Abstract |
Chemotherapy is an adjuvant treatment for glioblastomas, however, chemotherapy remains palliative because of the development of multidrug resistance (MDR). Following prolonged chemotherapy, MDR protein 1 (MDR1) and CD133 increase in recurrent glioblastomas. CD133 positive (CD133+) glioma cancer stem-like cells (GCSCs) markedly promote drug resistance and exhibit increased DNA damage repair capability; thus they have a key role in determining tumor chemosensitivity. Although CD133, DNA-dependent protein kinase ( DNA-PK), and MDR1 are elevated in CD133+ GCSCs, the relationship among these molecules has not been elucidated. In this study, MDR glioblastoma cell lines were created in response to prolonged doxorubicin chemotherapy. CD133, DNA-PK and MDR1 were markedly elevated in these cells. CD133 and DNA-PK may increase MDR1 via the phosphatidylinositol-3-kinase (PI3K)-Akt signal pathway. PI3K downstream targets Akt and nuclear factor (NF)-κB, which interacts with the MDR1 promoter, were also elevated in these cells. Downregulation of CD133 and DNA-PK by small interfering RNA, or inhibition of PI3K or Akt, decreased Akt, NF-κB and MDR1 expression. The results indicate that CD133 and DNA-PK regulate MDR1 through the PI3K- or Akt-NF-κB signal pathway. Consequently, a novel chemotherapeutic regimen targeting CD133 and DNA-PK in combination with traditional protocols may increase chemotherapeutic efficacy and improve prognosis for individuals who present with glioblastoma.
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Authors | G Xi, E Hayes, R Lewis, S Ichi, B Mania-Farnell, K Shim, T Takao, E Allender, C S Mayanil, T Tomita |
Journal | Oncogene
(Oncogene)
Vol. 35
Issue 2
Pg. 241-50
(Jan 14 2016)
ISSN: 1476-5594 [Electronic] England |
PMID | 25823028
(Publication Type: Journal Article, Research Support, Non-U.S. Gov't, Retracted Publication)
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Chemical References |
- ABCB1 protein, human
- AC133 Antigen
- ATP Binding Cassette Transporter, Subfamily B
- Antigens, CD
- Antineoplastic Agents
- Enzyme Inhibitors
- Glycoproteins
- NF-kappa B
- Nuclear Proteins
- PROM1 protein, human
- Peptides
- Phosphoinositide-3 Kinase Inhibitors
- Doxorubicin
- DNA-Activated Protein Kinase
- PRKDC protein, human
- Proto-Oncogene Proteins c-akt
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Topics |
- AC133 Antigen
- ATP Binding Cassette Transporter, Subfamily B
(metabolism)
- Antigens, CD
(metabolism)
- Antineoplastic Agents
(pharmacology)
- Cell Line, Tumor
(drug effects)
- DNA-Activated Protein Kinase
(antagonists & inhibitors, genetics, metabolism)
- Doxorubicin
(pharmacology)
- Drug Resistance, Neoplasm
(drug effects)
- Enzyme Inhibitors
(pharmacology)
- Glioblastoma
(drug therapy, genetics, metabolism)
- Glycoproteins
(metabolism)
- Humans
- NF-kappa B
(metabolism)
- Nuclear Proteins
(antagonists & inhibitors, genetics, metabolism)
- Peptides
(metabolism)
- Phosphatidylinositol 3-Kinases
(metabolism)
- Phosphoinositide-3 Kinase Inhibitors
- Proto-Oncogene Proteins c-akt
(antagonists & inhibitors, metabolism)
- Signal Transduction
(drug effects)
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