Zeng Yuan, Jiang Haoran, Chen Zhoufeng, Xu Jun, Zhang Xiangting, Cai Weimin, Zeng Xianjie, Ma Peipei, Lin Rong, Yu Huilin, He Yuanhang, Ying Huiya, Zhou Ruoru, Wu Xiao, Yu Fujun
Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Department of Radiation Oncology, the First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
Cell Death Dis. 2025 Jan 31;16(1):59. doi: 10.1038/s41419-025-07359-9.
FOLFOX (5-fluorouracil, oxaliplatin, folinic acid) is a standard treatment for hepatocellular carcinoma, but its efficacy is often limited by drug resistance, the underlying mechanisms of which remain unclear. In this study, oxaliplatin (OXA)- and 5-fluorouracil (5-Fu)-resistant hepatocellular carcinoma cell lines were established, and enhanced glycolytic activity was identified in resistant cells. Inhibiting glycolysis effectively suppressed the malignant behavior of both OXA- and 5-Fu-resistant cells. Mechanistically, active glycolysis induced elevated levels of lactylation, predominantly histone lactylation, with H3K14la playing a key role in regulating gene expression. The ubiquitin E3 ligase NEDD4 was identified as a downstream target of H3K14la. Furthermore, NEDD4, regulated by histone lactylation, interacted with PTEN to mediate its ubiquitination and subsequent degradation. The downregulation of PTEN formed a positive feedback loop, further driving the malignant progression of OXA- and 5-Fu-resistant cells. This study elucidates a shared mechanism underlying OXA and 5-Fu resistance in hepatocellular carcinoma and highlights a promising therapeutic target for overcoming clinical chemotherapy resistance.
FOLFOX(5-氟尿嘧啶、奥沙利铂、亚叶酸)是肝细胞癌的标准治疗方案,但其疗效常受耐药性限制,而其潜在机制尚不清楚。在本研究中,建立了奥沙利铂(OXA)和5-氟尿嘧啶(5-Fu)耐药的肝细胞癌细胞系,并在耐药细胞中发现糖酵解活性增强。抑制糖酵解有效抑制了奥沙利铂和5-氟尿嘧啶耐药细胞的恶性行为。机制上,活跃的糖酵解诱导乳酸化水平升高,主要是组蛋白乳酸化,其中H3K14la在调节基因表达中起关键作用。泛素E3连接酶NEDD4被确定为H3K14la的下游靶点。此外,受组蛋白乳酸化调节的NEDD4与PTEN相互作用,介导其泛素化及随后的降解。PTEN的下调形成正反馈回路,进一步推动奥沙利铂和5-氟尿嘧啶耐药细胞的恶性进展。本研究阐明了肝细胞癌中奥沙利铂和5-氟尿嘧啶耐药的共同机制,并突出了一个克服临床化疗耐药性的有前景的治疗靶点。