Radiotherapy (RT) improves the local control of
rectal cancer but patient responses to RT are variable. Biomarkers are needed
to determine the radiosensitivity of these tumours. Microsatellite
instability (MSI) accounts for 15% of colorectal cancer (CRC) cases and the associated
proteins were shown to be involved in DNA damage responses (DDR). PLK1 promotes cell cycle progression and is also involved in recovery
from DNA damage. Deregulation of PLK1 causes genetic instability due to G2-M
checkpoint escape. PLK1 overexpression is associated with poor tumour prognosis. This
study investigated the interactions between PLK1, MSI and ionising irradiation
(IR) and explored the molecular mechanisms that lead to PLK1 deregulation in CRC.
siRNA was used to deplete PLK1. The effects of the knockdown and IR were then
analysed by real-time quantitative PCR, western blot, cell survival assays,
caspase 3/7 assay, annexin V binding assay and cell cycle analysis. Sanger
sequencing was performed to detect mutations in PLK1 gene. In MSI high cells
(HCT116, SW48), PLK1 expression decreased post-IR whereas it remained
unaffected in microsatellite stable (MSS) cells (Colo320DM, T84). MSI high
cells were more radiosensitive than the MSS cells. PLK1 reduction resulted in substantial
reduction of cell survival, as well as increased induction of apoptosis and
G2/M blockage in Colo320DM, HCT116 and SW48 cells but not T84 cells. These
effects were additive in the responsive cells when the treatment was combined
with IR. Mutational studies showed that only secondary mutations were detected
at the silencer region of PLK1 in HCT116 and SW48. In conclusion, MSI has an
impact on PLK1 expression which in turns affects the cell survival after IR. Moreover,
PLK1 knockdown additionally improved the effects of IR in some of the CRC cells,
including some radioresistant cells. Lastly, sequencing concluded that mutation
did not play a major role in PLK1 expression level in CRC.