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2016 ; 373
(1
): 36-44
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Overcoming cisplatin resistance of ovarian cancer cells by targeting
HIF-1-regulated cancer metabolism
#MMPMID26801746
Ai Z
; Lu Y
; Qiu S
; Fan Z
Cancer Lett
2016[Apr]; 373
(1
): 36-44
PMID26801746
show ga
Cisplatin is currently one of the most effective chemotherapeutic drugs used for
treating ovarian cancer; however, resistance to cisplatin is common. In this
study, we explored an experimental strategy for overcoming cisplatin resistance
of human ovarian cancer from the new perspective of cancer cell metabolism. By
using two pairs of genetically matched cisplatin-sensitive and
cisplatin-resistant ovarian cancer cell lines, we tested the hypothesis that
downregulating hypoxia-inducible factor-1 (HIF-1), which regulates metabolic
enzymes involved in glycolysis, is a promising strategy for overcoming cisplatin
resistance of human ovarian cancer cells. We found that cisplatin downregulated
the level of the regulatable ? subunit of HIF-1, HIF-1?, in cisplatin-sensitive
ovarian cancer cells through enhancing HIF-1? degradation but did not
downregulate HIF-1? in their cisplatin-resistant counterparts. Overexpression of
a degradation-resistant HIF-1? (HIF-1? ?ODD) reduced cisplatin-induced apoptosis
in cisplatin-sensitive cells, whereas genetic knockdown of HIF-1? or
pharmacological promotion of HIF-1? degradation enhanced response to cisplatin in
both cisplatin-sensitive and cisplatin-resistant ovarian cancer cells. We further
demonstrated that knockdown of HIF-1? improved the response of
cisplatin-resistant ovarian cancer cells to cisplatin by redirecting the aerobic
glycolysis in the resistant cancer cells toward mitochondrial oxidative
phosphorylation, leading to cell death through overproduction of reactive oxygen
species. Our findings suggest that the HIF-1?-regulated cancer metabolism pathway
could be a novel target for overcoming cisplatin resistance in ovarian cancer.