Abstract
Photodynamic Therapy (PDT) is an emerging method to treat colorectal cancers (CRC). Hypericin (HYP) is an effective mediator of PDT and the ABCG2 inhibitor, Febuxostat (FBX) could augment PDT. HT29 and HEK293 cells showed light dependant cytotoxic response to PDT in both 2D and 3D cell models. FBX co-treatment was not found to improve PDT cytotoxicity. Next, ABCG2 protein expression was observed in HT29 but not in HEK293 cells. However, ABCG2 gene expression analysis did not support protein expression results as ABCG2 gene expression results were found to be higher in HEK293 cells. Although HYP treatment was found to significantly reduce ABCG2 gene expression levels in both cell lines, FBX treatment partially restored ABCG2 gene expression. Our findings indicate that FBX co-treatment may not be suitable for augmenting HYP-mediated PDT in CRC but could potentially be useful for other applications.
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Abbreviations
- PDT:
-
Photodynamic Therapy
- CRC:
-
Colorectal cancers
- HYP:
-
Hypericin
- FBX:
-
Febuxostat
References
Bray, F., et al. (2018). Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA: A Cancer Journal for Clinicians. https://doi.org/10.3322/caac.21492
Dekker, E., et al. (2019). Colorectal cancer. The Lancet. https://doi.org/10.1016/S0140-6736(19)32319-0
Cho, Y.-H., et al. (2020). 5-FU promotes stemness of colorectal cancer via p53-mediated WNT/β-catenin pathway activation. Nature Communications. https://doi.org/10.1038/s41467-020-19173-2
Del Rio, M., et al. (2007). Gene expression signature in advanced colorectal cancer patients select drugs and response for the use of leucovorin, fluorouracil, and irinotecan. Journal of Clinical Oncology. https://doi.org/10.1200/JCO.2006.07.4187
Xie, Y.-H., et al. (2020). Comprehensive review of targeted therapy for colorectal cancer. Signal Transduction and Targeted Therapy. https://doi.org/10.1038/s41392-020-0116-z
Pramanik, A., et al. (2022). Affimer tagged cubosomes: Targeting of carcinoembryonic antigen expressing colorectal cancer cells using In Vitro and In Vivo models. ACS Applied Materials & Interfaces. https://doi.org/10.1021/acsami.1c21655
Seymour, M. T., & Morton, D. (2019). FOxTROT: An international randomised controlled trial in 1052 patients (pts) evaluating neoadjuvant chemotherapy (NAC) for colon cancer. Journal of Clinical Oncology. https://doi.org/10.1200/JCO.2019.37.15_suppl.3504
Correia, J. H., et al. (2021). Photodynamic therapy review: Principles, photosensitizers, applications, and future directions. Pharmaceutics. https://doi.org/10.3390/pharmaceutics13091332
Allison, R. R., & Moghissi, K. (2013). Photodynamic therapy (PDT): PDT mechanisms. Clinical Endoscopy. https://doi.org/10.5946/ce.2013.46.1.24
Robertson, C. A., et al. (2009). Photodynamic therapy (PDT): A short review on cellular mechanisms and cancer research applications for PDT. Journal of photochemistry and photobiology. B, Biology. https://doi.org/10.1016/j.jphotobiol.2009.04.001
Wachowska, M., et al. (2015). Immunological aspects of antitumor photodynamic therapy outcome. Central European Journal of Immunology. https://doi.org/10.5114/ceji.2015.56974
Falk-Mahapatra, R., & Gollnick, S. O. (2020). Photodynamic therapy and immunity: An update. Photochemistry and Photobiology. https://doi.org/10.1111/php.13253
Choudhary, N., et al. (2022). Hypericin and its anticancer effects: From mechanism of action to potential therapeutic application. Phytomedicine. https://doi.org/10.1016/j.phymed.2022.154356
Khot, M. I., et al. (2018). Inhibiting ABCG2 could potentially enhance the efficacy of hypericin-mediated photodynamic therapy in spheroidal cell models of colorectal cancer. Photodiagnosis and Photodynamic Therapy. https://doi.org/10.1016/j.pdpdt.2018.06.027
Kim, W. S., et al. (2022). AI-enabled, implantable, multichannel wireless telemetry for photodynamic therapy. Nature Communications. https://doi.org/10.1038/s41467-022-29878-1
Khot, M. I., et al. (2020). The role of ABCG2 in modulating responses to anti-cancer photodynamic therapy. Photodiagnosis and Photodynamic Therapy. https://doi.org/10.1016/j.pdpdt.2019.10.014
Jendzelovsky, R., et al. (2009). Drug efflux transporters, MRP1 and BCRP, affect the outcome of hypericin-mediated photodynamic therapy in HT-29 adenocarcinoma cells. Photochemical & Photobiological Sciences. https://doi.org/10.1039/b9pp00086k
Khot, M. I., et al. (2020). Characterising a PDMS based 3D cell culturing microfluidic platform for screening chemotherapeutic drug cytotoxic activity. Scientific Reports. https://doi.org/10.1038/s41598-020-72952-1
Breslin, S., & O’Driscoll, L. (2013). Three-dimensional cell culture: The missing link in drug discovery. Drug Discovery Today. https://doi.org/10.1016/j.drudis.2012.10.003
Zanoni, M., et al. (2016). 3D tumor spheroid models for in vitro therapeutic screening: A systematic approach to enhance the biological relevance of data obtained. Scientific Reports. https://doi.org/10.1038/srep19103
Toyoda, Y., et al. (2019). Inhibitors of Human ABCG2: From technical background to recent updates with clinical implications. Frontiers in Pharmacology. https://doi.org/10.3389/fphar.2019.00208
