Wang Jue, Sheng Nanning, Li Ying, Fan Yawei, Nan Xinrong, Fu Rong
Department of Prosthodontics, First Hospital of Shanxi Medical University Taiyuan 030001, Shanxi, China.
Department of Otolaryngology, Head & Neck Surgery, First Hospital of Shanxi Medical University Taiyuan 030001, Shanxi, China.
Am J Cancer Res. 2023 May 15;13(5):2155-2171. eCollection 2023.
Chemotherapy resistance is a major limiting factor in the cure of patients with laryngeal squamous cell carcinoma (LSCC). Lymphocyte antigen 6 superfamily member D (Ly6D) is highly expressed in various tumors, but its role and underlying molecular mechanisms in chemoresistance of LSCC cells remains largely unclear. In this study, we reveal that overexpression of Ly6D facilitates LSCC cell chemoresistance, while Ly6D silencing abolishes this phenotype. Moreover, bioinformatics analysis, PCR array, and functional analysis confirmed that activation of the Wnt/β-catenin pathway contributes to Ly6D-mediated chemoresistance. The genetic and pharmacological inhibition of β-catenin compromises chemoresistance mediated by Ly6D overexpression. Mechanistically, Ly6D overexpression significantly attenuates the expression of miR-509-5p, thereby unleashing its target gene CTNNB1 to activate Wnt/β-catenin pathway and ultimately promote chemoresistance. In contrast, Ly6D augmenting β-catenin-mediated chemoresistance in LSCC cells were reversed by ectopic expression of miR-509-5p. Furthermore, ectopic expression of miR-509-5p markedly repressed the two other targets, MDM2 and FOXM1. Taken together, these data not only reveal the key role of Ly6D/miR-509-5p/β-catenin in chemotherapy resistance, but also provide a new strategy for the clinical treatment of refractory LSCC.
化疗耐药是喉鳞状细胞癌(LSCC)患者治愈的主要限制因素。淋巴细胞抗原6超家族成员D(Ly6D)在多种肿瘤中高表达,但其在LSCC细胞化疗耐药中的作用及潜在分子机制仍不清楚。在本研究中,我们发现Ly6D的过表达促进LSCC细胞的化疗耐药,而Ly6D沉默则消除了这种表型。此外,生物信息学分析、PCR阵列和功能分析证实,Wnt/β-连环蛋白通路的激活有助于Ly6D介导的化疗耐药。β-连环蛋白的基因和药理学抑制作用损害了由Ly6D过表达介导的化疗耐药。机制上,Ly6D过表达显著减弱miR-509-5p的表达,从而释放其靶基因CTNNB1以激活Wnt/β-连环蛋白通路并最终促进化疗耐药。相反,miR-509-5p的异位表达逆转了Ly6D增强LSCC细胞中β-连环蛋白介导的化疗耐药。此外,miR-509-5p的异位表达显著抑制了另外两个靶标MDM2和FOXM1。综上所述,这些数据不仅揭示了Ly6D/miR-509-5p/β-连环蛋白在化疗耐药中的关键作用,还为难治性LSCC的临床治疗提供了新策略。