USP46 的表达水平下调促进了卵巢癌细胞对顺铂的耐药性,并且受到 PUM2 的调控。

Downregulated expression levels of USP46 promote the resistance of ovarian cancer to cisplatin and are regulated by PUM2.

机构信息

Department of Gynecology, People's Hospital of Qingdao West Coast New Area, Qingdao, Shandong 266400, P.R. China.

Department of Surgery, People's Hospital of Qingdao West Coast New Area, Qingdao, Shandong 266400, P.R. China.

出版信息

Mol Med Rep. 2021 Apr;23(4). doi: 10.3892/mmr.2021.11902. Epub 2021 Feb 12.

Abstract

Ovarian cancer (OC) is a major contributor to cancer‑related mortality in women. Despite numerous drugs being available for the treatment and improving the prognosis of OC, resistance to clinical chemotherapy remains a major obstacle for the treatment of advanced OC. Therefore, determining how to reverse the chemoresistance of OC has become a research hotspot in recent years. The present study aimed to reveal the potential mechanism of OC chemoresistance. Reverse transcription‑quantitative PCR and western blot analysis were performed to detect the expression levels of Ubiquitin‑specific peptidase 46 (USP46) and Pumilio 2 (PUM2) in OC. Cell viability and apoptosis were evaluated by Cell Counting Kit‑8 assay and flow cytometry, respectively. The association between USP46 and PUM2 was assessed by RNA immunoprecipitation. The results of the present study revealed that the expression levels of USP46 which is associated with tumor progression, was downregulated, while PUM2 expression levels were upregulated in cisplatin (DDP)‑resistant OC cells and patient tissues. The downregulation of USP46 expression levels in SKOV3 cells significantly inhibited cell apoptosis and increased cell viability. In SKOV3/DDP cells, the upregulation of USP46 expression levels notably suppressed cell viability and increased cell apoptosis. The results of the RNA immunoprecipitation chip assay demonstrated that PUM2 bound to USP46 and regulated its expression. Furthermore, following the knockdown of USP46 expression, the mRNA and protein expression levels of the cell apoptosis‑related protein, Bcl‑2, were upregulated, whereas the expression levels of caspase‑3, caspase‑9 and Bax were significantly downregulated. In addition, phosphorylated AKT expression levels were notably upregulated. Following the overexpression of USP46 in SKOV3/DDP cells, the opposite trends were observed. In SKOV3 cells, the knockdown of PUM2 could reverse the DDP resistance induced by small interfering RNA‑USP46 as the expression levels of Bcl‑2 were downregulated whereas those of caspase‑3, caspase‑9 and Bax were upregulated compared with the small interfering‑USP46 group. Similarly, in SKOV3/DDP cells, the overexpression of PUM2 could reverse DDP sensitivity induced by the overexpression of USP46. In conclusion, the findings of the present study suggested that the downregulation of USP46 expression levels may promote DDP resistance in OC, which may be regulated by PUM2. Therefore, targeting PUM2/USP46 may be an effective way to reverse DDP resistance in OC.

摘要

卵巢癌 (OC) 是导致女性癌症相关死亡的主要原因之一。尽管有许多药物可用于治疗 OC 并改善其预后,但对临床化疗的耐药性仍然是治疗晚期 OC 的主要障碍。因此,确定如何逆转 OC 的化疗耐药性已成为近年来的研究热点。本研究旨在揭示 OC 化疗耐药性的潜在机制。通过逆转录定量 PCR 和 Western blot 分析检测 OC 中泛素特异性肽酶 46 (USP46) 和 Pumilio 2 (PUM2) 的表达水平。通过细胞计数试剂盒-8 测定和流式细胞术分别评估细胞活力和细胞凋亡。通过 RNA 免疫沉淀评估 USP46 和 PUM2 之间的关联。本研究结果显示,与肿瘤进展相关的 USP46 表达水平下调,而顺铂 (DDP) 耐药 OC 细胞和患者组织中 PUM2 表达水平上调。SKOV3 细胞中 USP46 表达水平下调显著抑制细胞凋亡并增加细胞活力。在 SKOV3/DDP 细胞中,USP46 表达水平上调显著抑制细胞活力并增加细胞凋亡。RNA 免疫沉淀芯片分析结果表明,PUM2 与 USP46 结合并调节其表达。此外,下调 USP46 表达后,细胞凋亡相关蛋白 Bcl-2 的 mRNA 和蛋白表达水平上调,而 caspase-3、caspase-9 和 Bax 的表达水平显著下调。此外,磷酸化 AKT 表达水平显著上调。在 SKOV3/DDP 细胞中转染 USP46 过表达后,观察到相反的趋势。在 SKOV3 细胞中,下调 PUM2 可逆转小干扰 RNA-USP46 诱导的 DDP 耐药,因为与小干扰 RNA-USP46 组相比,Bcl-2 的表达水平下调,而 caspase-3、caspase-9 和 Bax 的表达水平上调。同样,在 SKOV3/DDP 细胞中,过表达 PUM2 可逆转 USP46 过表达诱导的 DDP 敏感性。综上所述,本研究结果表明,下调 USP46 表达水平可能促进 OC 中 DDP 耐药,这可能受 PUM2 调节。因此,靶向 PUM2/USP46 可能是逆转 OC 中 DDP 耐药的有效方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ac6e/7893694/5bbf018688af/mmr-23-04-11902-g00.jpg

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