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光線力学療法に耐性を呈する悪性度の高い膠芽腫の分子機構に関する論文がCancersに掲載されました

大学院生 小林 達弥 先生(脳神経外科)の論文です

“Enhanced Malignant Phenotypes of Glioblastoma Cells Surviving NPe6-Mediated Photodynamic Therapy are Regulated via ERK1/2 Activation”

KOBAYASHI Tatsuya†,  MIYAZAKI Makoto, SASAKI Nobuyoshi, YAMAMURO Shun, KAWAUHI Daisuke, TAKAHASHI Masamichi, OTSUKA Yohei, KUMAGAI Kosuke, TAKEUCHI Satoru, TOYOOKA Terushige, OTANI Naoki, WADA Kojiro, NARITA Yoshitaka, YAMAGUCHI Hideki, MURAGAKI Yoshihiro, KAWAMATA Kakakazu, NORI Kentaro, ICHIMURA Koichi, TOMIYAMA Arata*

Cancers, 12(12), 3641 (2020)

doi:10.3390/cancers12123641

Abstract

To manage refractory and invasive glioblastomas (GBM)s, photodynamic therapy (PDT) using talaporfin sodium (NPe6) (NPe6-PDT) was recently approved in clinical practice. However, the molecular machineries regulating resistance against NPe6-PDT in GBMs and mechanisms underlying the changes in GBM phenotypes following NPe6-PDT remain unknown. Herein, we established an in vitro NPe6-mediated PDT model using human GBM cell lines. NPe6-PDT induced GBM cell death in a NPe6 dose-dependent manner. However, this NPe6-PDT-induced GBM cell death was not completely blocked by the pan-caspase inhibitor, suggesting NPe6-PDT induces both caspase-dependent and -independent cell death. Moreover, treatment with poly (ADP-ribose) polymerase inhibitor blocked NPe6-PDT-triggered caspase-independent GBM cell death. Next, it was also revealed resistance to re-NPe6-PDT of GBM cells and GBM stem cells survived following NPe6-PDT (NPe6-PDT-R cells), as well as migration and invasion of NPe6-PDT-R cells were enhanced. Immunoblotting of NPe6-PDT-R cells to assess the behavior of the proteins that are known to be stress-induced revealed that only ERK1/2 activation exhibited the same trend as migration. Importantly, treatment with the MEK1/2 inhibitor trametinib reversed resistance against re-NPe6-PDT and suppressed the enhanced migration and invasion of NPe6-PDT-R cells. Overall, enhanced ERK1/2 activation is suggested as a key regulator of elevated malignant phenotypes of GBM cells surviving NPe6-PDT and is therefore considered as a potential therapeutic target against GBM.

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