Prognostic impact of vitamin B6 metabolism in lung cancer

Patients with non-small cell lung cancer (NSCLC) are routinely treated with cytotoxic agents such as cisplatin. Through a genome-wide siRNA-based screen, we identified vitamin B6 metabolism as a central regulator of cisplatin responses in vitro and in vivo. By aggravating a bioenergetic catastrophe that involves the depletion of intracellular glutathione, vitamin B6 exacerbates cisplatin-mediated DNA damage, thus sensitizing a large panel of cancer cell lines to apoptosis. Moreover, vitamin B6 sensitizes cancer cells to apoptosis induction by distinct types of physical and chemical stress, including multiple chemotherapeutics. This effect requires pyridoxal kinase (PDXK), the enzyme that generates the bioactive form of vitamin B6. In line with a general role of vitamin B6 in stress responses, low PDXK expression levels were found to be associated with poor disease outcome in two independent cohorts of patients with NSCLC. These results indicate that PDXK expression levels constitute a biomarker for risk stratification among patients with NSCLC.publishedVersio

Apoptosis disturb in myelodysplastic syndromes and acute myeloid leukemia

Les syndromes myélodysplasiques (SMD) peuvent être conçus comme des conditions pré-leucémiques dans lesquelles l’apoptose avorte les produits de différenciation de cellules souches mutées, potentiellement malignes. Néanmoins, peut-être à cause d’une inhibition progressive de l’apoptose, les SMD se transforment fréquemment en leucémies aiguës myéloïdes (LAM). Nos données indiquent que les SMD à faible risque se caractérisent par l’absence d’activation de NF-κB au sein des cellules portant des altérations cytogénétiques typiques. Par contre, dans les SMD à haut risque de transformation en LAM (ainsi que dans les LAM post-SMD), les cellules souches hématopoïétiques et leurs produits de différenciation montrent une translocation activatrice des sous-unités p50/p65 de NF-κB. L’utilisation d’antagonistes de IKK provoque une inhibition de NF-κB conduisant à une apoptose accélérée, ainsi l’activation de NF-κB serait responsable de la suppression progressive de l’apoptose et donc de la transformation maligne. Ce projet de thèse a consisté à comprendre les mécanismes impliqués dans la dérégulation de l’apoptose dans les SMD/LAM ; ainsi qu’à utiliser des technologies de criblage pour permettre une meilleure compréhension des voies de signalisation impliquées, et à adapter de nouveaux outils d’analyse. Au cours d’une première étude, nous avons montré que les inhibiteurs de méthyltransférase de l’ADN et les inhibiteurs d’histones déacétylases induisent efficacement l’apoptose dans la lignée cellulaire SMD/LAM P39, parallèlement à une inhibition de la translocation de NF-κB du cytoplasme au noyau. Dans une seconde étude, nous avons montré que l’inhibition pharmacologique du récepteur Flt3 induit une inhibition de la voie NF-κB, et pourrait être une cible thérapeutique pertinente. Dans une troisième étude, nous avons montré que l’auto-activation d’ATM chez les patients atteints de SMD/LAM joue un rôle dans l’activation constitutive de NF-κB suggérant qu’ATM serait également une bonne cible thérapeutique dont l’inhibition pourrait réduire le défaut d’apoptose des cellules SMD et LAM. Et enfin, grâce à l’optimisation d’une technique d’analyse d’images à haut débit, nous avons identifié deux composés capables d’induire la mort cellulaire des lignées cellulaires LAM in vitro : le zinc pyrithione et la ouabain. Leurs effets d’inhibition du signal de survie NF-κB, conduisant à une réduction de l’expression de protéines anti-apoptotiques, suggèrent que ces composés pharmaceutiques pourraient être utilisés comme des agents anti-leucémiques. Ce projet de thèse nous a permis de mettre en évidence le potentiel anti-leucémique de différents agents impliqués dans les principales voies de signalisation de l’apoptose dérégulées dans les SMD/LAM, qui pourraient prochainement servir de cibles pour de nouveaux essais thérapeutiques.Myelodysplastic syndrome (MDS) is a group of hematopoietic stem cell disorders that is characterized by an ineffective hematopoiesis (finaly leading to blood cytopenias) and by a high risk of progression to acute myeloid leukemia (AML). It can therefore be viewed as a preleukemic condition in which apoptosis aborts the differentiation products of potentially malignant mutated (stem) cells. The progression of MDS into AML is associated with progressive inhibition of apoptotsis (by e.g. the expression of antiapoptotic proteins) and a negative prognostic value, suggesting that loss of the apoptotic program could favor the MDS-to-AML transition. Therefore the present project aimed at understanding the mechanisms involved in the deregulation of apoptosis in MDS and AML and the characterization of their underlying signaling pathways by means of standard biochemical and high throughput screening approaches. Our previous work showed that inhibitors of DNA methyltransferases and histone deacetylases effectively induced apoptosis in AML cells in vivo which was associated with an inhibition of NF-κB-dependent transactivation of survival signals. We further found that the pharmacological inhibition of the Flt3 receptor in AML cells decreased NF-κB activation and might therefore constitute a relevant therapeutic target for the treatment of AML. In line with these findings we demonstrated that the constitutive activation of ATM in high-risk MDS and AML patients accounts for the activation of NF-κB suggesting ATM as yet another drugable target for antileukemic therapy. Finally we generated a high throughput image based screening platform, which enabled us to perform large scale drug screening approaches and to identify two compounds with antileukemic properties. Both agent, pyrithione zinc (PZ) and Ouabain (OUA) efficiently induced cell death in AML cells in vitro associated with the inhibition of NF-κB. PZ and OUA exerted significant anticancer effects in vivo, on human AML cells xenografts as well as ex vivo, on CD34+ (but not CD34-) malignant myeloblasts from AML patients. Summarizing this project allowed us to shed some light on the importance of NF-κB during MDS to AML progression and at the same time it helped to identify drugable targets and agents with potential anticancer properties for the treatment of leukemia

