MicroRNA-125a 通过抑制内在凋亡途径促进对 BRAF 抑制剂的耐药性。

MicroRNA-125a promotes resistance to BRAF inhibitors through suppression of the intrinsic apoptotic pathway.

机构信息

Department of Pathology, NYU School of Medicine, NYU Langone Medical Center, New York, NY, USA.

NYU Interdisciplinary Melanoma Cooperative Group, NYU School of Medicine, NYU Langone Medical Center, New York, NY, USA.

出版信息

Pigment Cell Melanoma Res. 2017 May;30(3):328-338. doi: 10.1111/pcmr.12578. Epub 2017 Apr 19.

Abstract

Melanoma patients with BRAF -mutant tumors display striking responses to BRAF inhibitors (BRAFi); however, almost all invariably relapse with drug-resistant disease. Here, we report that microRNA-125a (miR-125a) expression is upregulated in human melanoma cells and patient tissues upon acquisition of BRAFi resistance. We show that miR-125a induction confers resistance to BRAF melanoma cells to BRAFi by directly suppressing pro-apoptotic components of the intrinsic apoptosis pathway, including BAK1 and MLK3. Apoptotic suppression and prolonged survival favor reactivation of the MAPK and AKT pathways by drug-resistant melanoma cells. We demonstrate that miR-125a inhibition suppresses the emergence of resistance to BRAFi and, in a subset of resistant melanoma cell lines, leads to partial drug resensitization. Finally, we show that miR-125a upregulation is mediated by TGFβ signaling. In conclusion, the identification of this novel role for miR-125a in BRAFi resistance exposes clinically relevant mechanisms of melanoma cell survival that can be exploited therapeutically.

摘要

黑色素瘤患者的 BRAF 突变肿瘤对 BRAF 抑制剂(BRAFi)显示出显著的反应;然而,几乎所有患者都会不可避免地出现耐药性疾病复发。在这里,我们报告说,miR-125a(miR-125a)的表达在获得 BRAFi 耐药性后在人类黑色素瘤细胞和患者组织中上调。我们表明,miR-125a 的诱导通过直接抑制内在凋亡途径的促凋亡成分,包括 BAK1 和 MLK3,赋予 BRAF 黑色素瘤细胞对 BRAFi 的耐药性。凋亡抑制和延长的存活使耐药性黑色素瘤细胞重新激活 MAPK 和 AKT 途径。我们证明 miR-125a 抑制可抑制对 BRAFi 耐药性的出现,并且在一些耐药性黑色素瘤细胞系中,导致部分药物重新敏化。最后,我们表明 miR-125a 的上调是由 TGFβ 信号介导的。总之,miR-125a 在 BRAFi 耐药性中的这种新作用的鉴定揭示了可用于治疗的黑色素瘤细胞存活的临床相关机制。

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