FOXM1赋予上皮性卵巢癌细胞上皮-间质转化、干性和化疗耐药性。
FOXM1 confers to epithelial-mesenchymal transition, stemness and chemoresistance in epithelial ovarian carcinoma cells.
作者信息
Chiu Wen-Tai, Huang Yu-Fang, Tsai Huei-Yu, Chen Chien-Chin, Chang Chang-Hwa, Huang Soon-Cen, Hsu Keng-Fu, Chou Cheng-Yang
机构信息
Department of Biomedical Engineering, National Cheng Kung University, Tainan, Taiwan.
Institute of Basic Medical Sciences, National Cheng Kung University, Tainan, Taiwan.
出版信息
Oncotarget. 2015 Feb 10;6(4):2349-65. doi: 10.18632/oncotarget.2957.
Chemoresistance to anti-cancer drugs substantially reduces survival in epithelial ovarian cancer. In this study, we showed that chemoresistance to cisplatin and paclitaxel induced the epithelial-mesenchymal transition (EMT) and a stem cell phenotype in ovarian cancer cells. Chemoresistance was associated with the downregulation of epithelial markers and the upregulation of mesenchymal markers, EMT-related transcription factors, and cancer stem cell markers, which enhanced invasion and sphere formation ability. Overexpression of FOXM1 increased cisplatin-resistance and sphere formation in cisplatin-sensitive and low FOXM1-expressing ovarian cancer cells. Conversely, depletion of FOXM1 via RNA interference reduced cisplatin resistance and sphere formation in cisplatin-resistant and high FOXM1-expressing cells. Overexpression of FOXM1 also increased the expression, nuclear accumulation, and activity of β-CATENIN in chemoresistant cells, whereas downregulation of FOXM1 suppressed these events. The combination of cisplatin and the FOXM1 inhibitor thiostrepton inhibited the expression of stem cell markers in chemoresistant cells and subcutaneous ovarian tumor growth in mouse xenografts. In an analysis of 106 ovarian cancer patients, high FOXM1 levels in tumors were associated with cancer progression and short progression-free intervals. Collectively, our findings highlight the importance of FOXM1 in chemoresistance and suggest that FOXM1 inhibitors may be useful for treatment of ovarian cancer.
对抗癌药物的化疗耐药性显著降低了上皮性卵巢癌患者的生存率。在本研究中,我们发现对顺铂和紫杉醇的化疗耐药性可诱导卵巢癌细胞发生上皮-间质转化(EMT)和干细胞表型。化疗耐药性与上皮标志物的下调以及间质标志物、EMT相关转录因子和癌症干细胞标志物的上调相关,这增强了细胞的侵袭能力和球体形成能力。FOXM1的过表达增加了顺铂敏感且FOXM1表达水平低的卵巢癌细胞的顺铂耐药性和球体形成能力。相反,通过RNA干扰耗尽FOXM1可降低顺铂耐药且FOXM1表达水平高的细胞的顺铂耐药性和球体形成能力。FOXM1的过表达还增加了化疗耐药细胞中β-连环蛋白的表达、核内积累和活性,而FOXM1的下调则抑制了这些事件。顺铂与FOXM1抑制剂硫链丝菌素联合使用可抑制化疗耐药细胞中干细胞标志物的表达以及小鼠异种移植模型中皮下卵巢肿瘤的生长。在对106例卵巢癌患者的分析中,肿瘤中高FOXM1水平与癌症进展和较短的无进展生存期相关。总体而言,我们的研究结果突出了FOXM1在化疗耐药中的重要性,并表明FOXM1抑制剂可能对卵巢癌治疗有用。