Reversal of sorafenib resistance in hepatocellular carcinoma: epigenetically regulated disruption of 14-3-3η/hypoxia-inducible factor-1α

被引:34
作者
Qiu, Yongxin [1 ,2 ]
Shan, Wenqi [1 ,3 ]
Yang, Ye [1 ,3 ]
Jin, Ming [1 ,3 ]
Dai, Yi [1 ,2 ]
Yang, Hanyu [1 ,3 ]
Jiao, Ruonan [1 ,2 ]
Xia, Yunwei [1 ,2 ]
Liu, Qinqiang [2 ]
Ju, Liang [2 ]
Huang, Guangming [1 ,2 ]
Zhang, Jianping [1 ,2 ]
Yang, Lihua [1 ,2 ]
Li, Lei [1 ,3 ]
Li, Yuan [1 ,3 ]
机构
[1] Nanjing Med Univ, Sch Publ Hlth, Collaborat Innovat Ctr Canc Personalized Med, Jiangsu Key Lab Canc Biomarkers Prevent & Treatme, Nanjing 211166, Jiangsu, Peoples R China
[2] Nanjing Med Univ, Affiliated Hosp 2, Dept Med, Ctr Digest Dis, Nanjing 210011, Jiangsu, Peoples R China
[3] Nanjing Med Univ, Sch Publ Hlth, Minist Educ, Key Lab Modern Toxicol, Nanjing 211166, Jiangsu, Peoples R China
基金
中国国家自然科学基金;
关键词
CANCER STEM-CELLS; GROWTH-FACTOR-BETA; ARSENIC TRIOXIDE; MESENCHYMAL TRANSITION; METASTASIS; INHIBITION; AKT; ANGIOGENESIS; MICRORNA-491; ATTENUATION;
D O I
10.1038/s41420-019-0200-8
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Sorafenib resistance is one of the main obstacles to the treatment of advanced/recurrent hepatocellular carcinoma (HCC). Here, sorafenib-resistant HCC cells and xenografts in nude mice were used as experimental models. A cohort of patients with advanced recurrent HCC who were receiving sorafenib therapy was used to assess the clinical significance of this therapy. Our data showed that 14-3-3 eta maintained sorafenib resistance in HCC. An analysis of the underlying molecular mechanisms revealed that 14-3-3 eta stabilizes hypoxia-inducible factor 1 alpha (HIF-1 alpha) through the inhibition of ubiquitin-dependent proteasome protein degradation, which leads to the maintenance of cancer stem cell (CSC) properties. We further found that microRNA-16 (miR-16) is a competent miRNA that reverses sorafenib resistance by targeting the 3'-UTR of 14-3-3 eta and thereby inhibits 14-3-3./HIF-1 alpha/CSC properties. In HCC patients, significant negative correlations were found between the expression of miR-16 and 14-3-3 eta, HIF-1 alpha, or CSC properties. Further analysis showed that low miR-16 expression but high 14-3-3 eta expression can prognosticate sorafenib resistance and poor survival. Collectively, our present study indicated that miR-16/14-3-3 eta is involved in sorafenib resistance in HCC and that these two factors could be potential therapeutic targets and biomarkers for predicting the response to sorafenib treatment.
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页数:11
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