Department of General Surgery, Jing'an District Center Hospital of Shanghai, Shanghai, China.
Department of Obstetrics and Gynecology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, Shanghai, China.
Cancer Med. 2023 Oct;12(19):19807-19820. doi: 10.1002/cam4.6552. Epub 2023 Sep 25.
Ample evidence reveals that glycolysis is crucial to tumor progression; however, the underlying mechanism of its drug resistance is still worth being further explored. TRAF6, an E3 ubiquitin ligase, is well recognized to overexpress in various types of cancer, which predicts a poor prognosis. In our study, we discovered that TRAF6 was expressed more significantly in the case of triple-negative breast cancer (TNBC) than in other of breast cancers, promoting chemoresistance to paclitaxel; that inhibited TRAF6 expression in the chemoresistant TNBC (TNBC-CR) cells enhanced the sensitivity by decreasing glucose uptake and lactate production; that TRAF6 regulated glycolysis and facilitated chemoresistance via binding directly to PKM2; and that overexpressing PKM2 in the TNBC-CR cells with TRAF6 knocked down regained significantly TRAF6-dependent drug resistance and glycolysis. Additionally, we verified that TRAF6 could facilitate PKM2-mediated glycolysis and chemoresistance in animal models and clinical tumor tissues. Thus, we identified the novel function of TRAF6 to promote glycolysis and drug resistance in TNBC with the regulation of PKM2, which could provide a potential molecular target for TNBC treatment.
大量证据表明,糖酵解对肿瘤的进展至关重要;然而,其耐药性的潜在机制仍值得进一步探索。TRAF6 是一种 E3 泛素连接酶,在各种类型的癌症中过度表达,预示着预后不良。在我们的研究中,我们发现 TRAF6 在三阴性乳腺癌(TNBC)中的表达明显高于其他乳腺癌,促进了对紫杉醇的耐药性;抑制耐药性 TNBC(TNBC-CR)细胞中的 TRAF6 表达通过减少葡萄糖摄取和乳酸生成来提高敏感性;TRAF6 通过直接与 PKM2 结合来调节糖酵解并促进耐药性;并且在 TRAF6 敲低的 TNBC-CR 细胞中过表达 PKM2 可显著恢复 TRAF6 依赖性耐药性和糖酵解。此外,我们在动物模型和临床肿瘤组织中验证了 TRAF6 可以促进 PKM2 介导的糖酵解和耐药性。因此,我们确定了 TRAF6 通过调节 PKM2 促进 TNBC 糖酵解和耐药性的新功能,这可为 TNBC 的治疗提供潜在的分子靶点。
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