Abstract

Cisplatin is still one of the first-line drugs for chemotherapy of head and neck squamous cell carcinoma (HNSCC) and shows a survival advantage for HNSCC. However, a substantial proportion of HNSCC eventually becomes resistance to cisplatin and the underlying mechanisms remain to be fully understood. Yin Yang 1 (YY1) is a multifunctional protein regulating both gene transcription and protein modifications and also plays a role in chemotherapy resistance. Here, we reported that knockdown of YY1 by lentivirus-mediated short hairpin RNA or tetracycline-inducible short hairpin RNA enhanced cisplatin-induced apoptosis and inhibition of cell proliferation, migration and invasion in the HNSCC cell lines, and inhibition of the xenograft tumor growth. The underlying mechanisms were revealed that knockdown of YY1 downregulated both S473 and T308 phosphorylation of AKT (protein kinase B), which was mainly responsible for cisplatin resistance, whereas overexpression of YY1 upregulated both S473 and T308 phosphorylation. Cisplatin upregulated YY1 mRNA and protein expression and both S473 and T308 phosphorylation of AKT. In the presence of cisplatin, knockdown of YY1 not only blocked cisplatin-induced increase in S473 and T308 phosphorylation of AKT, but still downregulated T308 phosphorylation. Moreover, protein phosphatase 2A (PP2A) antagonist, okadaic acid, upregulated T308, but not S473, phosphorylation, and simultaneously abolished YY1 knockdown-mediated enhancement of cisplatin-induced inhibition of cell proliferation. In addition, knockdown of YY1 promoted PP2A activity through upregulating mRNA and protein expressions of PP2A catalytic subunit alpha (PPP2CA) through the binding of YY1 in the promoter of PPP2CA. Conversely, activating PP2A by forskolin also promoted YY1 degradation and subsequently inhibited T308 phosphorylation. These results suggested that knockdown of YY1 enhanced anticancer effects of cisplatin through PP2A mediating T308 dephosphorylation of AKT, and that targeting YY1 or PP2A would enhance the efficiency of cisplatin chemotherapy in treatment of HNSCC.

Highlights

  • Head and neck squamous cell carcinoma (HNSCC)comprises 90% of head and neck cancers and has high recurrence rate associated with resistance to chemotherapy and lowest 5-year survival rate in any major cancers[1,2]

  • AKT is phosphorylated at two sites, serine 473 (S473) and threonine 308 (T308), which are mainly catalyzed by mammalian target of rapamycin complex 213 and 3phosphoinositide dependent protein kinase 1 (PDK1)[14], respectively

  • In present study, we showed for the first time that knockdown of Yin Yang 1 (YY1) sensitized HNSCC cells to cisplatin through phosphatase 2A (PP2A)/AKT signaling pathway

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Summary

Introduction

Head and neck squamous cell carcinoma (HNSCC). Comprises 90% of head and neck cancers and has high recurrence rate associated with resistance to chemotherapy and lowest 5-year survival rate in any major cancers[1,2]. AKT is phosphorylated at two sites, serine 473 (S473) and threonine 308 (T308), which are mainly catalyzed by mammalian target of rapamycin complex 2 (mTORC2)[13] and 3phosphoinositide dependent protein kinase 1 (PDK1)[14], respectively. Phosphoinositide 3-kinase (PI3K) phosphorylates phosphatidylinositol-4,5-biphosphate (PIP2) into phosphatidylinositol-3,4,5-triphosphate (PIP3) at cell membrane, which binds to pleckstrin homology domain of AKT and PDK1 leading to T308 phosphorylation and activates mTORC2 to phosphorylate S47318,19. Further understanding of mechanisms underlying AKT-mediating cisplatin chemoresistance was still clinically and theoretically important and would help improve chemotherapeutic treatment of HNSCC patients

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