PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway

<b>Background</b>: Oral squamous cell carcinoma (OSCC) has a high prevalence and predicted global mortality rate of 67.1%, necessitating better therapeutic strategies. Moreover, the recurrence and resistance of OSCC after chemo/radioresistance remains a major bottleneck for its effective...

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Autores principales: Shin Pai, Vijesh Kumar Yadav, Kuang-Tai Kuo, Narpati Wesa Pikatan, Chun-Shu Lin, Ming-Hsien Chien, Wei-Hwa Lee, Michael Hsiao, Shao-Chih Chiu, Chi-Tai Yeh, Jo-Ting Tsai
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Publicado: MDPI AG 2021
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spelling oai:doaj.org-article:a1855a558c4e4773ac1ec6099f77d6872021-11-11T16:57:17ZPDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway10.3390/ijms2221114921422-00671661-6596https://doaj.org/article/a1855a558c4e4773ac1ec6099f77d6872021-10-01T00:00:00Zhttps://www.mdpi.com/1422-0067/22/21/11492https://doaj.org/toc/1661-6596https://doaj.org/toc/1422-0067<b>Background</b>: Oral squamous cell carcinoma (OSCC) has a high prevalence and predicted global mortality rate of 67.1%, necessitating better therapeutic strategies. Moreover, the recurrence and resistance of OSCC after chemo/radioresistance remains a major bottleneck for its effective treatment. Molecular targeting is one of the new therapeutic approaches to target cancer. Among a plethora of targetable signaling molecules, PDK1 is currently rising as a potential target for cancer therapy. Its aberrant expression in many malignancies is observed associated with glycolytic re-programming and chemo/radioresistance. <b>Methods</b>: Furthermore, to better understand the role of PDK1 in OSCC, we analyzed tissue samples from 62 patients with OSCC for PDK1 expression. Combining in silico and in vitro analysis approaches, we determined the important association between PDK1/CD47/LDHA expression in OSCC. Next, we analyzed the effect of PDK1 expression and its connection with OSCC orosphere generation and maintenance, as well as the effect of the combination of the PDK1 inhibitor BX795, cisplatin and radiotherapy in targeting it. <b>Results</b>: Immunohistochemical analysis revealed that higher PDK1 expression is associated with a poor prognosis in OSCC. The immunoprecipitation assay indicated PDK1/CD47 binding. PDK1 ligation significantly impaired OSCC orosphere formation and downregulated Sox2, Oct4, and CD133 expression. The combination of BX795 and cisplatin markedly reduced in OSCC cell’s epithelial-mesenchymal transition, implying its synergistic effect. p-PDK1, CD47, Akt, PFKP, PDK3 and LDHA protein expression were significantly reduced, with the strongest inhibition in the combination group. Chemo/radiotherapy together with abrogation of PDK1 inhibits the oncogenic (Akt/CD47) and glycolytic (LDHA/PFKP/PDK3) signaling and, enhanced or sensitizes OSCC to the anticancer drug effect through inducing apoptosis and DNA damage together with metabolic reprogramming. <b>Conclusions</b>: Therefore, the results from our current study may serve as a basis for developing new therapeutic strategies against chemo/radioresistant OSCC.Shin PaiVijesh Kumar YadavKuang-Tai KuoNarpati Wesa PikatanChun-Shu LinMing-Hsien ChienWei-Hwa LeeMichael HsiaoShao-Chih ChiuChi-Tai YehJo-Ting TsaiMDPI AGarticleOSCCPDK1CD47cancer stem cellsglycolysischemo/radioresistanceBiology (General)QH301-705.5ChemistryQD1-999ENInternational Journal of Molecular Sciences, Vol 22, Iss 11492, p 11492 (2021)
institution DOAJ
collection DOAJ
language EN
topic OSCC
PDK1
CD47
cancer stem cells
glycolysis
chemo/radioresistance
