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Targeting V-ATPase Isoform Restores Cisplatin Activity in Resistant Ovarian Cancer: Inhibition of Autophagy, Endosome Function, and ERK/MEK Pathway

Identifieur interne : 000681 ( Pmc/Curation ); précédent : 000680; suivant : 000682

Targeting V-ATPase Isoform Restores Cisplatin Activity in Resistant Ovarian Cancer: Inhibition of Autophagy, Endosome Function, and ERK/MEK Pathway

Auteurs : Arpita Kulshrestha [États-Unis] ; Gajendra K. Katara [États-Unis] ; Safaa A. Ibrahim [États-Unis, Égypte] ; Valerie Riehl [États-Unis] ; Manoranjan Sahoo [États-Unis] ; James Dolan [États-Unis] ; Kyle W. Meinke [États-Unis] ; Michael R. Pins [États-Unis] ; Kenneth D. Beaman [États-Unis]

Source :

RBID : PMC:6463777

Abstract

Ovarian cancer (OVCA) patients often develop tolerance to standard platinum therapy that accounts for extensive treatment failures. Cisplatin resistant OVCA cells (cis-R) display enhanced survival mechanisms to cope with therapeutic stress. In these cells, increased autophagy process assists in chemoresistance by boosting the nutrient pool under stress. To improve the treatment response, both protective autophagy inhibition and its overactivation are showing efficacy in chemosensitization. Autophagy requires a tightly regulated intracellular pH. Vacuolar ATPases (V-ATPases) are proton extruding nanomotors present on cellular/vesicular membranes where they act as primary pH regulators. V-ATPase ‘a2' isoform (V0a2), the major pH sensing unit, is markedly overexpressed on the plasma membrane and the early endosomes of OVCA cells. Previously, V0a2 inhibition sensitized cis-R cells to platinum drugs by acidifying cytosolic pH that elevated DNA damage. Here, we examined how V0a2 inhibition affected endosomal function and the autophagy process as a possible factor for cisplatin sensitization. Clinically, V0a2 expression was significantly higher in tissues from drug nonresponder OVCA patients compared to treatment responders. In vitro V0a2 knockdown in cis-R cells (sh-V0a2-cisR) significantly reduced the tumor sphere-forming ability and caused complete disintegration of the spheres upon cisplatin treatment. The apoptotic capacity of sh-V0a2-cisR improved substantially with potentiation of both intrinsic and extrinsic apoptotic pathway when treated with cisplatin. Unlike the chemical V-ATPase inhibitors that acutely induce autophagy, here, the stable V0a2 inhibition dampened the protective autophagy process in sh-V0a2-cisR cells with downregulated expression of proteins beclin-1, ATG-7, and LC3B and low autophagosome numbers compared to control cis-R cells. These cells showed downregulated ERK/MEK pathway that is known to repress autophagy. Interestingly, upon cisplatin treatment of sh-V0a2-cisR, the autophagy initiation proteins (LC3B, ATG7, and Beclin 1) were found upregulated as a stress response compared to the untreated cells. However, there was a concomitant downstream autophagosome accumulation and an enhanced P62 protein levels indicating the overall block in autophagy flux. Mechanistically, V0a2 knockdown caused defects in early endosome function as the transferrin internalization was impaired. Taken together, this study provides a novel insight into the mechanism by which V-ATPase-isoform regulates autophagy that assists in chemoresistance in ovarian cancer. We conclude that V-ATPase-V0a2 is a potent target for developing an effective treatment to enhance patient survival rates in ovarian cancer.


