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Published on: January 7, 2019
Transcriptional regulation of MDR-1 by HOXC6 in multidrug-resistant cells
1Department of Pathology, School of Dentistry, Chosun University, Gwangju, Republic of Korea.
Abstract:
Resistance to chemotherapeutic drugs is a significant clinical problem in the treatment of cancer and this resistance has been linked to the cellular expression of multidrug-efflux transporters. The aim of this study was to explore the role of HOXC6 in the regulation of multidrug resistance (MDR) to chemotherapeutic drugs. The HOXC6 gene was identified as being overexpressed in drug-resistant cells compared with parental cell lines. Transfection assays demonstrated that HOXC6 activated MDR-1 promoter activity. A series of MDR-1 promoter deletion mutants was examined and the minimal HOXC6-responsive region was identified to be in the TAAT motif (-2243 bp) of the MDR-1 promoter. Interestingly, overexpression of HOXC6 in the parental cell lines resulted in the upregulation of MDR-1 expression. The inhibition of HOXC6 using small interfering RNA led to the repression of MDR-1. We determined that knockdown of HOXC6 expression in MDR cells increased their sensitivity to paclitaxel. Flow cytometry analysis suggested that siHOXC6 could induce paclitaxel-induced apoptosis and that this was accompanied by an increased accumulation and a decreased release of paclitaxel. Taken together, our findings suggest that HOXC6 expression is an important mechanism of chemotherapeutic drug resistance via its regulation of MDR-1.
Insights
The HOXC6 gene promotes cancer drug resistance by upregulating MDR-1, a key transporter. Inhibiting HOXC6 increases cancer cells' sensitivity to chemotherapy, offering a potential therapeutic target for overcoming multidrug resistance.
Area of Science:
- Molecular Biology
- Cancer Research
- Pharmacology
Background:
- Multidrug resistance (MDR) is a major obstacle in cancer chemotherapy.
- Cellular expression of multidrug-efflux transporters is linked to MDR.
- The role of HOXC6 in MDR regulation is not well understood.
Purpose of the Study:
- To investigate the role of HOXC6 in regulating MDR to chemotherapeutic drugs.
- To identify the molecular mechanisms by which HOXC6 influences MDR.
Main Methods:
- Gene expression analysis comparing drug-resistant and parental cell lines.
- Transfection assays to assess HOXC6's effect on MDR-1 promoter activity.
- Small interfering RNA (siRNA) to inhibit HOXC6 expression.
- Flow cytometry to analyze apoptosis and drug accumulation.
Main Results:
- HOXC6 was overexpressed in drug-resistant cells.
- HOXC6 activated the MDR-1 promoter, particularly at the TAAT motif (-2243 bp).
- HOXC6 overexpression upregulated MDR-1, while HOXC6 inhibition repressed it.
- Knockdown of HOXC6 increased sensitivity to paclitaxel and promoted apoptosis.
Conclusions:
- HOXC6 is a key regulator of MDR in cancer cells.
- HOXC6 promotes chemotherapeutic drug resistance through MDR-1.
- Targeting HOXC6 may be a strategy to overcome MDR and enhance cancer treatment efficacy.
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