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Transcription factor CUTL1 is a negative regulator of drug resistance in gastric cancer
Tingting Li1, Honghong Wang, Yimin Sun
1Xijing Hospital of Digestive Diseases, State Key Laboratory of Cancer Biology, Fourth Military Medical University, Xi'an 710032, China.
Abstract:
Gastric cancer is one of the leading causes of malignancy-related mortality worldwide, and drug resistance hampered the clinical efficacy of chemotherapy. To better understand the molecular mechanism causing drug resistance, we previously established an isogenic pair of doxorubicin-sensitive and -resistant gastric cancer cell lines, SGC7901 and SGC7901/ADR cells. Here, we investigated how modulation of CUTL1 activity affects the response of gastric cancer to frequently used chemotherapeutic agents. In this study, we demonstrated that CUTL1 transcription activity was significantly reduced in doxorubicin-resistant cells. Furthermore, decreased CUTL1 expression was strongly associated with intrinsic drug resistance in human gastric cancer tissues and could be used as a poor prognosis biomarker. Both gain-of-function (by overexpression of active CUTL1) and loss-of-function (by CUTL1-specific shRNA knockdown) studies showed that increased CUTL1 activity significantly enhanced cell sensitivity to drugs and led to increased apoptosis, whereas decreased CUTL1 expression dramatically reduced cell sensitivity to drugs and thus fewer apoptoses. Importantly, modulation of CUTL1 activity resulted in altered sensitivity to multiple drugs. In vivo mouse studies indicated that overexpression of active CUTL1 significantly resulted in increased cancer tissue response to chemotherapy and therefore inhibited growth, whereas knockdown of CUTL1 conferred resistance to chemotherapy. Taken together, our results strongly indicate that CUTL1 activity is inversely associated with drug resistance and thus is an attractive therapeutic target to modulate multidrug resistance in gastric cancer.
Insights
CUTL1 activity is inversely linked to gastric cancer drug resistance. Enhancing CUTL1 boosts chemotherapy effectiveness and apoptosis, offering a potential therapeutic target for overcoming multidrug resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Gastric cancer is a major cause of cancer mortality globally.
- Chemotherapy resistance significantly limits treatment efficacy for gastric cancer patients.
- Understanding the molecular basis of drug resistance is crucial for improving patient outcomes.
Purpose of the Study:
- To investigate the role of CUTL1 (also known as Chromatin Unbinding Trial 1) in modulating gastric cancer cell response to chemotherapeutic agents.
- To determine if CUTL1 activity can serve as a biomarker for drug resistance and prognosis in gastric cancer.
Main Methods:
- Established doxorubicin-sensitive (SGC7901) and -resistant (SGC7901/ADR) gastric cancer cell lines.
- Utilized gain-of-function (CUTL1 overexpression) and loss-of-function (CUTL1 knockdown) approaches.
- Assessed drug sensitivity, apoptosis levels, and tumor response in vitro and in vivo (mouse models).
Main Results:
- CUTL1 transcription activity was significantly reduced in doxorubicin-resistant gastric cancer cells.
- Decreased CUTL1 expression correlated with intrinsic drug resistance and predicted poor prognosis in human gastric cancer tissues.
- Increased CUTL1 activity enhanced sensitivity to multiple chemotherapeutic drugs and promoted apoptosis.
- Conversely, reduced CUTL1 expression conferred significant drug resistance.
- In vivo studies confirmed that CUTL1 overexpression improved chemotherapy response and inhibited tumor growth, while knockdown induced resistance.
Conclusions:
- CUTL1 activity is inversely associated with multidrug resistance in gastric cancer.
- Modulating CUTL1 activity represents a promising therapeutic strategy to overcome chemotherapy resistance.
- CUTL1 serves as a potential predictive biomarker for treatment response and patient prognosis in gastric cancer.
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