2017
DOI: 10.18632/oncotarget.21231
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Extracellular ATP, as an energy and phosphorylating molecule, induces different types of drug resistances in cancer cells through ATP internalization and intracellular ATP level increase

Abstract: Cancer cells are able to uptake extracellular ATP (eATP) via macropinocytosis to elevate intracellular ATP (iATP) levels, enhancing their survival in drug treatment. However, the involved drug resistance mechanisms are unknown. Here we investigated the roles of eATP as either an energy or a phosphorylating molecule in general drug resistance mediated by ATP internalization and iATP elevation. We report that eATP increased iATP levels and promoted drug resistance to various tyrosine kinase inhibitors (TKIs) and… Show more

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Cited by 61 publications
(83 citation statements)
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“…The synthesis of ATP occurs via the oxidative phosphorylation of glucose or via the canonical mitochondrial oxidation pathway from ATP synthetase, and thus cellular metabolism is maintained in a tight energy homeostasis through regulation of ATP levels . Cancer cells have been shown to have higher ATP levels than normal cells in vitro, and decreasing ATP means the cancer cells are entering conditions of apoptosis or necrosis . As shown in Figure C, treating MAD‐MA‐231 cells with IR‐783 significantly decreased the intracellular level of ATP.…”
Section: Resultsmentioning
confidence: 95%
“…The synthesis of ATP occurs via the oxidative phosphorylation of glucose or via the canonical mitochondrial oxidation pathway from ATP synthetase, and thus cellular metabolism is maintained in a tight energy homeostasis through regulation of ATP levels . Cancer cells have been shown to have higher ATP levels than normal cells in vitro, and decreasing ATP means the cancer cells are entering conditions of apoptosis or necrosis . As shown in Figure C, treating MAD‐MA‐231 cells with IR‐783 significantly decreased the intracellular level of ATP.…”
Section: Resultsmentioning
confidence: 95%
“…(C) General scheme for ascorbate (ASC) and glutathione (GSH) cycle in (Continued) processes (78). Additionally, it can be internalized by tumor cells, increasing their intracellular ATP levels conferring metabolic reprogramming, increased tumor aggressivity, and treatment resistance (79)(80)(81)(82)(83). A recent lung cancer study has shown eATP to be involved in epithelial-to-mesenchymal transition, cell migration, and metastasis (84).…”
Section: Discussionmentioning
confidence: 99%
“…Extracellular ATP is known to induce resistance to various chemotherapeutic drugs in cancer cells. Interestingly, drug resistance to sunitinib in NSCLC tumour cells is linked to macropinocytic uptake because it is suppressed by knockdown of PAK1, a known regulator of macropinocytosis [60]. The uptake of ATP via macropinocytosis is a prime example that macropinocytic cargo can vary in tumour cells, and depending on the context, identifying novel cargoes could provide clues to the breadth of function for macropinocytosis in cancer [46,61].…”
Section: Lung Cancermentioning
confidence: 99%