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      Modulation of anti-cancer drug sensitivity through the regulation of mitochondrial activity by adenylate kinase 4

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          Abstract

          Background

          Adenylate kinase is a key enzyme in the high-energy phosphoryl transfer reaction in living cells. An isoform of this enzyme, adenylate kinase 4 (AK4), is localized in the mitochondrial matrix and is believed to be involved in stress, drug resistance, malignant transformation in cancer, and ATP regulation. However, the molecular basis for the AK4 functions remained to be determined.

          Methods

          HeLa cells were transiently transfected with an AK4 small interfering RNA (siRNA), an AK4 short hairpin RNA (shRNA) plasmid, a control shRNA plasmid, an AK4 expression vector, and a control expression vector to examine the effect of the AK4 expression on cell proliferation, sensitivity to anti-cancer drug, metabolome, gene expression, and mitochondrial activity.

          Results

          AK4 knockdown cells treated with short hairpin RNA increased ATP production and showed greater sensitivity to hypoxia and anti-cancer drug, cis-diamminedichloro-platinum (II) (CDDP). Subcutaneous grafting AK4 knockdown cells into nude mice revealed that the grafted cells exhibited both slower proliferation and reduced the tumor sizes in response to CDDP. AK4 knockdown cell showed a increased oxygen consumption rate with FCCP treatment, while AK4 overexpression lowered it. Metabolome analysis showed the increased levels of the tricarboxylic acid cycle intermediates, fumarate and malate in AK4 knockdown cells, while AK4 overexpression lowered them. Electron microscopy detected the increased mitochondrial numbers in AK4 knockdown cells. Microarray analysis detected the increased gene expression of two key enzymes in TCA cycle, succinate dehydrogenase A (SDHA) and oxoglutarate dehydrogenease L (OGDHL), which are components of SDH complex and OGDH complex, supporting the metabolomic results.

          Conclusions

          We found that AK4 was involved in hypoxia tolerance, resistance to anti-tumor drug, and the regulation of mitochondrial activity. These findings provide a new potential target for efficient anticancer therapies by controlling AK4 expression.

          Electronic supplementary material

          The online version of this article (doi:10.1186/s13046-016-0322-2) contains supplementary material, which is available to authorized users.

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          Most cited references19

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          Oxygen sensing and molecular adaptation to hypoxia.

          This review focuses on the molecular stratagems utilized by bacteria, yeast, and mammals in their adaptation to hypoxia. Among this broad range of organisms, changes in oxygen tension appear to be sensed by heme proteins, with subsequent transfer of electrons along a signal transduction pathway which may depend on reactive oxygen species. These heme-based sensors are generally two-domain proteins. Some are hemokinases, while others are flavohemoproteins [flavohemoglobins and NAD(P)H oxidases]. Hypoxia-dependent kinase activation of transcription factors in nitrogen-fixing bacteria bears a striking analogy to the phosphorylation of hypoxia inducible factor-1 (HIF-1) in mammalian cells. Moreover, redox chemistry appears to play a critical role both in the trans-activation of oxygen-responsive genes in unicellular organisms as well as in the activation of HIF-1. In yeast and bacteria, regulatory operons coordinate expression of genes responsible for adaptive responses to hypoxia and hyperoxia. Similarly, in mammals, combinatorial interactions of HIF-1 with other identified transcription factors are required for the hypoxic induction of physiologically important genes.
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            Glucose phosphorylation and mitochondrial binding are required for the protective effects of hexokinases I and II.

            Alterations in glucose metabolism have been demonstrated for diverse disorders ranging from heart disease to cancer. The first step in glucose metabolism is carried out by the hexokinase (HK) family of enzymes. HKI and II can bind to mitochondria through their N-terminal hydrophobic regions, and their overexpression in tissue culture protects against cell death. In order to determine the relative contributions of mitochondrial binding and glucose-phosphorylating activities of HKs to their overall protective effects, we expressed full-length HKI and HKII, their truncated proteins lacking the mitochondrial binding domains, and catalytically inactive proteins in tissue culture. The overexpression of full-length proteins resulted in protection against cell death, decreased levels of reactive oxygen species, and possibly inhibited mitochondrial permeability transition in response to H(2)O(2). However, the truncated and mutant proteins exerted only partial effects. Similar results were obtained with primary neonatal rat cardiomyocytes. The HK proteins also resulted in an increase in the phosphorylation of voltage-dependent anion channel (VDAC) through a protein kinase Cepsilon (PKCepsilon)-dependent pathway. These results suggest that both glucose phosphorylation and mitochondrial binding contribute to the protective effects of HKI and HKII, possibly through VDAC phosphorylation by PKCepsilon.
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              Deferoxamine for advanced hepatocellular carcinoma.

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                Author and article information

                Contributors
                81-836-22-2241 , terais@med.niigata-u.ac.jp
                Journal
                J Exp Clin Cancer Res
                J. Exp. Clin. Cancer Res
                Journal of Experimental & Clinical Cancer Research : CR
                BioMed Central (London )
                0392-9078
                1756-9966
                16 March 2016
                16 March 2016
                2016
                : 35
                : 48
                Affiliations
                [ ]Center for Regenerative Medicine, School of Medicine, Yamaguchi University, Ube, Japan
                [ ]Department of Gastroenterology and Hepatology, School of Medicine, Yamaguchi University, Ube, Japan
                [ ]Division of Gastroenterology and Hepatology, School of Medical and Dental Sciences, Niigata University, 1-757 Asahimachidori, Chuo-Ku, Niigata 951-8510 Japan
                [ ]Department of Oncology and Laboratory Medicine, School of Medicine, Yamaguchi University, Ube, Japan
                [ ]Department of Organ Anatomy, School of Medicine, Yamaguchi University, Ube, Japan
                [ ]Department of Developmental and Regenerative Biology, Medical Research Institute, Tokyo Medical and Dental University, 1-5-45 Yushima, Bunkyo-ku, Tokyo, 113-8510 Japan
                [ ]Department of Molecular Biology, Institute of Biomedical Sciences, Tokushima University School, Tokushima, Japan
                Article
                322
                10.1186/s13046-016-0322-2
                4793738
                26980435
                05b60db9-4d38-4470-b4d8-016f1656bb6d
                © Fujisawa et al. 2016

                Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License ( http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver ( http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

                History
                : 16 October 2015
                : 8 March 2016
                Funding
                Funded by: Grant-in-Aid for Scientific Research
                Award ID: 22390150, 26293175, 24659369
                Award Recipient :
                Funded by: Grants-in-Aid for Challenging Exploratory Research
                Award ID: 22659148, 23659398, 25670370
                Award Recipient :
                Funded by: Grants-in-Aid for The YU "Pump-Priming Program" for Fostering Research Activities
                Funded by: Grants-in-Aid for scientific research from the Ministry of Health, Labour and Welfare, health and labour sciences research grants
                Funded by: the project of realization of regenerative medicine and highway
                Categories
                Research
                Custom metadata
                © The Author(s) 2016

                Oncology & Radiotherapy
                adenylate kinase,drug resistance,energy metabolism,flux analysis,hypoxia,metabolome,mitochondria

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