Section of Hematology/Oncology, Department of Medicine, Baylor College of Medicine, Houston, TX 77030.
Section of Hematology/Oncology, Department of Medicine, Baylor College of Medicine, Houston, TX 77030;
Proc Natl Acad Sci U S A. 2021 Jan 19;118(3). doi: 10.1073/pnas.2015808118.
Cisplatin is a mainstay of systemic therapy for a variety of cancers, such as lung cancer, head and neck cancer, and ovarian cancer. However, resistance to cisplatin represents one of the most significant barriers for patient outcome improvement. Actin-like 6A (ACTL6A) is a component of several chromatin remodeling complexes, including SWI/SNF, NuA4/TIP60 histone acetylase, and INO80. Amplification of gene is often seen in lung squamous cell carcinoma, ovarian cancer, and esophageal cancer, but its significance remains to be fully determined. Here we identify ACTL6A overexpression as a novel cause for platinum resistance. High levels of ACTL6A are associated with chemoresistance in several types of human cancer. We show that overexpression of ACTL6A leads to increased repair of cisplatin-DNA adducts and resistance to cisplatin treatment. In contrast, depletion of ACTL6A inhibits the repair of cisplatin-induced DNA lesions, and increases cisplatin sensitivity in cisplatin-resistant ovarian cancer cells. The regulation of repair by ACTL6A is mediated through the SWI/SNF chromatin remodeling complex. Treatment with a histone deacetylase inhibitor can reverse the effect of ACTL6A overexpression on the repair of cisplatin-induced DNA damage and render cancer cells more sensitive to cisplatin treatment in a xenograft mouse model. Taken together, our study uncovers a novel role for ACTL6A in platinum resistance, and provides evidence supporting the feasibility of using HDAC inhibitors for platinum resistant tumors.
顺铂是多种癌症(如肺癌、头颈部癌和卵巢癌)的系统治疗的主要药物。然而,对顺铂的耐药性是改善患者预后的最大障碍之一。肌动蛋白样 6A(ACTL6A)是几种染色质重塑复合物的组成部分,包括 SWI/SNF、NuA4/TIP60 组蛋白乙酰转移酶和 INO80。基因的扩增在肺鳞状细胞癌、卵巢癌和食管癌中经常见到,但它的意义仍有待充分确定。在这里,我们确定 ACTL6A 的过表达是导致铂类耐药的一个新原因。在几种类型的人类癌症中,高水平的 ACTL6A 与化疗耐药性有关。我们表明,ACTL6A 的过表达导致顺铂-DNA 加合物的修复增加,并对顺铂治疗产生耐药性。相比之下,ACTL6A 的耗竭抑制了顺铂诱导的 DNA 损伤的修复,并增加了顺铂耐药卵巢癌细胞对顺铂的敏感性。ACTL6A 通过 SWI/SNF 染色质重塑复合物调节修复。用组蛋白去乙酰化酶抑制剂治疗可以逆转 ACTL6A 过表达对顺铂诱导的 DNA 损伤修复的影响,并在异种移植小鼠模型中使癌细胞对顺铂治疗更敏感。总之,我们的研究揭示了 ACTL6A 在铂类耐药中的一个新作用,并为使用组蛋白去乙酰化酶抑制剂治疗铂类耐药肿瘤提供了证据支持。
Proc Natl Acad Sci U S A. 2021-1-19
Biochem Biophys Res Commun. 2022-4-9
Lung Cancer. 2016-11-28
Cell Death Dis. 2019-10-24
Int J Med Sci. 2025-6-12
Epigenetics Chromatin. 2025-4-23
Cell Commun Signal. 2024-12-18
DNA Repair (Amst). 2019-3-15
Clin Lymphoma Myeloma Leuk. 2018-8
Philos Trans R Soc Lond B Biol Sci. 2017-10-5