PMID- 35476930 OWN - NLM STAT- MEDLINE DCOM- 20220530 LR - 20220906 IS - 1873-4596 (Electronic) IS - 0891-5849 (Linking) VI - 185 DP - 2022 May 20 TI - Cytochrome c oxidase mediates labile iron level and radioresistance in glioblastoma. PG - 25-35 LID - S0891-5849(22)00158-7 [pii] LID - 10.1016/j.freeradbiomed.2022.04.012 [doi] AB - Radiotherapy is an important treatment modality for glioblastoma (GBM), yet the initial effectiveness of radiotherapy is eventually lost due to the development of adaptive radioresistance during fractionated radiation therapy. Defining the molecular mechanism(s) responsible for the adaptive radioresistance in GBM is necessary for the development of effective treatment options. The cellular labile iron pool (LIP) is very important for determining the cellular response to radiation, as it contributes to radiation-induced production of reactive oxygen species (ROS) such as lipid radicals through Fenton reactions. Recently, cytochrome c oxidase (CcO), a mitochondrial heme-containing enzyme also involved in regulating ROS production, was found to be involved in GBM chemoresistance. However, the role of LIP and CcO in GBM radioresistance is not known. Herein, we tested the hypothesis that CcO-mediated alterations in the level of labile iron contribute to adaptive radioresistance. Using an in vitro model of GBM adaptive radioresistance, we found an increase in CcO activity in radioresistant cells that associated with a decrease in the cellular LIP, decrease in lipid peroxidation, and a switch in the CcO subunit 4 (COX4) isoform expressed, from COX4-2 to COX4-1. Furthermore, knockdown of COX4-1 in radioresistant GBM cells decreased CcO activity and restored radiosensitivity, whereas overexpression of COX4-1 in radiosensitive cells increased CcO activity and rendered the cells radioresistant. Overexpression of COX4-1 in radiosensitive cells also significantly reduced the cellular LIP and lipid peroxidation. Pharmacological manipulation of the cellular labile iron level using iron chelators altered CcO activity and the radiation response. Overall, these results demonstrate a mechanistic link between CcO activity and LIP in GBM radioresistance and identify the CcO subunit isoform switch from COX4-2 to COX4-1 as a novel biochemical node for adaptive radioresistance of GBM. Manipulation of CcO and the LIP may restore the sensitivity to radiation in radioresistant GBM cells and thereby provide a strategy to improve therapeutic outcome in patients with GBM. CI - Copyright (c) 2022. Published by Elsevier Inc. FAU - Ali, Md Yousuf AU - Ali MY AD - Free Radical & Radiation Biology Program, Department of Radiation Oncology, The University of Iowa, Iowa City, IA, 52242, USA; Interdisciplinary Graduate Program in Human Toxicology, The University of Iowa, Iowa City, IA, 52242, USA. FAU - Oliva, Claudia R AU - Oliva CR AD - Free Radical & Radiation Biology Program, Department of Radiation Oncology, The University of Iowa, Iowa City, IA, 52242, USA. FAU - Flor, Susanne AU - Flor S AD - Free Radical & Radiation Biology Program, Department of Radiation Oncology, The University of Iowa, Iowa City, IA, 52242, USA. FAU - Goswami, Prabhat C AU - Goswami PC AD - Free Radical & Radiation Biology Program, Department of Radiation Oncology, The University of Iowa, Iowa City, IA, 52242, USA. FAU - Griguer, Corinne E AU - Griguer CE AD - Free Radical & Radiation Biology Program, Department of Radiation Oncology, The University of Iowa, Iowa City, IA, 52242, USA. Electronic address: corinne-griguer@uiowa.edu. LA - eng GR - R01 CA160821/CA/NCI NIH HHS/United States GR - R21 NS100054/NS/NINDS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural DEP - 20220425 PL - United States TA - Free Radic Biol Med JT - Free radical biology & medicine JID - 8709159 RN - 0 (Reactive Oxygen Species) RN - E1UOL152H7 (Iron) RN - EC 1.9.3.1 (Electron Transport Complex IV) SB - IM MH - *Brain Neoplasms/genetics/radiotherapy MH - Cell Line, Tumor MH - Electron Transport Complex IV/genetics/metabolism MH - *Glioblastoma/genetics/radiotherapy MH - Humans MH - Iron MH - Radiation Tolerance/genetics MH - Reactive Oxygen Species OTO - NOTNLM OT - COX4-1 OT - Cytochrome c oxidase OT - Glioblastoma OT - Iron OT - Mitochondria OT - Radioresistance EDAT- 2022/04/28 06:00 MHDA- 2022/05/31 06:00 CRDT- 2022/04/27 20:02 PHST- 2022/02/06 00:00 [received] PHST- 2022/04/11 00:00 [revised] PHST- 2022/04/20 00:00 [accepted] PHST- 2022/04/28 06:00 [pubmed] PHST- 2022/05/31 06:00 [medline] PHST- 2022/04/27 20:02 [entrez] AID - S0891-5849(22)00158-7 [pii] AID - 10.1016/j.freeradbiomed.2022.04.012 [doi] PST - ppublish SO - Free Radic Biol Med. 2022 May 20;185:25-35. doi: 10.1016/j.freeradbiomed.2022.04.012. Epub 2022 Apr 25.