Url:
DOI: 10.1155/2019/2343876
PubMed: 31057611
PubMed Central: 6463777

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PMC:6463777

Le document en format XML

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<p>Ovarian cancer (OVCA) patients often develop tolerance to standard platinum therapy that accounts for extensive treatment failures. Cisplatin resistant OVCA cells (cis-R) display enhanced survival mechanisms to cope with therapeutic stress. In these cells, increased autophagy process assists in chemoresistance by boosting the nutrient pool under stress. To improve the treatment response, both protective autophagy inhibition and its overactivation are showing efficacy in chemosensitization. Autophagy requires a tightly regulated intracellular pH. Vacuolar ATPases (V-ATPases) are proton extruding nanomotors present on cellular/vesicular membranes where they act as primary pH regulators. V-ATPase ‘a2' isoform (V0a2), the major pH sensing unit, is markedly overexpressed on the plasma membrane and the early endosomes of OVCA cells. Previously, V0a2 inhibition sensitized cis-R cells to platinum drugs by acidifying cytosolic pH that elevated DNA damage. Here, we examined how V0a2 inhibition affected endosomal function and the autophagy process as a possible factor for cisplatin sensitization. Clinically, V0a2 expression was significantly higher in tissues from drug nonresponder OVCA patients compared to treatment responders. In vitro V0a2 knockdown in cis-R cells (sh-V0a2-cisR) significantly reduced the tumor sphere-forming ability and caused complete disintegration of the spheres upon cisplatin treatment. The apoptotic capacity of sh-V0a2-cisR improved substantially with potentiation of both intrinsic and extrinsic apoptotic pathway when treated with cisplatin. Unlike the chemical V-ATPase inhibitors that acutely induce autophagy, here, the stable V0a2 inhibition dampened the protective autophagy process in sh-V0a2-cisR cells with downregulated expression of proteins beclin-1, ATG-7, and LC3B and low autophagosome numbers compared to control cis-R cells. These cells showed downregulated ERK/MEK pathway that is known to repress autophagy. Interestingly, upon cisplatin treatment of sh-V0a2-cisR, the autophagy initiation proteins (LC3B, ATG7, and Beclin 1) were found upregulated as a stress response compared to the untreated cells. However, there was a concomitant downstream autophagosome accumulation and an enhanced P62 protein levels indicating the overall block in autophagy flux. Mechanistically, V0a2 knockdown caused defects in early endosome function as the transferrin internalization was impaired. Taken together, this study provides a novel insight into the mechanism by which V-ATPase-isoform regulates autophagy that assists in chemoresistance in ovarian cancer. We conclude that V-ATPase-V0a2 is a potent target for developing an effective treatment to enhance patient survival rates in ovarian cancer.</p>
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<pmc article-type="research-article">
<pmc-dir>properties open_access</pmc-dir>
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">J Oncol</journal-id>
<journal-id journal-id-type="iso-abbrev">J Oncol</journal-id>
<journal-id journal-id-type="publisher-id">JO</journal-id>
<journal-title-group>
<journal-title>Journal of Oncology</journal-title>
</journal-title-group>
<issn pub-type="ppub">1687-8450</issn>
<issn pub-type="epub">1687-8469</issn>
<publisher>
<publisher-name>Hindawi</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="pmid">31057611</article-id>
<article-id pub-id-type="pmc">6463777</article-id>
<article-id pub-id-type="doi">10.1155/2019/2343876</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Targeting V-ATPase Isoform Restores Cisplatin Activity in Resistant Ovarian Cancer: Inhibition of Autophagy, Endosome Function, and ERK/MEK Pathway</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0002-5589-094X</contrib-id>
<name>
<surname>Kulshrestha</surname>
<given-names>Arpita</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Katara</surname>
<given-names>Gajendra K.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Ibrahim</surname>
<given-names>Safaa A.</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
<xref ref-type="aff" rid="I2">
<sup>2</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Riehl</surname>
<given-names>Valerie</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Sahoo</surname>
<given-names>Manoranjan</given-names>
</name>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Dolan</surname>
