Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice

Modulated electro-hyperthermia (mEHT) is a complementary antitumor therapy applying capacitive radiofrequency at 13.56 MHz. Here we tested the efficiency of mEHT treatment in a BALB/c mouse isograft model using the firefly luciferase-transfected triple-negative breast cancer cell line, 4T1. Tumors i...

Full description

Bibliographic Details
Main Authors: Lea Danics, Csaba András Schvarcz, Pedro Viana, Tamás Vancsik, Tibor Krenács, Zoltán Benyó, Tamás Kaucsár, Péter Hamar
Format: Article
Language:English
Published: MDPI AG 2020-09-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/12/9/2581
_version_ 1797554044308291584
author Lea Danics
Csaba András Schvarcz
Pedro Viana
Tamás Vancsik
Tibor Krenács
Zoltán Benyó
Tamás Kaucsár
Péter Hamar
author_facet Lea Danics
Csaba András Schvarcz
Pedro Viana
Tamás Vancsik
Tibor Krenács
Zoltán Benyó
Tamás Kaucsár
Péter Hamar
author_sort Lea Danics
collection DOAJ
description Modulated electro-hyperthermia (mEHT) is a complementary antitumor therapy applying capacitive radiofrequency at 13.56 MHz. Here we tested the efficiency of mEHT treatment in a BALB/c mouse isograft model using the firefly luciferase-transfected triple-negative breast cancer cell line, 4T1. Tumors inoculated orthotopically were treated twice using a novel ergonomic pole electrode and an improved mEHT device (LabEHY 200) at 0.7 ± 0.3 W for 30 min. Tumors were treated one, two, or three times every 48 h. Tumor growth was followed by IVIS, caliper, and ultrasound. Tumor destruction histology and molecular changes using immunohistochemistry and RT-qPCR were also revealed. In vivo, mEHT treatment transitionally elevated Hsp70 expression in surviving cells indicating heat shock-related cell stress, while IVIS fluorescence showed a significant reduction of viable tumor cell numbers. Treated tumor centers displayed significant microscopic tumor damage with prominent signs of apoptosis, and major upregulation of cleaved/activated caspase-3-positive tumor cells. Serial sampling demonstrated substantial elevation of heat shock (Hsp70) response twelve hours after the treatment which was exhausted by twenty-four hours after treatment. Heat shock inhibitors Quercetin or KRIBB11 could synergistically amplify mEHT-induced tumor apoptosis in vitro. In conclusion, modulated electro-hyperthermia exerted a protective heat shock response as a clear sign of tumor cell stress. Exhaustion of the HSR manifested in caspase-dependent apoptotic tumor cell death and tissue damage of triple-negative breast cancer after mEHT monotherapy. Inhibiting the HSR synergistically increased the effect of mEHT. This finding has great translational potential.
first_indexed 2024-03-10T16:26:11Z
format Article
id doaj.art-2546528074014aba80b530ecbff14230
institution Directory Open Access Journal
issn 2072-6694
language English
last_indexed 2024-03-10T16:26:11Z
publishDate 2020-09-01
publisher MDPI AG
record_format Article
series Cancers
spelling doaj.art-2546528074014aba80b530ecbff142302023-11-20T13:13:04ZengMDPI AGCancers2072-66942020-09-01129258110.3390/cancers12092581Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in MiceLea Danics0Csaba András Schvarcz1Pedro Viana2Tamás Vancsik3Tibor Krenács4Zoltán Benyó5Tamás Kaucsár6Péter Hamar7Institute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, Hungary1st Department of Pathology and Experimental Cancer Research, Semmelweis University, 1085 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryInstitute of Translational Medicine, Semmelweis University, 1094 Budapest, HungaryModulated electro-hyperthermia (mEHT) is a complementary antitumor therapy applying capacitive radiofrequency at 13.56 MHz. Here we tested the efficiency of mEHT treatment in a BALB/c mouse isograft model using the firefly luciferase-transfected triple-negative breast cancer cell line, 4T1. Tumors inoculated orthotopically were treated twice using a novel ergonomic pole electrode and an improved mEHT device (LabEHY 200) at 0.7 ± 0.3 W for 30 min. Tumors were treated one, two, or three times every 48 h. Tumor growth was followed by IVIS, caliper, and ultrasound. Tumor destruction histology and molecular changes using immunohistochemistry and RT-qPCR were also revealed. In vivo, mEHT treatment transitionally elevated Hsp70 expression in surviving cells indicating heat shock-related cell stress, while IVIS fluorescence showed a significant reduction of viable tumor cell numbers. Treated tumor centers displayed significant microscopic tumor damage with prominent signs of apoptosis, and major upregulation of cleaved/activated caspase-3-positive tumor cells. Serial sampling demonstrated substantial elevation of heat shock (Hsp70) response twelve hours after the treatment which was exhausted by twenty-four hours after treatment. Heat shock inhibitors Quercetin or KRIBB11 could synergistically amplify mEHT-induced tumor apoptosis in vitro. In conclusion, modulated electro-hyperthermia exerted a protective heat shock response as a clear sign of tumor cell stress. Exhaustion of the HSR manifested in caspase-dependent apoptotic tumor cell death and tissue damage of triple-negative breast cancer after mEHT monotherapy. Inhibiting the HSR synergistically increased the effect of mEHT. This finding has great translational potential.https://www.mdpi.com/2072-6694/12/9/2581modulated electro-hyperthermia (mEHT)triple-negative breast cancer (TNBC)isogenic mouse cancerheat-shock protein-70BALB/C mouse
spellingShingle Lea Danics
Csaba András Schvarcz
Pedro Viana
Tamás Vancsik
Tibor Krenács
Zoltán Benyó
Tamás Kaucsár
Péter Hamar
Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
Cancers
modulated electro-hyperthermia (mEHT)
triple-negative breast cancer (TNBC)
isogenic mouse cancer
heat-shock protein-70
BALB/C mouse
title Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
title_full Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
title_fullStr Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
title_full_unstemmed Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
title_short Exhaustion of Protective Heat Shock Response Induces Significant Tumor Damage by Apoptosis after Modulated Electro-Hyperthermia Treatment of Triple Negative Breast Cancer Isografts in Mice
title_sort exhaustion of protective heat shock response induces significant tumor damage by apoptosis after modulated electro hyperthermia treatment of triple negative breast cancer isografts in mice
topic modulated electro-hyperthermia (mEHT)
triple-negative breast cancer (TNBC)
isogenic mouse cancer
heat-shock protein-70
BALB/C mouse
url https://www.mdpi.com/2072-6694/12/9/2581
work_keys_str_mv AT leadanics exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT csabaandrasschvarcz exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT pedroviana exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT tamasvancsik exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT tiborkrenacs exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT zoltanbenyo exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT tamaskaucsar exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice
AT peterhamar exhaustionofprotectiveheatshockresponseinducessignificanttumordamagebyapoptosisaftermodulatedelectrohyperthermiatreatmentoftriplenegativebreastcancerisograftsinmice