FLNA 和 ANXA2 的相互作用通过激活非小细胞肺癌中的 Wnt 通路促进吉非替尼耐药。
Interaction of FLNA and ANXA2 promotes gefitinib resistance by activating the Wnt pathway in non-small-cell lung cancer.
机构信息
Department of Oncology, Shenzhen Samii Medical Center, No. 1, Jinniu West Road, Pingshan District, Shenzhen, 518118, Guangdong, People's Republic of China.
Department of Radiation Oncology, The First Affiliated Hospital of University of South China, Hengyang, 421001, Hunan, People's Republic of China.
出版信息
Mol Cell Biochem. 2021 Oct;476(10):3563-3575. doi: 10.1007/s11010-021-04179-1. Epub 2021 May 20.
Lung cancer is still a main cause of cancer-related death worldwide. Non-small-cell lung cancer (NSCLC) accounts for the majority of lung cancers, and gefitinib is an effective targeted drug for NSCLC. It is important to explore the underlying molecular mechanisms of gefitinib resistance to provide new treatment strategies and to improve the prognosis of gefitinib-resistant NSCLC patients. This study aimed to examine the role of filamin A (FLNA) in acquired resistance to gefitinib in NSCLC, and identify ANXA2 (annexin A2), one of calcium-dependent phospholipid-binding proteins, as its corresponding regulatory factor. First, we established resistant cells via long-term exposure to gefitinib to analyse the association between FLNA and gefitinib resistance. Through quantitative real-time polymerase chain reaction (qRT-PCR), Cell Counting Kit-8 (CCK-8), western blotting (WB), and flow cytometry assays, we evaluated the role of FLNA. The effect of FLNA knockdown or overexpression was analysed not only in cell lines but also in mouse models. We verified the FLNA-interacting protein through coimmunoprecipitation (CoIP) experiments and found that the downstream signalling pathway was regulated by FLNA and its interacting protein. Finally, the upstream transcription factor was identified by chromatin immunoprecipitation (ChIP). Increased FLNA expression induced gefitinib resistance. Knockdown of FLNA restored gefitinib sensitivity and induced apoptosis in vivo and in vitro. FLNA and ANXA2 cooperatively led to the activation of the Wnt pathway, which was closely linked to gefitinib resistance. Subsequently, SP1 promoted transcriptional activation of FLNA to regulate gefitinib resistance. We determined that FLNA serves as a regulator of gefitinib resistance in NSCLC and found that FLNA and ANXA2 together induced gefitinib resistance by activating the Wnt pathway.
肺癌仍然是全球癌症相关死亡的主要原因。非小细胞肺癌(NSCLC)占肺癌的大多数,吉非替尼是一种有效的 NSCLC 靶向药物。探索吉非替尼耐药的潜在分子机制对于提供新的治疗策略和改善吉非替尼耐药 NSCLC 患者的预后非常重要。本研究旨在探讨细丝蛋白 A(FLNA)在 NSCLC 获得性吉非替尼耐药中的作用,并鉴定钙依赖性磷脂结合蛋白之一的膜联蛋白 A2(ANXA2)作为其相应的调节因子。首先,我们通过长期暴露于吉非替尼来建立耐药细胞,以分析 FLNA 与吉非替尼耐药之间的关联。通过定量实时聚合酶链反应(qRT-PCR)、细胞计数试剂盒-8(CCK-8)、蛋白质印迹(WB)和流式细胞术分析,我们评估了 FLNA 的作用。不仅在细胞系中,而且在小鼠模型中,都分析了 FLNA 敲低或过表达的效果。我们通过免疫共沉淀(CoIP)实验验证了 FLNA 相互作用蛋白,并发现 FLNA 及其相互作用蛋白调节下游信号通路。最后,通过染色质免疫沉淀(ChIP)鉴定了上游转录因子。FLNA 表达增加诱导吉非替尼耐药。FLNA 敲低恢复了吉非替尼敏感性,并在体内和体外诱导细胞凋亡。FLNA 和 ANXA2 协同导致 Wnt 通路激活,这与吉非替尼耐药密切相关。随后,SP1 促进 FLNA 的转录激活,以调节吉非替尼耐药。我们确定 FLNA 作为 NSCLC 中吉非替尼耐药的调节剂,并发现 FLNA 和 ANXA2 共同通过激活 Wnt 通路诱导吉非替尼耐药。