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  • Author: Lee, Alvin J. X.

    Cancer Research UK London Research Institute

  • Author: Roylance, Rebecca

    Barts Cancer Institute, Queen Mary University of London

  • Author: Sander, Jil

    Cancer Research UK, London Research Institute

  • Author: Gorman, Patricia

    Barts Cancer Institute, Queen Mary University of London

  • Author: Endesfelder, David

    Cancer Research UK, London Research Institute

  • Author: Kschischo, Maik

    University of Applied Sciences Koblenz, RheinAhrCampus

  • Author: Jones, Neil P.

    Wolfson Institute for Biomedical Research, University College London

  • Author: East, Philip

    Cancer Research UK London Research Institute

  • Author: Nicke, Barbara

    Cancer Research UK, London Research Institute

  • Author: Spassieva, Stefka

    Department of Medicine, Medical University of South Carolina

  • Author: Obeid, Lina M.

    Department of Medicine, Medical University of South Carolina

  • Author: Birkbak, Nicolai Juul

    Center for Biological Sequence Analysis, Department of Systems Biology, Technical University of Denmark, Kemitorvet, 2800, Lyngby

  • Author: Szallasi, Zoltan

    Department of Systems Biology, Technical University of Denmark, Kemitotvet, 2800, Lyngby

  • Author: McKnight, Nicole C.

    Cancer Research UK, London Research Institute

  • Author: Rowan, Andrew J.

    Cancer Research UK, London Research Institute

  • Author: Speirs, Valerie

    Leeds Institute of Molecular Medicine, University of Leeds

  • Author: Hanby, Andrew M.

    Leeds Institute of Molecular Medicine, University of Leeds

  • Author: Downward, Julian

    Cancer Research UK, London Research Institute

  • Author: Tooze, Sharon A.

    Cancer Research UK, London Research Institute

  • Author: Swanton, Charles

    Cancer Research UK, London Research Institute

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Chromosomal instability (CIN) has been implicated in multidrug resistance and the silencing of the ceramide transporter, CERT, promotes sensitization to diverse cytotoxics. An improved understanding of mechanisms governing multidrug sensitization might provide insight into pathways contributing to the death of CIN cancer cells. Using an integrative functional genomics approach, we find that CERT‐specific multidrug sensitization is associated with enhanced autophagosome–lysosome flux, resulting from the expression of LAMP2 following CERT silencing in colorectal and HER2+ breast cancer cell lines. Live cell microscopy analysis revealed that CERT depletion induces LAMP2‐dependent death of polyploid cells following exit from mitosis in the presence of paclitaxel. We find that CERT is relatively over‐expressed in HER2+ breast cancer and CERT protein expression acts as an independent prognostic variable and predictor of outcome in adjuvant chemotherapy‐treated patients with primary breast cancer. These data suggest that the induction of LAMP2‐dependent autophagic flux through CERT targeting may provide a rational approach to enhance multidrug sensitization and potentiate the death of polyploid cells following paclitaxel exposure to limit the acquisition of CIN and intra‐tumour heterogeneity. Copyright © 2011 Pathological Society of Great Britain and Ireland. Published by John Wiley & Sons, Ltd.
Original languageEnglish
JournalJournal of Pathology
Publication date2012
Volume226
Journal number3
Pages482-494
ISSN0022-3417
DOIs
StatePublished
CitationsWeb of Science® Times Cited: 2

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