GSDME Increases Chemotherapeutic Drug Sensitivity by Inducing Pyroptosis in Retinoblastoma Cells

Chemotherapy is an important part of retinoblastoma (RB) treatment. However, the development of drug resistance increases the likelihood of treatment failure. Therefore, increasing the sensitivity of chemotherapeutic drugs is very important. Recent research has explored the relationship between the expression level of gasdermin E (GSDME) and drug sensitivity in RB. Our study found that GSDME expression was significantly reduced in human RB tissues and cell lines. Downregulation of GSDME expression reduced the sensitivity of cells to chemotherapeutic drugs. Decitabine treatment and transfection with GSDME-overexpressing lentivirus (LV-GSDME) upregulated GSDME expression in Y79 and WERI-RB-1 cell lines. The half maximal inhibitory concentrations (IC₅₀) for carboplatin-induced cell death were significantly reduced. Low-dose carboplatin could achieve the IC₅₀, and no significant difference was found in the production of prodeath-activating proteins, but the mode of cell death changed from Apoptosis to Pyroptosis. Increased GSDME expression can reduce the required dose of chemotherapeutic drugs. After inhibition of Caspase-3 activation, the IC₅₀ of carboplatin-induced cell death was significantly increased in cells with high GSDME expression, and the method of cell death switched from Pyroptosis to Apoptosis, which increased the concentration of chemotherapeutic drugs. Furthermore, the sensitivity of cells to carboplatin was reduced. The in vivo xenograft tumor model further confirmed that GSDME upregulation could promote carboplatin-induced tumor cell death. Therefore, the sensitivity of cells to chemotherapeutic drugs can be predicted by detecting the GSDME expression level, and we used Pyroptosis induction as a new method for promoting tumor death.