Hung-Hsu Hung

Hung-Hsu Hung


Research Focus & Metrics

Academic Career Length

17Years (2010-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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24 September 2010 in Hepatology International
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HHHung-Hsu Hung
Hung-Hsu Hung
CSChien-Wei Su
Chien-Wei Su
CLChiung-Ru Lai
Chiung-Ru Lai
GCGar-Yang Chau
Gar-Yang Chau
CCChe-Chang Chan
Che-Chang Chan
JWJaw-Ching Wu
Jaw-Ching Wu

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SWSheng-Fan Wang
Sheng-Fan Wang
WCWung Chih-Hsuan
Wung Chih-Hsuan
MCMeng-Shian Chen
Meng-Shian Chen
CCChian-Feng Chen
Chian-Feng Chen
PYPen-Hui Yin
Pen-Hui Yin
Hsin-Chen LeeHsin-Chen Lee
Hsin-Chen Lee
The integrated stress response (ISR) pathway is essential for adaption of various stresses and is related to mitochondrion-to-nucleus communication. Mitochondrial dysfunction-induced reactive oxygen species (ROS) was demonstrated to activate general control nonderepressible 2 (GCN2)–eukaryotic translation initiation factor 2α (eIF2α)–activating transcription factor-4 (ATF4) pathway-mediated cisplatin resistance of human gastric cancer cells. However, whether or how ISR activation per se could enhance chemoresistance remains unclear. In this study, we used eIF2α phosphatase inhibitor salubrinal to activate the ISR pathway and found that salubrinal reduced susceptibility to cisplatin. Moreover, salubrinal up-regulated ATF4-modulated gene expression, and knockdown of ATF4 attenuated salubrinal-induced drug resistance, suggesting that ATF4-modulated genes contribute to the process. The ATF4-modulated genes, xCT (a cystine/glutamate anti-transporter), tribbles-related protein 3 (TRB3), heme oxygenase 1 (HO-1), and phosphoenolpyruvate carboxykinase 2 (PCK2), were associated with a poorer prognosis for gastric cancer patients. By silencing individual genes, we found that xCT, but not TRB3, HO-1, or PCK2, is responsible for salubrinal-induced cisplatin resistance. In addition, salubrinal increased intracellular glutathione (GSH) and decreased cisplatin-induced lipid peroxidation. Salubrinal-induced cisplatin resistance was attenuated by inhibition of xCT and GSH biosynthesis. In conclusion, our results suggest that ISR activation by salubrinal up-regulates ATF4-modulated gene expression, increases GSH synthesis, and decreases cisplatin-induced oxidative damage, which contribute to cisplatin resistance in gastric cancer cells.