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Title: Mitochondrial Superoxide Increases Age-Associated Susceptibility of Human Dermal Fibroblasts to Radiation and Chemotherapy.

Authors: Mapuskar, Kranti A; Flippo, Kyle H; Schoenfeld, Joshua D; Riley, Dennis P; Strack, Stefan; Hejleh, Taher Abu; Furqan, Muhammad; Monga, Varun; Domann, Frederick E; Buatti, John M; Goswami, Prabhat C; Spitz, Douglas R; Allen, Bryan G

Published In Cancer Res, (2017 Sep 15)

Abstract: Elderly cancer patients treated with ionizing radiation (IR) or chemotherapy experience more frequent and greater normal tissue toxicity relative to younger patients. The current study demonstrates that exponentially growing fibroblasts from elderly (old) male donor subjects (70, 72, and 78 years) are significantly more sensitive to clonogenic killing mediated by platinum-based chemotherapy and IR (∼70%-80% killing) relative to young fibroblasts (5 months and 1 year; ∼10%-20% killing) and adult fibroblasts (20 years old; ∼10%-30% killing). Old fibroblasts also displayed significantly increased (2-4-fold) steady-state levels of O2•-, O2 consumption, and mitochondrial membrane potential as well as significantly decreased (40%-50%) electron transport chain (ETC) complex I, II, IV, V, and aconitase (70%) activities, decreased ATP levels, and significantly altered mitochondrial structure. Following adenoviral-mediated overexpression of SOD2 activity (5-7-fold), mitochondrial ETC activity and aconitase activity were restored, demonstrating a role for mitochondrial O2•- in these effects. Old fibroblasts also demonstrated elevated levels of endogenous DNA damage that were increased following treatment with IR and chemotherapy. Most importantly, treatment with the small-molecule, superoxide dismutase mimetic (GC4419; 0.25 μmol/L) significantly mitigated the increased sensitivity of old fibroblasts to IR and chemotherapy and partially restored mitochondrial function without affecting IR or chemotherapy-induced cancer cell killing. These results support the hypothesis that age-associated increased O2•- and resulting DNA damage mediate the increased susceptibility of old fibroblasts to IR and chemotherapy that can be mitigated by GC4419. Cancer Res; 77(18); 5054-67. ©2017 AACR.

PubMed ID: 28765155 Exiting the NIEHS site

MeSH Terms: Adult; Age Factors; Aged; Animals; Antineoplastic Agents/adverse effects; Apoptosis/drug effects; Apoptosis/radiation effects; Cell Proliferation/drug effects; Cell Proliferation/radiation effects; Cells, Cultured; Cisplatin/adverse effects*; Fibroblasts/drug effects; Fibroblasts/pathology*; Fibroblasts/radiation effects; Humans; Male; Membrane Potential, Mitochondrial/drug effects; Membrane Potential, Mitochondrial/radiation effects; Mice; Mice, Inbred C57BL; Mitochondria/drug effects; Mitochondria/pathology*; Mitochondria/radiation effects; Oxidative Stress; Radiation, Ionizing*; Skin/drug effects; Skin/pathology*; Skin/radiation effects; Superoxide Dismutase/metabolism; Superoxides/metabolism*; Young Adult

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