The recent progress in chemotherapy for malignant gliomas is attributable to the introduction of the DNA-methylating agent temozolomide (TMZ); however, drug resistance remains a major issue. Previous studies have shown that TMZ induces prolonged arrest of human glioma cells in the G2/M phase of the cell cycle followed by a senescence-like phenomenon or mitotic catastrophe. These findings suggest that the G2 checkpoint is linked to DNA repair mechanisms. We investigated the effect of a cyclin-dependent kinase (Cdk) inhibitor flavopiridol (FP) that inhibits the action of Cdc2, a key protein in the G2 checkpoint pathway, on TMZ-treated glioma cells. Colony formation efficiency revealed that FP potentiated the cytotoxicity of TMZ in glioma cells in a p53-independent manner. This effect was clearly associated with the suppression of key proteins at the G2-M transition, accumulation of the cells exclusively at the G2 phase, and increase in a double-stranded DNA break marker (seen on performing immunoblotting). TMZ-resistant clones showed activation of the G2 checkpoint in response to TMZ, while FP treatment resensitized these clones to TMZ. FP also enhanced the cytotoxicity of TMZ in U87MG-AktER cells. Moreover, administration of TMZ and/or FP to nude mice with xenografted U87MG cells revealed that FP sensitized xenografted U87MG cells to TMZ in these mice. Our findings suggest that TMZ resistance could be promoted by enhanced DNA repair activity in the G2-M transition and that a Cdk inhibitor could suppress this activity, leading to potentiation of TMZ action on glioma cells.

译文

:恶性神经胶质瘤化学疗法的最新进展归因于DNA甲基化剂替莫唑胺(TMZ)的引入;但是,耐药性仍然是一个主要问题。先前的研究表明,TMZ诱导人神经胶质瘤细胞在细胞周期的G2 / M期延长停滞,随后出现衰老样现象或有丝分裂灾难。这些发现表明,G2检查点与DNA修复机制有关。我们研究了细胞周期蛋白依赖性激酶(Cdk)抑制剂flavopiridol(FP)抑制TMZ处理的神经胶质瘤细胞对Cdc2(G2检查点途径中的关键蛋白)的作用。集落形成效率表明,FP以非p53依赖性方式增强了胶质瘤细胞中TMZ的细胞毒性。这种作用显然与关键蛋白在G2-M转换中的抑制,细胞仅在G2期的蓄积以及双链DNA断裂标记的增加(见于进行免疫印迹)有关。耐TMZ的克隆显示出对TMZ的响应,激活了G2检查点,而FP处理使这些克隆对TMZ再次敏感。 FP还增强了U87MG-AktER细胞中TMZ的细胞毒性。此外,对具有异种移植的U87MG细胞的裸鼠施用TMZ和/或FP显示在这些小鼠中FP使异种移植的U87MG细胞对TMZ敏感。我们的发现表明,TMZ耐药性可以通过在G2-M转换中增强DNA修复活性来促进,而Cdk抑制剂可以抑制该活性,从而增强TMZ对神经胶质瘤细胞的作用。

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