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MTDH/AEG-1 downregulation using pristimerin-loaded nanoparticles inhibits Fanconi anemia proteins and increases sensitivity to platinum-based chemotherapy
Journal article   Open access   Peer reviewed

MTDH/AEG-1 downregulation using pristimerin-loaded nanoparticles inhibits Fanconi anemia proteins and increases sensitivity to platinum-based chemotherapy

Jianling Bi, Sudartip Areecheewakul, Yujun Li, Shujie Yang, Yuping Zhang, Kareem Ebeid, Long Li, Kristina W Thiel, Jun Zhang, Donghai Dai, …
Gynecologic oncology, Vol.155(2), pp.349-358
11/2019
DOI: 10.1016/j.ygyno.2019.08.014
PMCID: PMC6825893
PMID: 31477281
url
https://doi.org/10.1016/j.ygyno.2019.08.014View
Published (Version of record) Open Access

Abstract

Platinum compounds have been widely used as a primary treatment for many types of cancer. However, resistance is the major cause of therapeutic failure for patients with metastatic or recurrent disease, thus highlighting the need to identify novel factors driving resistance to Platinum compounds. Metadherin (MTDH, also known as AEG-1 and LYRIC), located in a frequently amplified region of chromosome 8, has been consistently associated with resistance to chemotherapeutic agents, though the precise mechanisms remain incompletely defined. The mRNA of FANCD2 and FANCI was pulled down by RNA-binding protein immunoprecipitation. Pristimerin-loaded nanoparticles were prepared using the nanoprecipitation method. Immunocompromised mice bearing patient-derived xenograft tumors were treated with pristimerin-loaded nanoparticles, cisplatin and a combination of the two. MTDH, through its recently discovered role as an RNA binding protein, regulates expression of FANCD2 and FANCI, two components of the Fanconi anemia complementation group (FA) that play critical roles in interstrand crosslink damage induced by platinum compounds. Pristimerin, a quinonemethide triterpenoid extract from members of the Celastraceae family used to treat inflammation in traditional Chinese medicine, significantly decreased MTDH, FANCD2 and FANCI levels in cancer cells, thereby restoring sensitivity to platinum-based chemotherapy. Using a patient-derived xenograft model of endometrial cancer, we discovered that treatment with pristimerin in a novel nanoparticle formulation markedly inhibited tumor growth when combined with cisplatin. MTDH is involved in post-transcriptional regulation of FANCD2 and FANCI. Pristimerin can increase sensitivity to platinum-based agents in tumors with MTDH overexpression by inhibiting the FA pathway.
Animals Antineoplastic Agents - pharmacology Cisplatin - pharmacology Cystadenocarcinoma, Serous - drug therapy Down-Regulation Drug Resistance, Neoplasm - drug effects Fanconi Anemia Complementation Group D2 Protein - antagonists & inhibitors Fanconi Anemia Complementation Group Proteins - antagonists & inhibitors Female Male Membrane Proteins - drug effects Mice, Knockout Nanoparticles RNA-Binding Proteins Triterpenes - pharmacology Uterine Neoplasms - drug therapy

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