A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä
PP2A-based triple-strike therapy overcomes mitochondrial apoptosis resistance in brain cancer cells
Tekijät: Denisova Oxana V., Merisaari Joni, Huhtaniemi Riikka, Qiao Xi, Yetukuri Laxman, Jumppanen Mikael, Kaur Amanpreet, Pääkkönen Mirva, von Schantz-Fant Carina, Ohlmeyer Michael, Wennerberg Krister, Kauko Otto, Koch Raphael, Aittokallio Tero, Taipale Mikko, Westermarck Jukka
Kustantaja: WILEY
Julkaisuvuosi: 2023
Journal: Molecular Oncology
Tietokannassa oleva lehden nimi: MOLECULAR ONCOLOGY
Lehden akronyymi: MOL ONCOL
Vuosikerta: 17
Numero: 9
Aloitussivu: 1803
Lopetussivu: 1820
Sivujen määrä: 18
ISSN: 1574-7891
eISSN: 1878-0261
DOI: https://doi.org/10.1002/1878-0261.13488
Verkko-osoite: https://febs.onlinelibrary.wiley.com/doi/full/10.1002/1878-0261.13488
Rinnakkaistallenteen osoite: https://research.utu.fi/converis/portal/detail/Publication/180750013
Mitochondrial glycolysis and hyperactivity of the phosphatidylinositol 3-kinase–protein kinase B (AKT) pathway are hallmarks of malignant brain tumors. However, kinase inhibitors targeting AKT (AKTi) or the glycolysis master regulator pyruvate dehydrogenase kinase (PDKi) have failed to provide clinical benefits for brain tumor patients. Here, we demonstrate that heterogeneous glioblastoma (GB) and medulloblastoma (MB) cell lines display only cytostatic responses to combined AKT and PDK targeting. Biochemically, the combined AKT and PDK inhibition resulted in the shutdown of both target pathways and priming to mitochondrial apoptosis but failed to induce apoptosis. In contrast, all tested brain tumor cell models were sensitive to a triplet therapy, in which AKT and PDK inhibition was combined with the pharmacological reactivation of protein phosphatase 2A (PP2A) by NZ-8-061 (also known as DT-061), DBK-1154, and DBK-1160. We also provide proof-of-principle evidence for in vivo efficacy in the intracranial GB and MB models by the brain-penetrant triplet therapy (AKTi + PDKi + PP2A reactivator). Mechanistically, PP2A reactivation converted the cytostatic AKTi + PDKi response to cytotoxic apoptosis, through PP2A-elicited shutdown of compensatory mitochondrial oxidative phosphorylation and by increased proton leakage. These results encourage the development of triple-strike strategies targeting mitochondrial metabolism to overcome therapy tolerance in brain tumors.
Ladattava julkaisu This is an electronic reprint of the original article. |