Gene Expression and Regulation Program, The Wistar Institute, Philadelphia, Pennsylvania.
Kazan Federal University, Kazan, Russia.
Cancer Res. 2019 Jun 1;79(11):2812-2820. doi: 10.1158/0008-5472.CAN-18-3592. Epub 2019 Apr 9.
Despite the high initial response rates to PARP inhibitors (PARPi) in -mutated epithelial ovarian cancers (EOC), PARPi resistance remains a major challenge. Chemical modifications of RNAs have emerged as a new layer of epigenetic gene regulation. N-methyladenosine (mA) is the most abundant chemical modification of mRNA, yet the role of mA modification in PARPi resistance has not previously been explored. Here, we show that mA modification of mRNA contributes to PARPi resistance by upregulating the Wnt/β-catenin pathway in -mutated EOC cells. Global mA profile revealed a significant increase in mA modification in mRNA, which correlated with increased mRNA stability and an upregulation of the Wnt/β-catenin pathway. Depletion of FZD10 or inhibition of the Wnt/β-catenin sensitizes resistant cells to PARPi. Mechanistically, downregulation of mA demethylases FTO and ALKBH5 was sufficient to increase mRNA mA modification and reduce PARPi sensitivity, which correlated with an increase in homologous recombination activity. Moreover, combined inhibition of PARP and Wnt/β-catenin showed synergistic suppression of PARPi-resistant cells and in a xenograft EOC mouse model. Overall, our results show that mA contributes to PARPi resistance in BRCA-deficient EOC cells by upregulating the Wnt/β-catenin pathway via stabilization of . They also suggest that inhibition of the Wnt/β-catenin pathway represents a potential strategy to overcome PARPi resistance. SIGNIFICANCE: These findings elucidate a novel regulatory mechanism of PARPi resistance in EOC by showing that mA modification of FZD10 mRNA contributes to PARPi resistance in BRCA-deficient EOC cells via upregulation of Wnt/β-catenin pathway.
尽管聚腺苷二磷酸核糖聚合酶(PARP)抑制剂(PARPi)在 - 突变上皮性卵巢癌(EOC)中初始反应率较高,但 PARPi 耐药仍然是一个主要挑战。RNA 的化学修饰已成为新的表观遗传基因调控层。N6-甲基腺苷(m6A)是 mRNA 中最丰富的化学修饰,但 m6A 修饰在 PARPi 耐药中的作用尚未被探索。在这里,我们表明,在 - 突变的 EOC 细胞中,m6A 修饰的 mRNA 通过上调 Wnt/β-连环蛋白通路导致 PARPi 耐药。全局 m6A 谱显示 m6A 修饰在 mRNA 中显著增加,这与 mRNA 稳定性增加和 Wnt/β-连环蛋白通路上调相关。FZD10 的耗竭或 Wnt/β-连环蛋白通路的抑制使耐药细胞对 PARPi 敏感。在机制上,下调 m6A 去甲基酶 FTO 和 ALKBH5 足以增加 mRNA 的 m6A 修饰并降低 PARPi 敏感性,这与同源重组活性增加相关。此外,PARP 和 Wnt/β-连环蛋白的联合抑制在异种移植 EOC 小鼠模型中协同抑制 PARPi 耐药细胞系和异种移植肿瘤的生长。总之,我们的研究结果表明,m6A 通过稳定来上调 Wnt/β-连环蛋白通路,导致 BRCA 缺陷型 EOC 细胞中 PARPi 耐药,这表明抑制 Wnt/β-连环蛋白通路可能是克服 PARPi 耐药的一种策略。
意义:这些发现通过显示 FZD10 mRNA 的 m6A 修饰通过上调 Wnt/β-连环蛋白通路导致 BRCA 缺陷型 EOC 细胞中 PARPi 耐药,阐明了 EOC 中 PARPi 耐药的一种新的调控机制。
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