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      IL-24 Inhibits Lung Cancer Growth by Suppressing GLI1 and Inducing DNA Damage

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          Abstract

          Aberrant expression of GLI1 is responsible for aggressive tumor behavior and survival due to its effects on the DNA damage response (DDR). We investigated whether interleukin (IL)-24, a tumor suppressor, inhibits GLI1 and the associated DDR pathway in human NSCLCs. IL-24 treatment reduces mRNA and protein expression of GLI1 in lung tumor cells, but not in normal cells. GLI1 reporter assay and mRNA studies demonstrated that IL-24 regulates GLI1 at the post-transcriptional level by favoring mRNA degradation. Associated with GLI1 inhibition was marked suppression of the ATM-mediated DDR pathway resulting in increased DNA damage, as evidenced by γ-H2AX foci and Comet assay. Furthermore, attenuation of GLI1-associated DDR by IL-24 increased caspase-3 and PARP activity, resulting in cancer cell apoptosis. GLI1 inhibition and overexpression confirmed that IL-24-mediated anti-tumor effects involved the GLI-dependent pathway. Finally, we observed that IL-24-mediated alteration in GLI1 is independent of the canonical hedgehog-signaling pathway. Our study provides evidence that IL-24 treatment induces DNA damage, and reduces GLI1 expression and offers an opportunity for testing IL-24-based therapy for inhibiting GLI1 in lung cancer.

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          Most cited references54

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          Hedgehog signalling in prostate regeneration, neoplasia and metastasis.

          Metastatic cancers adopt certain properties of normal cells in developing or regenerating organs, such as the ability to proliferate and alter tissue organization. We find here that activity of the Hedgehog (Hh) signalling pathway, which has essential roles in developmental patterning, is required for regeneration of prostate epithelium, and that continuous pathway activation transforms prostate progenitor cells and renders them tumorigenic. Elevated pathway activity furthermore distinguishes metastatic from localized prostate cancer, and pathway manipulation can modulate invasiveness and metastasis. Pathway activity is triggered in response to endogenous expression of Hh ligands, and is dependent upon the expression of Smoothened, an essential Hh response component that is not expressed in benign prostate epithelial cells. Monitoring and manipulating Hh pathway activity may thus offer significant improvements in diagnosis and treatment of prostate cancers with metastatic potential.
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            Smoothened mutation confers resistance to a Hedgehog pathway inhibitor in medulloblastoma.

            The Hedgehog (Hh) signaling pathway is inappropriately activated in certain human cancers, including medulloblastoma, an aggressive brain tumor. GDC-0449, a drug that inhibits Hh signaling by targeting the serpentine receptor Smoothened (SMO), has produced promising anti-tumor responses in early clinical studies of cancers driven by mutations in this pathway. To evaluate the mechanism of resistance in a medulloblastoma patient who had relapsed after an initial response to GDC-0449, we determined the mutational status of Hh signaling genes in the tumor after disease progression. We identified an amino acid substitution at a conserved aspartic acid residue of SMO that had no effect on Hh signaling but disrupted the ability of GDC-0449 to bind SMO and suppress this pathway. A mutation altering the same amino acid also arose in a GDC-0449-resistant mouse model of medulloblastoma. These findings show that acquired mutations in a serpentine receptor with features of a G protein-coupled receptor can serve as a mechanism of drug resistance in human cancer.
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              Hedgehog signalling in cancer formation and maintenance.

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                Author and article information

                Journal
                Cancers (Basel)
                Cancers (Basel)
                cancers
                Cancers
                MDPI
                2072-6694
                27 November 2019
                December 2019
                : 11
                : 12
                : 1879
                Affiliations
                [1 ]Department of Pathology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA; janani-panneerselvam@ 123456ouhsc.edu (J.P.); akhil-srivastava@ 123456ouhsc.edu (A.S.)
                [2 ]Stephenson Cancer Center, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA; meghna-mehta@ 123456ouhsc.edu (M.M.); allshine-chen@ 123456ouhsc.edu (A.C.); daniel-zhao@ 123456ouhsc.edu (Y.D.Z.); anupama-munshi@ 123456ouhsc.edu (A.M.)
                [3 ]Department of Radiation Oncology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
                [4 ]Department of Biostatistics and Epidemiology, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
                [5 ]Graduate Program in Biomedical Sciences, The University of Oklahoma Health Sciences Center, Oklahoma City, OK 73104, USA
                Author notes
                [* ]Correspondence: rajagopal-ramesh@ 123456ouhsc.edu ; Tel.: +1-405-271-6101
                Author information
                https://orcid.org/0000-0003-2015-259X
                https://orcid.org/0000-0002-7658-5338
                Article
                cancers-11-01879
                10.3390/cancers11121879
                6966580
                31783569
                b9b50bc7-d900-4cf9-bd20-d1b61360de3a
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 13 September 2019
                : 19 November 2019
                Categories
                Article

                lung cancer,il-24,gli1,dna damage,apoptosis,hedgehog signaling
                lung cancer, il-24, gli1, dna damage, apoptosis, hedgehog signaling

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