外泌体 Wnt 诱导的结直肠癌细胞去分化导致化疗耐药。
Exosomal Wnt-induced dedifferentiation of colorectal cancer cells contributes to chemotherapy resistance.
机构信息
Department of Surgery, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Molecular Medicine Center, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
出版信息
Oncogene. 2019 Mar;38(11):1951-1965. doi: 10.1038/s41388-018-0557-9. Epub 2018 Nov 2.
Cancer stem cells (CSCs) are inherently resistant to chemotherapy, and CSCs in chemotherapy-failed recurrent tumors are enriched; however, the cellular origin of chemotherapy-induced CSC enrichment remains unclear. Communication with stromal fibroblasts may induce cancer cell dedifferentiation into CSCs through secreted factors. We recently demonstrated that fibroblast-derived exosomes promote chemoresistance in colorectal cancer (CRC). Here, we report that fibroblasts confer CRC chemoresistance via exosome-induced reprogramming (dedifferentiation) of bulk CRC cells to phenotypic and functional CSCs. At the molecular level, we provided evidence that the major reprogramming regulators in fibroblast-exosomes are Wnts. Exosomal Wnts were found to increase Wnt activity and drug resistance in differentiated CRC cells, and inhibiting Wnt release diminished this effect in vitro and in vivo. Together, our results indicate that exosomal Wnts derived from fibroblasts could induce the dedifferentiation of cancer cells to promote chemoresistance in CRC, and suggest that interfering with exosomal Wnt signaling may help to improve chemosensitivity and the therapeutic window.
癌症干细胞(CSC)天生对化疗具有抗性,并且在化疗失败的复发性肿瘤中的 CSC 得到了富集;然而,化疗诱导的 CSC 富集的细胞起源仍不清楚。通过分泌因子,与基质成纤维细胞的通讯可能诱导癌细胞去分化为 CSC。我们最近证明,成纤维细胞来源的外泌体通过外泌体诱导的结直肠癌细胞(CRC)重编程(去分化)来促进化学抗性。在这里,我们报告称,成纤维细胞通过外泌体诱导的 CRC 细胞的重编程(去分化)赋予 CRC 化学抗性,从而使表型和功能 CSC 发生分化。在分子水平上,我们提供了证据表明,成纤维细胞外泌体中的主要重编程调节因子是 Wnts。发现外泌体 Wnts 增加了分化的 CRC 细胞中的 Wnt 活性和耐药性,并且抑制 Wnt 释放可减少体外和体内的这种作用。总之,我们的结果表明,源自成纤维细胞的外泌体 Wnts 可诱导癌细胞的去分化,从而促进 CRC 的化学抗性,并表明干扰外泌体 Wnt 信号可能有助于提高化学敏感性和治疗窗口。