Bortezomib (Velcade) exploits proteasome inhibition as a unique mechanism of anticancer activity. The effectiveness of bortezomib is, however, limited, therefore, the search for therapeutic regimens combining bortezomib with other agents. In the present work we demonstrate enhanced anticancer activity of bortezomib by its combination with tumor necrosis factor (TNF) in the experimental model of C-26 colon carcinoma in mice. This interaction likely relies on the induction of a dysregulated response to ER stress, leading to apoptosis of cancer cells, evidenced by caspase-3 cleavage, p53 accumulation as well as increased SAPK/JNK phosphorylation. ER stress induced by the combination of TNF and bortezomib is corroborated by upregulation of BiP, PDI and calnexin as well as cleavage of caspase-12; however, in contrast to the classic pathway, it is also associated with decreased phosphorylation of eIF2 alpha and prevention of XBP-1 splicing. TNF prevented the upregulation of Hsp27 induced by bortezomib, which may contribute to enhanced ER stress. Moreover, TNF interfered with bortezomib-induced upregulation of distinct subunits of the 26S proteasome. Bortezomib concentration used in this study was not sufficient to prevent TNF from inducing nuclear translocation of p65/RelA; however, the combination of both agents reduced total p65/RelA levels. Combined treatment of tumor-bearing mice with bortezomib and TNF not only inhibited tumor growth but also significantly prolonged animal survival. Therefore, combination of bortezomib with TNF is an attractive option for further clinical studies.

译文

:硼替佐米(Velcade)利用蛋白酶体抑制作为抗癌活性的独特机制。然而,硼替佐米的有效性受到限制,因此,寻求将硼替佐米与其他药物联合使用的治疗方案。在目前的工作中,我们证明了硼替佐米与肿瘤坏死因子(TNF)的组合在小鼠C-26结肠癌的实验模型中增强了抗癌活性。这种相互作用可能依赖于对ER应激反应失调的诱导,从而导致癌细胞凋亡,这由caspase-3裂解,p53积累以及SAPK / JNK磷酸化增加证明。 TNF和硼替佐米的组合诱导的ER应激通过BiP,PDI和钙联接蛋白的上调以及caspase-12的裂解得到证实。但是,与经典途径相反,它还与eIF2α的磷酸化水平降低和XBP-1剪接的阻止有关。 TNF预防了由硼替佐米诱导的Hsp27的上调,这可能有助于增强ER应激。此外,TNF干扰了硼替佐米诱导的26S蛋白酶体不同亚基的上调。本研究中使用的硼替佐米浓度不足以阻止TNF诱导p65 / RelA的核易位。然而,两种药物的组合降低了总的p65 / RelA水平。硼替佐米和TNF联合治疗荷瘤小鼠,不仅抑制了肿瘤的生长,而且还显着延长了动物的生存期。因此,硼替佐米与TNF的组合是进一步临床研究的有吸引力的选择。

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