Les dérégulations de l'apoptose dans les syndromes myélodysplasiques et les leucémies aigues myéloïdes

Les syndromes myélodysplasiques (SMD) peuvent être conçus comme des conditions pré-leucémiques dans lesquelles l apoptose avorte les produits de différenciation de cellules souches mutées, potentiellement malignes. Néanmoins, peut-être à cause d une inhibition progressive de l apoptose, les SMD se transforment fréquemment en leucémies aiguës myéloïdes (LAM). Nos données indiquent que les SMD à faible risque se caractérisent par l absence d activation de NF- B au sein des cellules portant des altérations cytogénétiques typiques. Par contre, dans les SMD à haut risque de transformation en LAM (ainsi que dans les LAM post-SMD), les cellules souches hématopoïétiques et leurs produits de différenciation montrent une translocation activatrice des sous-unités p50/p65 de NF- B. L utilisation d antagonistes de IKK provoque une inhibition de NF- B conduisant à une apoptose accélérée, ainsi l activation de NF- B serait responsable de la suppression progressive de l apoptose et donc de la transformation maligne. Ce projet de thèse a consisté à comprendre les mécanismes impliqués dans la dérégulation de l apoptose dans les SMD/LAM ; ainsi qu à utiliser des technologies de criblage pour permettre une meilleure compréhension des voies de signalisation impliquées, et à adapter de nouveaux outils d analyse. Au cours d une première étude, nous avons montré que les inhibiteurs de méthyltransférase de l ADN et les inhibiteurs d histones déacétylases induisent efficacement l apoptose dans la lignée cellulaire SMD/LAM P39, parallèlement à une inhibition de la translocation de NF- B du cytoplasme au noyau. Dans une seconde étude, nous avons montré que l inhibition pharmacologique du récepteur Flt3 induit une inhibition de la voie NF- B, et pourrait être une cible thérapeutique pertinente. Dans une troisième étude, nous avons montré que l auto-activation d ATM chez les patients atteints de SMD/LAM joue un rôle dans l activation constitutive de NF- B suggérant qu ATM serait également une bonne cible thérapeutique dont l inhibition pourrait réduire le défaut d apoptose des cellules SMD et LAM. Et enfin, grâce à l optimisation d une technique d analyse d images à haut débit, nous avons identifié deux composés capables d induire la mort cellulaire des lignées cellulaires LAM in vitro : le zinc pyrithione et la ouabain. Leurs effets d inhibition du signal de survie NF- B, conduisant à une réduction de l expression de protéines anti-apoptotiques, suggèrent que ces composés pharmaceutiques pourraient être utilisés comme des agents anti-leucémiques. Ce projet de thèse nous a permis de mettre en évidence le potentiel anti-leucémique de différents agents impliqués dans les principales voies de signalisation de l apoptose dérégulées dans les SMD/LAM, qui pourraient prochainement servir de cibles pour de nouveaux essais thérapeutiques.Myelodysplastic syndrome (MDS) is a group of hematopoietic stem cell disorders that is characterized by an ineffective hematopoiesis (finaly leading to blood cytopenias) and by a high risk of progression to acute myeloid leukemia (AML). It can therefore be viewed as a preleukemic condition in which apoptosis aborts the differentiation products of potentially malignant mutated (stem) cells. The progression of MDS into AML is associated with progressive inhibition of apoptotsis (by e.g. the expression of