<given-names>James</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Meinke</surname>
<given-names>Kyle W.</given-names>
</name>
<xref ref-type="aff" rid="I3">
<sup>3</sup>
</xref>
</contrib>
<contrib contrib-type="author">
<name>
<surname>Pins</surname>
<given-names>Michael R.</given-names>
</name>
<xref ref-type="aff" rid="I4">
<sup>4</sup>
</xref>
</contrib>
<contrib contrib-type="author" corresp="yes">
<contrib-id contrib-id-type="orcid" authenticated="false">http://orcid.org/0000-0001-5160-4275</contrib-id>
<name>
<surname>Beaman</surname>
<given-names>Kenneth D.</given-names>
</name>
<email>kenneth.beaman@rosalindfranklin.edu</email>
<xref ref-type="aff" rid="I1">
<sup>1</sup>
</xref>
</contrib>
</contrib-group>
<aff id="I1">
<sup>1</sup>
Department of Microbiology and Immunology, Rosalind Franklin University of Medicine and Science, North Chicago, IL, USA</aff>
<aff id="I2">
<sup>2</sup>
Department of Microbiology and Immunology, Faculty of Pharmacy, Cairo University, Egypt</aff>
<aff id="I3">
<sup>3</sup>
Department of Obstetrics & Gynecology, Advocate Lutheran General Hospital, Park Ridge, IL, USA</aff>
<aff id="I4">
<sup>4</sup>
Department of Pathology, Advocate Lutheran General Hospital, Park Ridge, IL, USA</aff>
<author-notes>
<fn fn-type="other">
<p>Academic Editor: Srikumar P. Chellappan</p>
</fn>
</author-notes>
<pub-date pub-type="collection">
<year>2019</year>
</pub-date>
<pub-date pub-type="epub">
<day>1</day>
<month>4</month>
<year>2019</year>
</pub-date>
<volume>2019</volume>
<elocation-id>2343876</elocation-id>
<history>
<date date-type="received">
<day>1</day>
<month>8</month>
<year>2018</year>
</date>
<date date-type="rev-recd">
<day>28</day>
<month>1</month>
<year>2019</year>
</date>
<date date-type="accepted">
<day>4</day>
<month>3</month>
<year>2019</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright © 2019 Arpita Kulshrestha et al.</copyright-statement>
<copyright-year>2019</copyright-year>
<license xlink:href="https://creativecommons.org/licenses/by/4.0/">
<license-p>This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p>
</license>
</permissions>
<abstract>
<p>Ovarian cancer (OVCA) patients often develop tolerance to standard platinum therapy that accounts for extensive treatment failures. Cisplatin resistant OVCA cells (cis-R) display enhanced survival mechanisms to cope with therapeutic stress. In these cells, increased autophagy process assists in chemoresistance by boosting the nutrient pool under stress. To improve the treatment response, both protective autophagy inhibition and its overactivation are showing efficacy in chemosensitization. Autophagy requires a tightly regulated intracellular pH. Vacuolar ATPases (V-ATPases) are proton extruding nanomotors present on cellular/vesicular membranes where they act as primary pH regulators. V-ATPase ‘a2' isoform (V0a2), the major pH sensing unit, is markedly overexpressed on the plasma membrane and the early endosomes of OVCA cells. Previously, V0a2 inhibition sensitized cis-R cells to platinum drugs by acidifying cytosolic pH that elevated DNA damage. Here, we examined how V0a2 inhibition affected endosomal function and the autophagy process as a possible factor for cisplatin sensitization. Clinically, V0a2 expression was significantly higher in tissues from drug nonresponder OVCA patients compared to treatment responders. In vitro V0a2 knockdown in cis-R cells (sh-V0a2-cisR) significantly reduced the tumor sphere-forming ability and caused complete disintegration of the spheres upon cisplatin treatment. The apoptotic capacity of sh-V0a2-cisR improved substantially with potentiation of both intrinsic and extrinsic apoptotic pathway when treated with cisplatin. Unlike the chemical V-ATPase inhibitors that acutely induce autophagy, here, the stable V0a2 inhibition dampened the protective autophagy process in sh-V0a2-cisR cells with downregulated expression of proteins beclin-1, ATG-7, and LC3B and low autophagosome numbers compared to control cis-R cells. These cells showed downregulated ERK/MEK pathway that is known to repress autophagy. Interestingly, upon cisplatin treatment of sh-V0a2-cisR, the autophagy initiation proteins (LC3B, ATG7, and Beclin 1) were found upregulated as a stress response compared to the untreated cells. However, there was a concomitant downstream autophagosome accumulation and an enhanced P62 protein levels indicating the overall block in autophagy flux. Mechanistically, V0a2 knockdown caused defects in early endosome function as the transferrin internalization was impaired. Taken together, this study provides a novel insight into the mechanism by which V-ATPase-isoform regulates autophagy that assists in chemoresistance in ovarian cancer. We conclude that V-ATPase-V0a2 is a potent target for developing an effective treatment to enhance patient survival rates in ovarian cancer.</p>
