Thioredoxin and Glutathione Systems in Glioblastoma: Mechanisms, Challenges and Targeting Opportunities

A special issue of Cancers (ISSN 2072-6694). This special issue belongs to the section "Molecular Cancer Biology".

Deadline for manuscript submissions: closed (31 December 2024) | Viewed by 2594

Special Issue Editors

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Guest Editor
Cancer Research Program, Research Institute of McGill University Health Center Glen Site, Montreal, QC H4A 3J1, Canada
Interests: glioblastoma; DNA damage/DNA repair; reactive oxygen species; thioredoxin/glutathione systems; drug development; targeted therapies; drug repurposing; cancer biomarkers
* Affiliation where forthcoming publications as contributing or corresponding author were carried out

E-Mail Website
Guest Editor
1. Department of Oncology, Division of Radiation Oncology, McGill University, Montreal, QC H4A 3J1, Canada
2. Cancer Research Program, Research Institute of McGill University Health Center Glen Site, Montreal, QC H4A 3J1, Canada
Interests: glioblastoma; radiation therapy; radioresistance and radiation sensitizers; reactive oxygen species; DNA damage; thioredoxin/glutathione inhibitors; temozolomide chemoresistance; clinical trials; biomarkers

Special Issue Information

Dear Colleagues,

Glioblastoma (GBM) is the most common and aggressive primary malignant brain tumor in adults. Abnormal proliferation and metabolism increase reactive oxygen species (ROS), a hallmark of cancer cells including GBM. GBM cancer cells rely on the endogenous antioxidants, thioredoxin (Trx) and glutathione (GSH) systems to decrease ROS below the lethal threshold for their survival, tumor initiation and progression. Pro-oxidant anti-cancer strategies, including radiation therapy and redox chemotherapeutics, raise the intrinsically high ROS levels in cancer cells to a lethal threshold. However, Trx/GSH systems mediate adaptive ROS scavenging mechanisms, leading to chemoradiation resistance and tumor recurrence. Hence, Trx/GSH inhibition should be implemented to bypass Trx/GSH compensatory mechanisms.

In this Special Issue, we welcome original research articles and reviews aiming to advance our understanding of the function, regulation, targeting of Trx/GSH systems and combined strategies to improve the dismal outcome of patients with GBM.

We look forward to receiving your contributions.

Original research articles and reviews may include, but are not limited to, the following research topics investigated in GBM pre-clinical (in vitro or in vivo), clinical or computational studies:

(1) Expression, activity or regulation of enzymatic and non-enzymatic Trx and GSH antioxidant defense systems in GBM.

(2) Role of Trx and GSH systems in GBM redox homeostasis, redox signaling, tumor initiation, progression, metabolic alterations, resistance to treatment or tumor recurrence. This might include antioxidant activities regulating the levels of free radicals derived from oxygen (ROS) or nitrogen (reactive nitrogen species (RNS)).

(3) Cross-talk of Trx and GSH systems with each other as a backup compensatory mechanism, or with other antioxidant enzymes (such as, catalase, superoxide dismutase, peroxiredoxins), redox-sensitive tumor suppressor genes (such as TP53, PTEN), oncogenic receptor tyrosine kinases (EGFR, EGFRvIII) or any other signaling molecule.

(4) Conventional and innovative pre-clinical or clinical pro-oxidant strategies using an inhibitor of Trx and/or GSH system alone or in combination with treatment that directly or indirectly increases ROS or any other anti-cancer strategy, such as radiation therapy, chemotherapy, targeted therapies, redox mitochondria/metabolic targeting, redox mimetics, hypoxia-selective redox drugs, tumor-treating fields (TTF), metal-based nanocarriers, redox-active repurposed drugs (such as the pan-thioredoxin reductase inhibitor auranofin), natural products or synthetic derivatives, such as:

- Analysis of each treatment effect and/or combined treatment interactions to evaluate synergistic cellular (viability, proliferation, cell death, mitochondrial control of cell death), molecular effects/signaling pathways underlying response to Trx/GSH inhibitors and/or combined treatment;

- Mechanisms of resistance to Trx/GSH inhibitors in GBM: redox resetting to decrease oxidative stress and bypass the ROS lethal threshold in response to pro-oxidant Trx/GSH inhibitors, mechanisms regulating increased expression/activity of Trx/GSH antioxidants as ROS scavenging adaptive mechanisms, cross-talk with DNA damage, DNA repair mechanisms, abnormal metabolism or resistance to cell death mechanisms;

- Identification of a component of Trx and/or GSH system as a therapeutic vulnerability in GBM treatment, a chemo- or radiosensitizing target, or in synthetic lethal strategies;

- ROS scavenging compounds to evaluate the extent of ROS-mediated effects;

- GSH-depleting compounds to evaluate synergistic effects with inhibitors of the Trx system;

- Differential redox status between normal cells and GBM cancer cells, selectivity of Trx/GSH inhibitors and combined treatment to increase ROS to a cytotoxic threshold level in GBM cancer cells without affecting normal cells.

