Autophagy mediates epithelial cancer chemoresistance by reducing p62/SQSTM1 accumulation

PLoS One. 2018 Aug 1;13(8):e0201621. doi: 10.1371/journal.pone.0201621. eCollection 2018.

Abstract

To cope with intrinsic and environmental stress, cancer cells rely on adaptive pathways more than non-transformed counterparts. Such non-oncogene addiction offers new therapeutic targets and strategies to overcome chemoresistance. In an attempt to study the role of adaptive pathways in acquired drug resistance in carcinoma cells, we devised a model of in vitro conditioning to three standard chemotherapeutic agents, cisplatin, 5-fluorouracil, and docetaxel, from the epithelial cancer cell line, HEp-2, and investigated the mechanisms underlying reduced drug sensitivity. We found that triple-resistant cells suffered from higher levels of oxidative stress, and showed heightened anti-stress responses, including the antioxidant Nrf2 pathway and autophagy, a conserved pleiotropic homeostatic strategy, mediating the clearance of aggregates marked by the adapter p62/SQSTM1. As a result, re-administration of chemotherapeutic agents failed to induce further accumulation of reactive oxygen species and p62. Moreover, autophagy proved responsible for chemoresistance through the avoidance of p62 accumulation into toxic protein aggregates. Indeed, p62 ablation was sufficient to confer resistance in parental cells, and genetic and pharmacological autophagic inhibition restored drug sensitivity in resistant cells in a p62-dependent manner. Finally, exogenous expression of mutant p62 lacking the ubiquitin- and LC3-binding domains, required for autophagic engulfment, increased chemosensitivity in TDR HEp-2 cells. Altogether, these findings offer a cellular system to investigate the bases of acquired chemoresistance of epithelial cancers and encourage challenging the prognostic and antineoplastic therapeutic potential of p62 toxicity.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Antineoplastic Agents / pharmacology*
  • Autophagy
  • Cell Line, Tumor
  • Cisplatin / pharmacology
  • Docetaxel / pharmacology
  • Down-Regulation*
  • Drug Resistance, Neoplasm*
  • Fluorouracil / pharmacology
  • Gene Expression Regulation, Neoplastic / drug effects
  • Humans
  • Mutation
  • Neoplasms, Glandular and Epithelial / genetics
  • Neoplasms, Glandular and Epithelial / metabolism*
  • Oxidative Stress
  • Protein Domains
  • Sequestosome-1 Protein / chemistry
  • Sequestosome-1 Protein / genetics
  • Sequestosome-1 Protein / metabolism*

Substances

  • Antineoplastic Agents
  • SQSTM1 protein, human
  • Sequestosome-1 Protein
  • Docetaxel
  • Cisplatin
  • Fluorouracil

Grants and funding

The work was supported by grants to Enrico Milan from the Multiple Myeloma Research Foundation (MMRF Research Fellow Award 2016; www.themmrf.org) and to Simone Cenci from the Italian Association for Cancer Research (AIRC; www.airc.it; Investigator Grant 14691 and 18858 and Special Program Molecular Clinical Oncology 5 per mille n. 9965).