Peroxisome proliferator-activated receptor γ improves pemetrexed therapeutic efficacy in non-squamous non-small cell lung cancer

AJTR Copyright © 2021..

OBJECTIVE: The folic acid analog pemetrexed (PMX) is recommended for the first-line chemotherapy for advanced non-squamous non-small cell lung cancer (NSCLC). However, the mechanisms underlying PMX cytotoxicity in NSCLC remain to be fully explored.

METHODS: PMX effect was evaluated in a urethane-induced lung adenocarcinoma mouse model. The interaction between PMX and intracellular proteins, particularly peroxisome proliferator-activated receptor γ (PPARγ), was investigated. The role of PPARγ in mediating pemetrexed cytotoxicity was investigated using NSCLC cell lines, mouse models and clinical specimens.

RESULTS: This study found that PPARγ expression was correlated with prolonged progression-free survival in NSCLC patients. PPARγ downregulated hypoxanthine-guanine phosphoribosyl transferase (HGPRT), a key enzyme for nucleotide salvage synthesis, thereby sensitizing cells to PMX inhibition on nucleotide de novo synthesis. PMX was also a candidate partial agonist of PPARγ, and PMX-activated PPARγ bound to NF-κB and transcriptionally suppressed the NF-κB target gene, c-Myc. PMX inhibited tumor growth by activating PPARγ in a urethane-induced lung cancer model characterized by elevated NF-κB activity.

CONCLUSION: PPARγ improves pemetrexed therapeutic efficacy in non-squamous NSCLC. The cytotoxicity effect of PMX can be synergized by activating PPARγ and thereby inhibiting NF-κB pathway.

Medienart:

Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:13

Enthalten in:

American journal of translational research - 13(2021), 4 vom: 01., Seite 2296-2307

Sprache:

Englisch

Beteiligte Personen:

Hang, Tianxing [VerfasserIn]
Yang, Li [VerfasserIn]
Zhang, Xiujuan [VerfasserIn]
Li, Jing [VerfasserIn]
Long, Feng [VerfasserIn]
Zhu, Ning [VerfasserIn]
Li, Ying [VerfasserIn]
Xia, Jingwen [VerfasserIn]
Zhang, Youzhi [VerfasserIn]
Zhang, Peng [VerfasserIn]
Zhang, Yuanyuan [VerfasserIn]
Wei, Xiaomin [VerfasserIn]
Li, Shengqing [VerfasserIn]

Themen:

Hypoxanthine-guanine phosphoribosyl transferase
Journal Article
NF-κB
Non-squamous non-small cell lung cancer
Pemetrexed
Peroxisome proliferator-activated receptor γ

Anmerkungen:

Date Revised 23.05.2021

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM325667721