Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance

The unique ability to adapt and thrive in inhospitable, stressful tumor microenvironments (TME) also renders cancer cells resistant to traditional chemotherapeutic treatments and/or novel pharmaceuticals. Cancer cells exhibit extensive metabolic alterations involving hypoxia, accelerated glycolysis,...

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Main Authors: Doris Loh, Russel J. Reiter
Format: Article
Language:English
Published: MDPI AG 2022-01-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/27/3/705
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author Doris Loh
Russel J. Reiter
author_facet Doris Loh
Russel J. Reiter
author_sort Doris Loh
collection DOAJ
description The unique ability to adapt and thrive in inhospitable, stressful tumor microenvironments (TME) also renders cancer cells resistant to traditional chemotherapeutic treatments and/or novel pharmaceuticals. Cancer cells exhibit extensive metabolic alterations involving hypoxia, accelerated glycolysis, oxidative stress, and increased extracellular ATP that may activate ancient, conserved prion adaptive response strategies that exacerbate multidrug resistance (MDR) by exploiting cellular stress to increase cancer metastatic potential and stemness, balance proliferation and differentiation, and amplify resistance to apoptosis. The regulation of prions in MDR is further complicated by important, putative physiological functions of ligand-binding and signal transduction. Melatonin is capable of both enhancing physiological functions and inhibiting oncogenic properties of prion proteins. Through regulation of phase separation of the prion N-terminal domain which targets and interacts with lipid rafts, melatonin may prevent conformational changes that can result in aggregation and/or conversion to pathological, infectious isoforms. As a cancer therapy adjuvant, melatonin could modulate TME oxidative stress levels and hypoxia, reverse pH gradient changes, reduce lipid peroxidation, and protect lipid raft compositions to suppress prion-mediated, non-Mendelian, heritable, but often reversible epigenetic adaptations that facilitate cancer heterogeneity, stemness, metastasis, and drug resistance. This review examines some of the mechanisms that may balance physiological and pathological effects of prions and prion-like proteins achieved through the synergistic use of melatonin to ameliorate MDR, which remains a challenge in cancer treatment.
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spelling doaj.art-90437e0784f046429973239136fe5de72023-11-23T17:11:11ZengMDPI AGMolecules1420-30492022-01-0127370510.3390/molecules27030705Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug ResistanceDoris Loh0Russel J. Reiter1Independent Researcher, Marble Falls, TX 78654, USADepartment of Cellular and Structural Biology, UT Health San Antonio, San Antonio, TX 78229, USAThe unique ability to adapt and thrive in inhospitable, stressful tumor microenvironments (TME) also renders cancer cells resistant to traditional chemotherapeutic treatments and/or novel pharmaceuticals. Cancer cells exhibit extensive metabolic alterations involving hypoxia, accelerated glycolysis, oxidative stress, and increased extracellular ATP that may activate ancient, conserved prion adaptive response strategies that exacerbate multidrug resistance (MDR) by exploiting cellular stress to increase cancer metastatic potential and stemness, balance proliferation and differentiation, and amplify resistance to apoptosis. The regulation of prions in MDR is further complicated by important, putative physiological functions of ligand-binding and signal transduction. Melatonin is capable of both enhancing physiological functions and inhibiting oncogenic properties of prion proteins. Through regulation of phase separation of the prion N-terminal domain which targets and interacts with lipid rafts, melatonin may prevent conformational changes that can result in aggregation and/or conversion to pathological, infectious isoforms. As a cancer therapy adjuvant, melatonin could modulate TME oxidative stress levels and hypoxia, reverse pH gradient changes, reduce lipid peroxidation, and protect lipid raft compositions to suppress prion-mediated, non-Mendelian, heritable, but often reversible epigenetic adaptations that facilitate cancer heterogeneity, stemness, metastasis, and drug resistance. This review examines some of the mechanisms that may balance physiological and pathological effects of prions and prion-like proteins achieved through the synergistic use of melatonin to ameliorate MDR, which remains a challenge in cancer treatment.https://www.mdpi.com/1420-3049/27/3/705melatoninprionscancer multidrug resistancetumor microenvironmentliquid–liquid phase separationhypoxia
spellingShingle Doris Loh
Russel J. Reiter
Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
Molecules
melatonin
prions
cancer multidrug resistance
tumor microenvironment
liquid–liquid phase separation
hypoxia
title Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
title_full Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
title_fullStr Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
title_full_unstemmed Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
title_short Melatonin: Regulation of Prion Protein Phase Separation in Cancer Multidrug Resistance
title_sort melatonin regulation of prion protein phase separation in cancer multidrug resistance
topic melatonin
prions
cancer multidrug resistance
tumor microenvironment
liquid–liquid phase separation
hypoxia
url https://www.mdpi.com/1420-3049/27/3/705
work_keys_str_mv AT dorisloh melatoninregulationofprionproteinphaseseparationincancermultidrugresistance
AT russeljreiter melatoninregulationofprionproteinphaseseparationincancermultidrugresistance