Ma Xiaolu, Zhou Kaixia, Yan Tianqing, Hu Ling, Xie Suhong, Zheng Hui, Tong Ying, Zhang Heng, Wang Yanchun, Gong Zhiyun, Chen Cuncun, Tian Yanan, Guo Lin, Lu Renquan
Department of Clinical Laboratory, Shanghai Cancer Center, Fudan University, Shanghai, 200032, China.
Department of Oncology, Shanghai Medical School, Fudan University, Shanghai, 200032, China.
Mol Biomed. 2024 Dec 31;5(1):74. doi: 10.1186/s43556-024-00242-7.
Lenvatinib, an approved first-line regimen, has been widely applied in hepatocellular carcinoma (HCC). However, clinical response towards Lenvatinib was limited, emphasizing the importance of understanding the underlying mechanism of its resistance. Herein, we employed integrated bioinformatic analysis to identify calpain-2 (CAPN2) as a novel key regulator for Lenvatinib resistance in HCC, and its expression greatly increased in both Lenvatinib-resistant HCC cell lines and clinical samples. Further in vitro and in vivo experiments indicated that knocking down CAPN2 greatly sensitized HCC cells to Lenvatinib treatment, while overexpression of CAPN2 achieved opposite effects in a Lenvatinib-sensitive HCC cell line. Interestingly, we observed a close relationship between CAPN2 expression and cancer stem cell (CSC) traits in HCC cells, evidenced by impaired sphere-forming and CSC-related marker expressions after CAPN2 knockdown, and verse vice. Mechanistically, we strikingly discovered that CAPN2 exerted its function by both enzyme-dependent and enzyme-independent manner simultaneously: activating β-Catenin signaling through its enzyme activity, and preventing GLI1/GLI2 degradation through direct binding to YWHAE in an enzyme-independent manner, which disrupting the association between YWHAE and GLI1/GLI2 to inhibit YWHAE-induced degradation of GLIs. Notably, further co-immunoprecipitation assays revealed that YWHAE could promote the protein stability of CAPN2 via recruiting a deubiquitinase COPS5 to prevent ubiquitination-induced degradation of CAPN2. In summary, our data demonstrated that CAPN2 promoted Lenvatinib resistance via both catalytic activity-dependent and -independent approaches. Reducing CAPN2 protein rather than inhibiting its activity might be a promising strategy to improve Lenvatinib treatment efficiency in HCC.
乐伐替尼作为一种已获批的一线治疗方案,已广泛应用于肝细胞癌(HCC)的治疗。然而,乐伐替尼的临床疗效有限,这凸显了了解其耐药潜在机制的重要性。在此,我们采用综合生物信息学分析方法,确定钙蛋白酶-2(CAPN2)是HCC中乐伐替尼耐药的一种新型关键调节因子,其在乐伐替尼耐药的HCC细胞系和临床样本中的表达均显著增加。进一步的体外和体内实验表明,敲低CAPN2可使HCC细胞对乐伐替尼治疗高度敏感,而在对乐伐替尼敏感的HCC细胞系中过表达CAPN2则产生相反的效果。有趣的是,我们观察到HCC细胞中CAPN2的表达与癌症干细胞(CSC)特性之间存在密切关系,CAPN2敲低后球体形成和CSC相关标志物表达受损证明了这一点,反之亦然。机制上,我们惊人地发现CAPN2通过酶依赖性和非酶依赖性方式同时发挥其功能:通过其酶活性激活β-连环蛋白信号通路,并以非酶依赖性方式通过直接与YWHAE结合来防止GLI1/GLI2降解,从而破坏YWHAE与GLI1/GLI2之间的关联以抑制YWHAE诱导的GLIs降解。值得注意的是,进一步的免疫共沉淀实验表明,YWHAE可通过招募去泛素化酶COPS5来促进CAPN2的蛋白质稳定性,以防止泛素化诱导的CAPN2降解。总之,我们的数据表明,CAPN2通过催化活性依赖性和非依赖性途径促进乐伐替尼耐药。降低CAPN2蛋白水平而非抑制其活性可能是提高乐伐替尼治疗HCC疗效的一种有前景的策略。
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