Abstract

A key feature of prostate cancer progression is the induction and activation of survival proteins, including the Inhibitor of Apoptosis (IAP) family member survivin. Apurinic/apyrimidinic endonuclease 1/redox effector factor 1 (APE1/Ref-1) is a multifunctional protein that is essential in activating oncogenic transcription factors. Because APE1/Ref-1 is expressed and elevated in prostate cancer, we sought to characterize APE1/Ref-1 expression and activity in human prostate cancer cell lines and determine the effect of selective reduction-oxidation (redox) function inhibition on prostate cancer cells in vitro and in vivo. Due to the role of oncogenic transcriptional activators NFĸB and STAT3 in survivin protein expression, and APE1/Ref-1 redox activity regulating their transcriptional activity, we assessed selective inhibition of APE1/Ref-1’s redox function as a novel method to halt prostate cancer cell growth and survival. Our study demonstrates that survivin and APE1/Ref-1 are significantly higher in human prostate cancer specimens compared to noncancerous controls and that APE1/Ref-1 redox-specific inhibition with small molecule inhibitor, APX3330 and a second-generation inhibitor, APX2009, decreases prostate cancer cell proliferation and induces cell cycle arrest. Inhibition of APE1/Ref-1 redox function significantly reduced NFĸB transcriptional activity, survivin mRNA and survivin protein levels. These data indicate that APE1/Ref-1 is a key regulator of survivin and a potentially viable target in prostate cancer.

Highlights

  • Prostate cancer (PCa) is one of the most common male malignancies and the third leading cause of cancerrelated death of men in the United States [1,2]

  • Our study demonstrates that survivin and APE1/Ref-1 are significantly higher in human prostate cancer specimens compared to noncancerous controls and that APE1/Ref-1 redox-specific inhibition with small molecule inhibitor, APX3330 and a second-generation inhibitor, APX2009, decreases prostate cancer cell proliferation and induces cell cycle arrest

  • APE1/Ref-1 and survivin are nuclear and cytoplasmic localized in human prostate cancer

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Summary

Introduction

Prostate cancer (PCa) is one of the most common male malignancies and the third leading cause of cancerrelated death of men in the United States [1,2]. Some men develop an aggressive phenotype that metastasizes and becomes incurable once colonizing the bone [6,7] These bone metastases produce osteoblastic lesions that are associated with high morbidity and high mortality [8] and attempts at delaying this tumor progression with chemotherapeutic agents have only prolonged survival a few months. [9,10] In order to create more effective treatments where conventional therapeutics have failed, a better understanding of the aggressive phenotype of the disease is of utmost importance and a great unmet medical need It is well-established that reduction-oxidation (redox) regulation of critical transcriptional activators plays an essential role in cell proliferation and survival in a number of different cancers, including prostate cancer [11,12,13]. The blockade of APE1/Ref-1’s redox activity has been shown to reduce growth-promoting, inflammatory and anti-apoptotic activities in cells [24,25]

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