PMID- 29328423 OWN - NLM STAT- MEDLINE DCOM- 20180814 LR - 20211022 IS - 1791-3004 (Electronic) IS - 1791-2997 (Linking) VI - 17 IP - 3 DP - 2018 Mar TI - Cetuximab enhances cisplatin-induced endoplasmic reticulum stress-associated apoptosis in laryngeal squamous cell carcinoma cells by inhibiting expression of TXNDC5. PG - 4767-4776 LID - 10.3892/mmr.2018.8376 [doi] AB - Cisplatin and cetuximab, an anti‑epidermal growth factor receptor (EGFR) monoclonal humanized antibody, have been used for treatment of laryngeal squamous cell carcinoma (LSCC). It has been demonstrated that cisplatin and inhibition of EGFR signaling may induce endoplasmic reticulum (ER) stress‑associated apoptosis. However, ER protein thioredoxin domain‑containing protein 5 (TXNDC5) reportedly protects cells from ER stress‑associated apoptosis. The present study investigated the interaction between cisplatin, cetuximab and TXNDC5 on ER stress‑associated apoptosis in LSCC cells. AMC‑HN‑8 human LSCC cells with or without TXNDC5 overexpression or knockdown were treated with cisplatin (5, 10, 20 and 40 microM) and/or cetuximab (10, 50, 100 and 150 microg/ml), for 12, 24, 36 and 48 h. Cisplatin and cetuximab concentration‑ and time‑dependently increased and decreased the expression of TXNDC5 in AMC‑HN‑8 cells, respectively. Knockdown of TXNDC5 markedly augmented cisplatin‑induced levels of CCAAT/enhancer‑binding protein homologous protein (CHOP), caspase‑3 activity and apoptosis; while overexpression of TXNDC5 largely eliminated cetuximab‑induced levels of CHOP, caspase‑3 activity and apoptosis. Cisplatin and cetuximab demonstrated a combinatorial effect on increasing the levels of CHOP, caspase‑3 activity and apoptosis, which was largely eliminated by overexpression of TXNDC5 or a reactive oxygen species (ROS) scavenger/antagonist. In addition, promoter/luciferase reporter assays revealed that cisplatin and cetuximab regulated the expression of TXNDC5 at the gene transcription/promoter level. In conclusion, the findings suggested that ER stress‑associated apoptosis is a major mechanism underlying the apoptotic effect of cisplatin and cetuximab on LSCC cells; cetuximab enhanced cisplatin‑induced ER stress‑associated apoptosis in LSCC cells largely by inhibiting the expression of TXNDC5 and thereby increasing ROS production; cisplatin and cetuximab had stimulatory and inhibitory effects on the TXNDC5 gene promoter, respectively. The present study offered novel insights into the pharmacological effects of cisplatin and cetuximab on LSCC. It also suggested that TXNDC5 may be a potential therapeutic target for LSCC. FAU - Peng, Fusen AU - Peng F AD - Department of Otolaryngology Head and Neck Surgery, Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R. China. FAU - Zhang, Hailin AU - Zhang H AD - Department of Head and Neck Surgery, Hunan Tumor Hospital, Changsha, Hunan 410013, P.R. China. FAU - Du, Youhong AU - Du Y AD - Department of Otolaryngology Head and Neck Surgery, Loudi Central Hospital, Loudi, Hunan 417000, P.R. China. FAU - Tan, Pingqing AU - Tan P AD - Department of Head and Neck Surgery, Hunan Tumor Hospital, Changsha, Hunan 410013, P.R. China. LA - eng PT - Journal Article DEP - 20180105 PL - Greece TA - Mol Med Rep JT - Molecular medicine reports JID - 101475259 RN - 0 (Antineoplastic Agents, Immunological) RN - 0 (DDIT3 protein, human) RN - 0 (Histones) RN - 0 (RNA, Small Interfering) RN - 0 (Reactive Oxygen Species) RN - 147336-12-7 (Transcription Factor CHOP) RN - EC 3.4.22.- (Caspase 3) RN - EC 5.3.4.1 (Protein Disulfide-Isomerases) RN - EC 5.3.4.1 (TXNDC5 protein, human) RN - PQX0D8J21J (Cetuximab) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Antineoplastic Agents, Immunological/*pharmacology MH - Apoptosis/*drug effects MH - Carcinoma, Squamous Cell/metabolism/pathology MH - Caspase 3/metabolism MH - Cell Line, Tumor MH - Cetuximab/*pharmacology MH - Cisplatin/pharmacology MH - Endoplasmic Reticulum Stress/*drug effects MH - Histones/metabolism MH - Humans MH - Laryngeal Neoplasms/metabolism/pathology MH - Promoter Regions, Genetic MH - Protein Disulfide-Isomerases/antagonists & inhibitors/genetics/*metabolism MH - RNA Interference MH - RNA, Small Interfering/metabolism MH - Reactive Oxygen Species/metabolism MH - Transcription Factor CHOP/metabolism OTO - NOTNLM OT - cetuximab OT - cisplatin OT - laryngeal squamous cell carcinoma OT - endoplasmic reticulum stress OT - thioredoxin domain-containing protein 5 OT - apoptosis EDAT- 2018/01/13 06:00 MHDA- 2018/08/15 06:00 CRDT- 2018/01/13 06:00 PHST- 2016/05/26 00:00 [received] PHST- 2017/04/13 00:00 [accepted] PHST- 2018/01/13 06:00 [pubmed] PHST- 2018/08/15 06:00 [medline] PHST- 2018/01/13 06:00 [entrez] AID - 10.3892/mmr.2018.8376 [doi] PST - ppublish SO - Mol Med Rep. 2018 Mar;17(3):4767-4776. doi: 10.3892/mmr.2018.8376. Epub 2018 Jan 5.