antiapoptotic proteins) and a negative prognostic value, suggesting that loss of the apoptotic program could favor the MDS-to-AML transition. Therefore the present project aimed at understanding the mechanisms involved in the deregulation of apoptosis in MDS and AML and the characterization of their underlying signaling pathways by means of standard biochemical and high throughput screening approaches. Our previous work showed that inhibitors of DNA methyltransferases and histone deacetylases effectively induced apoptosis in AML cells in vivo which was associated with an inhibition of NF- B-dependent transactivation of survival signals. We further found that the pharmacological inhibition of the Flt3 receptor in AML cells decreased NF- B activation and might therefore constitute a relevant therapeutic target for the treatment of AML. In line with these findings we demonstrated that the constitutive activation of ATM in high-risk MDS and AML patients accounts for the activation of NF- B suggesting ATM as yet another drugable target for antileukemic therapy. Finally we generated a high throughput image based screening platform, which enabled us to perform large scale drug screening approaches and to identify two compounds with antileukemic properties. Both agent, pyrithione zinc (PZ) and Ouabain (OUA) efficiently induced cell death in AML cells in vitro associated with the inhibition of NF- B. PZ and OUA exerted significant anticancer effects in vivo, on human AML cells xenografts as well as ex vivo, on CD34+ (but not CD34-) malignant myeloblasts from AML patients. Summarizing this project allowed us to shed some light on the importance of NF- B during MDS to AML progression and at the same time it helped to identify drugable targets and agents with potential anticancer properties for the treatment of leukemia.PARIS11-SCD-Bib. électronique (914719901) / SudocSudocFranceF

Erlotinib and gefitinib for the treatment of myelodysplastic syndrome and acute myeloid leukemia: a preclinical comparison.

Erlotinib and gefitinib, two inhibitors of the epidermal growth factor receptor (EGFR), can stimulate apoptosis and differentiation of myeloid cell lines that lack EGFR, unveiling a novel, therapeutically exploitable off-target effect of tyrosine kinase inhibitors. Here, we performed a side-by-side comparison of erlotinib and gefitinib effects on a broad spectrum of malignant myeloid cell lines, as well as on primary myeloblasts freshly purified from the bone marrow of patients with myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML). Both erlotinib and gefitinib induce apoptosis of a cell line (KG-1) that represents AML, and differentiation in another cell line (P39) derived from a patient with high-risk MDS. In this setting, erlotinib was more efficient than gefitinib. Erlotinib and gefitinib were equipotent in inducing apoptosis of primary CD34+ myeloblasts from MDS and AML patients, yet had no toxic effect on CD34+ progenitor cells from healthy donors. Although the response of individual MDS and AML patients in vitro was highly heterogeneous, the pro-apoptotic effects of erlotinib and gefitinib correlated significantly. These results suggest that erlotinib and gefitinib share a mechanistically related off-target effect that may be taken advantage of for the therapy of MDS and AML

A fluorescence-microscopic and cytofluorometric system for monitoring the turnover of the autophagic substrate p62/SQSTM1.

