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Combined inhibition of glycolysis, the pentose cycle, and thioredoxin metabolism selectively increases cytotoxicity and oxidative stress in human breast and prostate cancer.

Abstract
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.
AuthorsLing Li, Melissa A Fath, Peter M Scarbrough, Walter H Watson, Douglas R Spitz
JournalRedox biology (Redox Biol) Vol. 4 Pg. 127-35 ( 2015) ISSN: 2213-2317 [Electronic] Netherlands
PMID25560241 (Publication Type: Journal Article, Research Support, N.I.H., Extramural)
CopyrightCopyright © 2014 The Authors. Published by Elsevier B.V. All rights reserved.
Chemical References
  • Antioxidants
  • TXN protein, human
  • Dehydroepiandrosterone
  • Thioredoxins
  • Deoxyglucose
Topics
  • Antioxidants (administration & dosage)
  • Breast Neoplasms (drug therapy, metabolism, pathology)
  • Cell Line, Tumor
  • Dehydroepiandrosterone (administration & dosage)
  • Deoxyglucose (administration & dosage)
  • Drug Synergism
  • Female
  • Glycolysis (drug effects)
  • Humans
  • Male
  • Oxidative Stress (drug effects)
  • Pentose Phosphate Pathway (drug effects)
  • Prostatic Neoplasms (drug therapy, metabolism, pathology)
  • Thioredoxins (antagonists & inhibitors, metabolism)

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