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CAMK2A通过磷酸化CX43驱动胶质瘤替莫唑胺耐药的机制研究

CAMK2A drives temozolomide resistance through phosphorylation-mediated stabilization of CX43 in Glioma

  • 摘要: 替莫唑胺(TMZ)耐药仍然是胶质瘤治疗中的一大挑战,但其潜在的分子机制尚未完全阐明。本研究发现钙/钙调蛋白依赖性蛋白激酶IIα(CAMK2A)是胶质瘤TMZ耐药的关键调控因子。对临床胶质瘤样本的分析显示,TMZ耐药复发患者的CAMK2A表达水平升高。功能实验表明,敲低CAMK2A可显著增强胶质瘤细胞对TMZ的敏感性,而CAMK2A的过表达则赋予胶质瘤细胞TMZ耐药性。机制上,CAMK2A可磷酸化连接蛋白43(CX43),从而阻止其自噬降解,导致CX43稳定。值得注意的是,使用千层纸素(OA)进行干预可通过直接结合CX43来破坏CAMK2A介导的CX43磷酸化,从而增强胶质瘤细胞对TMZ的敏感性。总而言之,这些结果揭示了以前未被报道的CAMK2A-CX43信号轴,该信号轴驱动胶质瘤对替莫唑胺产生耐药性,并强调靶向CX43磷酸化是克服化疗耐药性的潜在治疗策略。

     

    Abstract: Temozolomide (TMZ) resistance remains a major challenge in the treatment of glioma, yet the underlying molecular mechanisms are incompletely understood. In this study, we identified calcium/calmodulin-dependent protein kinase II alpha (CAMK2A) as a critical regulator of TMZ resistance in glioma. Analysis of clinical glioma specimens revealed CAMK2A expression was elevated in TMZ-recurrent patients. Functional experiments demonstrated that knockdown of CAMK2A markedly enhanced TMZ sensitivity, whereas overexpression of CAMK2A conferred resistance to TMZ in glioma cells. Mechanistically, CAMK2A phosphorylated Connexin 43 (CX43), thereby preventing its autophagic degradation and leading to CX43 stabilization. Notably, pharmacological intervention with Oroxylin A (OA) disrupted CAMK2A mediated CX43 phosphorylation by directly binding to CX43, resulting in enhanced TMZ sensitivity. Collectively, these findings uncover a previously unrecognized CAMK2A-CX43 signaling axis that drives TMZ resistance in glioma and highlight targeting CX43 phosphorylation as a potential therapeutic strategy to overcome chemoresistance.

     

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