1. Academic Validation
  2. Inhibition of checkpoint kinase prevents human oocyte apoptosis induced by chemotherapy and allows enhanced tumour chemotherapeutic efficacy

Inhibition of checkpoint kinase prevents human oocyte apoptosis induced by chemotherapy and allows enhanced tumour chemotherapeutic efficacy

  • Hum Reprod. 2023 Jul 14;dead145. doi: 10.1093/humrep/dead145.
Meng Wu 1 2 3 Liru Xue 1 2 3 Ying Chen 1 2 3 Weicheng Tang 1 2 3 Yican Guo 1 2 3 Jiaqiang Xiong 4 Dan Chen 1 2 3 Qingqing Zhu 1 2 3 Fangfang Fu 1 2 3 Shixuan Wang 1 2 3
Affiliations

Affiliations

  • 1 Department of Obstetrics and Gynecology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
  • 2 National Clinical Research Center for Obstetrical and Gynecological Diseases, Wuhan, China.
  • 3 Ministry of Education, Key Laboratory of Cancer Invasion and Metastasis, Wuhan, China.
  • 4 Department of Obstetrics and Gynecology, Zhongnan Hospital of Wuhan University, Wuhan, China.
Abstract

Study question: Could inhibition of the checkpoint kinase (CHEK) pathway protect human oocytes and even enhance the anti-tumour effects, during chemotherapy?

Summary answer: CHEK inhibitors prevented Apoptosis of human oocytes induced by chemotherapy and even enhanced the anti-tumour effects.

What is known already: CHEK inhibitors showed ovarian protective effects in mice during chemotherapy, while their role in human oocytes is unclear.

Study design, size, duration: This experimental study evaluated the ovarian reserve of young patients (120 patients) with Cancer, exposed or not exposed to taxane and platinum (TP)-combined chemotherapy. Single RNA-sequencing analysis of human primordial oocytes from 10 patients was performed to explore the mechanism of oocyte Apoptosis induced by TP chemotherapy. The damaging effects of paclitaxel (PTX) and cisplatin on human oocytes were also evaluated by culturing human ovaries in vitro. A new mouse model that combines human ovarian xenotransplantation and patient-derived tumour xenografts was developed to explore Adjuvant therapies for ovarian protection. The mice were randomly allocated to four groups (10 mice for each group): control, cisplatin, cisplatin + CK1 (CHEK1 inhibitor, SCH 900776), and cisplatin + CK2 (CHEK2 inhibitor, BML277).

Participants/Materials, setting, methods: In the prospective cohort study, human ovarian follicles were counted and serum AMH levels were evaluated. RNA-sequencing analysis was conducted, and staining for follicular damage (phosphorylated H2AX histone; γH2AX), terminal deoxynucleotidyl transferase-mediated dUTP-biotin nick end labelling (TUNEL) assays and assessments of apoptotic biomarkers (western blot and immunofluorescence) were conducted in human ovaries. After the treatments, histological analysis was performed on human ovarian samples to investigate follicular populations, and oocyte damage was measured by γH2AX staining, Bax staining, and TUNEL assays. At the same time, the tumours were evaluated for volume, weight, and Apoptosis levels.

Main results and the role of chance: Patients who received TP chemotherapy showed decreased ovarian reserves. Single RNA-sequencing analysis of human primordial oocytes indicated that TP chemotherapy induced Apoptosis of human primordial oocytes by causing CHEK-mediated TAp63α phosphorylation. In vitro culture of human ovaries showed greater damaging effects on oocytes after cisplatin treatment compared with that after PTX treatment. Using the new animal model, CHEK1/2 inhibitors prevented the Apoptosis of human oocytes induced by cisplatin and even enhanced its anti-tumour effects. This protective effect appeared to be mediated by inhibiting DNA damage via the CHEK-TAp63α pathway and by generation of anti-apoptotic signals in the oocytes.

Large scale data: N/A.

Limitations, reasons for caution: This was a preclinical study performed with human ovarian samples, and clinical research is required for validation.

Wider implications of the findings: These findings highlight the therapeutic potential of CHEK1/2 inhibitors as a complementary strategy for preserving fertility in female Cancer patients.

Study funding/competing interest(s): This work was financially supported by the National Natural Science Foundation of China (nos. 82001514 and 81902669) and the Fundamental Research Funds for the Central Universities (2021yjsCXCY087). The authors declare no conflict of interest.

Keywords

/ chemotherapy; CHEK-TAp63α; apoptosis; human primordial oocyte; tumour.

Figures
Products