Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram

Abstract Background The current successful clinical use of agents promoting robust anti-tumor immunity in cancer patients warrants noting that radiation therapy (RT) induces immunogenic cell death (ICD) of tumor cells, which can generate anti-tumor immune responses. However, breast cancer stem cells...

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Main Authors: Ting Sun, Wei Yang, Sneh M. Toprani, Wei Guo, Lile He, Albert B. DeLeo, Soldano Ferrone, Gong Zhang, Enwen Wang, Zunwen Lin, Pan Hu, Xinhui Wang
Format: Article
Language:English
Published: BMC 2020-03-01
Series:Cell Communication and Signaling
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12964-019-0507-3
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author Ting Sun
Wei Yang
Sneh M. Toprani
Wei Guo
Lile He
Albert B. DeLeo
Soldano Ferrone
Gong Zhang
Enwen Wang
Zunwen Lin
Pan Hu
Xinhui Wang
author_facet Ting Sun
Wei Yang
Sneh M. Toprani
Wei Guo
Lile He
Albert B. DeLeo
Soldano Ferrone
Gong Zhang
Enwen Wang
Zunwen Lin
Pan Hu
Xinhui Wang
author_sort Ting Sun
collection DOAJ
description Abstract Background The current successful clinical use of agents promoting robust anti-tumor immunity in cancer patients warrants noting that radiation therapy (RT) induces immunogenic cell death (ICD) of tumor cells, which can generate anti-tumor immune responses. However, breast cancer stem cells (BCSCs) are resistant to RT and RT alone usually failed to mount an anti-tumor immune response. Methods High aldehyde dehydrogenase activity (ALDH)bright and CD44+/CD24−/ESA+ cancer cells, previously shown to have BCSC properties, were isolated from human MDA-MB-231 and UACC-812 breast cancer cell lines by flow cytometer. Flow sorted BCSCs and non-BCSCs were further tested for their characteristic of stemness by mammosphere formation assay. Induction of ICD in BCSCs vs. non-BCSCs in response to different in vitro treatments was determined by assessing cell apoptosis and a panel of damage-associated molecular pattern molecules (DAMPs) by flow and enzyme-linked immunosorbent assay (ELISA). Results We found that ionizing radiation (IR) triggered a lower level of ICD in BCSCs than non-BCSCs. We then investigated the ability of disulfiram/cooper (DSF/Cu) which is known to preferentially induce cancer stem cells (CSCs) apoptosis to enhance IR-induced ICD of BCSCs. The results indicate that DSF/Cu induced a similar extent of IDC in both BCSCs and non-BCSCs and rendered IR-resistant BCSCs as sensitive as non-BCSCs to IR-induced ICD. IR and DSF/Cu induced ICD of BCSCs could be partly reversed by pre-treatment of BCSCs with a reactive oxygen species (ROS) scavenger and XBP1s inhibitors. Conclusion DSF/Cu rendered IR-resistant BCSCs as sensitive as non-BCSCs to IR-induced ICD. Our data demonstrate the potential of IR and DSF/Cu to induce ICD in BCSCs and non-BCSCs leading to robust immune responses against not only differentiated/differentiating breast cancer cells but also BCSCs, the root cause of cancer formation, progression and metastasis. Graphical abstract
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spelling doaj.art-aa6db65e6fa94485b6ba2a5b8b7affce2022-12-21T18:48:11ZengBMCCell Communication and Signaling1478-811X2020-03-0118111410.1186/s12964-019-0507-3Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiramTing Sun0Wei Yang1Sneh M. Toprani2Wei Guo3Lile He4Albert B. DeLeo5Soldano Ferrone6Gong Zhang7Enwen Wang8Zunwen Lin9Pan Hu10Xinhui Wang11Division of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolJohn B. Little Center for Radiation Sciences, Harvard T.H. Chan School of Public HealthJohn B. Little Center for Radiation Sciences, Harvard T.H. Chan School of Public HealthDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolDivision of Surgical Oncology, Department of Surgery, Massachusetts General Hospital, Harvard Medical SchoolAbstract Background The current successful clinical use of agents promoting robust anti-tumor immunity in cancer patients warrants noting that radiation therapy (RT) induces immunogenic cell death (ICD) of tumor cells, which can generate anti-tumor immune responses. However, breast cancer stem cells (BCSCs) are resistant to RT and RT alone usually failed to mount an anti-tumor immune response. Methods High aldehyde dehydrogenase activity (ALDH)bright and CD44+/CD24−/ESA+ cancer cells, previously shown to have BCSC properties, were isolated from human MDA-MB-231 and UACC-812 breast cancer cell lines by flow cytometer. Flow sorted BCSCs and non-BCSCs were further tested for their characteristic of stemness by mammosphere formation assay. Induction of ICD in BCSCs vs. non-BCSCs in response to different in vitro treatments was determined by assessing cell apoptosis and a panel of damage-associated molecular pattern molecules (DAMPs) by flow and enzyme-linked immunosorbent assay (ELISA). Results We found that ionizing radiation (IR) triggered a lower level of ICD in BCSCs than non-BCSCs. We then investigated the ability of disulfiram/cooper (DSF/Cu) which is known to preferentially induce cancer stem cells (CSCs) apoptosis to enhance IR-induced ICD of BCSCs. The results indicate that DSF/Cu induced a similar extent of IDC in both BCSCs and non-BCSCs and rendered IR-resistant BCSCs as sensitive as non-BCSCs to IR-induced ICD. IR and DSF/Cu induced ICD of BCSCs could be partly reversed by pre-treatment of BCSCs with a reactive oxygen species (ROS) scavenger and XBP1s inhibitors. Conclusion DSF/Cu rendered IR-resistant BCSCs as sensitive as non-BCSCs to IR-induced ICD. Our data demonstrate the potential of IR and DSF/Cu to induce ICD in BCSCs and non-BCSCs leading to robust immune responses against not only differentiated/differentiating breast cancer cells but also BCSCs, the root cause of cancer formation, progression and metastasis. Graphical abstracthttp://link.springer.com/article/10.1186/s12964-019-0507-3Breast cancerStem cellsImmunogenic cell deathRadiationDisulfiramCopper
spellingShingle Ting Sun
Wei Yang
Sneh M. Toprani
Wei Guo
Lile He
Albert B. DeLeo
Soldano Ferrone
Gong Zhang
Enwen Wang
Zunwen Lin
Pan Hu
Xinhui Wang
Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
Cell Communication and Signaling
Breast cancer
Stem cells
Immunogenic cell death
Radiation
Disulfiram
Copper
title Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
title_full Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
title_fullStr Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
title_full_unstemmed Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
title_short Induction of immunogenic cell death in radiation-resistant breast cancer stem cells by repurposing anti-alcoholism drug disulfiram
title_sort induction of immunogenic cell death in radiation resistant breast cancer stem cells by repurposing anti alcoholism drug disulfiram
topic Breast cancer
Stem cells
Immunogenic cell death
Radiation
Disulfiram
Copper
url http://link.springer.com/article/10.1186/s12964-019-0507-3
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