PMID- 32764831 OWN - NLM STAT- MEDLINE DCOM- 20200928 LR - 20200928 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 15 IP - 8 DP - 2020 TI - CTDSP1 inhibitor rabeprazole regulates DNA-PKcs dependent topoisomerase I degradation and irinotecan drug resistance in colorectal cancer. PG - e0228002 LID - 10.1371/journal.pone.0228002 [doi] LID - e0228002 AB - Irinotecan specifically targets topoisomerase I (topoI), and is used to treat various solid tumors, but only 13-32% of patients respond to the therapy. Now, it is understood that the rapid rate of topoI degradation in response to irinotecan causes irinotecan resistance. We have published that the deregulated DNA-PKcs kinase cascade ensures rapid degradation of topoI and is at the core of the drug resistance mechanism of topoI inhibitors, including irinotecan. We also identified CTD small phosphatase 1 (CTDSP1) (a nuclear phosphatase) as a primary upstream regulator of DNA-PKcs in response to topoI inhibitors. Previous reports showed that rabeprazole, a proton pump inhibitor (PPI) inhibits CTDSP1 activity. The purpose of this study was to confirm the effects of rabeprazole on CTDSP1 activity and its impact on irinotecan-based therapy in colon cancer. Using differentially expressing CTDSP1 cells, we demonstrated that CTDSP1 contributes to the irinotecan sensitivity by preventing topoI degradation. Retrospective analysis of patients receiving irinotecan with or without rabeprazole has shown the effects of CTDSP1 on irinotecan response. These results indicate that CTDSP1 promotes sensitivity to irinotecan and rabeprazole prevents this effect, resulting in drug resistance. To ensure the best chance at effective treatment, rabeprazole may not be a suitable PPI for cancer patients treated with irinotecan. FAU - Matsuoka, Hiroya AU - Matsuoka H AUID- ORCID: 0000-0002-7733-7248 AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Ando, Koji AU - Ando K AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Swayze, Emma J AU - Swayze EJ AD - Division of Hematology and Medical Oncology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Unan, Elizabeth C AU - Unan EC AD - Division of Hematology and Medical Oncology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Mathew, Joseph AU - Mathew J AD - Division of Hematology and Medical Oncology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Hu, Quingjiang AU - Hu Q AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Tsuda, Yasuo AU - Tsuda Y AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Nakashima, Yuichiro AU - Nakashima Y AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Saeki, Hiroshi AU - Saeki H AD - Department of General Surgical Science, Graduate School of Medicine, Gunma University, Maebashi, Gunma, Japan. FAU - Oki, Eiji AU - Oki E AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. FAU - Bharti, Ajit K AU - Bharti AK AD - Division of Hematology and Medical Oncology, Department of Medicine, Boston University School of Medicine, Boston, Massachusetts, United States of America. FAU - Mori, Masaki AU - Mori M AD - Department of Surgery and Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka City, Fukuoka, Japan. LA - eng PT - Journal Article DEP - 20200807 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Proton Pump Inhibitors) RN - 0 (Topoisomerase I Inhibitors) RN - 32828355LL (Rabeprazole) RN - 7673326042 (Irinotecan) RN - 9007-49-2 (DNA) RN - EC 2.7.11.1 (DNA-Activated Protein Kinase) RN - EC 2.7.11.1 (PRKDC protein, human) RN - EC 3.1.3.16 (CTDSP1 protein, human) RN - EC 3.1.3.16 (Phosphoprotein Phosphatases) RN - EC 5.99.1.2 (DNA Topoisomerases, Type I) RN - EC 5.99.1.2 (TOP1 protein, human) SB - IM MH - Cell Line, Tumor MH - Colonic Neoplasms/metabolism MH - Colorectal Neoplasms/*metabolism/physiopathology MH - DNA MH - DNA Topoisomerases, Type I/*metabolism/physiology MH - DNA-Activated Protein Kinase/metabolism MH - Drug Resistance/drug effects MH - Drug Resistance, Neoplasm/physiology MH - Humans MH - Irinotecan/metabolism/pharmacology MH - Phosphoprotein Phosphatases/antagonists & inhibitors/metabolism MH - Proton Pump Inhibitors/pharmacology MH - Rabeprazole/*metabolism/pharmacology MH - Retrospective Studies MH - Topoisomerase I Inhibitors/pharmacology PMC - PMC7413750 COIS- The authors have declared that no competing interests exist. EDAT- 2020/08/09 06:00 MHDA- 2020/09/29 06:00 PMCR- 2020/08/07 CRDT- 2020/08/09 06:00 PHST- 2020/01/04 00:00 [received] PHST- 2020/06/30 00:00 [accepted] PHST- 2020/08/09 06:00 [entrez] PHST- 2020/08/09 06:00 [pubmed] PHST- 2020/09/29 06:00 [medline] PHST- 2020/08/07 00:00 [pmc-release] AID - PONE-D-20-00259 [pii] AID - 10.1371/journal.pone.0228002 [doi] PST - epublish SO - PLoS One. 2020 Aug 7;15(8):e0228002. doi: 10.1371/journal.pone.0228002. eCollection 2020.