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Down-regulated miR-331-5p and miR-27a are associated with chemotherapy resistance and relapse in leukaemia
Dan-Dan Feng1, Hua Zhang, Peng Zhang
1Key Laboratory of Gene Engineering of the Ministry of Education, State Key Laboratory for Biocontrol, Sun Yat-sen University, Guangzhou, China.
Abstract:
Multidrug resistance (MDR) and disease relapse are challenging clinical problems in the treatment of leukaemia. Relapsed disease is frequently refractory to chemotherapy and exhibits multiple drug resistance. Therefore, it is important to identify the mechanism by which cancer cells develop resistance. In this study, we used microRNA (miRNA) microarray and qRT-PCR approaches to investigate the expression of miRNAs in three leukaemia cell lines with different degrees of resistance to doxorubicin (DOX) compared with their parent cell line, K562. The expression of miR-331-5p and miR-27a was inversely correlated with the expression of a drug-resistant factor, P-glycoprotein (P-gp), in leukaemia cell lines with gradually increasing resistance. The development of drug resistance is regulated by the expression of the P-gp. Transfection of the K562 and, a human promyelocytic cell line (HL) HL60 DOX-resistant cells with miR-331-5p and miR-27a, separately or in combination, resulted in the increased sensitivity of cells to DOX, suggesting that correction of altered expression of miRNAs may be used for therapeutic strategies to overcome leukaemia cell resistance. Importantly, miR-331-5p and miR-27a were also expressed at lower levels in a panel of relapse patients compared with primary patients at diagnosis, further illustrating that leukaemia relapse might be a consequence of deregulation of miR-331-5p and miR-27a.
Insights
MicroRNAs miR-331-5p and miR-27a are downregulated in drug-resistant leukemia. Restoring these microRNAs increases sensitivity to chemotherapy, offering a potential therapeutic strategy for overcoming multidrug resistance (MDR) and preventing relapse.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- Multidrug resistance (MDR) and disease relapse pose significant challenges in leukemia treatment.
- Relapsed leukemia often becomes refractory to chemotherapy, necessitating a deeper understanding of resistance mechanisms.
Purpose of the Study:
- To investigate the role of microRNAs (miRNAs) in the development of doxorubicin (DOX) resistance in leukemia cell lines.
- To identify specific miRNAs that correlate with drug resistance and P-glycoprotein (P-gp) expression.
Main Methods:
- Utilized miRNA microarray and quantitative real-time PCR (qRT-PCR) to analyze miRNA expression in leukemia cell lines with varying DOX resistance.
- Employed miRNA transfection in DOX-resistant leukemia cells to assess the impact on drug sensitivity.
Main Results:
- miR-331-5p and miR-27a expression showed an inverse correlation with P-glycoprotein (P-gp) expression in resistant leukemia cells.
- Transfection with miR-331-5p and miR-27a restored sensitivity to DOX in resistant leukemia cell lines.
- Lower levels of miR-331-5p and miR-27a were observed in relapsed leukemia patients compared to primary diagnosed patients.
Conclusions:
- The expression of miR-331-5p and miR-27a is linked to the development of P-gp-mediated drug resistance in leukemia.
- Restoring altered miRNA expression presents a potential therapeutic strategy to overcome leukemia drug resistance and prevent relapse.
- Deregulation of miR-331-5p and miR-27a may contribute to leukemia relapse.
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