Mechanism of Cell Death by Combined Treatment with an xCT Inhibitor and Paclitaxel : An Alternative Therapeutic Strategy for Patients with Ovarian Clear Cell Carcinoma

Ovarian clear cell carcinoma (OCCC) is a rare subtype of epithelial ovarian carcinoma that responds poorly to chemotherapy. Glutathione (GSH) is a primary antioxidant, which protects cells against reactive oxygen species (ROS). High levels of GSH are related to chemotherapeutic resistance. The glutamine/cystine transporter xCT is essential for intracellular GSH synthesis. However, whether xCT inhibition can overcome the resistance to chemotherapeutic agents in OCCC remains unclear. This study demonstrated that combined treatment with paclitaxel (PTX) and the xCT inhibitor sulfasalazine (SAS) significantly enhanced cytotoxicity more than the individual drugs did in OCCC cells. Treatment with PTX and SAS induced apoptosis more effectively than did individual drug treatments in the cells with significant generation of ROS. Moreover, combined treatment with PTX and SAS induced ferroptosis in the cells with low expression of glutathione peroxidase (GPx4), high levels of intracellular iron and significant lipid ROS accumulation. Therefore, our findings provide valuable information that the xCT inhibitor might be a promising therapeutic target for drug-resistant OCCC. The strategy of combined administration of PTX and SAS can potentially be used to treat OCCC and help to develop novel therapeutic methods.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:24

Enthalten in:

International journal of molecular sciences - 24(2023), 14 vom: 22. Juli

Sprache:

Englisch

Beteiligte Personen:

Idei, Urara [VerfasserIn]
Ohta, Tsuyoshi [VerfasserIn]
Yamatani, Hizuru [VerfasserIn]
Seino, Manabu [VerfasserIn]
Nagase, Satoru [VerfasserIn]

Links:

Volltext

Themen:

3XC8GUZ6CB
Apoptosis
Drug resistant
Ferroptosis
GAN16C9B8O
Glutamine/cystine transporter
Glutathione
Journal Article
Ovarian clear cell carcinoma
P88XT4IS4D
Paclitaxel
Reactive Oxygen Species
Sulfasalazine
Targeted therapy

Anmerkungen:

Date Completed 31.07.2023

Date Revised 01.08.2023

published: Electronic

Citation Status MEDLINE

doi:

10.3390/ijms241411781

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM360114091