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Mechanisms of DNA repair involved with lesions induced by alkylating agent (Nimustine) in human cells and its relationship with glioma chemoresistance.

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Author(s):
Juliana Brandstetter Vilar
Total Authors: 1
Document type: Doctoral Thesis
Press: São Paulo.
Institution: Universidade de São Paulo (USP). Instituto de Ciências Biomédicas (ICB/SDI)
Defense date:
Examining board members:
Carlos Frederico Martins Menck; Elza Tiemi Sakamoto Hojo; Oswaldo Keith Okamoto; Enrique Mario Boccardo Pierulivo; Nadja Cristhina de Souza Pinto
Advisor: Carlos Frederico Martins Menck
Abstract

The chemoresistance of tumors is one of the most important obstacles that commonly lead to the failure of therapy. The main mechanisms that contribute to cellular resistance include efflux pumps; changes in the interaction between the drug and its target and changes in cellular responses, in particular an increased ability to repair induced DNA damages and defects in apoptotic pathways. The ability to repair DNA damage and evasion of apoptosis are of great importance, since most chemotherapy has its action based on the induction of cytotoxicity by the ability to generate DNA lesions. Thus, an important strategy for improving chemotherapy is the development of more selective mechanisms that circumvent tumor resistance approaches. In this work, through a study of genes and pathways involved in the repair, survival and damage signaling induced by nimustine (ACNU) - a cloroethylating agent commonly used in treatments of solid tumors - we aimed to identify target genes for a potentially adjuvant therapy. We demonstrated that glioma cells p53mt have less ability to repair ICLs induced by this drug then p53wt cells. Also, that the NHEJ (\'\'Non Homologous End Joining\'\') pathway is not the main route of repair of these lesions, but that the NER (\'\'Nucleotide Excision Repair\'\') pathway (or specifically the gene products XPA, XPC and XPF) is very important. Interestingly, in the absence of XPA, NHEJ takes place in the repair of those lesions, probably due to an increase in the number of DSBs and saturation of other repair pathways. Likewise, we found that DNA polimerase involved in TLS (\'\'Translesion Synthesis\'\') POLH (XPV) also participates in tolerance of such lesions. We also found evidence that TLS polimerases (specifically POLH and POLK) are overexpressed in gliomas samples and could play a role in the tumorigenesis and in the resistance observed in these tumor types. Finally, we performed gene silencing through RNAi teconology, which repress genes by eliminating the corresponding mRNA transcript, preventing protein synthesis. The target genes selected for silencing were XPC, XPF, POLH and POLK. The knockdown of XPC, XPF and POLH proved to significantly sensitize glioma cells, suggesting these proteins as important elements in the chemoresistance of gliomas and highlighting the inhibition of these molecules as an important strategy in the sensitization of gliomas to ACNU and probably to other chemotherapeutic agents with the same mechanisms of action. (AU)