Laboratory Medicine and Pathology, Mayo Clinic, Rochester, Minnesota.
Department of Obstetrics and Gynecology, Perelman School of Medicine University of Pennsylvania, Philadelphia, Pennsylvania.
Cancer Res. 2021 Apr 15;81(8):2044-2055. doi: 10.1158/0008-5472.CAN-20-2041. Epub 2021 Feb 11.
Wnt signaling is a major driver of stemness and chemoresistance in ovarian cancer, yet the genetic drivers that stimulate its expression remain largely unknown. Unlike other cancers, mutations in the Wnt pathway are not reported in high-grade serous ovarian cancer (HGSOC). Hence, a key challenge that must be addressed to develop effective targeted therapies is to identify nonmutational drivers of Wnt activation. Using an miRNA sensor-based approach, we have identified miR-181a as a novel driver of Wnt/β-catenin signaling. miR-181a primary HGSOC cells exhibited increased Wnt/β-catenin signaling, which was associated with increased stem-cell frequency and platinum resistance. Consistent with these findings, inhibition of β-catenin decreased stem-like properties in miR-181a cell populations and downregulated miR-181a. The Wnt inhibitor SFRP4 was identified as a novel target of miR-181a. Overall, our results demonstrate that miR-181a is a nonmutational activator of Wnt signaling that drives stemness and chemoresistance in HGSOC, suggesting that the miR-181a-SFRP4 axis can be evaluated as a novel biomarker for β-catenin-targeted therapy in this disease. SIGNIFICANCE: These results demonstrate that miR-181a is an activator of Wnt signaling that drives stemness and chemoresistance in HGSOC and may be targeted therapeutically in recurrent disease.
Wnt 信号通路是卵巢癌干性和化疗耐药性的主要驱动因素,但刺激其表达的遗传驱动因素在很大程度上仍不清楚。与其他癌症不同,Wnt 通路中的突变在高级别浆液性卵巢癌 (HGSOC) 中并未报道。因此,开发有效靶向治疗方法的一个关键挑战是确定 Wnt 激活的非突变驱动因素。我们使用基于 miRNA 传感器的方法,确定 miR-181a 是 Wnt/β-catenin 信号的一种新型驱动因子。miR-181a 原发性 HGSOC 细胞表现出增加的 Wnt/β-catenin 信号,这与增加的干细胞频率和铂耐药性相关。与这些发现一致,β-catenin 的抑制降低了 miR-181a 细胞群中的干细胞样特性并下调了 miR-181a。Wnt 抑制剂 SFRP4 被确定为 miR-181a 的一个新靶标。总体而言,我们的研究结果表明,miR-181a 是非突变的 Wnt 信号激活因子,可驱动 HGSOC 的干性和化疗耐药性,表明 miR-181a-SFRP4 轴可作为该疾病中针对β-catenin 靶向治疗的新型生物标志物进行评估。
意义:这些结果表明,miR-181a 是驱动 HGSOC 干性和化疗耐药性的 Wnt 信号激活因子,可能在复发性疾病中具有靶向治疗的潜力。
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