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Published on: May 10, 2024
miR-192/miR-215 influence 5-fluorouracil resistance through cell cycle-mediated mechanisms complementary to its
Valentina Boni1, Nerea Bitarte, Ion Cristobal
1Oncology Unit, Casa Sollievo Sofferenza, S. Giovanni Rotondo, Italy.
Abstract:
Thymidylate synthase (TYMS) is a target of the most widely used chemotherapeutic agents against gastrointestinal malignancies, the fluoropyrimidine-based therapy. TYMS expression levels have been identified as predictive biomarkers for 5-fluoruracil (FU) response in colorectal cancer, but their clinical utility remains controversial. The complexity of fluoropyrimidine response must require more mechanisms that currently have not been completely elucidated. In this context, microRNAs (miRNA) may play a role in modulating chemosensitivity. By carrying out an in silico analysis coupled to experimental validation, we detected that miR-192 and miR-215 target TYMS expression in colorectal cancer cell lines. However, downregulation of TYMS by these miRNAs does not sensitize colorectal cancer cell lines to FU treatment. The overexpression of miR-192/215 significantly reduces cell proliferation by targeting cell cycle progression. This effect was partially associated with p53 status, because reduction of cell proliferation and cell cycle arrest was associated with p21 and p27 induction. The decrease of S-phase cells by these miRNAs mitigates the effects of S phase-specific drugs and suggests that other mechanisms different from TYMS overexpression are essential to direct FU resistance. Finally, ectopic expression of miR-192/215 might have stronger impact to predict FU response than TYMS inhibition. Prospective studies to elucidate the role of these miRNAs as predictive biomarkers to FU are necessary.
Insights
MicroRNAs miR-192 and miR-215 target thymidylate synthase (TYMS) but do not enhance 5-fluorouracil (FU) sensitivity in colorectal cancer. These miRNAs reduce cell proliferation via cell cycle arrest, suggesting alternative mechanisms for FU resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Thymidylate synthase (TYMS) is a key target for fluoropyrimidine chemotherapy in gastrointestinal cancers.
- TYMS expression is a controversial predictive biomarker for 5-fluorouracil (FU) response in colorectal cancer.
- MicroRNAs (miRNAs) may influence chemosensitivity, but their role in FU response is not fully understood.
Purpose of the Study:
- To investigate the role of miR-192 and miR-215 in modulating chemosensitivity to FU in colorectal cancer.
- To determine if miR-192 and miR-215 target TYMS and affect FU response.
- To explore the impact of these miRNAs on cell proliferation and cell cycle progression.
Main Methods:
- In silico analysis followed by experimental validation in colorectal cancer cell lines.
- Assessment of TYMS expression levels after miRNA overexpression.
- Evaluation of cell proliferation, cell cycle progression, and protein expression (p53, p21, p27).
Main Results:
- miR-192 and miR-215 were found to target TYMS expression in colorectal cancer cell lines.
- Downregulation of TYMS by these miRNAs did not sensitize cells to FU treatment.
- Overexpression of miR-192/215 reduced cell proliferation by inducing cell cycle arrest, partially mediated by p53 status through p21 and p27 induction.
- The reduction in S-phase cells by these miRNAs may mitigate the efficacy of S-phase-specific drugs like FU.
Conclusions:
- miR-192 and miR-215 target TYMS but do not directly enhance FU sensitivity in colorectal cancer.
- These miRNAs inhibit cell proliferation through cell cycle regulation, independent of TYMS inhibition.
- Mechanisms other than TYMS overexpression are critical for FU resistance.
- miR-192/215 may serve as predictive biomarkers for FU response, warranting further investigation.
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