Abstract

SIRT3, a class III histone deacetylase, has been implicated in various cancers as a novel therapeutic target. In hepatocellular carcinoma (HCC), we previously reported that SIRT3 induced cell apoptosis by regulating GSK-3β/Bax signaling pathway. Downregulation of SIRT3 in HCC cells facilitates tumor cell survival. In this study, we found that chemotherapeutic agents (doxorubicin, cisplatin and epirubicin) and sorafenib treatment downregulated SIRT3 mRNA and protein levels in three HCC cell lines. MTS assay found that SIRT3 overexpression sensitized liver cancer cells to chemotherapeutic agents and sorafenib in SMMC-7721, Huh-7 and PLC/PRF/5 cell lines. Moreover, SIRT3 overexpression promoted chemotherapeutic agents-induced or sorafenib-induced apoptosis as evidenced by flow cytometry, enhanced PARP cleavage and enhanced Caspase-9 cleavage in three HCC cells. In contrast, SIRT3 silencing increased drug resistance of HCC cells to chemotherapeutic agents. Mechanistic study found that SIRT3 downregulated the mRNA and protein levels of glutathione S-transferase pi 1 (GSTP1), which is a member of phase II detoxification enzymes families involved in metabolizing for chemotherapeutic agents. Moreover, SIRT3 decreased the amount of GSTP1 that was associated with JNK, which finally contributed the activation of JNK activity and activation of downstream target c-Jun and Bim. Importantly, GSTP1 overexpression or JNK inhibitor abolished SIRT3-induced apoptosis in HCC cells exposed to chemotherapeutic agents. Finally, there was a negative correlation between SIRT3 expression and GSTP1 expression in human HCC tissues. Together, our findings revealed SIRT3 could enhance the drug sensitivity of HCC cells to an array of chemotherapeutic agents. SIRT3 may serve as a potential target for improving the chemosensitivity of HCC patients.

Highlights

  • Hepatocellular carcinoma (HCC) is the fifth most frequently occurring cancer worldwide, with over 782,000 new cases estimated to have occurred in 2012 [1]

  • We found that chemotherapeutic agents and sorafenib treatment downregulated SIRT3 mRNA and protein levels in three hepatocellular carcinoma (HCC) cell lines

  • The results showed that both mRNA and protein levels of SIRT3 in HCC cell lines were markedly lower relative to MIHA cells, indicating that SIRT3 was frequently downregulated in HCC cells (Figure 1A)

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Summary

Introduction

Hepatocellular carcinoma (HCC) is the fifth most frequently occurring cancer worldwide, with over 782,000 new cases estimated to have occurred in 2012 [1]. There are marked geographic variations in the distribution of HCC, with most cases occurring in Eastern Asia and sub-Saharan Africa [2]. China is one of the countries with a high incidence rate of HCC. Current therapeutic approaches for HCC include surgery, radiotherapy and chemotherapy. Curative surgery is the most effective treatment, systemic chemotherapy on postoperative HCC patients has been carried out to avoid recurrence and metastases. Chemotherapeutic agents are modestly effective on HCC and drug resistance is the major obstacle in the therapy. Understanding of underlying mechanism of drug resistance is urgently needed to identify novel treatment

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