PMID- 21931801 OWN - NLM STAT- MEDLINE DCOM- 20120228 LR - 20220330 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 6 IP - 9 DP - 2011 TI - Acquisition of chemoresistance in gliomas is associated with increased mitochondrial coupling and decreased ROS production. PG - e24665 LID - 10.1371/journal.pone.0024665 [doi] LID - e24665 AB - Temozolomide (TMZ) is an alkylating agent used for treating gliomas. Chemoresistance is a severe limitation to TMZ therapy; there is a critical need to understand the underlying mechanisms that determine tumor response to TMZ. We recently reported that chemoresistance to TMZ is related to a remodeling of the entire electron transport chain, with significant increases in the activity of complexes II/III and cytochrome c oxidase (CcO). Moreover, pharmacologic and genetic manipulation of CcO reverses chemoresistance. Therefore, to test the hypothesis that TMZ-resistance arises from tighter mitochondrial coupling and decreased production of reactive oxygen species (ROS), we have assessed mitochondrial function in TMZ-sensitive and -resistant glioma cells, and in TMZ-resistant glioblastoma multiform (GBM) xenograft lines (xenolines). Maximum ADP-stimulated (state 3) rates of mitochondrial oxygen consumption were greater in TMZ-resistant cells and xenolines, and basal respiration (state 2), proton leak (state 4), and mitochondrial ROS production were significantly lower in TMZ-resistant cells. Furthermore, TMZ-resistant cells consumed less glucose and produced less lactic acid. Chemoresistant cells were insensitive to the oxidative stress induced by TMZ and hydrogen peroxide challenges, but treatment with the oxidant L-buthionine-S,R-sulfoximine increased TMZ-dependent ROS generation and reversed chemoresistance. Importantly, treatment with the antioxidant N-acetyl-cysteine inhibited TMZ-dependent ROS generation in chemosensitive cells, preventing TMZ toxicity. Finally, we found that mitochondrial DNA-depleted cells (rho degrees ) were resistant to TMZ and had lower intracellular ROS levels after TMZ exposure compared with parental cells. Repopulation of rho degrees cells with mitochondria restored ROS production and sensitivity to TMZ. Taken together, our results indicate that chemoresistance to TMZ is linked to tighter mitochondrial coupling and low ROS production, and suggest a novel mitochondrial ROS-dependent mechanism underlying TMZ-chemoresistance in glioma. Thus, perturbation of mitochondrial functions and changes in redox status might constitute a novel strategy for sensitizing glioma cells to therapeutic approaches. FAU - Oliva, Claudia R AU - Oliva CR AD - Division of Neurosurgery, Department of Surgery, University of Alabama at Birmingham, Birmingham, Alabama, United States of America. FAU - Moellering, Douglas R AU - Moellering DR FAU - Gillespie, G Yancey AU - Gillespie GY FAU - Griguer, Corinne E AU - Griguer CE LA - eng GR - R01 CA160821/CA/NCI NIH HHS/United States GR - R21 CA139290/CA/NCI NIH HHS/United States GR - P60 DK079626/DK/NIDDK NIH HHS/United States GR - P20 CA151129/CA/NCI NIH HHS/United States GR - P30 CA13148-35/CA/NCI NIH HHS/United States GR - P30 CA013148/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20110909 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (DNA, Mitochondrial) RN - 0 (Reactive Oxygen Species) RN - 7GR28W0FJI (Dacarbazine) RN - EC 1.9.3.1 (Electron Transport Complex IV) RN - GAN16C9B8O (Glutathione) RN - ULW86O013H (Glutathione Disulfide) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Antineoplastic Agents, Alkylating/pharmacology MH - Apoptosis/drug effects MH - Cell Line, Tumor MH - DNA, Mitochondrial/metabolism MH - Dacarbazine/analogs & derivatives/pharmacology MH - Drug Resistance, Neoplasm MH - Electron Transport Complex IV/metabolism MH - Glioma/*metabolism MH - Glutathione/metabolism MH - Glutathione Disulfide/metabolism MH - Humans MH - Reactive Oxygen Species/*metabolism MH - Temozolomide PMC - PMC3170372 COIS- Competing Interests: The authors have declared that no competing interests exist. EDAT- 2011/09/21 06:00 MHDA- 2012/03/01 06:00 PMCR- 2011/09/09 CRDT- 2011/09/21 06:00 PHST- 2011/07/25 00:00 [received] PHST- 2011/08/15 00:00 [accepted] PHST- 2011/09/21 06:00 [entrez] PHST- 2011/09/21 06:00 [pubmed] PHST- 2012/03/01 06:00 [medline] PHST- 2011/09/09 00:00 [pmc-release] AID - PONE-D-11-14137 [pii] AID - 10.1371/journal.pone.0024665 [doi] PST - ppublish SO - PLoS One. 2011;6(9):e24665. doi: 10.1371/journal.pone.0024665. Epub 2011 Sep 9.