(5)  Redox biology of GBM stem cells (GSCs) such as the expression, activity and/or regulation of Trx/GSH systems in GSCs, the role of GSCs in response to Trx/GSH inhibitors and/or combined treatment, or resistance to chemoradiation standard treatment.

(6) Expression, activity and/or regulation of Trx/GSH systems in the tumor microenvironmemt (TME) such as, brain endothelial cells, neurons, astrocytes, oligodendrocytes, resident immune cells (microglia), tumor-infiltrating immune cells and their cross-talk with GBM tumor cells.

(7) Ability of Trx/GSH inhibitors to cross the blood–brain barrier (BBB) and strategies to overcome the limitations to cross the BBB.

(8) Oxidative stress biomarkers (lipid peroxidation, protein oxidation, DNA damage oxidation), biomarkers in response to Trx or GSH inhibitors in GBM pre-clinical in vivo models, in patient tissues, liquid biopsy clinical samples or datasets from publicly available databases of patients diagnosed with GBM.

Dr. Siham Sabri
Prof. Dr. Bassam S. Abdulkarim
Guest Editors

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Keywords

  • glioblastoma
  • reactive oxygen species (ROS)
  • thioredoxin/glutathione antioxidant systems
  • thioredoxin/glutathione inhibitors
  • pro-oxidant cancer therapeutics
  • radiation therapy
  • targeted therapies
  • drug repurposing
  • natural products
  • combination therapy

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Published Papers (1 paper)

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Research

29 pages, 4774 KiB  
Article
Pro-Oxidant Auranofin and Glutathione-Depleting Combination Unveils Synergistic Lethality in Glioblastoma Cells with Aberrant Epidermal Growth Factor Receptor Expression
by Elvis Martinez-Jaramillo, Fatemeh Jamali, Farah H. Abdalbari, Bassam Abdulkarim, Bertrand J. Jean-Claude, Carlos M. Telleria and Siham Sabri
Cancers 2024, 16(13), 2319; https://doi.org/10.3390/cancers16132319 - 25 Jun 2024
Cited by 3 | Viewed by 2046
Abstract
Glioblastoma (GBM) is the most prevalent and advanced malignant primary brain tumor in adults. GBM frequently harbors epidermal growth factor receptor (EGFR) wild-type (EGFRwt) gene amplification and/or EGFRvIII activating mutation. EGFR-driven GBM relies on the thioredoxin (Trx) and/or glutathione (GSH) antioxidant [...] Read more.
Glioblastoma (GBM) is the most prevalent and advanced malignant primary brain tumor in adults. GBM frequently harbors epidermal growth factor receptor (EGFR) wild-type (EGFRwt) gene amplification and/or EGFRvIII activating mutation. EGFR-driven GBM relies on the thioredoxin (Trx) and/or glutathione (GSH) antioxidant systems to withstand the excessive production of reactive oxygen species (ROS). The impact of EGFRwt or EGFRvIII overexpression on the response to a Trx/GSH co-targeting strategy is unknown. In this study, we investigated Trx/GSH co-targeting in the context of EGFR overexpression in GBM. Auranofin is a thioredoxin reductase (TrxR) inhibitor, FDA-approved for rheumatoid arthritis. L-buthionine-sulfoximine (L-BSO) inhibits GSH synthesis by targeting the glutamate–cysteine ligase catalytic (GCLC) enzyme subunit. We analyzed the mechanisms of cytotoxicity of auranofin and the interaction between auranofin and L-BSO in U87MG, U87/EGFRwt, and U87/EGFRvIII GBM isogenic GBM cell lines. ROS-dependent effects were assessed using the antioxidant N-acetylsteine. We show that auranofin decreased TrxR1 activity and increased ROS. Auranofin decreased cell vitality and colony formation and increased protein polyubiquitination through ROS-dependent mechanisms, suggesting the role of ROS in auranofin-induced cytotoxicity in the three cell lines. ROS-dependent PARP-1 cleavage was associated with EGFRvIII downregulation in U87/EGFRvIII cells. Remarkably, the auranofin and L-BSO combination induced the significant depletion of intracellular GSH and synergistic cytotoxicity regardless of EGFR overexpression. Nevertheless, molecular mechanisms associated with cytotoxicity were modulated to a different extent among the three cell lines. U87/EGFRvIII exhibited the most prominent ROS increase, P-AKT(Ser-473), and AKT decrease along with drastic EGFRvIII downregulation. U87/EGFRwt and U87/EGFRvIII displayed lower basal intracellular GSH levels and synergistic ROS-dependent DNA damage compared to U87MG cells. Our study provides evidence for ROS-dependent synergistic cytotoxicity of auranofin and L-BSO combination in GBM in vitro. Unraveling the sensitivity of EGFR-overexpressing cells to auranofin alone, and synergistic auranofin and L-BSO combination, supports the rationale to repurpose this promising pro-oxidant treatment strategy in GBM. Full article
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