PMID- 31285371 OWN - NLM STAT- MEDLINE DCOM- 20200925 LR - 20240329 IS - 1557-3265 (Electronic) IS - 1078-0432 (Print) IS - 1078-0432 (Linking) VI - 25 IP - 19 DP - 2019 Oct 1 TI - ERK Regulates HIF1alpha-Mediated Platinum Resistance by Directly Targeting PHD2 in Ovarian Cancer. PG - 5947-5960 LID - 10.1158/1078-0432.CCR-18-4145 [doi] AB - PURPOSE: Up to 80% of patients with ovarian cancer develop platinum resistance over time to platinum-based chemotherapy. Increased HIF1alpha level is an important mechanism governing platinum resistance in platinum-resistant ovarian cancer (PROC). However, the mechanism regulating HIF1alpha stability in PROC remains largely unknown. Here, we elucidate the mechanism of HIF1alpha stability regulation in PROC and explore therapeutic approaches to overcome cisplatin resistance in ovarian cancer. EXPERIMENTAL DESIGN: We first used a quantitative high-throughput combinational screen (qHTCS) to identify novel drugs that could resensitize PROC cells to cisplatin. Next, we evaluated the combination efficacy of inhibitors of HIF1alpha (YC-1), ERK (selumetinib), and TGFbeta1 (SB431542) with platinum drugs by in vitro and in vivo experiments. Moreover, a novel TGFbeta1/ERK/PHD2-mediated pathway regulating HIF1alpha stability in PROC was discovered. RESULTS: YC-1 and selumetinib resensitized PROC cells to cisplatin. Next, the prolyl hydroxylase domain-containing protein 2 (PHD2) was shown to be a direct substrate of ERK. Phosphorylation of PHD2 by ERK prevents its binding to HIF1alpha, thus inhibiting HIF1alpha hydroxylation and degradation-increasing HIF1alpha stability. Significantly, ERK/PHD2 signaling in PROC cells is dependent on TGFbeta1, promoting platinum resistance by stabilizing HIF1alpha. Inhibition of TGFbeta1 by SB431542, ERK by selumetinib, or HIF1alpha by YC-1 efficiently overcame platinum resistance both in vitro and in vivo. The results from clinical samples confirm activation of the ERK/PHD2/HIF1alpha axis in patients with PROC, correlating highly with poor prognoses for patients. CONCLUSIONS: HIF1alpha stabilization is regulated by TGFbeta1/ERK/PHD2 axis in PROC. Hence, inhibiting TGFbeta1, ERK, or HIF1alpha is potential strategy for treating patients with PROC. CI - (c)2019 American Association for Cancer Research. FAU - Li, Zhuqing AU - Li Z AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Zhou, Wei AU - Zhou W AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. AD - Department of Colorectal Surgery, Sir Run Shaw Hospital, School of Medicine, Zhejiang University, Hangzhou, China. FAU - Zhang, Yi AU - Zhang Y AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Sun, Wei AU - Sun W AD - National Center for Advancing Translational Sciences, NIH, Bethesda, Maryland. FAU - Yung, Mingo M H AU - Yung MMH AD - Department of Obstetrics and Gynecology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Sun, Jing AU - Sun J AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Li, Jing AU - Li J AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Chen, Chi-Wei AU - Chen CW AUID- ORCID: 0000-0001-8658-055X AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Li, Zongzhu AU - Li Z AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Meng, Yunxiao AU - Meng Y AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Chai, Jie AU - Chai J AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Zhou, Yuan AU - Zhou Y AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. FAU - Liu, Stephanie S AU - Liu SS AD - Department of Pathology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Cheung, Annie N Y AU - Cheung ANY AD - Department of Pathology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Ngan, Hextan Y S AU - Ngan HYS AUID- ORCID: 0000-0003-3945-159X AD - Department of Obstetrics and Gynecology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. FAU - Chan, David W AU - Chan DW AD - Department of Obstetrics and Gynecology, LKS Faculty of Medicine, The University of Hong Kong, Hong Kong SAR, China. wz6812@gwu.edu dwchan@hku.hk wzheng@mail.nih.gov. FAU - Zheng, Wei AU - Zheng W AUID- ORCID: 0000-0003-1034-0757 AD - National Center for Advancing Translational Sciences, NIH, Bethesda, Maryland. wz6812@gwu.edu dwchan@hku.hk wzheng@mail.nih.gov. FAU - Zhu, Wenge AU - Zhu W AD - Department of Biochemistry and Molecular Medicine, The George Washington University School of Medicine and Health Sciences, Washington, District of Columbia. wz6812@gwu.edu dwchan@hku.hk wzheng@mail.nih.gov. AD - GW Cancer Center, The George Washington University, Washington, District of Columbia. LA - eng GR - R01 CA177898/CA/NCI NIH HHS/United States GR - R01 CA184717/CA/NCI NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20190708 PL - United States TA - Clin Cancer Res JT - Clinical cancer research : an official journal of the American Association for Cancer Research JID - 9502500 RN - 0 (Antineoplastic Agents) RN - 0 (HIF1A protein, human) RN - 0 (Hypoxia-Inducible Factor 1, alpha Subunit) RN - 0 (TGFB1 protein, human) RN - 0 (Transforming Growth Factor beta1) RN - EC 1.14.11.2 (EGLN1 protein, human) RN - EC 1.14.11.29 (Hypoxia-Inducible Factor-Proline Dioxygenases) RN - EC 2.7.11.24 (MAPK1 protein, human) RN - EC 2.7.11.24 (Mitogen-Activated Protein Kinase 1) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Animals MH - Antineoplastic Agents/pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cisplatin/*pharmacology MH - Drug Resistance, Neoplasm MH - Female MH - Humans MH - Hypoxia-Inducible Factor 1, alpha Subunit/chemistry/*metabolism MH - Hypoxia-Inducible Factor-Proline Dioxygenases/*antagonists & inhibitors MH - Mice MH - Mice, Inbred BALB C MH - Mice, Nude MH - Mitogen-Activated Protein Kinase 1/genetics/*metabolism MH - Ovarian Neoplasms/*drug therapy/genetics/*metabolism MH - Transforming Growth Factor beta1/genetics/*metabolism MH - Xenograft Model Antitumor Assays PMC - PMC7449248 MID - NIHMS1533922 COIS- The authors declare no potential conflicts of interest. EDAT- 2019/07/10 06:00 MHDA- 2020/09/26 06:00 PMCR- 2020/08/26 CRDT- 2019/07/10 06:00 PHST- 2018/12/18 00:00 [received] PHST- 2019/05/18 00:00 [revised] PHST- 2019/07/02 00:00 [accepted] PHST- 2019/07/10 06:00 [pubmed] PHST- 2020/09/26 06:00 [medline] PHST- 2019/07/10 06:00 [entrez] PHST- 2020/08/26 00:00 [pmc-release] AID - 1078-0432.CCR-18-4145 [pii] AID - 10.1158/1078-0432.CCR-18-4145 [doi] PST - ppublish SO - Clin Cancer Res. 2019 Oct 1;25(19):5947-5960. doi: 10.1158/1078-0432.CCR-18-4145. Epub 2019 Jul 8.