Autophagic flux can be measured by determining the declining abundance of autophagic substrates such as sequestosome 1 (SQSTM1, better known as p62), which is sequestered in autophagosomes upon its direct interaction with LC3. However, the total amount of p62 results from two opposed processes, namely its synthesis (which can be modulated by some cellular stressors including autophagy inducers) and its degradation. To avoid this problem, we generated a stable cell line expressing a chimeric protein composed by p62 and the HaloTag (®) protein, which serves as a receptor for fluorescent HaloTag (®) ligands. Upon labeling with HaloTag (®) ligands (which form covalent, near-to-undissociable bonds with the Halotag (®) receptor) and washing, the resulting fluorescent labeling is not influenced by de novo protein synthesis, therefore allowing for the specific monitoring of the fusion protein decline without any interference by protein synthesis. We demonstrate that a HaloTag (®) -p62 fusion protein stably expressed in suitable cell lines can be used to monitor autophagy by flow cytometry and automated fluorescence microscopy. We surmise that this system could be adapted to high-throughput applications

A fluorescence-microscopic and cytofluorometric system for monitoring the turnover of the autophagic substrate p62/SQSTM1.

Autophagic flux can be measured by determining the declining abundance of autophagic substrates such as sequestosome 1 (SQSTM1, better known as p62), which is sequestered in autophagosomes upon its direct interaction with LC3. However, the total amount of p62 results from two opposed processes, namely its synthesis (which can be modulated by some cellular stressors including autophagy inducers) and its degradation. To avoid this problem, we generated a stable cell line expressing a chimeric protein composed by p62 and the HaloTag (®) protein, which serves as a receptor for fluorescent HaloTag (®) ligands. Upon labeling with HaloTag (®) ligands (which form covalent, near-to-undissociable bonds with the Halotag (®) receptor) and washing, the resulting fluorescent labeling is not influenced by de novo protein synthesis, therefore allowing for the specific monitoring of the fusion protein decline without any interference by protein synthesis. We demonstrate that a HaloTag (®) -p62 fusion protein stably expressed in suitable cell lines can be used to monitor autophagy by flow cytometry and automated fluorescence microscopy. We surmise that this system could be adapted to high-throughput applications

The IKK complex contributes to the induction of autophagy

In response to stress, cells start transcriptional and transcription-independent programs that can lead to adaptation or death. Here, we show that multiple inducers of autophagy, including nutrient depletion, trigger the activation of the IKK (IκB kinase) complex that is best known for its essential role in the activation of the transcription factor NF-κB by stress. Constitutively active IKK subunits stimulated autophagy and transduced multiple signals that operate in starvation-induced autophagy, including the phosphorylation of AMPK and JNK1. Genetic inhibition of the nuclear translocation of NF-κB or ablation of the p65/RelA NF-κB subunit failed to suppress IKK-induced autophagy, indicating that IKK can promote the autophagic pathway in an NF-κB-independent manner. In murine and human cells, knockout and/or knockdown of IKK subunits (but not that of p65) prevented the induction of autophagy in response to multiple stimuli. Moreover, the knockout of IKK-β suppressed the activation of autophagy by food deprivation or rapamycin injections in vivo, in mice. Altogether, these results indicate that IKK has a cardinal role in the stimulation of autophagy by physiological and pharmacological stimuli

An immunosurveillance mechanism controls cancer cell ploidy

Cancer cells accommodate multiple genetic and epigenetic alterations that initially activate intrinsic (cell-autonomous) and extrinsic (immune-mediated) oncosuppressive mechanisms. Only once these barriers to oncogenesis have been overcome can malignant growth proceed unrestrained. Tetraploidization can contribute to oncogenesis because hyperploid cells are genomically unstable. We report that hyperploid cancer cells become immunogenic because of a constitutive endoplasmic reticulum stress response resulting in the aberrant cell surface exposure of calreticulin. Hyperploid, calreticulin-exposing cancer cells readily proliferated in immunodeficient mice and conserved their increased DNA content. In contrast, hyperploid cells injected into immunocompetent mice generated tumors only after a delay, and such tumors exhibited reduced DNA content, endoplasmic reticulum stress, and calreticulin exposure. Our results unveil an immunosurveillance system that imposes immunoselection against hyperploidy in carcinogen- and oncogene-induced cancers