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Updated: Jun 2, 2026

Tropomodulin 3 Overexpression as a Marker for Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
HDAC4-regulated STAT1 activation mediates platinum resistance in ovarian cancer
Euan A Stronach1, Albandri Alfraidi, Nona Rama
1Ovarian Cancer Action Research Centre, Department of Surgery and Cancer, Imperial College London, Edinburgh, United Kingdom. e.stronach@imperial.ac.uk
Abstract:
Ovarian cancer frequently acquires resistance to platinum chemotherapy, representing a major challenge for improving patient survival. Recent work suggests that resistant clones exist within a larger drug-sensitive cell population prior to chemotherapy, implying that resistance is selected for rather than generated by treatment. We sought to compare clinically derived, intrapatient paired models of initial platinum response and subsequent resistant relapse to define molecular determinants of evolved resistance. Transcriptional analysis of a matched cell line series from three patients with high-grade serous ovarian cancer before and after development of clinical platinum resistance (PEO1/PEO4/PEO6, PEA1/PEA2, PEO14/PEO23) identified 91 up- and 126 downregulated genes common to acquired resistance. Significantly enhanced apoptotic response to platinum treatment in resistant cells was observed following knockdown of histone deacetylase (HDAC) 4, FOLR2, PIK3R1, or STAT1 (P < 0.05). Interestingly, HDAC4 and STAT1 were found to physically interact. Acetyl-STAT1 was detected in platinum-sensitive cells but not in HDAC4 overexpressing platinum-resistant cells from the same patient. In resistant cells, STAT1 phosphorylation/nuclear translocation was seen following platinum exposure, whereas silencing of HDAC4 increased acetyl-STAT1 levels, prevented platinum-induced STAT1 activation, and restored cisplatin sensitivity. Conversely, matched sensitive cells were refractory to STAT1 phosphorylation on platinum treatment. Analysis of 16 paired tumor biopsies taken before and after development of clinical platinum resistance showed significantly increased HDAC4 expression in resistant tumors [n = 7 of 16 (44%); P = 0.04]. Therefore, clinical selection of HDAC4-overexpressing tumor cells upon exposure to chemotherapy promotes STAT1 deacetylation and cancer cell survival. Together, our findings identify HDAC4 as a novel, therapeutically tractable target to counter platinum resistance in ovarian cancer.
Insights
Platinum chemotherapy resistance in ovarian cancer is a major challenge. This study identifies histone deacetylase 4 (HDAC4) as a key driver of resistance by promoting STAT1 deacetylation, suggesting HDAC4 as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Ovarian cancer often develops resistance to platinum chemotherapy, limiting treatment efficacy.
- Pre-existing resistant clones suggest selection, not generation, of resistance during treatment.
- Understanding molecular mechanisms of acquired resistance is crucial for improving patient outcomes.
Purpose of the Study:
- To compare paired models of platinum-sensitive and resistant ovarian cancer to identify molecular drivers of resistance.
- To investigate the role of histone deacetylase 4 (HDAC4) and STAT1 in platinum resistance.
Main Methods:
- Transcriptional analysis of matched ovarian cancer cell lines before and after platinum resistance development.
- Gene knockdown experiments to assess the impact of specific genes on platinum sensitivity.
- Analysis of paired tumor biopsies to correlate gene expression with clinical resistance.
Main Results:
- Identified common up- and down-regulated genes in acquired platinum resistance.
- Knockdown of HDAC4, FOLR2, PIK3R1, or STAT1 enhanced platinum-induced apoptosis in resistant cells.
- HDAC4 physically interacts with STAT1, and HDAC4 overexpression in resistant cells correlates with STAT1 deacetylation and reduced sensitivity.
- Increased HDAC4 expression was observed in resistant ovarian tumors compared to sensitive counterparts.
Conclusions:
- HDAC4 overexpression promotes platinum resistance in ovarian cancer by deacetylating STAT1, leading to enhanced cancer cell survival.
- HDAC4 is a potential therapeutic target to overcome platinum resistance in ovarian cancer.
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