Ge Yidong, Kong Lili, Li Yuxuan, Yu Zongdong, Zhai Fengguang, Zhan Ziqing, Chen Gun, Wang Shuyan, Wang Haoyun, Wang Yuxuan, Zhao Jianan, Hu Lechen, Mao Jianing, Wang Siyuan, Shi Jiaxin, Zhao Mengxiang, Lou Pengrong, Ye Meng, Jin Xiaofeng
Department of Biochemistry and Molecular Biology, Health Science Center, Ningbo University, Ningbo, Zhejiang, China.
Department of Radiotherapy and Chemotherapy, The First Affiliated Hospital of Ningbo University, Ningbo University, Ningbo, Zhejiang, China.
Commun Biol. 2025 Apr 17;8(1):624. doi: 10.1038/s42003-025-08065-0.
Paclitaxel combination therapy is the main chemotherapy regimen for endometrial cancer (EC); however, subsequent drug resistance is a bottleneck limiting its widespread clinical application. We found that human insulin-like growth factor 2 mRNA-binding protein 3 (IGF2BP3) was abnormally elevated in paclitaxel-resistant EC cells and confirmed that the reduction of IGF2BP3 can effectively improve the sensitivity of EC cells to paclitaxel in vitro and in vivo. Mechanistically, elevated IGF2BP3 promotes the half-life of c-Myc by competitively inhibiting Speckle-type POZ protein (SPOP)-mediated ubiquitination and degradation of c-Myc. As a transcription factor, c-Myc can bind to the promoter of IGF2BP3, thus contributing to the increased transcription of IGF2BP3 via positive feedback and forming a signaling loop that ultimately causes the accumulation of c-Myc-induced paclitaxel resistance. Based on these findings, the application of c-Myc inhibitors (10058-F4) combined with paclitaxel helped paclitaxel-resistant EC cells regain paclitaxel sensitivity in vitro and in vivo. Together, we reveal the underlying mechanism of paclitaxel resistance in endometrial cancer cells and provide insights into treatment strategies for paclitaxel-resistant EC patients.
紫杉醇联合疗法是子宫内膜癌(EC)的主要化疗方案;然而,随后出现的耐药性是限制其广泛临床应用的一个瓶颈。我们发现,人胰岛素样生长因子2信使核糖核酸结合蛋白3(IGF2BP3)在耐紫杉醇的EC细胞中异常升高,并证实降低IGF2BP3可在体外和体内有效提高EC细胞对紫杉醇的敏感性。从机制上讲,IGF2BP3升高通过竞争性抑制斑点型POZ蛋白(SPOP)介导的c-Myc泛素化和降解来促进c-Myc的半衰期。作为一种转录因子,c-Myc可与IGF2BP3的启动子结合,从而通过正反馈促进IGF2BP3的转录增加,并形成一个信号环,最终导致c-Myc诱导的紫杉醇耐药性积累。基于这些发现,应用c-Myc抑制剂(10058-F4)联合紫杉醇可帮助耐紫杉醇的EC细胞在体外和体内恢复对紫杉醇的敏感性。我们共同揭示了子宫内膜癌细胞中紫杉醇耐药的潜在机制,并为耐紫杉醇的EC患者的治疗策略提供了见解。