Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors

Abstract Epidermal growth factor receptor (EGFR) inhibitors frequently cause severe skin rash as a side effect, which is a critical burden for patients who continuously receive drug treatments. Several recent clinical trials have shown that vitamin K is effective against these side effects; however,...

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Main Authors: Shotaro Goto, Shuichi Setoguchi, Daisuke Watase, Hirofumi Yamakawa, Ayano Yamada, Mitsuhisa Koga, Koichi Matsuo, Kazuhisa Matsunaga, Yoshiharu Karube, Jiro Takata
Format: Article
Language:English
Published: Nature Portfolio 2023-12-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-49627-8
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author Shotaro Goto
Shuichi Setoguchi
Daisuke Watase
Hirofumi Yamakawa
Ayano Yamada
Mitsuhisa Koga
Koichi Matsuo
Kazuhisa Matsunaga
Yoshiharu Karube
Jiro Takata
author_facet Shotaro Goto
Shuichi Setoguchi
Daisuke Watase
Hirofumi Yamakawa
Ayano Yamada
Mitsuhisa Koga
Koichi Matsuo
Kazuhisa Matsunaga
Yoshiharu Karube
Jiro Takata
author_sort Shotaro Goto
collection DOAJ
description Abstract Epidermal growth factor receptor (EGFR) inhibitors frequently cause severe skin rash as a side effect, which is a critical burden for patients who continuously receive drug treatments. Several recent clinical trials have shown that vitamin K is effective against these side effects; however, the underlying mechanisms remain unclear. EGFR inhibitors induce C–C motif chemokine ligand 5 (CCL5) in dermopathy. We hypothesized that menahydroquinone-4 (MKH), the active form of menaquinone-4 (MK-4, vitamin K2(20)), supplied by biosynthesis or external delivery, is essential for the suppressive effect on CCL5. The aim of this study was to explore the underlying mechanisms governing the relieving effects of MKH against skin rashes caused by EGFR inhibitors. The responses generated by EGFR inhibitors and the effect of MKH derivatives (two ester derivatives and MK-4) on them were evaluated using human skin cell lines (HaCaT and HSC-1). EGFR inhibitors downregulated UbiA prenyltransferase domain-containing protein-1 (UBIAD1, MKH synthetase) expression and MKH biosynthesis. Knockdown of UBIAD1 or γ-glutamyl carboxylase and treatment with warfarin upregulated CCL5 expression. MKH derivatives suppressed the CCL5 expression induced by EGFR inhibitors. Our data strongly suggest that MKH is involved in suppressing CCL5 expression and alleviating the skin damage caused by EGFR inhibitors.
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spelling doaj.art-8e5a8ad35f7e4f73afa7a366fb7ff5422023-12-17T12:16:23ZengNature PortfolioScientific Reports2045-23222023-12-011311910.1038/s41598-023-49627-8Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitorsShotaro Goto0Shuichi Setoguchi1Daisuke Watase2Hirofumi Yamakawa3Ayano Yamada4Mitsuhisa Koga5Koichi Matsuo6Kazuhisa Matsunaga7Yoshiharu Karube8Jiro Takata9Faculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityRadioisotope Center, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityFaculty of Pharmaceutical Sciences, Fukuoka UniversityAbstract Epidermal growth factor receptor (EGFR) inhibitors frequently cause severe skin rash as a side effect, which is a critical burden for patients who continuously receive drug treatments. Several recent clinical trials have shown that vitamin K is effective against these side effects; however, the underlying mechanisms remain unclear. EGFR inhibitors induce C–C motif chemokine ligand 5 (CCL5) in dermopathy. We hypothesized that menahydroquinone-4 (MKH), the active form of menaquinone-4 (MK-4, vitamin K2(20)), supplied by biosynthesis or external delivery, is essential for the suppressive effect on CCL5. The aim of this study was to explore the underlying mechanisms governing the relieving effects of MKH against skin rashes caused by EGFR inhibitors. The responses generated by EGFR inhibitors and the effect of MKH derivatives (two ester derivatives and MK-4) on them were evaluated using human skin cell lines (HaCaT and HSC-1). EGFR inhibitors downregulated UbiA prenyltransferase domain-containing protein-1 (UBIAD1, MKH synthetase) expression and MKH biosynthesis. Knockdown of UBIAD1 or γ-glutamyl carboxylase and treatment with warfarin upregulated CCL5 expression. MKH derivatives suppressed the CCL5 expression induced by EGFR inhibitors. Our data strongly suggest that MKH is involved in suppressing CCL5 expression and alleviating the skin damage caused by EGFR inhibitors.https://doi.org/10.1038/s41598-023-49627-8
spellingShingle Shotaro Goto
Shuichi Setoguchi
Daisuke Watase
Hirofumi Yamakawa
Ayano Yamada
Mitsuhisa Koga
Koichi Matsuo
Kazuhisa Matsunaga
Yoshiharu Karube
Jiro Takata
Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
Scientific Reports
title Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
title_full Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
title_fullStr Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
title_full_unstemmed Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
title_short Menahydroquinone-4 may play a key role in regulating CCL5 expression induced by epidermal growth factor receptor inhibitors
title_sort menahydroquinone 4 may play a key role in regulating ccl5 expression induced by epidermal growth factor receptor inhibitors
url https://doi.org/10.1038/s41598-023-49627-8
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