Related Experiment Video
Updated: May 17, 2026

Tropomodulin 3 Overexpression as a Marker for Platinum Resistance and Immune Infiltration in Ovarian Cancer
Published on: August 2, 2024
miR-141 regulates KEAP1 and modulates cisplatin sensitivity in ovarian cancer cells
M T M van Jaarsveld1, J Helleman, A W M Boersma
1Department of Medical Oncology, Erasmus University Medical Center-Daniel den Hoed Cancer Center, Rotterdam, The Netherlands.
Abstract:
Epithelial ovarian cancer is the most lethal gynecological malignancy in the Western world. A major impediment for the successful treatment is the development of drug resistance. The molecular processes that contribute to resistance have been extensively studied; however, there is not much known about regulation by microRNAs (miRNAs). We compared miRNA expression profiles of an isogenic cisplatin-sensitive and -resistant ovarian cancer cell line pair (A2780/A2780 DDP) and found 27 miRNAs to be differentially expressed (2-fold). Five of these, including the family members miR-141/200c, showed a correlation with cisplatin sensitivity in the NCI-60 panel. Overexpression of miR-141 resulted in enhanced resistance to cisplatin in ovarian cancer cell lines. We next correlated the expression level of miR-141 in 132 primary ovarian tumors (108 serous and 24 non-serous) with response to platinum-based chemotherapy. Although no differences were observed in the serous tumors, miR-141 levels were higher in non-serous ovarian tumors that did not respond well to therapy (platinum-free interval <6 months). We demonstrate that miR-141 directly targets KEAP1, and that downregulation of KEAP1 induces cisplatin resistance. Conversely, overexpression of KEAP1 significantly enhanced cisplatin sensitivity. Expression of KEAP1 with its 3'-UTR, and a 3'-UTR in which the miR-141 target site has been mutated, revealed that miR-141 regulates KEAP1 upon exposure to cisplatin. Finally, we show that the NF-κB pathway, which can be regulated by KEAP1, is activated upon miR-141 overexpression, and that inhibition of this pathway partially reverses miR-141-mediated cisplatin resistance. These findings demonstrate that the miR-141-mediated regulation of KEAP1 has a crucial role in the cellular response to cisplatin.
Insights
MicroRNAs (miRNAs) like miR-141 contribute to cisplatin resistance in ovarian cancer by targeting KEAP1. This regulation impacts the NF-κB pathway, affecting treatment response in non-serous tumors.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Epithelial ovarian cancer is a leading cause of gynecological cancer deaths.
- Drug resistance significantly impedes effective ovarian cancer treatment.
- The role of microRNAs (miRNAs) in ovarian cancer drug resistance remains underexplored.
Purpose of the Study:
- To investigate the role of microRNAs in cisplatin resistance in epithelial ovarian cancer.
- To identify specific miRNAs associated with cisplatin sensitivity and resistance.
- To elucidate the molecular mechanisms underlying miRNA-mediated drug resistance.
Main Methods:
- Comparative miRNA expression profiling of cisplatin-sensitive and -resistant ovarian cancer cell lines.
- Correlation analysis of miRNA expression with cisplatin sensitivity in the NCI-60 panel and primary ovarian tumors.
- Functional studies involving miRNA overexpression and KEAP1 manipulation.
- Luciferase reporter assays to confirm direct targeting of KEAP1 by miR-141.
- Investigation of the NF-κB pathway activation.
Main Results:
- 27 miRNAs were differentially expressed between sensitive and resistant cell lines, with miR-141/200c family members showing correlation with cisplatin sensitivity.
- Overexpression of miR-141 increased cisplatin resistance in ovarian cancer cells.
- Higher miR-141 levels in non-serous ovarian tumors correlated with poor response to platinum-based chemotherapy.
- miR-141 directly targets KEAP1, and its downregulation induces cisplatin resistance.
- KEAP1 downregulation activates the NF-κB pathway, contributing to cisplatin resistance.
Conclusions:
- miR-141 plays a significant role in mediating cisplatin resistance in epithelial ovarian cancer.
- The miR-141-KEAP1 axis is a key regulator of cellular response to cisplatin.
- Targeting the miR-141-KEAP1 pathway may offer novel therapeutic strategies for overcoming drug resistance in ovarian cancer.
Related Concept Videos
MicroRNAs
MicroRNAs
Mitogens and the Cell Cycle
mTOR Signaling and Cancer Progression
The mTOR pathway or the...