancer cells could enhance vitK3 anticancer efficiency. METHODS: Cancer cell
lines with peroxiredoxin 1 (PRX1) gene transiently or stably knocked-down and
corresponding controls were exposed to vitK3 as well as a set of anticancer
molecules, including vinblastine, taxol, doxorubicin, daunorubicin, actinomycin D
and 5-fluorouracil. Cytotoxic effects and cell death events were evaluated by
3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT)-based assay,
cell clonogenic assay, measurement of mitochondrial membrane potential and
annexin V/propidium iodide double staining. Global ROS accumulation and
compartment-specific H2O2 generation were determined respectively by a
redox-sensitive chemical probe and H2O2-sensitive sensor HyPer. Oxidation of
endogenous antioxidant proteins including TRX1, TRX2 and PRX3 was monitored by
redox western blot. RESULTS: We observed that the PRX1 knockdown in HeLa and A549
cells conferred enhanced sensitivity to vitK3, reducing substantially the
necessary doses to kill cancer cells. The same conditions (combination of vitK3
and PRX1 knockdown) caused little cytotoxicity in non-cancerous cells, suggesting
a cancer-cell-selective property. Increased ROS accumulation had a crucial role
in vitK3-induced cell death in PRX1 knockdown cells. The use of H2O2-specific
sensors HyPer revealed that vitK3 lead to immediate accumulation of H2O2 in the
cytosol, nucleus, and mitochondrial matrix. PRX1 silencing significantly
up-regulated mRNA and protein levels of NRH:quinone oxidoreductase 2, which was
partially responsible for vitK3-induced ROS accumulation and consequent cell
death. CONCLUSION: Our data suggest that PRX1 inactivation could represent an
interesting strategy to enhance cancer cell sensitivity to vitK3, providing a
potential new therapeutic perspective for this old molecule. Conceptually, a
combination of drugs that modulate intracellular redox states and drugs that
operate through the generation of ROS could be a new therapeutic strategy for
cancer treatment.