Epithelial ovarian cancer is the most lethal gynecological
malignancy in the Western world. A major impediment for the successful treatment is the development of drug resistance. The molecular processes that contribute to resistance have been extensively studied; however, there is not much known about regulation by
microRNAs (
miRNAs). We compared
miRNA expression profiles of an isogenic
cisplatin-sensitive and -resistant
ovarian cancer cell line pair (A2780/A2780 DDP) and found 27
miRNAs to be differentially expressed (2-fold). Five of these, including the family members miR-141/200c, showed a correlation with
cisplatin sensitivity in the NCI-60 panel. Overexpression of miR-141 resulted in enhanced resistance to
cisplatin in
ovarian cancer cell lines. We next correlated the expression level of miR-141 in 132 primary ovarian
tumors (108 serous and 24 non-serous) with response to
platinum-based
chemotherapy. Although no differences were observed in the serous
tumors, miR-141 levels were higher in non-serous ovarian
tumors that did not respond well to
therapy (
platinum-free interval <6 months). We demonstrate that miR-141 directly targets KEAP1, and that downregulation of KEAP1 induces
cisplatin resistance. Conversely, overexpression of KEAP1 significantly enhanced
cisplatin sensitivity. Expression of KEAP1 with its 3'-UTR, and a 3'-UTR in which the miR-141 target site has been mutated, revealed that miR-141 regulates KEAP1 upon exposure to
cisplatin. Finally, we show that the NF-κB pathway, which can be regulated by KEAP1, is activated upon miR-141 overexpression, and that inhibition of this pathway partially reverses miR-141-mediated
cisplatin resistance. These findings demonstrate that the miR-141-mediated regulation of KEAP1 has a crucial role in the cellular response to
cisplatin.