Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer

Recent studies have demonstrated an important role for vitamin C in the epigenetic regulation of cancer-related genes via DNA demethylation by the ten-eleven translocation (TET) methylcytosine dioxygenase enzymes. DNA methyltransferase (DNMT) reverses this, increasing DNA methylation and decreasing...

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Main Authors: Garett J. Steers, Brianne R. O’Leary, Juan Du, Brett A. Wagner, Rory S. Carroll, Frederick E. Domann, Prabhat C. Goswami, Garry R. Buettner, Joseph J. Cullen
Format: Article
Language:English
Published: MDPI AG 2023-08-01
Series:Antioxidants
Subjects:
Online Access:https://www.mdpi.com/2076-3921/12/9/1683
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author Garett J. Steers
Brianne R. O’Leary
Juan Du
Brett A. Wagner
Rory S. Carroll
Frederick E. Domann
Prabhat C. Goswami
Garry R. Buettner
Joseph J. Cullen
author_facet Garett J. Steers
Brianne R. O’Leary
Juan Du
Brett A. Wagner
Rory S. Carroll
Frederick E. Domann
Prabhat C. Goswami
Garry R. Buettner
Joseph J. Cullen
author_sort Garett J. Steers
collection DOAJ
description Recent studies have demonstrated an important role for vitamin C in the epigenetic regulation of cancer-related genes via DNA demethylation by the ten-eleven translocation (TET) methylcytosine dioxygenase enzymes. DNA methyltransferase (DNMT) reverses this, increasing DNA methylation and decreasing gene expression. Dual oxidase (DUOX) enzymes produce hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) in normal pancreatic tissue but are silenced in pancreatic cancer (PDAC). Treatment of PDAC with pharmacologic ascorbate (P-AscH<sup>−</sup>, intravenous, high dose vitamin C) increases DUOX expression. We hypothesized that inhibiting DNMT may act synergistically with P-AscH<sup>−</sup> to further increase DUOX expression and cytotoxicity of PDAC. PDAC cells demonstrated dose-dependent increases in DUOX mRNA and protein expression when treated with DNMT inhibitors. PDAC cells treated with P-AscH<sup>−</sup> + DNMT inhibitors demonstrated increased DUOX expression, increased intracellular oxidation, and increased cytotoxicity in vitro and in vivo compared to either treatment alone. These findings suggest a potential therapeutic, epigenetic mechanism to treat PDAC.
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spelling doaj.art-43fcb3ed3d244d5f89e306ce3c3698cf2023-11-19T09:18:57ZengMDPI AGAntioxidants2076-39212023-08-01129168310.3390/antiox12091683Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic CancerGarett J. Steers0Brianne R. O’Leary1Juan Du2Brett A. Wagner3Rory S. Carroll4Frederick E. Domann5Prabhat C. Goswami6Garry R. Buettner7Joseph J. Cullen8Free Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USAFree Radical and Radiation Biology Division, Department of Radiation Oncology, Iowa City, IA 52242, USARecent studies have demonstrated an important role for vitamin C in the epigenetic regulation of cancer-related genes via DNA demethylation by the ten-eleven translocation (TET) methylcytosine dioxygenase enzymes. DNA methyltransferase (DNMT) reverses this, increasing DNA methylation and decreasing gene expression. Dual oxidase (DUOX) enzymes produce hydrogen peroxide (H<sub>2</sub>O<sub>2</sub>) in normal pancreatic tissue but are silenced in pancreatic cancer (PDAC). Treatment of PDAC with pharmacologic ascorbate (P-AscH<sup>−</sup>, intravenous, high dose vitamin C) increases DUOX expression. We hypothesized that inhibiting DNMT may act synergistically with P-AscH<sup>−</sup> to further increase DUOX expression and cytotoxicity of PDAC. PDAC cells demonstrated dose-dependent increases in DUOX mRNA and protein expression when treated with DNMT inhibitors. PDAC cells treated with P-AscH<sup>−</sup> + DNMT inhibitors demonstrated increased DUOX expression, increased intracellular oxidation, and increased cytotoxicity in vitro and in vivo compared to either treatment alone. These findings suggest a potential therapeutic, epigenetic mechanism to treat PDAC.https://www.mdpi.com/2076-3921/12/9/1683ascorbic acidpharmacologic ascorbatepancreatic cancerepigeneticsDNA methyltransferase (DNMT)ten-eleven translocation (TET) methylcytosine dioxygenase
spellingShingle Garett J. Steers
Brianne R. O’Leary
Juan Du
Brett A. Wagner
Rory S. Carroll
Frederick E. Domann
Prabhat C. Goswami
Garry R. Buettner
Joseph J. Cullen
Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
Antioxidants
ascorbic acid
pharmacologic ascorbate
pancreatic cancer
epigenetics
DNA methyltransferase (DNMT)
ten-eleven translocation (TET) methylcytosine dioxygenase
title Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
title_full Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
title_fullStr Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
title_full_unstemmed Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
title_short Pharmacologic Ascorbate and DNMT Inhibitors Increase DUOX Expression and Peroxide-Mediated Toxicity in Pancreatic Cancer
title_sort pharmacologic ascorbate and dnmt inhibitors increase duox expression and peroxide mediated toxicity in pancreatic cancer
topic ascorbic acid
pharmacologic ascorbate
pancreatic cancer
epigenetics
DNA methyltransferase (DNMT)
ten-eleven translocation (TET) methylcytosine dioxygenase
url https://www.mdpi.com/2076-3921/12/9/1683
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