PMID- 22515519 OWN - NLM STAT- MEDLINE DCOM- 20121003 LR - 20191027 IS - 1873-5576 (Electronic) IS - 1568-0096 (Linking) VI - 12 IP - 6 DP - 2012 Jul TI - Acid ceramidase as a chemotherapeutic target to overcome resistance to the antitumoral effect of choline kinase alpha inhibition. PG - 617-24 AB - We have analyzed the response of primary cultures derived from tumor specimens of non small cell lung cancer (NSCLC) patients to choline kinase alpha (ChoKalpha) inhibitors. ChoKalpha inhibitors have been demonstrated to increase ceramides levels specifically in tumor cells, and this increase has been suggested as the mechanism that explain its proapoptotic effect in cancer cells. Here, we have investigated the molecular mechanism associated to the intrinsic resistance, and found that other enzyme involved in lipid metabolism, acid ceramidase (ASAH1), is specifically upregulated in resistant tumors. NSCLC cells with acquired resistance to ChoKalpha inhibitors also display increased levels of ASAH1. Accordingly, ASAH1 inhibition synergistically sensitizes lung cancer cells to the antiproliferative effect of ChoKalpha inhibitors. Thus, the determination of the levels of ASAH1 predicts sensitivity to targeted therapy based on ChoKalpha specific inhibition and represents a model for combinatorial treatments of ChoKalpha inhibitors and ASAH1 inhibitors. Considering that ChoKalpha inhibitors have been recently approved to enter Phase I clinical trials by the Food and Drug Administration (FDA), these findings are anticipating critical information to improve the clinical outcome of this family of novel anticancer drugs under development. FAU - Ramirez de Molina, A AU - Ramirez de Molina A AD - Traslational Oncology Unit, Instituto de Investigacion Sanitaria IdiPAZ, Madrid, Spain. FAU - de la Cueva, A AU - de la Cueva A FAU - Machado-Pinilla, R AU - Machado-Pinilla R FAU - Rodriguez-Fanjul, V AU - Rodriguez-Fanjul V FAU - Gomez del Pulgar, T AU - Gomez del Pulgar T FAU - Cebrian, A AU - Cebrian A FAU - Perona, R AU - Perona R FAU - Lacal, J C AU - Lacal JC LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - Netherlands TA - Curr Cancer Drug Targets JT - Current cancer drug targets JID - 101094211 RN - 0 (1,4-(4-4'-Bis-((4-(dimethylamine)pyridinium-1-yl) methyl)diphenyl)butane dibromide) RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (Butanes) RN - 0 (Endocannabinoids) RN - 0 (Enzyme Inhibitors) RN - 0 (Ethanolamines) RN - 0 (Myristates) RN - 0 (Oleic Acids) RN - 0 (Propanolamines) RN - 0 (Pyridinium Compounds) RN - 111-58-0 (N-oleoylethanolamine) RN - 60847-25-8 (2-(N-myristoylamino)-1-phenyl-1-propanol) RN - EC 2.7.1.32 (CHKA protein, human) RN - EC 2.7.1.32 (Choline Kinase) RN - EC 3.5.1.23 (ASAH1 protein, human) RN - EC 3.5.1.23 (Acid Ceramidase) SB - IM MH - Acid Ceramidase/*antagonists & inhibitors/genetics/metabolism MH - Antineoplastic Agents/*pharmacology MH - Apoptosis/drug effects MH - Biomarkers, Tumor/*metabolism MH - Butanes/pharmacology MH - Carcinoma, Non-Small-Cell Lung/*enzymology/genetics/pathology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Survival/drug effects MH - Choline Kinase/*antagonists & inhibitors/metabolism MH - Dose-Response Relationship, Drug MH - *Drug Resistance, Neoplasm MH - Endocannabinoids MH - Enzyme Inhibitors/*pharmacology MH - Ethanolamines/pharmacology MH - Humans MH - Inhibitory Concentration 50 MH - Lung Neoplasms/*enzymology/genetics/pathology MH - Molecular Targeted Therapy MH - Myristates/pharmacology MH - Oleic Acids MH - Propanolamines/pharmacology MH - Pyridinium Compounds/pharmacology MH - Tumor Cells, Cultured MH - Up-Regulation EDAT- 2012/04/21 06:00 MHDA- 2012/10/04 06:00 CRDT- 2012/04/21 06:00 PHST- 2011/11/23 00:00 [received] PHST- 2012/03/02 00:00 [revised] PHST- 2012/03/02 00:00 [accepted] PHST- 2012/04/21 06:00 [entrez] PHST- 2012/04/21 06:00 [pubmed] PHST- 2012/10/04 06:00 [medline] AID - CCDT-EPUB-20120419-002 [pii] AID - 10.2174/156800912801784811 [doi] PST - ppublish SO - Curr Cancer Drug Targets. 2012 Jul;12(6):617-24. doi: 10.2174/156800912801784811.