Sulfasalazine, an inhibitor of the cystine-glutamate antiporter, reduces DNA damage repair and enhances radiosensitivity in murine B16F10 melanoma

PLoS One. 2018 Apr 12;13(4):e0195151. doi: 10.1371/journal.pone.0195151. eCollection 2018.

Abstract

The sodium-independent cystine-glutamate antiporter plays an important role in extracellular cystine uptake. It comprises the transmembrane protein, xCT and its chaperone, CD98. Because glutathione is only weakly cell membrane permeable, cellular uptake of its precursor, cystine, is known to be a key step in glutathione synthesis. Moreover, it has been reported that xCT expression affects the progression of tumors and their resistance to therapy. Sulfasalazine is an inhibitor of xCT that is known to increase cellular oxidative stress, giving it anti-tumor potential. Here, we describe a radio-sensitizing effect of sulfasalazine using a B16F10 melanoma model. Sulfasalazine decreased glutathione concentrations and resistance to H2O2 in B16F10 melanoma cells, but not in mouse embryonic fibroblasts. It synergistically enhanced the cyto-killing effect of X-irradiation in B16F10 cells. It inhibited cellular DNA damage repair and prolonged cell cycle arrest after X-irradiation. Furthermore, in an in vivo transplanted melanoma model, sulfasalazine decreased intratumoral glutathione content, leading to enhanced susceptibility to radiation therapy. These results suggest the possibility of using SAS to augment the treatment of radio-resistant cancers.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Antiporters / metabolism
  • Cell Cycle
  • Cell Survival
  • Comet Assay
  • Cystine / metabolism
  • DNA Damage / drug effects*
  • DNA Repair
  • Female
  • Fibroblasts / metabolism
  • Glutamic Acid / metabolism
  • Hydrogen Peroxide / metabolism
  • Melanoma, Experimental / drug therapy*
  • Melanoma, Experimental / radiotherapy*
  • Mice
  • Mice, Inbred C57BL
  • Oxidative Stress
  • RNA Interference
  • RNA, Small Interfering / metabolism
  • Radiation Tolerance
  • Reactive Oxygen Species / metabolism
  • Sulfasalazine / pharmacology*
  • X-Rays

Substances

  • Antiporters
  • RNA, Small Interfering
  • Reactive Oxygen Species
  • Glutamic Acid
  • Sulfasalazine
  • Cystine
  • Hydrogen Peroxide

Grants and funding

This research was partially supported by Private University Research Branding Project (Ministry of Education, Culture, Sports, Science and Technology, Japan).