摘要
No AccessJournal of UrologyInvestigative Urology1 May 2015Combination Treatment of Renal Cell Carcinoma with Belinostat and 5-Fluorouracil: A Role for Oxidative Stress Induced DNA Damage and HSP90 Regulated Thymidine Synthase Mi Joung Kim, Jee Suk Lee, Sang Eun Park, Hye-Jin Yi, In Gab Jeong, Jong Soon Kang, Jieun Yun, Joo-Yong Lee, Seonggu Ro, Jung Shin Lee, Eun Kyung Choi, Jung Jin Hwang, and Choung-Soo Kim Mi Joung KimMi Joung Kim Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Jee Suk LeeJee Suk Lee Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Sang Eun ParkSang Eun Park Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Hye-Jin YiHye-Jin Yi Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , In Gab JeongIn Gab Jeong Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Jong Soon KangJong Soon Kang Bio-Evaluation Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, Republic of Korea , Jieun YunJieun Yun Bio-Evaluation Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, Republic of Korea , Joo-Yong LeeJoo-Yong Lee Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Seonggu RoSeonggu Ro CrystalGenomics, Inc., Gyeonggi-Do, Republic of Korea , Jung Shin LeeJung Shin Lee Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Eun Kyung ChoiEun Kyung Choi Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Center for Development and Commercialization of Anti-Cancer Therapeutics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , Jung Jin HwangJung Jin Hwang Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea , and Choung-Soo KimChoung-Soo Kim Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea View All Author Informationhttps://doi.org/10.1016/j.juro.2014.11.091AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract Purpose: Despite several therapeutic options renal cell carcinoma is associated with a poor clinical outcome. Therefore, we investigated whether combining 5-fluorouracil with the histone deacetylase inhibitor belinostat would exert a synergistic effect on renal cell carcinoma cells in vitro and in vivo. Materials and Methods: We used SN12C cells treated with 5-fluorouracil and/or belinostat in vitro and in xenograft experiments in vivo. Cell viability and death mechanisms were assessed by MTS assay and Western blot. To investigate the role of reactive oxygen species we used H2DCF-DA, reactive oxygen species scavengers and the roGFP2 construct. Results: Belinostat potentiated the anticancer effect of 5-fluorouracil. It synergistically induced apoptosis by activating caspases and increasing the subG1 cell population. Effects on reactive oxygen species mediated DNA damage included decreased thioredoxin expression and increased levels of TBP-2, γ-H2AX and Ac-H3. Furthermore, belinostat attenuated the 5-fluorouracil mediated induction of thymidylate synthase via HSP90 hyperacetylation. Co-administration of 5-fluorouracil with belinostat similarly reduced tumor volume and weight, and increased γ-H2AX and Ac-H3 levels in the SN12C xenograft model. Conclusions: In combination with 5-fluorouracil the targeted inhibitor of histone deacetylase synergistically inhibited renal cancer cell growth by the blockade of thymidylate synthase induction and the induction of reactive oxygen species mediated DNA damage in vitro and in vivo. Our results suggest that combined treatment with belinostat and 5-fluorouracil may represent a promising new approach to renal cancer. References 1 : Novel agents and approaches for advanced renal cell carcinoma. J Urol2012; 188: 707. Link, Google Scholar 2 : Epidemiologic and socioeconomic burden of metastatic renal cell carcinoma (mRCC): a literature review. Cancer Treat Rev2008; 34: 193. Google Scholar 3 : Subcutaneous interleukin-2, interferon alpha-2b and 5-fluorouracil in metastatic renal cell carcinoma as second-line treatment after failure of previous immunotherapy: a phase II trial. Br J Cancer2003; 89: 2213. Google Scholar 4 : Systemic therapy in renal cell carcinoma: advancing paradigms. Oncology (Williston Park)2012; 26: 290. Google Scholar 5 : Anticancer activities of histone deacetylase inhibitors. Nat Rev Drug Discov2006; 5: 769. Google Scholar 6 : Histone deacetylase inhibitors: current status and overview of recent clinical trials. Drugs2009; 69: 1911. Google Scholar 7 : HDAC inhibitors synergize antiproliferative effect of sorafenib in renal cell carcinoma cells. Anticancer Res2012; 32: 3161. Google Scholar 8 : Phase 2 trial of romidepsin in patients with peripheral T-cell lymphoma. Blood2011; 117: 5827. Google Scholar 9 : Chemotherapy for renal cell carcinoma. Anticancer Res1999; 19: 1541. Google Scholar 10 : Renal cell carcinoma guideline; European Association of Urology Guideline Group for renal cell carcinoma. Eur Urol2007; 51: 1502. Google Scholar 11 : 5-Fluorouracil enhances the antitumor effect of sorafenib and sunitinib in a