A1 Vertaisarvioitu alkuperäisartikkeli tieteellisessä lehdessä

PP2A-based triple-strike therapy overcomes mitochondrial apoptosis resistance in brain cancer cells




TekijätDenisova 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

KustantajaWILEY

Julkaisuvuosi2023

JournalMolecular Oncology

Tietokannassa oleva lehden nimiMOLECULAR ONCOLOGY

Lehden akronyymiMOL ONCOL

Vuosikerta17

Numero9

Aloitussivu1803

Lopetussivu1820

Sivujen määrä18

ISSN1574-7891

eISSN1878-0261

DOIhttps://doi.org/10.1002/1878-0261.13488

Verkko-osoitehttps://febs.onlinelibrary.wiley.com/doi/full/10.1002/1878-0261.13488

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/180750013


Tiivistelmä

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.


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Last updated on 2024-26-11 at 19:45