Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma

Abstract Background High resistance to therapy and poor prognosis characterizes malignant pleural mesothelioma (MPM). In fact, the current lines of treatment, based on platinum and pemetrexed, have limited impact on the survival of MPM patients. Adaptive response to therapy-induced stress involves c...

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Autores principales: Mario Cioce, Claudia Canino, Harvey Pass, Giovanni Blandino, Sabrina Strano, Vito Michele Fazio
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Publicado: BMC 2021
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spelling oai:doaj.org-article:c87f2a9f8aa34141ad564cf7c176bf722021-11-08T10:44:44ZArachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma10.1186/s13046-021-02118-y1756-9966https://doaj.org/article/c87f2a9f8aa34141ad564cf7c176bf722021-11-01T00:00:00Zhttps://doi.org/10.1186/s13046-021-02118-yhttps://doaj.org/toc/1756-9966Abstract Background High resistance to therapy and poor prognosis characterizes malignant pleural mesothelioma (MPM). In fact, the current lines of treatment, based on platinum and pemetrexed, have limited impact on the survival of MPM patients. Adaptive response to therapy-induced stress involves complex rearrangements of the MPM secretome, mediated by the acquisition of a senescence-associated-secretory-phenotype (SASP). This fuels the emergence of chemoresistant cell subpopulations, with specific gene expression traits and protumorigenic features. The SASP-driven rearrangement of MPM secretome takes days to weeks to occur. Thus, we have searched for early mediators of such adaptive process and focused on metabolites differentially released in mesothelioma vs mesothelial cell culture media, after treatment with pemetrexed. Methods Mass spectrometry-based (LC/MS and GC/MS) identification of extracellular metabolites and unbiased statistical analysis were performed on the spent media of mesothelial and mesothelioma cell lines, at steady state and after a pulse with pharmacologically relevant doses of the drug. ELISA based evaluation of arachidonic acid (AA) levels and enzyme inhibition assays were used to explore the role of cPLA2 in AA release and that of LOX/COX-mediated processing of AA. QRT-PCR, flow cytometry analysis of ALDH expressing cells and 3D spheroid growth assays were employed to assess the role of AA at mediating chemoresistance features of MPM. ELISA based detection of p65 and IkBalpha were used to interrogate the NFkB pathway activation in AA-treated cells. Results We first validated what is known or expected from the mechanism of action of the antifolate. Further, we found increased levels of PUFAs and, more specifically, arachidonic acid (AA), in the transformed cell lines treated with pemetrexed. We showed that pharmacologically relevant doses of AA tightly recapitulated the rearrangement of cell subpopulations and the gene expression changes happening in pemetrexed -treated cultures and related to chemoresistance. Further, we showed that release of AA following pemetrexed treatment was due to cPLA2 and that AA signaling impinged on NFkB activation and largely affected anchorage-independent, 3D growth and the resistance of the MPM 3D cultures to the drug. Conclusions AA is an early mediator of the adaptive response to pem in chemoresistant MPM and, possibly, other malignancies.Mario CioceClaudia CaninoHarvey PassGiovanni BlandinoSabrina StranoVito Michele FazioBMCarticleArachidonic acidcPLA2NFkBChemoresistanceALDHSpheroidsNeoplasms. Tumors. Oncology. Including cancer and carcinogensRC254-282ENJournal of Experimental & Clinical Cancer Research, Vol 40, Iss 1, Pp 1-18 (2021)
institution DOAJ
collection DOAJ
language EN
topic Arachidonic acid
cPLA2
NFkB
Chemoresistance
ALDH
Spheroids
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
spellingShingle Arachidonic acid
cPLA2
NFkB
Chemoresistance
ALDH
Spheroids
Neoplasms. Tumors. Oncology. Including cancer and carcinogens
RC254-282
Mario Cioce
Claudia Canino
Harvey Pass
Giovanni Blandino
Sabrina Strano
Vito Michele Fazio
Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
description Abstract Background High resistance to therapy and poor prognosis characterizes malignant pleural mesothelioma (MPM). In fact, the current lines of treatment, based on platinum and pemetrexed, have limited impact on the survival of MPM patients. Adaptive response to therapy-induced stress involves complex rearrangements of the MPM secretome, mediated by the acquisition of a senescence-associated-secretory-phenotype (SASP). This fuels the emergence of chemoresistant cell subpopulations, with specific gene expression traits and protumorigenic features. The SASP-driven rearrangement of MPM secretome takes days to weeks to occur. Thus, we have searched for early mediators of such adaptive process and focused on metabolites differentially released in mesothelioma vs mesothelial cell culture media, after treatment with pemetrexed. Methods Mass spectrometry-based (LC/MS and GC/MS) identification of extracellular metabolites and unbiased statistical analysis were performed on the spent media of mesothelial and mesothelioma cell lines, at steady state and after a pulse with pharmacologically relevant doses of the drug. ELISA based evaluation of arachidonic acid (AA) levels and enzyme inhibition assays were used to explore the role of cPLA2 in AA release and that of LOX/COX-mediated processing of AA. QRT-PCR, flow cytometry analysis of ALDH expressing cells and 3D spheroid growth assays were employed to assess the role of AA at mediating chemoresistance features of MPM. ELISA based detection of p65 and IkBalpha were used to interrogate the NFkB pathway activation in AA-treated cells. Results We first validated what is known or expected from the mechanism of action of the antifolate. Further, we found increased levels of PUFAs and, more specifically, arachidonic acid (AA), in the transformed cell lines treated with pemetrexed. We showed that pharmacologically relevant doses of AA tightly recapitulated the rearrangement of cell subpopulations and the gene expression changes happening in pemetrexed -treated cultures and related to chemoresistance. Further, we showed that release of AA following pemetrexed treatment was due to cPLA2 and that AA signaling impinged on NFkB activation and largely affected anchorage-independent, 3D growth and the resistance of the MPM 3D cultures to the drug. Conclusions AA is an early mediator of the adaptive response to pem in chemoresistant MPM and, possibly, other malignancies.
format article
author Mario Cioce
Claudia Canino
Harvey Pass
Giovanni Blandino
Sabrina Strano
Vito Michele Fazio
author_facet Mario Cioce
Claudia Canino
Harvey Pass
Giovanni Blandino
Sabrina Strano
Vito Michele Fazio
author_sort Mario Cioce
title Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
title_short Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
title_full Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
title_fullStr Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
title_full_unstemmed Arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
title_sort arachidonic acid drives adaptive responses to chemotherapy-induced stress in malignant mesothelioma
publisher BMC
publishDate 2021
url https://doaj.org/article/c87f2a9f8aa34141ad564cf7c176bf72
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