Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway

Abstract Glioblastoma (GBM) has high mortality rates because of extreme therapeutic resistance. During surgical resection for GBM, 5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence is conventionally applied to distinguish GBM. However, surgical intervention is insufficient...

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Autores principales: Kenji Shono, Yoshifumi Mizobuchi, Izumi Yamaguchi, Kohei Nakajima, Yuri Fujiwara, Toshitaka Fujihara, Keiko Kitazato, Kazuhito Matsuzaki, Yoshihiro Uto, Oltea Sampetrean, Hideyuki Saya, Yasushi Takagi
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:368b57301b374df99b45cda5fe6fcec72021-12-02T17:55:13ZElevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway10.1038/s41598-021-93896-02045-2322https://doaj.org/article/368b57301b374df99b45cda5fe6fcec72021-07-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-93896-0https://doaj.org/toc/2045-2322Abstract Glioblastoma (GBM) has high mortality rates because of extreme therapeutic resistance. During surgical resection for GBM, 5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence is conventionally applied to distinguish GBM. However, surgical intervention is insufficient for high invasive GBM. Sonodynamic therapy (SDT) combined with low-intensity ultrasonication (US) and PpIX, as a sonosensitizer, is an emerging and promising approach, although its efficacy is limited. Based on our previous study that down-regulation of multidrug resistant protein (MDR1) in GBM augmented the anti-tumor effects of chemotherapy, we hypothesized that elevation of cellular PpIX levels by down-regulation of MDR1 enhances anti-tumor effects by SDT. In high invasive progeny cells from mouse glioma stem cells (GSCs) and a GSC-bearing mouse glioma model, we assessed the anti-tumor effects of SDT with a COX-2 inhibitor, celecoxib. Down-regulation of MDR1 by celecoxib increased cellular PpIX levels, as well as valspodar, an MDR1 inhibitor, and augmented anti-tumor effects of SDT. MDR1 down-regulation via the Akt/NF-κB pathway by celecoxib was confirmed, using an NF-κB inhibitor, CAPÉ. Thus, elevation of cellar PpIX by down-regulation of MDR1 via the Akt/NF-κB pathway may be crucial to potentiate the efficacy of SDT in a site-directed manner and provide a promising new therapeutic strategy for GBM.Kenji ShonoYoshifumi MizobuchiIzumi YamaguchiKohei NakajimaYuri FujiwaraToshitaka FujiharaKeiko KitazatoKazuhito MatsuzakiYoshihiro UtoOltea SampetreanHideyuki SayaYasushi TakagiNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-10 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Kenji Shono
Yoshifumi Mizobuchi
Izumi Yamaguchi
Kohei Nakajima
Yuri Fujiwara
Toshitaka Fujihara
Keiko Kitazato
Kazuhito Matsuzaki
Yoshihiro Uto
Oltea Sampetrean
Hideyuki Saya
Yasushi Takagi
Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
description Abstract Glioblastoma (GBM) has high mortality rates because of extreme therapeutic resistance. During surgical resection for GBM, 5-aminolevulinic acid (5-ALA)-induced protoporphyrin IX (PpIX) fluorescence is conventionally applied to distinguish GBM. However, surgical intervention is insufficient for high invasive GBM. Sonodynamic therapy (SDT) combined with low-intensity ultrasonication (US) and PpIX, as a sonosensitizer, is an emerging and promising approach, although its efficacy is limited. Based on our previous study that down-regulation of multidrug resistant protein (MDR1) in GBM augmented the anti-tumor effects of chemotherapy, we hypothesized that elevation of cellular PpIX levels by down-regulation of MDR1 enhances anti-tumor effects by SDT. In high invasive progeny cells from mouse glioma stem cells (GSCs) and a GSC-bearing mouse glioma model, we assessed the anti-tumor effects of SDT with a COX-2 inhibitor, celecoxib. Down-regulation of MDR1 by celecoxib increased cellular PpIX levels, as well as valspodar, an MDR1 inhibitor, and augmented anti-tumor effects of SDT. MDR1 down-regulation via the Akt/NF-κB pathway by celecoxib was confirmed, using an NF-κB inhibitor, CAPÉ. Thus, elevation of cellar PpIX by down-regulation of MDR1 via the Akt/NF-κB pathway may be crucial to potentiate the efficacy of SDT in a site-directed manner and provide a promising new therapeutic strategy for GBM.
format article
author Kenji Shono
Yoshifumi Mizobuchi
Izumi Yamaguchi
Kohei Nakajima
Yuri Fujiwara
Toshitaka Fujihara
Keiko Kitazato
Kazuhito Matsuzaki
Yoshihiro Uto
Oltea Sampetrean
Hideyuki Saya
Yasushi Takagi
author_facet Kenji Shono
Yoshifumi Mizobuchi
Izumi Yamaguchi
Kohei Nakajima
Yuri Fujiwara
Toshitaka Fujihara
Keiko Kitazato
Kazuhito Matsuzaki
Yoshihiro Uto
Oltea Sampetrean
Hideyuki Saya
Yasushi Takagi
author_sort Kenji Shono
title Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
title_short Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
title_full Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
title_fullStr Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
title_full_unstemmed Elevated cellular PpIX potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the Akt/NF-κB/MDR1 pathway
title_sort elevated cellular ppix potentiates sonodynamic therapy in a mouse glioma stem cell-bearing glioma model by downregulating the akt/nf-κb/mdr1 pathway
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/368b57301b374df99b45cda5fe6fcec7
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