Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress

<i>Background</i>: Cisplatin (CDDP) is commonly utilized in the treatment of advanced solid tumors including head and neck squamous cell carcinoma (HNSCC). Cisplatin response remains highly variable among individual tumors and development of cisplatin resistance is common. We hypothesize...

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Main Authors: Wangjie Yu, Yunyun Chen, Nagireddy Putluri, Cristian Coarfa, Matthew J. Robertson, Vasanta Putluri, Fabio Stossi, Julien Dubrulle, Michael A. Mancini, Jonathan C. Pang, Trung Nguyen, Dodge Baluya, Jeffrey N. Myers, Stephen Y. Lai, Vlad C. Sandulache
Format: Article
Language:English
Published: MDPI AG 2020-06-01
Series:Cancers
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Online Access:https://www.mdpi.com/2072-6694/12/6/1670
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author Wangjie Yu
Yunyun Chen
Nagireddy Putluri
Cristian Coarfa
Matthew J. Robertson
Vasanta Putluri
Fabio Stossi
Julien Dubrulle
Michael A. Mancini
Jonathan C. Pang
Trung Nguyen
Dodge Baluya
Jeffrey N. Myers
Stephen Y. Lai
Vlad C. Sandulache
author_facet Wangjie Yu
Yunyun Chen
Nagireddy Putluri
Cristian Coarfa
Matthew J. Robertson
Vasanta Putluri
Fabio Stossi
Julien Dubrulle
Michael A. Mancini
Jonathan C. Pang
Trung Nguyen
Dodge Baluya
Jeffrey N. Myers
Stephen Y. Lai
Vlad C. Sandulache
author_sort Wangjie Yu
collection DOAJ
description <i>Background</i>: Cisplatin (CDDP) is commonly utilized in the treatment of advanced solid tumors including head and neck squamous cell carcinoma (HNSCC). Cisplatin response remains highly variable among individual tumors and development of cisplatin resistance is common. We hypothesized that development of cisplatin resistance is partially driven by metabolic reprogramming. <i>Methods</i>: Using a pre-clinical HNSCC model and an integrated approach to steady state metabolomics, metabolic flux and gene expression data we characterized the interaction between cisplatin resistance and metabolic reprogramming. <i>Results</i>: Cisplatin toxicity in HNSCC was driven by generation of intra-cellular oxidative stress. This was validated by demonstrating that acquisition of cisplatin resistance generates cross-resistance to ferroptosis agonists despite the fact that cisplatin itself does not trigger ferroptosis. Acquisition of cisplatin resistance dysregulated the expression of genes involved in amino acid, fatty acid metabolism and central carbon catabolic pathways, enhanced glucose catabolism and serine synthesis. Acute cisplatin exposure increased intra-tumoral levels of S-methyl-5-thiadenosine (MTA) precursors and metabotoxins indicative of generalized oxidative stress. <i>Conclusions:</i> Acquisition of cisplatin resistance is linked to metabolic recovery from oxidative stress. Although this portends poor effectiveness for directed metabolic targeting, it supports the potential for biomarker development of cisplatin effectiveness using an integrated approach.
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spelling doaj.art-d743c9a367cb4ce993ed8b6bb46eb28a2023-11-20T04:47:10ZengMDPI AGCancers2072-66942020-06-01126167010.3390/cancers12061670Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative StressWangjie Yu0Yunyun Chen1Nagireddy Putluri2Cristian Coarfa3Matthew J. Robertson4Vasanta Putluri5Fabio Stossi6Julien Dubrulle7Michael A. Mancini8Jonathan C. Pang9Trung Nguyen10Dodge Baluya11Jeffrey N. Myers12Stephen Y. Lai13Vlad C. Sandulache14Bobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX 77030, USADepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USAAdvanced Technology Core, Dan Duncan Cancer Center, Baylor College of Medicine, Houston, TX 77030, USAAdvanced Technology Core, Dan Duncan Cancer Center, Baylor College of Medicine, Houston, TX 77030, USADepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USADepartment of Molecular and Cellular Biology, Baylor College of Medicine, Houston, TX 77030, USABobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX 77030, USABobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX 77030, USAChemical Imaging Research Center (CIRC), University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USADepartment of Head and Neck Surgery, University of Texas MD Anderson Cancer Center, Houston, TX 77030, USABobby R. Alford Department of Otolaryngology Head and Neck Surgery, Baylor College of Medicine, Houston, TX 77030, USA<i>Background</i>: Cisplatin (CDDP) is commonly utilized in the treatment of advanced solid tumors including head and neck squamous cell carcinoma (HNSCC). Cisplatin response remains highly variable among individual tumors and development of cisplatin resistance is common. We hypothesized that development of cisplatin resistance is partially driven by metabolic reprogramming. <i>Methods</i>: Using a pre-clinical HNSCC model and an integrated approach to steady state metabolomics, metabolic flux and gene expression data we characterized the interaction between cisplatin resistance and metabolic reprogramming. <i>Results</i>: Cisplatin toxicity in HNSCC was driven by generation of intra-cellular oxidative stress. This was validated by demonstrating that acquisition of cisplatin resistance generates cross-resistance to ferroptosis agonists despite the fact that cisplatin itself does not trigger ferroptosis. Acquisition of cisplatin resistance dysregulated the expression of genes involved in amino acid, fatty acid metabolism and central carbon catabolic pathways, enhanced glucose catabolism and serine synthesis. Acute cisplatin exposure increased intra-tumoral levels of S-methyl-5-thiadenosine (MTA) precursors and metabotoxins indicative of generalized oxidative stress. <i>Conclusions:</i> Acquisition of cisplatin resistance is linked to metabolic recovery from oxidative stress. Although this portends poor effectiveness for directed metabolic targeting, it supports the potential for biomarker development of cisplatin effectiveness using an integrated approach.https://www.mdpi.com/2072-6694/12/6/1670cisplatinhead and neck cancerfatty acidferroptosisamino acidoxidative stress
spellingShingle Wangjie Yu
Yunyun Chen
Nagireddy Putluri
Cristian Coarfa
Matthew J. Robertson
Vasanta Putluri
Fabio Stossi
Julien Dubrulle
Michael A. Mancini
Jonathan C. Pang
Trung Nguyen
Dodge Baluya
Jeffrey N. Myers
Stephen Y. Lai
Vlad C. Sandulache
Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
Cancers
cisplatin
head and neck cancer
fatty acid
ferroptosis
amino acid
oxidative stress
title Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
title_full Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
title_fullStr Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
title_full_unstemmed Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
title_short Acquisition of Cisplatin Resistance Shifts Head and Neck Squamous Cell Carcinoma Metabolism toward Neutralization of Oxidative Stress
title_sort acquisition of cisplatin resistance shifts head and neck squamous cell carcinoma metabolism toward neutralization of oxidative stress
topic cisplatin
head and neck cancer
fatty acid
ferroptosis
amino acid
oxidative stress
url https://www.mdpi.com/2072-6694/12/6/1670
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