</abstract>
<funding-group>
<award-group>
<funding-source>ALGH-RFUMS</funding-source>
</award-group>
<award-group>
<funding-source>Advocate Lutheran General Hospital, Chicago</funding-source>
</award-group>
<award-group>
<funding-source>Clinical Immunology Laboratory, Rosalind Franklin University of Medicine and Science, North Chicago</funding-source>
</award-group>
</funding-group>
</article-meta>
</front>
<floats-group>
<fig id="fig1" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>
<italic>V-ATPase-V0a2 is highly expressed in cisplatin nonresponder ovarian cancer tissues.</italic>
(a) Immunohistochemical analysis of V-ATPase-V0a2 expression in tissues from (i) cisplatin nonresponder and (ii) cisplatin responder ovarian cancer patients compared to (iii) normal human ovary tissue. Original magnification × 100 (upper panel) and X 400 (lower panel). (b) The quantitative IHC data expressed as IHC intensity score revealed higher V0a2 expression in ovarian cancer tissues from cisplatin nonresponder patients compared to responder patients and to normal ovarian tissues. (c) Confocal microscopy analysis of V0a2 (green) in nonresponder OVCA tissues ((i) and (ii)) shows its coexpression with ovarian cancer cell marker CA125 (red). Nuclear DAPI staining in blue. Merged areas are shown in yellow. Original magnification: × 600. Zoomed areas represent white boxes in merged figures. Representative images from three independent experiments are shown.</p>
</caption>
<graphic xlink:href="JO2019-2343876.001"></graphic>
</fig>
<fig id="fig2" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>
<italic>Inhibition of V-ATPase-V0a2 in resistant ovarian cancer cells blunts spheroid formation and enhances cisplatin-mediated cell death.</italic>
(a) Photomicrographs showing the effect of shRNA mediated V-ATPase-V0a2 inhibition on the spheroid formation in cisplatin resistant ovarian cancer cells (sh-V0a2-cisR) compared to control cells (sh-scr-cis-R). The sh-V0a2-cisR exhibited decreased tumor spheroid formation while control cells formed large clusters of spheroids. (b) Upon cisplatin treatment (20
<italic>μ</italic>
M, 48h), an enhanced spheroid dissociation was observed in sh-V0a2-cisR compared to control spheroids. Original magnification: X100, X400. (c) Geometric mean fluorescence intensity of effector apoptotic protein (cleaved caspase-3), intrinsic apoptotic (active caspase-9, Bax), and (d) of extrinsic apoptotic proteins (cleaved caspase-8, Fas, and FasL) in cisplatin treated sh-V0a2-cisR compared to cisplatin treated sh-V0a2-cisR cells as quantitated by flow cytometry. Each value represents the mean ± SD of three independent experiments,
<italic></italic>
P < 0.05.</p>
</caption>
<graphic xlink:href="JO2019-2343876.002"></graphic>
</fig>
<fig id="fig3" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>
<italic>Protective autophagy is dampened upon V-ATPase-V0a2 inhibition in cisplatin resistant ovarian cancer cells.</italic>
(a) Confocal microscopy analysis of the subcellular distributions of LC3B levels (red) in V-ATPase-V0a2 inhibited cisplatin resistant cells (sh-V0a2-cisR) compared to control (sh-scr-cis-R) cells. The sh-V0a2-cisR exhibit low LC3B staining compared to control cells (x600 magnification). (b) Geometric mean fluorescence intensity (MFU) of LC3B levels in sh-V0a2-cisR compared to the levels in control (sh-scr-cisR) cells as quantified by flow cytometry. (c) Western blot analysis of the autophagy associated proteins LC3 (I and II) and Beclin1 in sh-V0a2-cisR shows decreased expression compared to control cells (sh-scr-cis-R), similar to cisplatin sensitive parental OVCA cells (cis-S). (d) Western blot analysis of ATG-7 shows lower expression upon V-ATPase V0a2 inhibition while P62 (autophagy substrate protein) shows higher expression in sh-V0a2-cisR compared to control cells (sh-scr-cis-R). Fold change in band densities were measured relative to the control (sh-scr-cisR) and the samples were normalized to endogenous beta-actin levels. Representative images from three independent experiments are shown here.</p>
</caption>
<graphic xlink:href="JO2019-2343876.003"></graphic>
</fig>
<fig id="fig4" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>
