Background/Aim: Small-cell lung cancer (SCLC) remains one of deadliest types of cancers. Cisdiamminedichloroplatinum (CDDP) is a key chemotherapeutic agent for SCLC, however, its therapeutic effect is limited. Recently, hypoxia in the cancer microenvironment has been suggested to influence the effect of cancer therapy. Materials and Methods: Using small interfering RNA inhibition of leukocyte common antigen-related interacting protein alpha 4 (liprin-α4), and of hypoxia-inducible factor (HIF)-1α, proliferation, invasion, migration and chemosensitivity were investigated in SBC-5 SCLC cells, under normoxia and hypoxia. Results: Liprin-α4 was found to contribute to proliferation, but not migration and invasion of SBC-5 cells both under normoxia and hypoxia. Inhibition of liprin-α4 increased chemosensitivity of SBC-5 cells under hypoxia.
Liprin-α4 signaling occurs through mitogen-activated protein kinase pathways via activation of HIF1α expression. Inhibition of HIF1α reduced proliferation and increased chemosensitivity of SBC-5 cells under hypoxia. Conclusion: Liprin-α4 inhibition may enhance the effect of CDDP and liprin-α4 might be a novel therapeutic target in SCLC.Small-cell lung cancer (SCLC) is still a refractory cancer for which there are few therapeutic strategies. Cisdiamminedichloroplatinum (CDDP) is a key chemotherapeutic agent, however, its effect is limited. Developing a new effective therapeutic strategy against SCLC and increasing the effect of existing agents is earnestly required.The microenvironment surrounding cancer tissue is important in considering cancer therapy. This microenvironment includes tumor-infiltrating immune cells, fibrosis, and desmoplasia, as well as cytokines and other molecules. Hypoxia is also thought to occur in the cancer microenvironment. The tumor local site is extremely hypoxic, with an oxygen concentration of approximately 1% O 2 (1). Biological functioning is altered under hypoxia. Therefore, the cell phenotype should especially be considered when investigating proliferation, invasion, and chemosensitivity under hypoxia rather than under normoxia which is a usual experimental condition.Liprins are major protein constituents of synapses and play a pivotal role in the organization of synaptic vesicles and neurotransmitter receptors (2). Liprin-α belongs to the LAR family of receptor protein tyrosine phosphatase (3, 4). Among liprin members, liprin-1α is well researched and recently its interaction with some cancer types has been reported (5, 6). On the other hand, the role of liprin-α4 remains unclear with regard to cancer biology. Previously we showed that liprin-α4 has potential as a new therapeutic target for refractory pancreatic cancer (7). In the present study, we evaluated whether liprin-α4 might be a therapeutic target in SCLC, which like pancreatic cancer is a refractory type of neuroendocrine cancer.
Materials and MethodsCell culture and reagents. A human SCLC cell line (SBC-5: American Type Culture Collection, Manassas, VA, USA) was maintained in RPMI-1640 me...