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2016 ; 7
(24
): 36021-36033
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Sulfasalazine impacts on ferroptotic cell death and alleviates the tumor
microenvironment and glioma-induced brain edema
#MMPMID27074570
Sehm T
; Fan Z
; Ghoochani A
; Rauh M
; Engelhorn T
; Minakaki G
; Dörfler A
; Klucken J
; Buchfelder M
; Eyüpoglu IY
; Savaskan N
Oncotarget
2016[Jun]; 7
(24
): 36021-36033
PMID27074570
show ga
The glutamate transporter xCT (SCL7a11, system Xc-, SXC) is an emerging key
player in glutamate/cysteine/glutathione homeostasis in the brain and in cancer.
xCT expression correlates with the grade of malignancy. Here, we report on the
use of the U.S. Food and Drug Administration and EMA-approved xCT inhibitor,
sulfasalazine (SAS) in gliomas. SAS does not affect cell viability in gliomas at
concentrations below 200 µM. At higher concentrations SAS becomes gliomatoxic.
Mechanistically SAS inhibits xCT and induces ferroptotic cell death in glioma
cells. There is no evidence for impact on autophagic flux following SAS
application. However, SAS can potentiate the efficacy of the standard
chemotherapeutic and autophagy-inducing agent temozolomide (Temcat, Temodal or
Temodar®). We also investigated SAS in non-transformed cellular constituents of
the brain. Neurons and brain tissue are almost non-responding to SAS whereas
isolated astrocytes are less sensitive towards SAS toxicity compared to gliomas.
In vivo SAS treatment does not affect experimental tumor growth and treated
animals revealed comparable tumor volume as untreated controls. However, SAS
treatment resulted in reduced glioma-derived edema and, hence, total tumor volume
burden as revealed by T2-weighted magnetic resonance imaging. Altogether, we show
that SAS can be utilized for targeting the glutamate antiporter xCT activity as a
tumor microenvironment-normalizing drug, while crucial cytotoxic effects in brain
tumors are minor.
|Amino Acid Transport System X-AG/antagonists & inhibitors/metabolism
[MESH]