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Updated: Jun 24, 2026

Murine Model for Non-invasive Imaging to Detect and Monitor Ovarian Cancer Recurrence
Published on: November 2, 2014
NAC-1, a potential stem cell pluripotency factor, contributes to paclitaxel resistance in ovarian cancer through
N Jinawath1, C Vasoontara, K-L Yap
1Departments of Pathology, Oncology, and Gynecology and Obstetrics, Johns Hopkins Medical Institutions, Baltimore, MD 21231, USA.
Abstract:
Nucleus accumbens-1 (Nac1 or NAC-1) belongs to the BTB/POZ (Pox virus and Zinc finger/Bric-a-brac Tramtrack Broad complex) transcription factor family and is a novel protein that potentially participates in self-renewal and pluripotency in embryonic stem cells. In human cancer, NAC-1 is upregulated in several types of neoplasms, but particularly in recurrent chemoresistant ovarian carcinomas, suggesting a biological role for NAC-1 in the development of drug resistance in ovarian cancer. We have assessed this possibility and shown a correlation between NAC-1 expression and ex vivo paclitaxel resistance in ovarian serous carcinoma tissues and cell lines. We found that expression of Gadd45-gamma-interacting protein 1 (Gadd45gip1), a downstream target negatively regulated by NAC-1, was reduced in paclitaxel-resistant cells. Ectopic expression of NAC-1 or knockdown of Gadd45gip1 conferred paclitaxel resistance, whereas NAC-1 knockdown or ectopic expression of Gadd45gip1 increased paclitaxel sensitivity. Furthermore, silencing NAC-1 expression or disrupting NAC-1 homodimerization by a dominant negative NAC-1 protein that contained only the BTB/POZ domain induced the expression of Gadd45gamma, which interacted with Gadd45gip1. Reducing Gadd45gamma expression by small hairpin RNAs partially enhanced paclitaxel resistance. Thus, this study provides new evidence that NAC-1 upregulation and homodimerization contribute to tumor recurrence by equipping ovarian cancer cells with the paclitaxel-resistant phenotype through negative regulation of the Gadd45 pathway.
Insights
Nucleus accumbens-1 (NAC-1) promotes paclitaxel resistance in ovarian cancer by downregulating the Gadd45 pathway. NAC-1 upregulation and homodimerization contribute to chemoresistance and tumor recurrence.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Nucleus accumbens-1 (NAC-1) is a BTB/POZ transcription factor implicated in pluripotency.
- NAC-1 is upregulated in various cancers, notably chemoresistant ovarian carcinomas.
- Its role in ovarian cancer drug resistance warrants investigation.
Purpose of the Study:
- To investigate the role of NAC-1 in paclitaxel resistance in ovarian cancer.
- To elucidate the molecular mechanisms linking NAC-1 to chemoresistance.
Main Methods:
- Correlation analysis of NAC-1 expression with paclitaxel resistance in ovarian cancer tissues and cell lines.
- Assessment of Gadd45-gamma-interacting protein 1 (Gadd45gip1) expression.
- Manipulation of NAC-1 and Gadd45gip1 levels via ectopic expression and knockdown.
- Analysis of NAC-1 homodimerization and Gadd45gamma interaction.
Main Results:
- NAC-1 expression positively correlates with paclitaxel resistance in ovarian serous carcinoma.
- Paclitaxel-resistant cells exhibit reduced Gadd45gip1 expression.
- Ectopic NAC-1 or Gadd45gip1 knockdown confers paclitaxel resistance.
- NAC-1 silencing or disruption of homodimerization increases paclitaxel sensitivity.
- NAC-1 negatively regulates the Gadd45 pathway, involving Gadd45gamma and Gadd45gip1.
Conclusions:
- NAC-1 upregulation and homodimerization contribute to paclitaxel resistance in ovarian cancer.
- The NAC-1/Gadd45 pathway is a key mechanism driving chemoresistance and tumor recurrence.
- Targeting NAC-1 may represent a therapeutic strategy for overcoming paclitaxel resistance.
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