PMID- 27344172 OWN - NLM STAT- MEDLINE DCOM- 20180302 LR - 20181202 IS - 1949-2553 (Electronic) IS - 1949-2553 (Linking) VI - 7 IP - 30 DP - 2016 Jul 26 TI - NRF2 and glutathione are key resistance mediators to temozolomide in glioma and melanoma cells. PG - 48081-48092 LID - 10.18632/oncotarget.10129 [doi] AB - Cancer is a leading cause of death worldwide, and while great advances have been made particularly in chemotherapy, many types of cancer still present a dismal prognosis. In the case of glioma, temozolomide (TMZ) is the main option for treatment, but it has limited success due to drug resistance. While this resistance is usually associated to DNA repair mechanisms, in this work we demonstrate that oxidative stress plays an important role. We showed that upon TMZ treatment there is an induction of the nuclear factor erythroid 2-related factor 2 (NRF2), which is the main antioxidant transcription factor regulator in human cells. This is accompanied by an enhancement of glutathione (GSH) concentration in the tumor cells. The effectiveness of this pathway was proven by silencing NFR2, which greatly enhanced cell death upon TMZ treatment both in vitro and in vivo. Also, higher DNA damage and induced cell death was observed by combining BSO - a GSH inhibitor - with TMZ. Similar effects were also observed using in vitro and in vivo models of melanoma, thus possibly indicating that GSH has a decisive role in TMZ resistance in a wider range of tumors. Thus, a combined regimen of BSO and TMZ configures an interesting therapeutic alternative for fighting both glioma and melanoma. FAU - Rocha, Clarissa Ribeiro Reily AU - Rocha CR AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Kajitani, Gustavo Satoru AU - Kajitani GS AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Quinet, Annabel AU - Quinet A AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. FAU - Fortunato, Rodrigo Soares AU - Fortunato RS AD - Institute of Biophysics Carlos Chagas Filho, Federal University of Rio de Janeiro, Rio de Janeiro, Brazil. FAU - Menck, Carlos Frederico Martins AU - Menck CF AD - Department of Microbiology, Institute of Biomedical Sciences, University of Sao Paulo, Sao Paulo, Brazil. LA - eng PT - Journal Article PL - United States TA - Oncotarget JT - Oncotarget JID - 101532965 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (NF-E2-Related Factor 2) RN - 0 (NFE2L2 protein, human) RN - 5072-26-4 (Buthionine Sulfoximine) RN - 7GR28W0FJI (Dacarbazine) RN - GAN16C9B8O (Glutathione) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Animals MH - Antineoplastic Agents, Alkylating/*pharmacology MH - Antineoplastic Combined Chemotherapy Protocols/pharmacology MH - Brain Neoplasms/*drug therapy/metabolism/pathology MH - Buthionine Sulfoximine/administration & dosage MH - Cell Line, Tumor MH - Dacarbazine/administration & dosage/*analogs & derivatives/pharmacology MH - Drug Resistance, Neoplasm MH - Female MH - Glioma/*drug therapy/metabolism/pathology MH - Glutathione/*metabolism MH - Humans MH - Melanoma/*drug therapy/metabolism/pathology MH - Melanoma, Experimental/drug therapy/metabolism MH - Mice MH - Mice, Inbred C57BL MH - Mice, Nude MH - NF-E2-Related Factor 2/*metabolism MH - Temozolomide MH - Xenograft Model Antitumor Assays PMC - PMC5217002 OTO - NOTNLM OT - NRF2 OT - glioma OT - melanoma OT - resistance OT - temozolomide COIS- Conflicts of Interest: None declared. EDAT- 2016/06/28 06:00 MHDA- 2018/03/03 06:00 PMCR- 2016/07/26 CRDT- 2016/06/27 06:00 PHST- 2016/03/31 00:00 [received] PHST- 2016/06/06 00:00 [accepted] PHST- 2016/06/28 06:00 [pubmed] PHST- 2018/03/03 06:00 [medline] PHST- 2016/06/27 06:00 [entrez] PHST- 2016/07/26 00:00 [pmc-release] AID - 10129 [pii] AID - 10.18632/oncotarget.10129 [doi] PST - ppublish SO - Oncotarget. 2016 Jul 26;7(30):48081-48092. doi: 10.18632/oncotarget.10129.