PMID- 20707922 OWN - NLM STAT- MEDLINE DCOM- 20101208 LR - 20211020 IS - 1755-8794 (Electronic) IS - 1755-8794 (Linking) VI - 3 DP - 2010 Aug 13 TI - The NRF2-mediated oxidative stress response pathway is associated with tumor cell resistance to arsenic trioxide across the NCI-60 panel. PG - 37 LID - 10.1186/1755-8794-3-37 [doi] AB - BACKGROUND: Drinking water contaminated with inorganic arsenic is associated with increased risk for different types of cancer. Paradoxically, arsenic trioxide can also be used to induce remission in patients with acute promyelocytic leukemia (APL) with a success rate of approximately 80%. A comprehensive study examining the mechanisms and potential signaling pathways contributing to the anti-tumor properties of arsenic trioxide has not been carried out. METHODS: Here we applied a systems biology approach to identify gene biomarkers that underlie tumor cell responses to arsenic-induced cytotoxicity. The baseline gene expression levels of 14,500 well characterized human genes were associated with the GI50 data of the NCI-60 tumor cell line panel from the developmental therapeutics program (DTP) database. Selected biomarkers were tested in vitro for the ability to influence tumor susceptibility to arsenic trioxide. RESULTS: A significant association was found between the baseline expression levels of 209 human genes and the sensitivity of the tumor cell line panel upon exposure to arsenic trioxide. These genes were overlayed onto protein-protein network maps to identify transcriptional networks that modulate tumor cell responses to arsenic trioxide. The analysis revealed a significant enrichment for the oxidative stress response pathway mediated by nuclear factor erythroid 2-related factor 2 (NRF2) with high expression in arsenic resistant tumor cell lines. The role of the NRF2 pathway in protecting cells against arsenic-induced cell killing was validated in tumor cells using shRNA-mediated knock-down. CONCLUSIONS: In this study, we show that the expression level of genes in the NRF2 pathway serve as potential gene biomarkers of tumor cell responses to arsenic trioxide. Importantly, we demonstrate that tumor cells that are deficient for NRF2 display increased sensitivity to arsenic trioxide. The results of our study will be useful in understanding the mechanism of arsenic-induced cytotoxicity in cells, as well as the increased applicability of arsenic trioxide as a chemotherapeutic agent in cancer treatment. FAU - Liu, Qian AU - Liu Q AD - Department of Environmental Sciences and Engineering, Gillings School of Global Public Health, University of North Carolina, Chapel Hill, NC, USA. FAU - Zhang, Hao AU - Zhang H FAU - Smeester, Lisa AU - Smeester L FAU - Zou, Fei AU - Zou F FAU - Kesic, Matt AU - Kesic M FAU - Jaspers, Ilona AU - Jaspers I FAU - Pi, Jingbo AU - Pi J FAU - Fry, Rebecca C AU - Fry RC LA - eng GR - P30 ES010126/ES/NIEHS NIH HHS/United States GR - ES016005/ES/NIEHS NIH HHS/United States GR - T32 ES007126/ES/NIEHS NIH HHS/United States GR - P30-ES10126/ES/NIEHS NIH HHS/United States GR - P42 ES005948/ES/NIEHS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20100813 PL - England TA - BMC Med Genomics JT - BMC medical genomics JID - 101319628 RN - 0 (Antineoplastic Agents) RN - 0 (Arsenicals) RN - 0 (Biomarkers, Tumor) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 0 (Oxides) RN - S7V92P67HO (Arsenic Trioxide) SB - IM MH - Antineoplastic Agents/*toxicity MH - Arsenic Trioxide MH - Arsenicals MH - Biomarkers, Tumor/genetics/metabolism MH - Cell Line, Tumor MH - Humans MH - Leukemia, Promyelocytic, Acute/etiology MH - NF-E2-Related Factor 2/genetics/*metabolism MH - National Cancer Institute (U.S.) MH - *Oxidative Stress MH - Oxides/*toxicity MH - RNA Interference MH - United States PMC - PMC2939609 EDAT- 2010/08/17 06:00 MHDA- 2010/12/14 06:00 PMCR- 2010/08/13 CRDT- 2010/08/17 06:00 PHST- 2010/03/15 00:00 [received] PHST- 2010/08/13 00:00 [accepted] PHST- 2010/08/17 06:00 [entrez] PHST- 2010/08/17 06:00 [pubmed] PHST- 2010/12/14 06:00 [medline] PHST- 2010/08/13 00:00 [pmc-release] AID - 1755-8794-3-37 [pii] AID - 10.1186/1755-8794-3-37 [doi] PST - epublish SO - BMC Med Genomics. 2010 Aug 13;3:37. doi: 10.1186/1755-8794-3-37.