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A low microRNA-630 expression confers resistance to tyrosine kinase inhibitors in EGFR-mutated lung adenocarcinomas via miR-630/YAP1/ERK feedback loop.

Abstract
Purpose: MicroRNA-630 plays dual roles in apoptosis and drug resistance in human cancers. However, the role of miR-630 in resistance to tyrosine kinase inhibitors (TKIs) in lung adenocarcinoma remains to be elucidated. Methods: Manipulation of miR-630 and its targeted gene YAP1 and/or combination of inhibitor treatments was performed to explore whether low miR-630 could confer TKI resistance due to de-targeting YAP1, and this could decrease proapoptotic protein Bad expression through the miR-630/YAP1/ERK feedback loop. A retrospective study was conducted to examine whether the expression of miR-630 and YAP1 could be associated with TKI therapeutic response in patients with lung adenocarcinoma. Results: Low miR-630 expression may confer TKI resistance via increased SP1 binding to the miR-630 promoter due to ERK activation by YAP1 de-targeting. Persistent activation of ERK signaling via the miR-630/YAP1/ERK feedback loop may be responsible for TKI resistance in EGFR-mutated cells. Moreover, a decrease in Bad expression by its phosphorylation at Serine 75 through ERK activation conferred low miR-630-mediated TKI resistance by modulating the apoptotic pathway. Xenographic tumors induced by miR-630-knockdown PC9 and PC9GR cells in nude mice were nearly suppressed by the combination of gefitinib with the YAP1 inhibitor verteporfin or an MEK/ERK inhibitor AZD6244. Patients with low miR-630 and high YAP1 expressing tumors had a higher prevalence of unfavorable responses to TKI therapy and poorer outcomes when compared with their counterparts. Conclusion: MiR-630 may be a potential biomarker for the prediction of TKI therapeutic response and outcome in patients with lung adenocarcinoma.
AuthorsDe-Wei Wu, Yao-Chen Wang, Lee Wang, Chih Yi Chen, Huei Lee
JournalTheranostics (Theranostics) Vol. 8 Issue 5 Pg. 1256-1269 ( 2018) ISSN: 1838-7640 [Electronic] Australia
PMID29507618 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
Chemical References
  • Adaptor Proteins, Signal Transducing
  • MIRN630 microRNA, human
  • MicroRNAs
  • Phosphoproteins
  • Protein Kinase Inhibitors
  • RNA, Messenger
  • Sp1 Transcription Factor
  • Transcription Factors
  • YAP-Signaling Proteins
  • YAP1 protein, human
  • bcl-Associated Death Protein
  • Phosphoserine
  • EGFR protein, human
  • ErbB Receptors
  • Extracellular Signal-Regulated MAP Kinases
  • Gefitinib
Topics
  • Adaptor Proteins, Signal Transducing (genetics, metabolism)
  • Adenocarcinoma of Lung (drug therapy, genetics)
  • Animals
  • Cell Line, Tumor
  • Disease-Free Survival
  • Drug Resistance, Neoplasm (genetics)
  • ErbB Receptors (genetics)
  • Extracellular Signal-Regulated MAP Kinases (metabolism)
  • Feedback, Physiological
  • Female
  • Gefitinib (pharmacology, therapeutic use)
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Male
  • Mice, Inbred BALB C
  • Mice, Nude
  • MicroRNAs (genetics, metabolism)
  • Middle Aged
  • Mutation (genetics)
  • Phosphoproteins (genetics, metabolism)
  • Phosphorylation (drug effects)
  • Phosphoserine (metabolism)
  • Promoter Regions, Genetic (genetics)
  • Protein Binding
  • Protein Kinase Inhibitors (pharmacology, therapeutic use)
  • RNA, Messenger (genetics, metabolism)
  • Sp1 Transcription Factor (metabolism)
  • Transcription Factors
  • Up-Regulation (drug effects, genetics)
  • YAP-Signaling Proteins
  • bcl-Associated Death Protein (metabolism)

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