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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
Journal article   Open access   Peer reviewed

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

Ling Li, Melissa A Fath, Peter M Scarbrough, Walter H Watson and Douglas R Spitz
Redox biology, Vol.4(C), pp.127-135
2015
DOI: 10.1016/j.redox.2014.12.001
PMCID: PMC4309850
PMID: 25560241
url
https://doi.org/10.1016/j.redox.2014.12.001View
Published (Version of record) Open Access

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.
Pentose Phosphate Pathway - drug effects Prostatic Neoplasms - metabolism Prostatic Neoplasms - pathology Humans Dehydroepiandrosterone - administration & dosage Male Breast Neoplasms - drug therapy Glycolysis - drug effects Breast Neoplasms - metabolism Drug Synergism Breast Neoplasms - pathology Antioxidants - administration & dosage Cell Line, Tumor Deoxyglucose - administration & dosage Female Thioredoxins - metabolism Thioredoxins - antagonists & inhibitors Oxidative Stress - drug effects Prostatic Neoplasms - drug therapy

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