Chemoresistance in prostate cancer cells is regulated by miRNAs and Hedgehog pathway

Saurabh Singh1, Deepak Chitkara, Reza Mehrazin

  • 1Department of Pharmaceutical Sciences, University of Tennessee Health Science Center, Memphis, Tennessee, United States of America.

Plos One
|July 7, 2012
PubMed

Insights

Combining paclitaxel (PTX) with Hedgehog (Hh) inhibitor cyclopamine (CYA) effectively reverses chemoresistance in prostate cancer. This combination therapy eliminates cancer stem cell populations and restores tumor suppressor microRNAs, offering new hope for treating resistant cancers.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Prostate cancer often relapses due to chemoresistance, rendering standard treatments like paclitaxel (PTX) ineffective.
  • MicroRNAs (miRNAs) and the Hedgehog (Hh) signaling pathway are implicated in the development of chemoresistance and cancer stem cell populations in prostate cancer.

Purpose of the Study:

  • To investigate the roles of miRNAs and the Hh pathway in chemoresistant prostate cancer.
  • To evaluate the efficacy of a combination therapy using paclitaxel (PTX) and the Hh inhibitor cyclopamine (CYA).

Main Methods:

  • Utilized paclitaxel-resistant prostate cancer cell lines (DU145-TXR, PC3-TXR) and clinical prostate tissues.
  • Assessed drug sensitivity, apoptosis, and cancer stem cell-like side populations (SP) using Hoechst 33342 flow cytometry.
  • Performed microRNA profiling and analyzed gene expression, including P-glycoprotein (P-gp) efflux protein.

Main Results:

  • Combination therapy with PTX and CYA significantly enhanced cytotoxicity and reduced SP cell numbers compared to monotherapy.
  • SP cells, enriched in G0/G1 phase and expressing higher stem cell markers, were effectively eliminated by the combination treatment.
  • The combination therapy restored the expression of tumor suppressor miRNAs (miR34a, miR200c) and decreased P-gp expression.

Conclusions:

  • Supplementing paclitaxel with the Hh inhibitor cyclopamine can reverse paclitaxel chemoresistance in androgen-independent, metastatic prostate cancer.
  • The combination therapy effectively eliminates cancer stem cell-like side populations and modulates key molecular pathways involved in chemoresistance.
  • This therapeutic strategy holds promise for overcoming treatment resistance in advanced prostate cancer.

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