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      Cordycepin‐induced unfolded protein response‐dependent cell death, and AKT/MAPK‐mediated drug resistance in mouse testicular tumor cells

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          Abstract

          Testicular cancer is the most commonly diagnosed cancer in men at 15‐44 years of age, and radical orchidectomy combined with chemotherapy is currently considered as the standard treatment. However, drugs resistance and side effects that impact the quality of life for patients with testicular cancer have not been markedly improved in recent decades. In this study, we characterized the pharmacological exacerbation of the unfolded protein response (UPR), which is an effective approach to kill testicular cancer cells, by carrying out a clustering analysis of mRNA expression profiles and the immunobloting examination of cordycepin‐treated MA‐10 cells. The UPR is executed in response to endoplasmic reticulum stress to complement by an apoptotic response if the defect cannot be resolved. Results showed that cordycepin significantly modulated FoxO/P15/P27, PERK‐eIF2α (apoptotic), and the IRE1‐XBP1 (adaptive) UPR pathways. Interestingly, a fraction of MA‐10 cells survived after cordycepin treatment, the AKT, LC3 I/II, and MAPK signaling pathways were highly induced in attached cells as compared to the suspended cells, illustrating the drug resistance to cordycepin via activating AKT and MAPK pathways in MA‐10 cells. In summary, PERK‐eIF2α signaling pathway is required for pro‐apoptotic UPR in MA‐10 cell death following cordycepin treatment, suggesting a potential therapeutic application in treating testicular cancer. However, activation of AKT and MAPK pathways could possibly result in drug resistance to cordycepin in MA‐10 cells.

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          Most cited references38

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          FOXOs, cancer and regulation of apoptosis.

          Forkhead box O (FOXO) transcription factors are involved in multiple signaling pathways and play critical roles in a number of physiological and pathological processes including cancer. The importance of FOXO factors ascribes them under multiple levels of regulation including phosphorylation, acetylation/deacetylation, ubiquitination and protein-protein interactions. As FOXO factors play a pivotal role in cell fate decision, mounting evidence suggests that FOXO factors function as tumor suppressors in a variety of cancers. FOXOs are actively involved in promoting apoptosis in a mitochondria-independent and -dependent manner by inducing the expression of death receptor ligands, including Fas ligand and tumor necrosis factor-related apoptosis-inducing ligand, and Bcl-2 family members, such as Bim, bNIP3 and Bcl-X(L), respectively. An understanding of FOXO proteins and their biology will provide new opportunities for developing more effective therapeutic approaches to treat cancer.
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            FOXO transcription factors in cancer development and therapy.

            The forkhead box O (FOXO) transcription factors are considered as tumor suppressors that limit cell proliferation and induce apoptosis. FOXO gene alterations have been described in a limited number of human cancers, such as rhabdomyosarcoma, leukemia and lymphoma. In addition, FOXO proteins are inactivated by major oncogenic signals such as the phosphatidylinositol-3 kinase pathway and MAP kinases. Their expression is also repressed by micro-RNAs in multiple cancer types. FOXOs are mediators of the tumor response to various therapies. However, paradoxical roles of FOXOs in cancer progression were recently described. FOXOs contribute to the maintenance of leukemia-initiating cells in acute and chronic myeloid leukemia. These factors may also promote invasion and metastasis of subsets of colon and breast cancers. Resistance to treatment was also ascribed to FOXO activation in multiple cases, including targeted therapies. In this review, we discuss the complex role of FOXOs in cancer development and response to therapy.
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              Intracellular signaling from the endoplasmic reticulum to the nucleus: the unfolded protein response in yeast and mammals.

              Cellular survival of endoplasmic reticulum stress requires the unfolded protein response (UPR), a stress response first elucidated genetically in yeast. While we continue to refine our knowledge of the yeast system, especially the breadth and significance of the transcriptional response, conservation of the system's elements has allowed identification of corresponding and additional components of the mammalian UPR. Recent results reveal that the output of the mammalian UPR reaches beyond transcriptional regulation of secretory pathway components to control of general translation, the cell cycle and programmed cell death.
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                Author and article information

                Contributors
                b89609046@gmail.com
                bumiin@mail.ncku.edu.tw
                Journal
                Cancer Med
                Cancer Med
                10.1002/(ISSN)2045-7634
                CAM4
                Cancer Medicine
                John Wiley and Sons Inc. (Hoboken )
                2045-7634
                30 May 2019
                July 2019
                : 8
                : 8 ( doiID: 10.1002/cam4.2019.8.issue-8 )
                : 3949-3964
                Affiliations
                [ 1 ] Department of Cell Biology and Anatomy, College of Medicine National Cheng Kung University Tainan Taiwan, Republic of China
                [ 2 ] Department of Medical Research China Medical University Hospital, China Medical University Taichung Taiwan, Republic of China
                [ 3 ]Present address: Department of Cancer Biology Wake Forest University School of Medicine Winston Salem North Carolina USA
                Author notes
                [*] [* ] Correspondence

                Bu‐Miin Huang and Chia‐Yih Wang, Department of Cell Biology and Anatomy, College of Medicine, National Cheng Kung University, #1 University Road, Tainan 70101, Taiwan, Republic of China.

                Email: bumiin@ 123456mail.ncku.edu.tw (B.‐M. H.) and b89609046@ 123456gmail.com (C.‐Y. W.)

                Author information
                https://orcid.org/0000-0002-6537-2249
                Article
                CAM42285
                10.1002/cam4.2285
                6639181
                31145545
                74d7f07b-e387-48d0-aca5-42f6afdf808d
                © 2019 The Authors. Cancer Medicine published by John Wiley & Sons Ltd.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 16 November 2018
                : 19 April 2019
                : 10 May 2019
                Page count
                Figures: 9, Tables: 0, Pages: 16, Words: 6603
                Funding
                Funded by: Ministry of Science and Technology, Taiwan
                Award ID: MOST106-2811-B-006-014
                Award ID: MOST105-2320-B-006-028-MY3
                Award ID: MOST107-2811-B-006-519
                Categories
                Original Research
                Cancer Biology
                Original Research
                Custom metadata
                2.0
                cam42285
                July 2019
                Converter:WILEY_ML3GV2_TO_NLMPMC version:5.6.6.2 mode:remove_FC converted:18.07.2019

                Oncology & Radiotherapy
                cordycepin,drug resistance,ma‐10 mouse leydig tumor cell,perk‐eif2α/ire1‐xbp1 pathways,testicular cancer,unfolded protein response

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