Miyata, H., et al. (2016). Identification of febuxostat as a new strong ABCG2 inhibitor: Potential applications and risks in clinical situations. Frontiers in Pharmacology. https://doi.org/10.3389/fphar.2016.00518
Cramer, S. W., & Chen, C. C. (2020). Photodynamic therapy for the treatment of glioblastoma. Frontiers in Surgery. https://doi.org/10.3389/fsurg.2019.00081
Kast, R. E., et al. (2018). Augmentation of 5-aminolevulinic acid treatment of glioblastoma by adding ciprofloxacin, deferiprone, 5-fluorouracil and febuxostat: The CAALA regimen. Brain Sciences. https://doi.org/10.3390/brainsci8120203
Zattoni, I. F., et al. (2022). Targeting breast cancer resistance protein (BCRP/ABCG2): Functional inhibitors and expression modulators. European Journal of Medicinal Chemistry. https://doi.org/10.1016/j.ejmech.2022.114346
Abdel-Aziz, A. M., et al. (2020). Amelioration of testosterone-induced benign prostatic hyperplasia using febuxostat in rats: The role of VEGF/TGFβ and iNOS/COX-2. European Journal of Pharmacology. https://doi.org/10.1016/j.ejphar.2020.173631
Englund, G., et al. (2007). Efflux transporters in ulcerative colitis: Decreased expression of BCRP (ABCG2) and Pgp (ABCB1). Inflammatory Bowel Diseases. https://doi.org/10.1002/ibd.20030
Gutmann, H., et al. (2008). Breast cancer resistance protein and P-glycoprotein expression in patients with newly diagnosed and therapy-refractory ulcerative colitis compared with healthy controls. Digestion. https://doi.org/10.1159/000179361
Kukal, S., et al. (2021). Multidrug efflux transporter ABCG2: Expression and regulation. Cellular and Molecular Life Sciences. https://doi.org/10.1007/s00018-021-03901-y
Tan, L., et al. (2022). The role of photodynamic therapy in triggering cell death and facilitating antitumor immunology. Frontiers in Oncology. https://doi.org/10.3389/fonc.2022.863107
Nakanishi, T., & Ross, D. D. (2012). Breast cancer resistance protein (BCRP/ABCG2): Its role in multidrug resistance and regulation of its gene expression. Chinese Journal of Cancer. https://doi.org/10.5732/cjc.011.10320
Doyle, L. A., et al. (1998). A multidrug resistance transporter from human MCF-7 breast cancer cells. Proceedings of the National Academy of Sciences of the United States of America. https://doi.org/10.1073/pnas.95.26.15665
Miyake, K., et al. (1999). Molecular cloning of cDNAs which are highly overexpressed in mitoxantrone-resistant cells: Demonstration of homology to ABC transport genes. Cancer Research, 59(1), 8–13.
Maliepaard, M., et al. (1999). Overexpression of the BCRP/MXR/ABCP gene in a topotecan-selected ovarian tumor cell line. Cancer Research, 59(18), 4559–4563.
Robey, R. W., et al. (2001). Overexpression of the ATP-binding cassette half-transporter, ABCG2 (Mxr/BCrp/ABCP1), in flavopiridol-resistant human breast cancer cells. Clinical Cancer Research: An Official Journal of the American Association for Cancer Research, 7(1), 145–152.
Burger, H., et al. (2005). Chronic imatinib mesylate exposure leads to reduced intracellular drug accumulation by induction of the ABCG2 (BCRP) and ABCB1 (MDR1) drug transport pumps. Cancer Biology & Therapy. https://doi.org/10.4161/cbt.4.7.1826
Mirrakhimov, A. E., et al. (2015). Tumor lysis syndrome: A clinical review. World Journal of Critical Care Medicine. https://doi.org/10.5492/wjccm.v4.i2.130
Kishimoto, K., et al. (2017). Febuxostat as a prophylaxis for tumor lysis syndrome in children with hematological malignancies. Anticancer Research, 37(10), 5845–5849.
Bellos, I., et al. (2019). Febuxostat administration for the prevention of tumour lysis syndrome: A meta-analysis. Journal of Clinical Pharmacy and Therapeutics. https://doi.org/10.1111/jcpt.12839
Tamura, K., et al. (2016). Efficacy and safety of febuxostat for prevention of tumor lysis syndrome in patients with malignant tumors receiving chemotherapy: A phase III, randomized, multi-center trial comparing febuxostat and allopurinol. International Journal of Clinical Oncology. https://doi.org/10.1007/s10147-016-0971-3
Funding
The study is funded by the National Institute for Health and Care Research (NIHR) Leeds Biomedical Research Centre (BRC). The views expressed in this study are those of the authors and not necessarily those of the National Health Service, the NIHR, or the Department of Health. This work was also supported by a Royal Society International Exchanges Award (IEC\R3\203014) to D.G.J and M.I.K., a UKRI EPSRC Research Programme Grant (753910/B19R13527) and Bowel Cancer UK/RCS Eng Colorectal Research Chair Award (18SC0001) to D.G.J.
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D.G.J. and M.I.K. created the research project and conceptualised the study. A.K. performed the experiments. T.M. and E.H. provided technical and experimental supervision. A.K., M.I.K. and J.L.P. analysed the results. M.I.K. wrote and edited the manuscript. All authors approve of the final manuscript.
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King, A., Maisey, T., Harris, E.L. et al. The contradictory role of febuxostat in ABCG2 expression and potentiating hypericin-mediated photodynamic therapy in colorectal cancers. Photochem Photobiol Sci (2024). https://doi.org/10.1007/s43630-024-00575-w
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DOI: https://doi.org/10.1007/s43630-024-00575-w