PMID- 29772714 OWN - NLM STAT- MEDLINE DCOM- 20180926 LR - 20191210 IS - 1422-0067 (Electronic) IS - 1422-0067 (Linking) VI - 19 IP - 5 DP - 2018 May 16 TI - Modulating Chemosensitivity of Tumors to Platinum-Based Antitumor Drugs by Transcriptional Regulation of Copper Homeostasis. LID - 10.3390/ijms19051486 [doi] LID - 1486 AB - Platinum (Pt)-based antitumor agents have been effective in treating many human malignancies. Drug importing, intracellular shuffling, and exporting-carried out by the high-affinity copper (Cu) transporter (hCtr1), Cu chaperone (Ato x1), and Cu exporters (ATP7A and ATP7B), respectively-cumulatively contribute to the chemosensitivity of Pt drugs including cisplatin and carboplatin, but not oxaliplatin. This entire system can also handle Pt drugs via interactions between Pt and the thiol-containing amino acid residues in these proteins; the interactions are strongly influenced by cellular redox regulators such as glutathione. hCtr1 expression is induced by acute Cu deprivation, and the induction is regulated by the transcription factor specific protein 1 (Sp1) which by itself is also regulated by Cu concentration variations. Copper displaces zinc (Zn) coordination at the zinc finger (ZF) domains of Sp1 and inactivates its DNA binding, whereas Cu deprivation enhances Sp1-DNA interactions and increases Sp1 expression, which in turn upregulates hCtr1. Because of the shared transport system, chemosensitivity of Pt drugs can be modulated by targeting Cu transporters. A Cu-lowering agent (trientine) in combination with a Pt drug (carboplatin) has been used in clinical studies for overcoming Pt-resistance. Future research should aim at further developing effective Pt drug retention strategies for improving the treatment efficacy. FAU - Lai, Yu-Hsuan AU - Lai YH AD - Department of Radiation Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70428, Taiwan. coscoscos.tw@hotmail.com. AD - Institute of Clinical Medicine, College of Medicine, National Cheng Kung University, Tainan 70428, Taiwan. coscoscos.tw@hotmail.com. FAU - Kuo, Chin AU - Kuo C AD - Department of Radiation Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70428, Taiwan. tiffa663@gmail.com. FAU - Kuo, Macus Tien AU - Kuo MT AD - Department of Translational Molecular Pathology, The University of Texas MD Anderson Cancer Center, Houston, TX 77054, USA. tienkuo@sbcglobal.net. FAU - Chen, Helen H W AU - Chen HHW AD - Department of Radiation Oncology, National Cheng Kung University Hospital, College of Medicine, National Cheng Kung University, Tainan 70428, Taiwan. helen@mail.ncku.edu.tw. AD - Center of Applied Nanomedicine, National Cheng Kung University, Tainan 70101, Taiwan. helen@mail.ncku.edu.tw. LA - eng GR - R01 CA149260/CA/NCI NIH HHS/United States PT - Journal Article PT - Review DEP - 20180516 PL - Switzerland TA - Int J Mol Sci JT - International journal of molecular sciences JID - 101092791 RN - 0 (Antineoplastic Agents) RN - 0 (Cation Transport Proteins) RN - 0 (Copper Transporter 1) RN - 0 (SLC31A1 protein, human) RN - 49DFR088MY (Platinum) RN - 789U1901C5 (Copper) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Animals MH - Antineoplastic Agents/*pharmacology MH - Cation Transport Proteins/genetics/metabolism MH - Cell Line, Tumor MH - Cisplatin/pharmacology MH - Copper/*metabolism MH - Copper Transporter 1 MH - Drug Resistance, Neoplasm MH - Gene Expression Regulation, Neoplastic MH - *Homeostasis MH - Humans MH - Oxidation-Reduction MH - Platinum/*pharmacology MH - *Transcription, Genetic PMC - PMC5983780 OTO - NOTNLM OT - Sp1 OT - cisplatin OT - drug-resistance OT - hCtr1 OT - high-affinity copper transporter OT - ovarian cancers COIS- The authors declare no conflict of interest. EDAT- 2018/05/19 06:00 MHDA- 2018/09/27 06:00 PMCR- 2018/05/01 CRDT- 2018/05/19 06:00 PHST- 2018/04/23 00:00 [received] PHST- 2018/05/10 00:00 [revised] PHST- 2018/05/12 00:00 [accepted] PHST- 2018/05/19 06:00 [entrez] PHST- 2018/05/19 06:00 [pubmed] PHST- 2018/09/27 06:00 [medline] PHST- 2018/05/01 00:00 [pmc-release] AID - ijms19051486 [pii] AID - ijms-19-01486 [pii] AID - 10.3390/ijms19051486 [doi] PST - epublish SO - Int J Mol Sci. 2018 May 16;19(5):1486. doi: 10.3390/ijms19051486.