Downregulation of DNA repair proteins and increased DNA damage in hypoxic colon cancer cells is a therapeutically exploitable vulnerability
| Autor: | Klaas M. Govaert, Kari Trumpi, Onno Kranenburg, Jamila Laoukili, Lizet M. van der Waals, Inne H.M. Borel Rinkes, Niek A Peters, Jennifer M.J. Jongen, Susanne J Schenning-van Schelven |
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| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
0301 basic medicine
cancer stem cells Pathology medicine.medical_specialty DNA repair DNA damage RAD51 Biology 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Cancer stem cell Gene expression medicine Ku70 Hypoxia (medical) 030104 developmental biology Oncology chemistry colon cancer 030220 oncology & carcinogenesis Cancer research Tirapazamine medicine.symptom Research Paper |
| Zdroj: | Oncotarget Oncotarget, 8(49), 86296. Impact Journals |
| ISSN: | 1949-2553 |
| Popis: | Surgical removal of colorectal cancer (CRC) liver metastases generates areas of tissue hypoxia. Hypoxia imposes a stem-like phenotype on residual tumor cells and promotes tumor recurrence. Moreover, in primary CRC, gene expression signatures reflecting hypoxia and a stem-like phenotype are highly expressed in the aggressive Consensus Molecular Subtype 4 (CMS4). Therapeutic strategies eliminating hypoxic stem-like cells may limit recurrence following resection of primary tumors or metastases. Here we show that expression of DNA repair genes is strongly suppressed in CMS4 and inversely correlated with hypoxia-inducible factor-1 alpha (HIF1α) and HIF-2α co-expression signatures. Tumors with high expression of HIF signatures and low expression of repair proteins showed the worst survival. In human tumors, expression of the repair proteins RAD51, KU70 and RIF1 was strongly suppressed in hypoxic peri-necrotic tumor areas. Experimentally induced hypoxia in patient derived colonospheres in vitro or in vivo (through vascular clamping) was sufficient to downregulate repair protein expression and caused DNA damage. Hypoxia-induced DNA damage was prevented by expressing the hydroperoxide-scavenging enzyme glutathione peroxidase-2 (GPx2), indicating that reactive oxygen species mediate hypoxia-induced DNA damage. Finally, the hypoxia-activated prodrug Tirapazamine greatly augmented DNA damage and reduced the fraction of stem-like (Aldefluorbright) tumor cells in vitro, and in vivo following vascular clamping. We conclude that decreased expression of DNA repair proteins and increased DNA damage in hypoxic tumor areas may be therapeutically exploited with hypoxia-activated prodrugs, and that such drugs reduce the fraction of Aldefluorbright (stem-like) tumor cells. |
| Databáze: | OpenAIRE |
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