Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT

Cholangiocarcinoma (CCA), which is highly malignant, shows a relatively poor prognosis, due to the insensitivity of the tumour to chemotherapy and radiotherapy. Photodynamic therapy (PDT) has become a promising palliative therapeutic option for patients with unresectable cholangiocarcinoma (CCA), wh...

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Main Authors: Yan-Wen Zheng, Xiong-Ying Miao, Li Xiong, Bo Chen, Fan-Hua Kong, Jiang-Jiao Zhou, Zhong-Tao Liu, Yu Wen, Zi-Jian Zhang, Heng Zou
Format: Article
Language:English
Published: Frontiers Media S.A. 2021-08-01
Series:Frontiers in Pharmacology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fphar.2021.723488/full
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author Yan-Wen Zheng
Xiong-Ying Miao
Li Xiong
Bo Chen
Fan-Hua Kong
Jiang-Jiao Zhou
Zhong-Tao Liu
Yu Wen
Zi-Jian Zhang
Heng Zou
author_facet Yan-Wen Zheng
Xiong-Ying Miao
Li Xiong
Bo Chen
Fan-Hua Kong
Jiang-Jiao Zhou
Zhong-Tao Liu
Yu Wen
Zi-Jian Zhang
Heng Zou
author_sort Yan-Wen Zheng
collection DOAJ
description Cholangiocarcinoma (CCA), which is highly malignant, shows a relatively poor prognosis, due to the insensitivity of the tumour to chemotherapy and radiotherapy. Photodynamic therapy (PDT) has become a promising palliative therapeutic option for patients with unresectable cholangiocarcinoma (CCA), while the functional amount of ROS is limited by intracellular redox systemen. Sulfasalazine (SASP), a well-known anti-inflammatory agent, which also acts as an inhibitor of the amino acid transport system xc (xCT), decreases the intracellular glutathione (GSH) level, thus weakening the antioxidant defence of the cell by inhibition of the antiporter. However, the combination of SASP and PDT remains unexplored. We have reported that polyhematoporphyrin (PHP)-mediated PDT inhibits the cell viability of CCA cells and organoids. Furthermore, in PHP-enriched HCCC-9810 and TFK-1CCA cells, SASP enhances the sensitivity to PHP-mediated PDT through a GSH-dependent mechanism. We found that PHP-PDT can up-regulate xCT expression to promote cells against overloaded ROS, while SASP reduces GSH levels. After the combination of SASP and PHP-PDT, cell viability and GSH levels were significantly inhibited. xCT was also observed to be inhibited by SASP in human organoid samples. Our findings suggest that, in combination with PDT, SASP has potential as a promising approach against CCA.
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spelling doaj.art-993679abe4d1403d979ec9ea804af36b2022-12-21T20:15:20ZengFrontiers Media S.A.Frontiers in Pharmacology1663-98122021-08-011210.3389/fphar.2021.723488723488Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCTYan-Wen ZhengXiong-Ying MiaoLi XiongBo ChenFan-Hua KongJiang-Jiao ZhouZhong-Tao LiuYu WenZi-Jian ZhangHeng ZouCholangiocarcinoma (CCA), which is highly malignant, shows a relatively poor prognosis, due to the insensitivity of the tumour to chemotherapy and radiotherapy. Photodynamic therapy (PDT) has become a promising palliative therapeutic option for patients with unresectable cholangiocarcinoma (CCA), while the functional amount of ROS is limited by intracellular redox systemen. Sulfasalazine (SASP), a well-known anti-inflammatory agent, which also acts as an inhibitor of the amino acid transport system xc (xCT), decreases the intracellular glutathione (GSH) level, thus weakening the antioxidant defence of the cell by inhibition of the antiporter. However, the combination of SASP and PDT remains unexplored. We have reported that polyhematoporphyrin (PHP)-mediated PDT inhibits the cell viability of CCA cells and organoids. Furthermore, in PHP-enriched HCCC-9810 and TFK-1CCA cells, SASP enhances the sensitivity to PHP-mediated PDT through a GSH-dependent mechanism. We found that PHP-PDT can up-regulate xCT expression to promote cells against overloaded ROS, while SASP reduces GSH levels. After the combination of SASP and PHP-PDT, cell viability and GSH levels were significantly inhibited. xCT was also observed to be inhibited by SASP in human organoid samples. Our findings suggest that, in combination with PDT, SASP has potential as a promising approach against CCA.https://www.frontiersin.org/articles/10.3389/fphar.2021.723488/fullcholangiocarcinomaphotodynamic therapysulfasalazinesolute carrier family 7 member 11polyhematoporphyrin
spellingShingle Yan-Wen Zheng
Xiong-Ying Miao
Li Xiong
Bo Chen
Fan-Hua Kong
Jiang-Jiao Zhou
Zhong-Tao Liu
Yu Wen
Zi-Jian Zhang
Heng Zou
Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
Frontiers in Pharmacology
cholangiocarcinoma
photodynamic therapy
sulfasalazine
solute carrier family 7 member 11
polyhematoporphyrin
title Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
title_full Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
title_fullStr Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
title_full_unstemmed Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
title_short Sulfasalazine Sensitizes Polyhematoporphyrin-Mediated Photodynamic Therapy in Cholangiocarcinoma by Targeting xCT
title_sort sulfasalazine sensitizes polyhematoporphyrin mediated photodynamic therapy in cholangiocarcinoma by targeting xct
topic cholangiocarcinoma
photodynamic therapy
sulfasalazine
solute carrier family 7 member 11
polyhematoporphyrin
url https://www.frontiersin.org/articles/10.3389/fphar.2021.723488/full
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