Biology (General)
QH301-705.5
Chemistry
QD1-999
spellingShingle OSCC
PDK1
CD47
cancer stem cells
glycolysis
chemo/radioresistance
Biology (General)
QH301-705.5
Chemistry
QD1-999
Shin Pai
Vijesh Kumar Yadav
Kuang-Tai Kuo
Narpati Wesa Pikatan
Chun-Shu Lin
Ming-Hsien Chien
Wei-Hwa Lee
Michael Hsiao
Shao-Chih Chiu
Chi-Tai Yeh
Jo-Ting Tsai
PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
description <b>Background</b>: Oral squamous cell carcinoma (OSCC) has a high prevalence and predicted global mortality rate of 67.1%, necessitating better therapeutic strategies. Moreover, the recurrence and resistance of OSCC after chemo/radioresistance remains a major bottleneck for its effective treatment. Molecular targeting is one of the new therapeutic approaches to target cancer. Among a plethora of targetable signaling molecules, PDK1 is currently rising as a potential target for cancer therapy. Its aberrant expression in many malignancies is observed associated with glycolytic re-programming and chemo/radioresistance. <b>Methods</b>: Furthermore, to better understand the role of PDK1 in OSCC, we analyzed tissue samples from 62 patients with OSCC for PDK1 expression. Combining in silico and in vitro analysis approaches, we determined the important association between PDK1/CD47/LDHA expression in OSCC. Next, we analyzed the effect of PDK1 expression and its connection with OSCC orosphere generation and maintenance, as well as the effect of the combination of the PDK1 inhibitor BX795, cisplatin and radiotherapy in targeting it. <b>Results</b>: Immunohistochemical analysis revealed that higher PDK1 expression is associated with a poor prognosis in OSCC. The immunoprecipitation assay indicated PDK1/CD47 binding. PDK1 ligation significantly impaired OSCC orosphere formation and downregulated Sox2, Oct4, and CD133 expression. The combination of BX795 and cisplatin markedly reduced in OSCC cell’s epithelial-mesenchymal transition, implying its synergistic effect. p-PDK1, CD47, Akt, PFKP, PDK3 and LDHA protein expression were significantly reduced, with the strongest inhibition in the combination group. Chemo/radiotherapy together with abrogation of PDK1 inhibits the oncogenic (Akt/CD47) and glycolytic (LDHA/PFKP/PDK3) signaling and, enhanced or sensitizes OSCC to the anticancer drug effect through inducing apoptosis and DNA damage together with metabolic reprogramming. <b>Conclusions</b>: Therefore, the results from our current study may serve as a basis for developing new therapeutic strategies against chemo/radioresistant OSCC.
format article
author Shin Pai
Vijesh Kumar Yadav
Kuang-Tai Kuo
Narpati Wesa Pikatan
Chun-Shu Lin
Ming-Hsien Chien
Wei-Hwa Lee
Michael Hsiao
Shao-Chih Chiu
Chi-Tai Yeh
Jo-Ting Tsai
author_facet Shin Pai
Vijesh Kumar Yadav
Kuang-Tai Kuo
Narpati Wesa Pikatan
Chun-Shu Lin
Ming-Hsien Chien
Wei-Hwa Lee
Michael Hsiao
Shao-Chih Chiu
Chi-Tai Yeh
Jo-Ting Tsai
author_sort Shin Pai
title PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
title_short PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
title_full PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
title_fullStr PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
title_full_unstemmed PDK1 Inhibitor BX795 Improves Cisplatin and Radio-Efficacy in Oral Squamous Cell Carcinoma by Downregulating the PDK1/CD47/Akt-Mediated Glycolysis Signaling Pathway
title_sort pdk1 inhibitor bx795 improves cisplatin and radio-efficacy in oral squamous cell carcinoma by downregulating the pdk1/cd47/akt-mediated glycolysis signaling pathway
publisher MDPI AG
publishDate 2021
url https://doaj.org/article/a1855a558c4e4773ac1ec6099f77d687
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