环状 RNA 结合蛋白 1 编码的一种新型蛋白通过竞争性激活 ASK1 依赖性凋亡改善肺腺癌对吉非替尼的耐药性。

A novel protein encoded by circASK1 ameliorates gefitinib resistance in lung adenocarcinoma by competitively activating ASK1-dependent apoptosis.

机构信息

Department of Radiology, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.

Department of Thoracic Surgery, Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

出版信息

Cancer Lett. 2021 Nov 1;520:321-331. doi: 10.1016/j.canlet.2021.08.007. Epub 2021 Aug 11.

Abstract

Acquired resistance to growth factor receptor tyrosine kinase inhibitors limits the therapeutic benefits gained by EGFR-mutant lung adenocarcinoma (LUAD) patients treated with gefitinib. Circular RNAs (circRNAs) are novel noncoding RNAs implicated in the regulation of chemoresistance in malignancies. However, whether circRNAs participate in the development of EGFR-TKI resistance in LUAD remains to be clarified. Here, we report that circASK1 (hsa_circ_0007798) is significantly downregulated in gefitinib-resistant cells and enhances the gefitinib sensitivity of LUAD cells. Mechanistically, we identified a novel protein encoded by circASK1, ASK1-272a.a, which is essential for ASK1/JNK/p38 signaling activation and mediates the chemosensitivity-inducing effect of circASK1 in LUAD. Importantly, this novel isoform competes with ASK1 for binding to Akt1, therefore antagonizing Akt1-induced ASK1 phosphorylation and inactivation, leading to the activation of ASK1-induced apoptosis and alleviating gefitinib resistance. Moreover, increased YTHDF2-mediated endoribonucleolytic cleavage of mA-modified circASK1 accounts for its downregulation in gefitinib-resistant cells. The clinical data and in vivo model further corroborated the suppressive effect of circASK1 and its encoded protein on gefitinib resistance. Our study provides a novel therapeutic target to overcome gefitinib resistance in LUAD patients.

摘要

获得性生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)耐药限制了 EGFR 突变型肺腺癌(LUAD)患者接受吉非替尼治疗的获益。环状 RNA(circRNA)是一种新型的非编码 RNA,参与恶性肿瘤的化疗耐药调控。然而,circRNA 是否参与 LUAD 中 EGFR-TKI 耐药的发展仍有待阐明。本研究报道,circASK1(hsa_circ_0007798)在吉非替尼耐药细胞中显著下调,并增强 LUAD 细胞对吉非替尼的敏感性。机制上,我们鉴定出 circASK1 编码的一种新型蛋白 ASK1-272a.a,它是 ASK1/JNK/p38 信号激活所必需的,介导了 circASK1 在 LUAD 中的化疗增敏作用。重要的是,这种新型异构体与 Akt1 竞争结合,从而拮抗 Akt1 诱导的 ASK1 磷酸化和失活,导致 ASK1 诱导的细胞凋亡激活,并减轻吉非替尼耐药。此外,增加的 YTHDF2 介导的 mA 修饰的 circASK1 的内切核酸酶切割导致其在吉非替尼耐药细胞中的下调。临床数据和体内模型进一步证实了 circASK1 及其编码蛋白对吉非替尼耐药的抑制作用。本研究为克服 LUAD 患者的吉非替尼耐药提供了一个新的治疗靶点。

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