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Susceptibility of human head and neck cancer cells to combined inhibition of glutathione and thioredoxin metabolism
Journal article   Open access   Peer reviewed

Susceptibility of human head and neck cancer cells to combined inhibition of glutathione and thioredoxin metabolism

Arya Sobhakumari, Laurie Love-Homan, Elise V M Fletcher, Sean M Martin, Arlene D Parsons, Douglas R Spitz, C Michael Knudson and Andrean L Simons
PloS one, Vol.7(10), pp.e48175-e48175
2012
DOI: 10.1371/journal.pone.0048175
PMCID: PMC3485193
PMID: 23118946
url
https://doi.org/10.1371/journal.pone.0048175View
Published (Version of record) Open Access

Abstract

Increased glutathione (GSH) and thioredoxin (Trx) metabolism are mechanisms that are widely implicated in resistance of cancer cells to chemotherapy. The current study determined if simultaneous inhibition of GSH and Trx metabolism enhanced cell killing of human head and neck squamous cell carcinoma (HNSCC) cells by a mechanism involving oxidative stress. Inhibition of GSH and Trx metabolism with buthionine sulfoximine (BSO) and auranofin (AUR), respectively, induced significant decreases in clonogenic survival compared to either drug alone in FaDu, Cal-27 and SCC-25 HNSCC cells in vitro and in vivo in Cal-27 xenografts. BSO+AUR significantly increased glutathione and thioredoxin oxidation and suppressed peroxiredoxin activity in vitro. Pre-treatment with N-acetylcysteine completely reversed BSO+AUR-induced cell killing in FaDu and Cal-27 cells, while catalase and selenium supplementation only inhibited BSO+AUR-induced cell killing in FaDu cells. BSO+AUR decreased caspase 3/7 activity in HNSCC cells and significantly reduced the viability of both Bax/Bak double knockout (DKO) and DKO-Bax reconstituted hematopoietic cells suggesting that necrosis was involved. BSO+AUR also significantly sensitized FaDu, Cal-27, SCC-25 and SQ20B cells to cell killing induced by the EGFR inhibitor Erlotinib in vitro. These results support the conclusion that simultaneous inhibition of GSH and Trx metabolism pathways induces oxidative stress and clonogenic killing in HNSCCs and this strategy may be useful in sensitizing HNSCCs to EGFR inhibitors.
Erlotinib Hydrochloride RNA, Small Interfering - genetics Oxidative Stress Thioredoxin-Disulfide Reductase - genetics Glutathione Reductase - metabolism Humans Peroxiredoxins - metabolism Antineoplastic Combined Chemotherapy Protocols - pharmacology Gene Knockdown Techniques Necrosis Glutathione - biosynthesis Thioredoxins - biosynthesis Auranofin - administration & dosage Thioredoxin-Disulfide Reductase - metabolism Female Quinazolines - administration & dosage Cell Survival - drug effects Glutathione Peroxidase - metabolism Oxidation-Reduction Head and Neck Neoplasms - drug therapy Catalase - metabolism Drug Synergism Xenograft Model Antitumor Assays Animals Buthionine Sulfoximine - administration & dosage Carcinoma, Squamous Cell - drug therapy Antineoplastic Combined Chemotherapy Protocols - therapeutic use Mice, Nude Cell Line, Tumor Mice

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