期刊论文详细信息
BMC Cancer
Starvation-induced activation of ATM/Chk2/p53 signaling sensitizes cancer cells to cisplatin
Yandong Shi1  Emanuela Felley-Bosco1  Thomas M Marti1  Katrin Orlowski2  Martin Pruschy2  Rolf A Stahel1 
[1] Laboratory of Molecular Oncology, Zürich, Switzerland
[2] Department of Radiation Oncology, University Hospital Zürich, University of Zürich, Zürich, Switzerland
关键词: AMPK;    ATM/Chk2/p53 signaling;    cisplatin therapy;    short-term food starvation (STS);    Serum starvation;   
Others  :  1080043
DOI  :  10.1186/1471-2407-12-571
 received in 2012-05-17, accepted in 2012-11-27,  发布年份 2012
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【 摘 要 】

Background

Optimizing the safety and efficacy of standard chemotherapeutic agents such as cisplatin (CDDP) is of clinical relevance. Serum starvation in vitro and short-term food starvation in vivo both stress cells by the sudden depletion of paracrine growth stimulation.

Methods

The effects of serum starvation on CDDP toxicity were investigated in normal and cancer cells by assessing proliferation, cell cycle distribution and activation of DNA-damage response and of AMPK, and were compared to effects observed in cells grown in serum-containing medium. The effects of short-term food starvation on CDDP chemotherapy were assessed in xenografts-bearing mice and were compared to effects on tumor growth and/or regression determined in mice with no diet alteration.

Results

We observed that serum starvation in vitro sensitizes cancer cells to CDDP while protecting normal cells. In detail, in normal cells, serum starvation resulted in a complete arrest of cellular proliferation, i.e. depletion of BrdU-incorporation during S-phase and accumulation of the cells in the G0/G1-phase of the cell cycle. Further analysis revealed that proliferation arrest in normal cells is due to p53/p21 activation, which is AMPK-dependent and ATM-independent. In cancer cells, serum starvation also decreased the fraction of S-phase cells but to a minor extent. In contrast to normal cells, serum starvation-induced p53 activation in cancer cells is both AMPK- and ATM-dependent. Combination of CDDP with serum starvation in vitro increased the activation of ATM/Chk2/p53 signaling pathway compared to either treatment alone resulting in an enhanced sensitization of cancer cells to CDDP. Finally, short-term food starvation dramatically increased the sensitivity of human tumor xenografts to cisplatin as indicated not only by a significant growth delay, but also by the induction of complete remission in 60% of the animals bearing mesothelioma xenografts, and in 40% of the animals with lung carcinoma xenografts.

Conclusion

In normal cells, serum starvation in vitro induces a cell cycle arrest and protects from CDDP induced toxicity. In contrast, proliferation of cancer cells is only moderately reduced by serum starvation whereas CDDP toxicity is enhanced. The combination of CDDP treatment with short term food starvation improved outcome in vivo. Therefore, starvation has the potential to enhance the therapeutic index of cisplatin-based therapy.

【 授权许可】

   
2012 Shi et al.; licensee BioMed Central Ltd.

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