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Adenovirus-mediated expression of MOAP-1, Bax and RASSF1A antagonizes chemo-drug resistance of human breast cancer cells expressing cancer stem cell markers - 16/06/24

Doi : 10.1016/j.biopha.2024.116744 
Ee Wern Tan a, b, Amar Daud Iskandar Abdullah a, Long Chiau Ming c, Chit Laa Poh d, Bey Hing Goh a, b, e, Tze Pheng Lau a, , Kuan Onn Tan a,
a Department of Biological Sciences, School of Medical and Life Sciences, Sunway University, Sunway City 47500, Malaysia 
b Sunway Biofunctional Molecules Discovery Centre, School of Medical and Life Sciences, Sunway University, Sunway City 47500, Malaysia 
c Department of Medical Sciences, School of Medical and Life Sciences, Sunway University, Sunway City 47500, Malaysia 
d Centre for Virus and Vaccine Research, School of Medical and Life Sciences, Sunway University, Sunway City 47500, Malaysia 
e Faculty of Health, Australian Research Centre in Complementary and Integrative Medicine, University of Technology Sydney, Ultimo 2007, NSW, Australia 

Corresponding authors.

Abstract

Cancer is one of the major leading causes of mortality globally and chemo-drug-resistant cancers pose significant challenges to cancer treatment by reducing patient survival rates and increasing treatment costs. Although the mechanisms of chemoresistance vary among different types of cancer, cancer cells are known to share several hallmarks, such as their resistance to apoptosis as well as the ability of cancer stem cells to produce metastatic daughter cells that are resistant to chemotherapy. To address the issue of chemo-drug resistance in cancer cells, a tetracistronic expression construct, Ad-MBR-GFP, encoding adenovirus-mediated expression of MOAP-1, Bax, RASSSF1A, and GFP, was generated to investigate its potential activity in reducing or inhibiting the chemo-drug resistant activity of the human breast cancer cells, MCF-7-CR and MDA-MB-231. When infected by Ad-MBR-GFP, the cancer cells exhibited round cell morphology and nuclei condensation with positive staining for annexin-V. Furthermore, our results showed that both MCF-7-CR and MDA-MB-231 cells stained positively for CD 44 and negatively for CD 24 (CD44+/CD24-) with high levels of endogenous ALDH activity whereas SNU-1581 breast cancer cells were identified as CD 44-/CD 24- cells with relatively low levels of endogenous ALDH activity and high sensitivity toward chemo-drugs, suggesting that both CD 44 and ALDH activity contribute to chemo-drug resistance. Moreover, both MCF-7-CR and MDA-MB-231 cells showed strong chemo-drug sensitivity to cisplatin when the cells were infected by Ad-MBR-GFP, leading to 9-fold and 2-fold reduction in the IC 50 values when compared to cisplatin treatment alone, respectively. The data were further supported by 3D (soft agar) and spheroid cell models of MCF-7-CR and MDA-MB-231 cells which showed a 2-fold reduction of a number of cell colonies and spheroid size when treated with both Ad-MBR-GFP and cisplatin, and compared to control. Other than chemo-sensitivity, Ad-MBR-GFP-infected cancer cells retarded cell migration. Flow cytometry analysis showed that the mechanism of action of Ad-MBR-GFP involved cell cycle arrest at the G1 phase and inhibition of cellular DNA synthesis. Taken together, our investigation showed that Ad-MBR-GFP mediated chemo-drug sensitization in the infected cancer cells involved the activation of apoptosis signaling, cell cycle arrest, and inhibition of DNA synthesis, suggesting that Ad-MBR-GFP is potentially efficacious for the treatment of chemo-drug resistant cancers.

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Graphical Abstract




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Highlights

CD 24, CD 44, and ALDH are identified as cancer stem cell markers associated with chemo-resistance in human cancer cells.
The adenovirus-mediated cancer gene therapy, Ad-MBR-GFP, promotes chemo-sensitization in cancer cells expressing the cancer stem cell markers.
Ad-MBR-GFP enhances chemo-sensitivity in 3D cancer cell models.
Ad-MBR-GFP induces apoptosis through cell cycle arrest and inhibition of DNA synthesis in cancer cells.
Ad-MBR-GFP retards cell migration in chemo-resistant cancer cells.

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Abbreviation : 7-AAD, ABM, ALDH, APC, Bak, Bax, BCA, CD, CDNA, CMV, CMV-EGFP, CMV-MBR, CO2, CSC, 2D, 3D, DMEM, DNA, DMSO, ECM, EGFP, EMT, FBS, G1, G2, HA, HRP, ECL, FitC, IC50, MBR, MCF-7, MCF-7-CR, MDA-7, MDA-MB-231, MOAP-1, MOI, MTT, PBS, PE, PNMA, PCR, RASSF1A, RIPA, RNA, S, SE, TGF, UV

Keywords : Cancer, Cancer Therapy, Adenovirus, Cancer stem cell


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