Sulfasalazine modifies metabolic profiles and enhances cisplatin chemosensitivity on cholangiocarcinoma cells in in vitro and in vivo models

Background Sulfasalazine (SSZ) is widely known as an xCT inhibitor suppressing CD44v9-expressed cancer stem-like cells (CSCs) being related to redox regulation. Cholangiocarcinoma (CCA) has a high recurrence rate and no effective chemotherapy. A recent report revealed high levels of CD44v9-positive cells in CCA patients. Therefore, a combination of drugs could prove a suitable strategy for CCA treatment via individual metabolic profiling. Methods We examined the effect of xCT-targeted CD44v9-CSCs using sulfasalazine combined with cisplatin (CIS) or gemcitabine in CCA in vitro and in vivo models and did NMR-based metabolomics analysis of xenograft mice tumor tissues. Results Our findings suggest that combined SSZ and CIS leads to a higher inhibition of cell proliferation and induction of cell death than CIS alone in both in vitro and in vivo models. Xenograft mice showed that the CD44v9-CSC marker and CK-19-CCA proliferative marker were reduced in the combination treatment. Interestingly, different metabolic signatures and significant metabolites were observed in the drug-treated group compared with the control group that revealed the cancer suppression mechanisms. Conclusions SSZ could improve CCA therapy by sensitization to CIS through killing CD44v9-positive cells and modifying the metabolic pathways, in particular tryptophan degradation (i.e., kynurenine pathway, serotonin pathway) and nucleic acid metabolism..

Medienart:

E-Artikel

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

Zur Gesamtaufnahme - volume:9

Enthalten in:

Cancer & metabolism - 9(2021), 1 vom: 16. März

Sprache:

Englisch

Beteiligte Personen:

Thanee, Malinee [VerfasserIn]
Padthaisong, Sureerat [VerfasserIn]
Suksawat, Manida [VerfasserIn]
Dokduang, Hasaya [VerfasserIn]
Phetcharaburanin, Jutarop [VerfasserIn]
Klanrit, Poramate [VerfasserIn]
Titapun, Attapol [VerfasserIn]
Namwat, Nisana [VerfasserIn]
Wangwiwatsin, Arporn [VerfasserIn]
Sa-ngiamwibool, Prakasit [VerfasserIn]
Khuntikeo, Narong [VerfasserIn]
Saya, Hideyuki [VerfasserIn]
Loilome, Watcharin [VerfasserIn]

Links:

Volltext [kostenfrei]

Themen:

CD44v9
Chemosensitivity
Cholangiocarcinoma therapy
Metabolic signature
Sulfasalazine

Anmerkungen:

© The Author(s) 2021

doi:

10.1186/s40170-021-00249-6

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

OLC2124415492