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Survivin 靶向 miR-542-3p 克服 HER3 信号诱导的化疗耐药性,并增强紫杉醇对 HER2 过表达乳腺癌的抗肿瘤活性。

Survivin-targeting miR-542-3p overcomes HER3 signaling-induced chemoresistance and enhances the antitumor activity of paclitaxel against HER2-overexpressing breast cancer.

机构信息

Department of Pathology, School of Medicine, University of Colorado Anschutz Medical Campus, Aurora, CO, USA; Cancer Research Institute and Affiliated Cancer Hospital, Guangzhou Medical University, Guangzhou, Guangdong, China.

Fujian Key Laboratory of Transplant Biology, Fuzhou General Hospital, Fuzhou, Fujian, China.

出版信息

Cancer Lett. 2018 Apr 28;420:97-108. doi: 10.1016/j.canlet.2018.01.065. Epub 2018 Jan 31.

Abstract

Elevated expression of HER3, which interacts with HER2 in breast cancer cells, confers chemoresistance via phosphoinositide 3-kinase (PI-3K)/Akt-dependent upregulation of Survivin. However, the underlying mechanism is not clear. Ectopic expression or specific knockdown of HER3 in HER2-overexpressing breast cancer cells did not alter Survivin mRNA levels and Survivin protein stability, supporting the notion that HER3 signaling may regulate specific miRNAs that target Survivin to alter its protein translation. Here we showed that overexpression and specific knockdown of HER3 reduced and enhanced expression of two Survivin-targeting miRNAs, miR-203 and miR-542-3p, in breast cancer cells, respectively. While the specific inhibitor of either miR-203 or miR-542-3p attenuated an anti-HER3 antibody-induced downregulation of Survivin, inhibition of miR-542-3p exhibited a better efficacy than miR-203 inhibition did. Consistently, miR-542-3p mimic was much more effective than miR-203 mimic not only in inhibition of Survivin, but also in enhancement of paclitaxel-induced apoptosis in HER2-overexpressing breast cancer cells. Moreover, the combination of miR-542-3p mimic and paclitaxel, as compared with either agent alone, significantly inhibited in vivo tumor growth of HER2-overexpressing breast cancer cells. Collectively, our data indicated that the HER3/PI-3K/Akt signaling upregulates Survivin via suppression of miR-203 and miR-542-3p. Because miR-542-3p has three binding sites on the 3'-UTR of Survivin mRNA, its mimic was able to effectively downregulate Survivin in vitro and in vivo. Thus, miR-542-3p-replacement therapy is an excellent approach to overcome HER3-mediated paclitaxel resistance and significantly enhances the antitumor activity of paclitaxel against HER2-overexpressing breast cancer.

摘要

HER3 的表达升高,在乳腺癌细胞中与 HER2 相互作用,通过磷酸肌醇 3-激酶(PI3K)/Akt 依赖性上调 Survivin 而导致化疗耐药。然而,其潜在机制尚不清楚。在 HER2 过表达的乳腺癌细胞中外源表达或特异性敲低 HER3 并未改变 Survivin mRNA 水平和 Survivin 蛋白稳定性,支持 HER3 信号可能调节针对 Survivin 的特定 miRNA 以改变其蛋白翻译的观点。在这里,我们显示 HER3 的过表达和特异性敲低分别降低和增强了乳腺癌细胞中两种 Survivin 靶向 miRNA,miR-203 和 miR-542-3p 的表达。虽然 miR-203 或 miR-542-3p 的特异性抑制剂均减弱了抗 HER3 抗体诱导的 Survivin 下调,但 miR-542-3p 的抑制作用优于 miR-203 的抑制作用。一致地,miR-542-3p 模拟物不仅在抑制 Survivin 方面,而且在增强 HER2 过表达乳腺癌细胞中紫杉醇诱导的细胞凋亡方面都比 miR-203 模拟物更有效。此外,miR-542-3p 模拟物与紫杉醇的联合使用与单独使用任一药物相比,显著抑制了 HER2 过表达乳腺癌细胞的体内肿瘤生长。总之,我们的数据表明,HER3/PI3K/Akt 信号通过抑制 miR-203 和 miR-542-3p 而上调 Survivin。由于 miR-542-3p 在 Survivin mRNA 的 3'-UTR 上有三个结合位点,其模拟物能够有效地在体外和体内下调 Survivin。因此,miR-542-3p 替代治疗是克服 HER3 介导的紫杉醇耐药的极好方法,并显著增强了紫杉醇对 HER2 过表达乳腺癌的抗肿瘤活性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1d6e/6089084/d0bfa2184d31/nihms953094f1.jpg

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