The angiotensin-converting enzyme insertion/deletion and the endothelin-134 3A/4A gene polymorphisms in patients with chronic plaque psoriasis
EXPERIMENTAL DERMATOLOGY
Authors: Weger, Wolfgang; Hofer, Angelika; Wolf, Peter; El-Shabrawi, Yosuf; Renner, Wilfried; Kerl, Helmut; Salmhofer, Wolfgang
Abstract
Background: Psoriasis is a common chronic inflammatory skin disease. Vasoactive peptides such as endothelin-1 (ET-1) and bradykinin have previously been implicated in the pathogenesis of chronic plaque psoriasis. The angiotensin-converting enzyme (ACE) gene carries a 287-base pair insertion/deletion (I/D) gene polymorphism, which is associated with plasma concentrations of bradykinin-degrading ACE. A functional polymorphism (EDN1-134 3A/4A) in the gene encoding ET-1 has been shown to affect ET-1 expression. The purpose of the present study was thus to investigate a hypothesized association between these gene polymorphisms and the presence of chronic plaque psoriasis. Methods: The present case-control study comprised 207 patients with chronic plaque psoriasis (136 with early onset and 71 with late onset disease) and 182 control subjects. Genotypes of EDN1 and ACE were determined by a 5' exonuclease assay (Taqman). Results: The prevalence of the homozygous ACE II genotype was significantly higher in patients with early- onset psoriasis than among control subjects (30.9% vs 19.2%, P=0.016), yielding an odds ratio of 1.88 [95% confidence interval (CI): 1.12-3.15] for early-onset disease. For late-onset psoriasis, presence of the ACE II genotype was associated with a non-significant odds ratio 1.54 (95% CI: 0.81-2.92). As for the EDN1-134 3A/4A gene polymorphism, no significant differences in genotype distributions were found between patients with either early- or late-onset psoriasis and control subjects (EDN1-134 4A/4A: 9.6% in earlyonset and 5.6% late-onset psoriasis vs 7.7% in controls; P > 0.05). Conclusions: Our data suggest that homozygosity for the ACE I allele may affect susceptibility to early-onset psoriasis.
Endothelin-1 axis fosters YAP-induced chemotherapy escape in ovarian cancer
CANCER LETTERS
Authors: Tocci, Piera; Cianfrocca, Roberta; Sestito, Rosanna; Rosano, Laura; Di Castro, Valeriana; Blandino, Giovanni; Bagnato, Anna
Abstract
The majority of ovarian cancer (OC) patients recur with a platinum-resistant disease. OC cells activate adaptive resistance mechanisms that are only partially described. Here we show that OC cells can adapt to chemotherapy through a positive-feedback loop that favors chemoresistance. In platinum-resistant OC cells we document that the endothelin-1 (ET-1)/endothelin A receptor axis intercepts the YAP pathway. This cross-talk occurs through the LATS/RhoA/actin-dependent pathway and contributes to prevent the chemotherapy-induced apoptosis. Mechanistically, beta-arrestin1 (beta-arr1) and YAP form a complex shaping TEAD-dependent transcriptional activity on the promoters of YAP target genes, including EDN1, which fuels a feed-forward signaling circuit that sustains a platinum-tolerant state. The FDA approved dual ET-1 receptor antagonist macitentan in co-therapy with cisplatin sensitizes resistant cells to the platinum-based therapy, reducing their metastatic potential. Furthermore, high ETAR/YAP gene expression signature is associated with a poor platinum-response in OC patients. Collectively, our findings identify in the networking between ET-1 and YAP pathways an escape strategy from chemotherapy. ET-1 receptor blockade interferes with such adaptive network and enhances platinum-induced apoptosis, representing a promising therapeutic opportunity to restore drug sensitivity in OC patients.