Cystatin SN inhibits auranofin-induced cell death by autophagic induction and ROS regulation via glutathione reductase activity in colorectal cancer

Cell Death Dis. 2017 Mar 16;8(3):e2682. doi: 10.1038/cddis.2017.100.

Abstract

Cystatin SN (CST1) is a specific inhibitor belonging to the cystatin superfamily that controls the proteolytic activities of cysteine proteases such as cathepsins. Our previous study showed that high CST1 expression enhances tumor metastasis and invasiveness in colorectal cancer. Recently, auranofin (AF), a gold(I)-containing thioredoxin reductase 1 (TrxR1) inhibitor, has been used clinically to treat rheumatoid arthritis. AF is a proteasome-associated deubiquitinase inhibitor and can act as an anti-tumor agent. In this study, we investigated whether CST1 expression induces autophagy and tumor cell survival. We also investigated the therapeutic effects of AF as an anti-tumor agent in colorectal cancer (CRC) cells. We found that CRC cells expressing high levels of CST1 undergo increased autophagy and exhibit chemotherapeutic resistance to AF-induced cell death, while those expressing low levels of CST1 are sensitive to AF. We also observed that knockdown of CST1 in high-CST1 CRC cells using CST1-specific small interfering RNAs attenuated autophagic activation and restored AF-induced cell mortality. Conversely, the overexpression of CST1 increased autophagy and viability in cells expressing low levels of CST1. Interestingly, high expression of CST1 attenuates AF-induced cell death by inhibiting intracellular reactive oxygen species (ROS) generation, as demonstrated by the fact that the blockage of ROS production reversed AF-induced cell death in CRC cells. In addition, upregulation of CST1 expression increased cellular glutathione reductase (GR) activity, reducing the cellular redox state and inducing autophagy in AF-treated CRC cells. These results suggest that high CST1 expression may be involved in autophagic induction and protects from AF-induced cell death by inhibition of ROS generation through the regulation of GR activity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Auranofin / pharmacology*
  • Autophagy / drug effects*
  • Cathepsins / pharmacology
  • Cell Death / drug effects*
  • Cell Line, Tumor
  • Cell Survival / drug effects
  • Colorectal Neoplasms / metabolism*
  • Gene Expression Regulation, Neoplastic / drug effects
  • Glutathione Reductase / metabolism*
  • HCT116 Cells
  • HT29 Cells
  • Humans
  • Oxidation-Reduction / drug effects
  • Proteasome Endopeptidase Complex / metabolism
  • Proteasome Inhibitors / pharmacology
  • Reactive Oxygen Species / metabolism*
  • Salivary Cystatins / metabolism
  • Salivary Cystatins / pharmacology*
  • Thioredoxin Reductase 1 / metabolism
  • Up-Regulation / drug effects

Substances

  • CST1 protein, human
  • Proteasome Inhibitors
  • Reactive Oxygen Species
  • Salivary Cystatins
  • Auranofin
  • Glutathione Reductase
  • Thioredoxin Reductase 1
  • Cathepsins
  • Proteasome Endopeptidase Complex