Department of Microbiology/Key Laboratory for Experimental Teratology of the Chinese Ministry of Education, School of Basic Medical Science, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, PR China.
Key Laboratory of Infection and Immunity of Shandong Province, School of Basic Medical Science, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, PR China.
Cell Death Differ. 2022 Nov;29(11):2190-2202. doi: 10.1038/s41418-022-01008-w. Epub 2022 May 9.
The development of chemotherapy resistance is the most vital obstacle to clinical efficacy in gastric cancer (GC). The dysregulation of the Wnt/beta-catenin signaling pathway is critically associated with GC development and chemotherapy resistance. Ferroptosis is a form of regulated cell death, induced by an iron-dependent accumulation of lipid peroxides during chemotherapy. However, whether the Wnt/beta-catenin signaling directly controls resistance to cell death, remains unclear. Here, we show that the activation of the Wnt/beta-catenin signaling attenuates cellular lipid ROS production and subsequently inhibits ferroptosis in GC cells. The beta-catenin/TCF4 transcription complex directly binds to the promoter region of GPX4 and induces its expression, resulting in the suppression of ferroptotic cell death. Concordantly, TCF4 deficiency promotes cisplatin-induced ferroptosis in vitro and in vivo. Thus, we demonstrate that the aberrant activation of the Wnt/beta-catenin signaling confers ferroptosis resistance and suggests a potential therapeutic strategy to enhance chemo-sensitivity for advanced GC patients.
化疗耐药的发展是胃癌(GC)临床疗效的最大障碍。Wnt/β-连环蛋白信号通路的失调与 GC 的发生和化疗耐药密切相关。铁死亡是一种受调控的细胞死亡形式,在化疗过程中由于脂质过氧化物的铁依赖性积累而诱导。然而,Wnt/β-连环蛋白信号是否直接控制对细胞死亡的耐药性尚不清楚。在这里,我们表明 Wnt/β-连环蛋白信号的激活减弱了细胞内脂质 ROS 的产生,随后抑制了 GC 细胞中的铁死亡。β-连环蛋白/TCF4 转录复合物直接结合到 GPX4 的启动子区域并诱导其表达,从而抑制铁死亡细胞死亡。一致地,TCF4 缺失促进了体外和体内顺铂诱导的铁死亡。因此,我们证明了 Wnt/β-连环蛋白信号的异常激活赋予了铁死亡耐药性,并为增强晚期 GC 患者的化疗敏感性提供了一种潜在的治疗策略。
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