Department of Microbial and Biochemical Pharmacy, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Department of Microbial and Biochemical Pharmacy, School of Pharmaceutical Sciences, Sun Yat-sen University, Guangzhou, China.
Eur J Pharmacol. 2014 Jan 15;723:156-66. doi: 10.1016/j.ejphar.2013.12.004. Epub 2013 Dec 12.
Cisplatin is a first-line chemotherapeutic agent in the treatment of non-small cell lung cancer (NSCLC), but the therapeutic effect is disappointing, partly due to drug resistance. Emerging evidence showed that chemoresistance associates with acquisition of epithelial-mesenchymal transition (EMT) phenotype and cancer stem cell-like properties. However, the underlying mechanism is not entirely clear. In this study, we showed that cisplatin-resistant A549 cells (A549/CDDP) acquire EMT phenotype associated with migratory and invasive capability. A549/CDDP cells also displayed enhanced cancer stem cell-like properties. Increased expression of transcription factor Snail, but not ZEB1, Slug and Twist, was observed in A549/CDDP cells. Knockdown of Snail reversed EMT and significantly attenuated migration, invasion and cancer stem cell-like properties of A549/CDDP cells. Conversely, overexpressed Snail in A549 cells induced EMT and cancer stem cell-like properties. Finally, we demonstrated that activated AKT signal leads to increased β-catenin expression and subsequently up-regulates Snail in A549/CDDP cells. Taken together, these results revealed that AKT/β-catenin/Snail signaling pathway is mechanistically associated with cancer stem cell-like properties and EMT features of A549/CDDP cells, and thus, this pathway could be a novel target for the treatment of NSCLC.
顺铂是治疗非小细胞肺癌(NSCLC)的一线化疗药物,但治疗效果并不理想,部分原因是耐药性。新出现的证据表明,化疗耐药性与获得上皮-间充质转化(EMT)表型和癌症干细胞样特性有关。然而,其潜在机制尚不完全清楚。在这项研究中,我们表明,顺铂耐药的 A549 细胞(A549/CDDP)获得与迁移和侵袭能力相关的 EMT 表型。A549/CDDP 细胞还表现出增强的癌症干细胞样特性。在 A549/CDDP 细胞中观察到转录因子 Snail 的表达增加,而不是 ZEB1、Slug 和 Twist。Snail 的敲低逆转了 EMT,并显著减弱了 A549/CDDP 细胞的迁移、侵袭和癌症干细胞样特性。相反,在 A549 细胞中过表达 Snail 诱导 EMT 和癌症干细胞样特性。最后,我们证明激活的 AKT 信号导致 β-连环蛋白表达增加,随后上调 A549/CDDP 细胞中的 Snail。总之,这些结果表明,AKT/β-连环蛋白/Snail 信号通路与 A549/CDDP 细胞的癌症干细胞样特性和 EMT 特征在机制上相关,因此,该通路可能成为治疗 NSCLC 的新靶点。
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