Department of Science Medical/Chirurgic and Translational Medicine, University of Rome "Sapienza", Italy.
Department of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, Rome, Italy.
Mol Oncol. 2021 Feb;15(2):579-595. doi: 10.1002/1878-0261.12847. Epub 2020 Nov 24.
Pancreatic ductal adenocarcinoma (PDAC) is a highly aggressive cancer. Most patients present with advanced disease at diagnosis, which only permits palliative chemotherapeutic treatments. RNA dysregulation is a hallmark of most human cancers, including PDAC. To test the impact of RNA processing dysregulation on PDAC pathology, we performed a bioinformatics analysis to identify RNA-binding proteins (RBPs) associated with prognosis. Among the 12 RBPs associated with progression-free survival, we focused on MEX3A because it was recently shown to mark an intestinal stem cell population that is refractory to chemotherapeutic treatments, a typical feature of PDAC. Increased expression of MEX3A was correlated with higher disease stage in PDAC patients and with tumor development in a mouse model of PDAC. Depletion of MEX3A in PDAC cells enhanced sensitivity to chemotherapeutic treatment with gemcitabine, whereas its expression was increased in PDAC cells selected upon chronic exposure to the drug. RNA-sequencing analyses highlighted hundreds of genes whose expression is sensitive to MEX3A expression, with significant enrichment in cell cycle genes. MEX3A binds to its target mRNAs, like cyclin-dependent kinase 6 (CDK6), and promotes their stability. Accordingly, knockdown of MEX3A caused a significant reduction in PDAC cell proliferation and in progression to the S phase of the cell cycle. These findings uncover a novel role for MEX3A in the acquisition and maintenance of chemoresistance by PDAC cells, suggesting that it may represent a novel therapeutic target for PDAC.
胰腺导管腺癌(PDAC)是一种高度侵袭性的癌症。大多数患者在诊断时已处于晚期,只能进行姑息性化疗治疗。RNA 调控异常是大多数人类癌症的标志,包括 PDAC。为了测试 RNA 处理失调对 PDAC 病理的影响,我们进行了生物信息学分析,以鉴定与预后相关的 RNA 结合蛋白(RBPs)。在与无进展生存期相关的 12 个 RBPs 中,我们重点关注 MEX3A,因为最近有研究表明它标记了对化疗治疗具有抗性的肠干细胞群体,这是 PDAC 的一个典型特征。在 PDAC 患者中,MEX3A 的高表达与较高的疾病分期相关,并且在 PDAC 小鼠模型中与肿瘤的发展相关。在 PDAC 细胞中耗尽 MEX3A 可增强对吉西他滨的化疗敏感性,而在慢性暴露于该药物的 PDAC 细胞中其表达增加。RNA-seq 分析突出了数百个其表达对 MEX3A 表达敏感的基因,在细胞周期基因中存在显著富集。MEX3A 与其靶 mRNA(如细胞周期蛋白依赖性激酶 6(CDK6))结合并促进其稳定性。因此,敲低 MEX3A 导致 PDAC 细胞增殖和细胞周期 S 期进展显著减少。这些发现揭示了 MEX3A 在 PDAC 细胞获得和维持化疗耐药性中的新作用,表明它可能代表 PDAC 的一个新的治疗靶点。