<italic>Inhibition of V-ATPase-V0a2 disrupts early endosome trafficking in cisplatin resistant ovarian cancer cells.</italic>
(a) Cisplatin resistant OVCA cells were treated with control shRNA (sh-scr-cis-R) or with shRNA against V-ATPase-V0a2-cisR (sh-V0a2-cis-R). The cells were incubated with Tf-Alexa
<sub>594</sub>
at 37°C for 30 min to label the entire early endosomal compartment. The cells were fixed before permeabilization and were stained with anti-EEA1 (green). Merged images of shV0a2-cis-R and sh-scr-cis-R cells. Yellow color indicates colocalization between Tf-Alexa
<sub>594</sub>
and EEA1. (b) Immunofluorescence analysis of the subcellular distributions of LC3B (red) and Rab5 (early endosome marker; green) in sh-V0a2-cis-R compared to control (sh-scr-cis-R) cells. The sh-V0a2-cisR exhibited low poor LC3B/Rab5 colocalization compared to control cells (x600 magnification).</p>
</caption>
<graphic xlink:href="JO2019-2343876.004"></graphic>
</fig>
<fig id="fig5" orientation="portrait" position="float">
<label>Figure 5</label>
<caption>
<p>
<italic>Cisplatin induces protective autophagy in V-ATPase-V0a2 inhibited resistant ovarian cancer cells with a concomitant block in autophagy flux leading to drug sensitization</italic>
. V-ATPase-V0a2 inhibited cisplatin resistant ovarian cancer cells (sh-V0a2-cisR) were treated with cisplatin (20
<italic>μ</italic>
g/ml, 48h). (a) Confocal microscopy analysis of the subcellular distributions of LC3B levels (red); nucleus is stained with DAPI (blue). Upon cisplatin treatment, there is a higher accumulation of LC3B in sh-V0a2-cisR compared to untreated cells. The fluorescence signals of LC3B were sequentially acquired using an Olympus FluoView confocal microscope. Representative confocal micrographs (original magnification: 80X) are shown. Bars, 5
<italic>μ</italic>
m. (b) Geometric mean fluorescence intensity units (MFU) of LC3B levels in sh-V0a2-cisR compared to the levels in untreated cells as quantified by flow cytometry. (c) Western blot analysis of the autophagy associated proteins LC3, P62, and ATG5 in (i) control sh-scr-cisR cells and (ii) sh-V0a2-cisR cells upon cisplatin treatment. Geometric mean fluorescence intensity of (d) beclin1 protein levels and (E) ATG7 protein levels in cisplatin treated/untreated sh-V0a2-cisR compared to control cells (sh-scr-cisR) as quantified by flow cytometry.
<italic></italic>
p<0.05. Experiments were repeated twice in duplicate.</p>
</caption>
<graphic xlink:href="JO2019-2343876.005"></graphic>
</fig>
<fig id="fig6" orientation="portrait" position="float">
<label>Figure 6</label>
<caption>
<p>
<italic>V-ATPase-V0a2 inhibition sensitizes the cisplatin resistant ovarian cancer cells through downregulation of the Ras pathway.</italic>
The shRNA mediated V-ATPase-V0a2 inhibition was carried out in cisplatin resistant ovarian cancer cells (sh-V0a2-cisR). Cisplatin treated (20
<italic>μ</italic>
g/ml, 48h), sh-V0a2-cisR and control cells (sh-scr-cisR) were analyzed for Ras pathway. (a) Transcriptional profiling of the Ras pathway array showed significant downregulation of the Ras pathway associated genes (EGFR, Fos2, GRB2, Raf1, Elk-1 Myc, and B-Raf). (b) Western blot analysis showed downregulation of phosphorylated B-Raf and MEK 1/2. Fold change in band densities was measured relative to the control (sh-scr-cisR) and the samples were normalized to endogenous beta-actin levels. (c) Combination of cisplatin and MEK inhibitor cobimetinib (10nM) showed enhanced cell death in three ovarian cancer cell lines (A2780, TOV-112D, and cis-A2780).</p>
</caption>
<graphic xlink:href="JO2019-2343876.006"></graphic>
</fig>
<fig id="fig7" orientation="portrait" position="float">
<label>Figure 7</label>
<caption>
<p>
<italic>V-ATPase-V0a2 isoform inhibition mediates cisplatin-associated cell death in resistant ovarian cancer through a block in autophagy flux.</italic>
(a) Cisplatin resistant ovarian cancer cells exhibit enhanced autophagy that favors cell survival under stress. (b) Upon V-ATPase inhibition, the autophagy initiation proteins are dampened. There is a block in autophagy flux reflected by high P62 accumulation. Suppressed ERK/MEK pathway is also observed. (c) Cisplatin treatment of V-ATPase inhibited cells triggers autophagy; however, there is a concomitant block in autophagy flux, leading to autophagosome accumulation and enhanced cell death.</p>
</caption>
<graphic xlink:href="JO2019-2343876.007"></graphic>
</fig>
</floats-group>
</pmc>
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