2021
DOI: 10.3390/ijms23010157
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Inhibition of Carbonic Anhydrase 2 Overcomes Temozolomide Resistance in Glioblastoma Cells

Abstract: About 95% of Glioblastoma (GBM) patients experience tumor relapse as a consequence of resistance to the first-line standard chemotherapy using temozolomide (TMZ). Recent studies reported consistently elevated expression levels of carbonic anhydrase CA2 in recurrent glioblastoma and temozolomide-resistant glioblastoma stem-like cells (GSCs). Here we show that CA2 is preferentially expressed in GSCs and upregulated by TMZ treatment. When expressed in GBM cell lines, CA2 exerts significant metabolic changes refle… Show more

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Cited by 16 publications
(13 citation statements)
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“…A significant number of mechanisms have been proposed in an attempt to explain the therapeutic resistance of GBM cells: e.g., the metabolic inactivation of drugs, increased drug efflux, increased DNA repair [ 11 , 12 , 13 ], loss of the potential of microglia to present antigens [ 14 , 15 ], induction of T-cell dysfunction [ 16 , 17 , 18 ], an immunosuppressive tumor microenvironment [ 19 , 20 , 21 ], the blood–brain barrier (BBB), and the role of corticosteroids regularly administered to GBM patients [ 22 ] effectively reducing the BBB permeability by reinforcement of endothelial tight junctions [ 23 ]. In addition, GBM stem-like cells (GSCs) have been proposed in recent years to be responsible for therapeutic resistance and tumor relapse [ 24 ].…”
Section: Introductionmentioning
confidence: 99%
See 1 more Smart Citation
“…A significant number of mechanisms have been proposed in an attempt to explain the therapeutic resistance of GBM cells: e.g., the metabolic inactivation of drugs, increased drug efflux, increased DNA repair [ 11 , 12 , 13 ], loss of the potential of microglia to present antigens [ 14 , 15 ], induction of T-cell dysfunction [ 16 , 17 , 18 ], an immunosuppressive tumor microenvironment [ 19 , 20 , 21 ], the blood–brain barrier (BBB), and the role of corticosteroids regularly administered to GBM patients [ 22 ] effectively reducing the BBB permeability by reinforcement of endothelial tight junctions [ 23 ]. In addition, GBM stem-like cells (GSCs) have been proposed in recent years to be responsible for therapeutic resistance and tumor relapse [ 24 ].…”
Section: Introductionmentioning
confidence: 99%
“…self-renewing cells with stem cell characteristics are referred to as glioblastoma stem-like cells (GSCs) [ 25 , 26 , 27 ]. Whilst the former is sensitive to chemotherapy due to its significantly elevated proliferation rate, the latter is thought to be most resistant to the induction of apoptosis by the established standard therapy, bearing the capacity of tumor initiation as a source of glioma recurrence [ 8 , 13 , 28 , 29 ]. Therefore, novel efficient therapies targeting the resistance of GBM cells, especially GBM stem-like cells, to apoptosis are highly demanded.…”
Section: Introductionmentioning
confidence: 99%
“…Carbonic anhydrase 2 (CA2) belongs to human carbonic anhydrases (CAs), a well-defined group of metal enzymes that catalyze carbon dioxide into bicarbonate [ 28 ]. CA2 functions to regulate ion transport and pH balance, which permeates many biological processes.…”
Section: Discussionmentioning
confidence: 99%
“…Meanwhile, bioinformatics predicted that wogonin could enhance gemcitabine sensitivity of pancreatic cancer by inhibiting AKT2, CCL2, HSP90AA1, PDE5A, and activating PTGS1, BCHE, SERPINB5, CA2, SRC, DGKA, HIF1A, PTGS2, ABCA1, DPYD, AKR1C3. According to the literature, AKT2 (Chen et al, 2012), CCL2 (Monti et al, 2004), HSP90 (Ghadban et al, 2017), CA2 (Zhao et al, 2021), SRC (Lin et al, 2019), HIF1A , ABCA1 (Shen and Yan, 2021), DPYD (Delhorme et al, 2022) and AKR1C3 (Phoo et al, 2021) are associated with drug resistance. The biological process of wogonin sensitization to gemcitabine includes: response to fluid shear stress, cyclooxygenase pathway, response to steroid hormones, positive regulation of transmembrane transport, peptide transport, and ribonucleoside acid metabolism process (Figure 3).…”
Section: Discussionmentioning
confidence: 99%