Inhibition of glycolysis using
2-deoxy-d-glucose (2DG, 20mM, 24-48h) combined with inhibition of the
pentose cycle using
dehydroepiandrosterone (
DHEA, 300µM, 24-48h) increased clonogenic cell killing in both human prostate (PC-3 and DU145) and human breast (MDA-MB231)
cancer cells via a mechanism involving
thiol-mediated oxidative stress. Surprisingly, when 2DG+DHEA treatment was combined with an inhibitor of
glutathione (GSH) synthesis (l-
buthionine sulfoximine; BSO, 1mM) that depleted GSH>90% of control, no further increase in cell killing was observed during 48h exposures. In contrast, when an inhibitor of
thioredoxin reductase (TrxR) activity (
Auranofin; Au, 1µM), was combined with 2DG+DHEA or
DHEA-alone for 24h, clonogenic cell killing was significantly increased in all three human
cancer cell lines. Furthermore, enhanced clonogenic cell killing seen with the combination of DHEA+Au was nearly completely inhibited using the
thiol antioxidant,
N-acetylcysteine (NAC, 20mM). Redox Western blot analysis of PC-3 cells also supported the conclusion that
thioredoxin-1 (Trx-1) oxidation was enhanced by treatment DHEA+Au and inhibited by NAC. Importantly, normal human mammary epithelial cells (HMEC) were not as sensitive to 2DG,
DHEA, and Au combinations as their
cancer cell counterparts (MDA-MB-231). Overall, these results support the hypothesis that inhibition of glycolysis and
pentose cycle activity, combined with inhibition of Trx metabolism, may provide a promising strategy for selectively sensitizing human
cancer cells to oxidative stress-induced cell killing.