Graduate Institute of Clinical Medicine, College of Medicine, Taipei Medical University, Taipei, Taiwan.
Department of Surgery, Division of General Surgery, Shuang Ho Hospital, Taipei Medical University, New Taipei City, Taiwan.
J Cell Physiol. 2021 Jun;236(6):4420-4434. doi: 10.1002/jcp.30159. Epub 2020 Nov 13.
Gemcitabine has been a commonly used therapeutic agent for treatment of pancreatic cancer. In the clinic, a growing resistance to gemcitabine has been observed in patients with pancreatic cancer, and investigation of the underlying mechanism of gemcitabine resistance is urgently required. The microRNA (miRNA)-producing enzyme, Dicer, is crucial for the maturation of miRNAs, and is involved in clinical aggressiveness, poor prognosis, and survival outcomes in various cancers, however, the role of Dicer in acquired gemcitabine resistance of pancreatic cancer is still not clear. Here, we found that Dicer expression was significantly increased in gemcitabine-resistant PANC-1 (PANC-1/GEM) cells compared with parental PANC-1 cells and observed a high level of Dicer correlated with increased risk of pancreatic cancer. Suppression of Dicer obviously decreased gemcitabine resistance in PANC-1/GEM cells; consistently, overexpression of Dicer in PANC-1 cells increased gemcitabine resistance. Moreover, we identified that transcriptional factor Sp1 targeted the promoter region of Dicer and found ERK/Sp1 signaling regulated Dicer expression in PANC-1/GEM cells, as well as positively correlated with pancreatic cancer progression and suggest that targeting the ERK/Sp1/Dicer pathway has potential therapeutic value for pancreatic cancer with acquired resistance to gemcitabine.
吉西他滨一直是治疗胰腺癌的常用治疗药物。在临床上,已经观察到胰腺癌患者对吉西他滨的耐药性逐渐增加,迫切需要研究其耐药的潜在机制。微 RNA(miRNA)产生酶 Dicer 对于 miRNA 的成熟至关重要,并且与各种癌症的临床侵袭性、不良预后和生存结果有关,然而,Dicer 在胰腺癌获得性吉西他滨耐药中的作用尚不清楚。在这里,我们发现与亲本 PANC-1 细胞相比,吉西他滨耐药的 PANC-1(PANC-1/GEM)细胞中 Dicer 的表达显著增加,并且观察到高水平的 Dicer 与胰腺癌风险增加相关。Dicer 的抑制明显降低了 PANC-1/GEM 细胞中的吉西他滨耐药性;相反,Dicer 在 PANC-1 细胞中的过表达增加了吉西他滨耐药性。此外,我们确定转录因子 Sp1 靶向 Dicer 的启动子区域,并发现 ERK/Sp1 信号通路在 PANC-1/GEM 细胞中调节 Dicer 的表达,并且与胰腺癌的进展呈正相关,提示靶向 ERK/Sp1/Dicer 通路对吉西他滨获得性耐药的胰腺癌具有潜在的治疗价值。