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Downregulation of insulin-like growth factor-binding protein 7 in cisplatin-resistant non-small cell lung cancer
Jun Okamura1, Yiping Huang, David Moon
1Department of Otolaryngology, Head and Neck Surgery, The Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Abstract:
Cisplatin is an effective anticancer drug used to treat many types of cancer, including non-small cell lung carcinoma (NSCLCs), but development of resistance is the primary impediment in cancer treatment. Insulin-like growth factor-binding protein 7 (IGFBP7) is a secreted tumor suppressor that is inactivated in human lung cancer. IGFBP7 is known to alter sensitivity to interferon-based anticancer therapy, and here, we examined loss of IGFBP7 as a potential contributor to chemo-resistance to cisplatin. The transcriptional level of IGFBP7 was decreased in cisplatin-resistant human cancer cell lines and NSCLC xenografts. IGFBP7 knock-down increased cellular resistance to cisplatin and increased the level of mitogen-activated protein kinase phosphatases (MKP) 3 levels. The expression of MKP3 increased in a cisplatin-resistant NSCLC cell line and lung xenografts. MKP3 knock-down increased IGFBP7 level, indicating that MKP3 regulates IGFBP7. These findings suggest a novel molecular mechanism responsible for the tumor suppressive function of IGFBP7 in cisplatin-resistant human lung cancer and could lead to the development of IGFBP7 as a cisplatin-sensitizing agent.
Insights
Loss of Insulin-like growth factor-binding protein 7 (IGFBP7) contributes to cisplatin resistance in non-small cell lung cancer. Restoring IGFBP7 may resensitize tumors to this chemotherapy, offering new treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Cisplatin is a key chemotherapy for non-small cell lung cancer (NSCLC).
- Drug resistance limits cisplatin's efficacy.
- Insulin-like growth factor-binding protein 7 (IGFBP7) is a tumor suppressor often inactivated in lung cancer.
Purpose of the Study:
- To investigate the role of IGFBP7 loss in cisplatin chemo-resistance.
- To explore the molecular mechanisms linking IGFBP7 and cisplatin resistance.
Main Methods:
- Analysis of IGFBP7 transcriptional levels in cisplatin-resistant cell lines and xenografts.
- Experimental manipulation of IGFBP7 and mitogen-activated protein kinase phosphatase 3 (MKP3) expression via knockdown.
- Assessment of cellular resistance to cisplatin.
Main Results:
- IGFBP7 levels were decreased in cisplatin-resistant NSCLC models.
- IGFBP7 knockdown enhanced cisplatin resistance and increased MKP3 levels.
- MKP3 knockdown increased IGFBP7 levels, indicating MKP3 regulates IGFBP7.
Conclusions:
- Loss of IGFBP7 is a mechanism contributing to cisplatin resistance in NSCLC.
- A novel molecular pathway involving IGFBP7 and MKP3 in chemo-resistance was identified.
- IGFBP7 holds potential as a therapeutic agent to overcome cisplatin resistance.
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