Connexin 43 confers chemoresistance through activating PI3K

dc.contributor.authorPridham, Kevin J.en
dc.contributor.authorShah, Farahen
dc.contributor.authorHutchings, Kasen R.en
dc.contributor.authorSheng, Kevin L.en
dc.contributor.authorGuo, Sujuanen
dc.contributor.authorLiu, Minen
dc.contributor.authorKanabur, Pratiken
dc.contributor.authorLamouille, Samy Y.en
dc.contributor.authorLewis, Gabrielleen
dc.contributor.authorMorales, Marcen
dc.contributor.authorJourdan, L. Janeen
dc.contributor.authorGrek, Christina L.en
dc.contributor.authorGhatnekar, Gautam S.en
dc.contributor.authorVarghese, Robin T.en
dc.contributor.authorKelly, Deborah F.en
dc.contributor.authorGourdie, Robert G.en
dc.contributor.authorSheng, Zhien
dc.date.accessioned2022-01-14T13:44:51Zen
dc.date.available2022-01-14T13:44:51Zen
dc.date.issued2022-01-12en
dc.description.abstractCircumventing chemoresistance is crucial for effectively treating cancer including glioblastoma, a lethal brain cancer. The gap junction protein connexin 43 (Cx43) renders glioblastoma resistant to chemotherapy; however, targeting Cx43 is difficult because mechanisms underlying Cx43-mediated chemoresistance remain elusive. Here we report that Cx43, but not other connexins, is highly expressed in a subpopulation of glioblastoma and Cx43 mRNA levels strongly correlate with poor prognosis and chemoresistance in this population, making Cx43 the prime therapeutic target among all connexins. Depleting Cx43 or treating cells with αCT1–a Cx43 peptide inhibitor that sensitizes glioblastoma to the chemotherapy temozolomide–inactivates phosphatidylinositol-3 kinase (PI3K), whereas overexpression of Cx43 activates this signaling. Moreover, αCT1-induced chemo-sensitization is counteracted by a PI3K active mutant. Further research reveals that αCT1 inactivates PI3K without blocking the release of PI3K-activating molecules from membrane channels and that Cx43 selectively binds to the PI3K catalytic subunit β (PIK3CB, also called PI3Kβ or p110β), suggesting that Cx43 activates PIK3CB/p110β independent of its channel functions. To explore the therapeutic potential of simultaneously targeting Cx43 and PIK3CB/p110β, αCT1 is combined with TGX-221 or GSK2636771, two PIK3CB/p110β-selective inhibitors. These two different treatments synergistically inactivate PI3K and sensitize glioblastoma cells to temozolomide in vitro and in vivo. Our study has revealed novel mechanistic insights into Cx43/PI3K-mediated temozolomide resistance in glioblastoma and demonstrated that targeting Cx43 and PIK3CB/p110β together is an effective therapeutic approach for overcoming chemoresistance.en
dc.description.versionPublished versionen
dc.format.mimetypeapplication/pdfen
dc.identifier.doihttps://doi.org/10.1038/s41389-022-00378-7en
dc.identifier.issue2en
dc.identifier.urihttp://hdl.handle.net/10919/107630en
dc.identifier.volume11en
dc.language.isoenen
dc.publisherSpringer Natureen
dc.rightsCreative Commons Attribution 4.0 Internationalen
dc.rights.urihttp://creativecommons.org/licenses/by/4.0/en
dc.titleConnexin 43 confers chemoresistance through activating PI3Ken
dc.title.serialOncogenesisen
dc.typeArticle - Refereeden
dc.type.dcmitypeTexten

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