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Interleukin-6 counteracts therapy-induced cellular oxidative stress in multiple myeloma by up-regulating manganese superoxide dismutase
Journal article   Open access   Peer reviewed

Interleukin-6 counteracts therapy-induced cellular oxidative stress in multiple myeloma by up-regulating manganese superoxide dismutase

Charles O Brown, Kelley Salem, Brett A Wagner, Soumen Bera, Neeraj Singh, Ajit Tiwari, Amit Choudhury, Garry R Buettner and Apollina Goel
Biochemical journal, Vol.444(Pt 3), pp.515-527
06/15/2012
DOI: 10.1042/BJ20112019
PMCID: PMC3365439
PMID: 22471522
url
https://doi.org/10.1042/BJ20112019View
Published (Version of record) Open Access

Abstract

IL (interleukin)-6, an established growth factor for multiple myeloma cells, induces myeloma therapy resistance, but the resistance mechanisms remain unclear. The present study determines the role of IL-6 in re-establishing intracellular redox homoeostasis in the context of myeloma therapy. IL-6 treatment increased myeloma cell resistance to agents that induce oxidative stress, including IR (ionizing radiation) and Dex (dexamethasone). Relative to IR alone, myeloma cells treated with IL-6 plus IR demonstrated reduced annexin/propidium iodide staining, caspase 3 activation, PARP [poly(ADP-ribose) polymerase] cleavage and mitochondrial membrane depolarization with increased clonogenic survival. IL-6 combined with IR or Dex increased early intracellular pro-oxidant levels that were causally related to activation of NF-κB (nuclear factor κB) as determined by the ability of N -acetylcysteine to suppress both pro-oxidant levels and NF-κB activation. In myeloma cells, upon combination with hydrogen peroxide treatment, relative to TNF (tumour necrosis factor)-α, IL-6 induced an early perturbation in reduced glutathione level and increased NF-κB-dependent MnSOD (manganese superoxide dismutase) expression. Furthermore, knockdown of MnSOD suppressed the IL-6-induced myeloma cell resistance to radiation. MitoSOX Red staining showed that IL-6 treatment attenuated late mitochondrial oxidant production in irradiated myeloma cells. The present study provides evidence that increases in MnSOD expression mediate IL-6-induced resistance to Dex and radiation in myeloma cells. The results of the present study indicate that inhibition of antioxidant pathways could enhance myeloma cell responses to radiotherapy and/or chemotherapy.
Dex, dexamethasone TNF, tumour necrosis factor E+, ethidium cation KD, knockdown H2DCF-DA, 2′,7′-dichlorodihydrofluorescein diacetate CF, cleaved fragment MM, multiple myeloma NAC, N-acetylcysteine manganese superoxide dismutase (MnSOD) interleukin-6 BM, bone marrow RLU, relative luciferase units IR, ionizing radiation DHE, dihydroethidium JC-1, 5,5′,6,6′-tetrachloro-1,1′,3,3′-tetraethylbenzimidazolylcarbocyanine iodide MFI, mean fluorescence intensity 2-OH-E+, 2-hydroxyethidium GPx, glutathione peroxidase ROS, reactive oxygen species IκB, inhibitor of NF-κB qPCR, quantitative PCR ICCM, irradiated cell conditioned medium NSF, normalized survival fraction dexamethasone Z-VAD-FMK, benzyloxycarbonyl-Val-Ala-DL-Asp-fluoromethylketone multiple myeloma shRNA, small hairpin RNA PI, propidium iodide MnSOD, manganese superoxide dismutase NBD, NEMO (NF-κB essential modulator)-binding domain PEG–SOD, poly(ethylene glycol)-conjugated superoxide dismutase SOD, superoxide dismutase NF-κB, nuclear factor-κB Z-LEHD-FMK, benzyloxycarbonyl-Leu-Glu-His-DL-Asp-fluoromethylketone MOI, multiplicity of infection IL, interleukin radiation therapy MTT, 3-(4,5-dimethylthiazol-2-yl)-2,5-diphenyl-2H-tetrazolium bromide nuclear factor κB (NF-κB) PARP, poly(ADP-ribose) polymerase

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