title: Mre11 inhibition by oncolytic adenovirus associates with autophagy and underlies synergy with ionizing radiation.
abstract: New treatment approaches are needed for hormone refractory prostate cancer. Oncolytic adenoviruses are promising anti-cancer agents, and their efficacy can be improved by combining with conventional therapies such as ionizing radiation. The aim of this study was to determine the timing of oncolytic adenovirus treatment with regard to radiation and study the mechanisms of synergy in combination treatment. Prostate cancer cells were infected with oncolytic adenoviruses, irradiated and synergy mechanisms were assessed. In vivo models of combination treatment were tested. Radiation and oncolytic viruses were synergistic when viral infection was scheduled 24 hr after irradiation. Combination of oncolytic adenovirus with radiotherapy significantly increased antitumor efficacy in vivo compared to either agent alone. Microarray analysis showed dysregulated pathways including cell cycle, mTOR and antigen processing pathways. Functional analysis showed that adenoviral infection was accompanied with degradation of proteins involved in DNA break repair. Mre11 was degraded for subsequent inactivation of Chk2-Thr68 in combination treated cells, while gammaH2AX-Ser139 was elevated implicating the persistence of DNA double strand breaks. Increased autophagocytosis was seen in combination treated cells. Combination treatment did not increase apoptosis or virus replication. The results provide evidence of the antitumor efficacy of combining oncolytic adenoviruses with irradiation as a therapeutic strategy for the treatment of prostate cancer. Further, these findings propose a molecular mechanism that may be important in radiation induced cell death, autophagy and viral cytopathic effect.
authors: Cancer Gene Therapy Group, University of Helsinki, Helsinki, Finland.
authors: Maria
authors: M
authors: Rajecki
authors: Taija
authors: T
authors: af Hällström
authors: Tanja
authors: T
authors: Hakkarainen
authors: Petri
authors: P
authors: Nokisalmi
authors: Sampsa
authors: S
authors: Hautaniemi
authors: Anni I
authors: AI
authors: Nieminen
authors: Mikko
authors: M
authors: Tenhunen
authors: Ville
authors: V
authors: Rantanen
authors: Reneé A
authors: RA
authors: Desmond
authors: Dung-Tsa
authors: DT
authors: Chen
authors: Kilian
authors: K
authors: Guse
authors: Ulf-Håkan
authors: UH
authors: Stenman
authors: Ricardo
authors: R
authors: Gargini
authors: Mika
authors: M
authors: Kapanen
authors: Juha
authors: J
authors: Klefström
authors: Anna
authors: A
authors: Kanerva
authors: Sari
authors: S
authors: Pesonen
authors: Laura
authors: L
authors: Ahtiainen
authors: Akseli
authors: A
authors: Hemminki
mesh_terms: D000256:Adenoviridae / Q000235:genetics; D000818:Animals; D017209:Apoptosis; D001343:Autophagy; D003131:Combined Modality Therapy; D004268:DNA-Binding Proteins / Q000037:antagonists & inhibitors* / Q000378:metabolism; D004357:Drug Synergism; D020869:Gene Expression Profiling; D006801:Humans; D000076228:MRE11 Homologue Protein; D008297:Male; D051379:Mice; D008819:Mice, Nude; D020411:Oligonucleotide Array Sequence Analysis; D050130:Oncolytic Virotherapy; D050504:Oncolytic Viruses; D011471:Prostatic Neoplasms / Q000378:metabolism / Q000473:pathology / Q000628:therapy*; D011839:Radiation, Ionizing; D014407:Tumor Cells, Cultured; D014779:Virus Replication; D014916:Whole-Body Irradiation; D023041:Xenograft Model Antitumor Assays
chemical_list: D004268:DNA-Binding Proteins; C121766:MRE11 protein, human; D000076228:MRE11 Homologue Protein