xenograft model of human renal cell carcinoma. Oncol Lett2012; 3: 1195. Google Scholar 12 : Histone deacetylase inhibitor enhances 5-fluorouracil cytotoxicity by down-regulating thymidylate synthase in human cancer cells. Mol Cancer Ther2006; 5: 3085. Google Scholar 13 : Measuring E(GSH) and H2O2 with roGFP2-based redox probes. Free Radic Biol Med2011; 51: 1943. Google Scholar 14 : The histone deacetylase inhibitor and chemotherapeutic agent suberoylanilide hydroxamic acid (SAHA) induces a cell-death pathway characterized by cleavage of Bid and production of reactive oxygen species. Proc Natl Acad Sci U S A2001; 98: 10833. Google Scholar 15 : 5-Fluorouracil: mechanisms of resistance and reversal strategies. Molecules2008; 13: 1551. Google Scholar 16 : Global cancer statistics, 2002. CA Cancer J Clin2005; 55: 74. Google Scholar 17 : Class I histone deacetylases 1, 2 and 3 are highly expressed in renal cell cancer. BMC Cancer2008; 8: 381. Google Scholar 18 : Histone deacetylase inhibitors and epigenetic modifications as a novel strategy in renal cell carcinoma. Cancer J2013; 19: 333. Google Scholar 19 : Comparative antitumor activity of 5-fluorouracil and 5'-deoxy-5-fluorouridine in combination with interferon-alpha in renal cell carcinoma cell lines. Urol Int2004; 73: 348. Google Scholar 20 : MS275 enhances cytotoxicity induced by 5-fluorouracil in the colorectal cancer cells. Eur J Pharmacol2010; 627: 26. Google Scholar 21 : The synergistic effects of DNA-targeted chemotherapeutics and histone deacetylase inhibitors as therapeutic strategies for cancer treatment. Curr Med Chem2012; 19: 4218. Google Scholar 22 : Involvement of the TIP60 histone acetylase complex in DNA repair and apoptosis. Cell2000; 102: 463. Google Scholar 23 : Histone deacetylase inhibitor induces DNA damage, which normal but not transformed cells can repair. Proc Natl Acad Sci U S A2010; 107: 14639. Google Scholar 24 : 5-Fluorouracil: mechanisms of action and clinical strategies. Nat Rev Cancer2003; 3: 330. Google Scholar 25 : The histone deacetylase inhibitor SAHA arrests cancer cell growth, up-regulates thioredoxin-binding protein-2, and down-regulates thioredoxin. Proc Natl Acad Sci U S A2002; 99: 11700. Google Scholar 26 : The histone deacetylase inhibitor, PXD101, potentiates bortezomib-induced anti-multiple myeloma effect by induction of oxidative stress and DNA damage. Br J Haematol2007; 139: 385. Google Scholar 27 : HDAC6 inhibition enhances 17-AAG–mediated abrogation of hsp90 chaperone function in human leukemia cells. Blood2008; 112: 1886. Google Scholar 28 : Induction of thymidylate synthase as a 5-fluorouracil resistance mechanism. Biochim Biophys Acta2002; 1587: 194. Google Scholar 29 : A phase I study of sunitinib plus capecitabine in patients with advanced solid tumors. J Clin Oncol2010; 28: 4513. Google Scholar © 2015 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 193Issue 5May 2015Page: 1660-1668Supplementary Materials Advertisement Copyright & Permissions© 2015 by American Urological Association Education and Research, Inc.Keywordsbelinostatcarcinomakidneyrenal celldrug therapyfluorouracilcombinationMetricsAuthor Information Mi Joung Kim Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Jee Suk Lee Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Sang Eun Park Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Hye-Jin Yi Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author In Gab Jeong Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Jong Soon Kang Bio-Evaluation Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, Republic of Korea More articles by this author Jieun Yun Bio-Evaluation Center, Korea Research Institute of Bioscience and Biotechnology, Daejeon, Republic of Korea More articles by this author Joo-Yong Lee Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Seonggu Ro CrystalGenomics, Inc., Gyeonggi-Do, Republic of Korea Financial interest and/or other relationship with CrystalGenomics. More articles by this author Jung Shin Lee Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Internal Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Eun Kyung Choi Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Radiation Oncology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Center for Development and Commercialization of Anti-Cancer Therapeutics, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Jung Jin Hwang Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Medicine, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Asan Institute for Life Sciences, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Choung-Soo Kim Institute for Innovative Cancer Research, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea Department of Urology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Republic of Korea More articles by this author Expand All Advertisement PDF downloadLoading ...