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YY1 suppresses FEN1 over-expression and drug resistance in breast cancer
Jianwei Wang1, Lina Zhou2,3, Zhi Li4
1College of Life Sciences, Zhejiang University, Hangzhou, China. lch1239wang@126.com.
Background:
Drug resistance is a major challenge in cancer therapeutics. Abundant evidence indicates that DNA repair systems are enhanced after repetitive chemotherapeutic treatments, rendering cancers cells drug-resistant. Flap endonuclease 1 (FEN1) plays critical roles in DNA replication and repair and in counteracting replication stress, which is a key mechanism for many chemotherapeutic drugs to kill cancer cells. FEN1 was previously shown to be upregulated in response to DNA damaging agents. However, it is unclear about the transcription factors that regulate FEN1 expression in human cancer. More importantly, it is unknown whether up-regulation of FEN1 has an adverse impact on the prognosis of chemotherapeutic treatments of human cancers.
Methods:
To reveal regulation mechanism of FEN1 expression, we search and identify FEN1 transcription factors or repressors and investigate their function on FEN1 expression by using a combination of biochemical, molecular, and cellular approaches. Furthermore, to gain insights into the impact of FEN1 levels on the response of human cancer to therapeutic treatments, we determine FEN1 levels in human breast cancer specimens and correlate them to the response to treatments and the survivorship of corresponding breast cancer patients.
Results:
We observe that FEN1 is significantly up-regulated upon treatment of chemotherapeutic drugs such as mitomycin C (MMC) and Taxol in breast cancer cells. We identify that the transcription factor/repressor YY1 binds to the FEN1 promoter and suppresses the expression of FEN1 gene. In response to the drug treatments, YY1 is dissociated from the FEN1 promoter region leading over-expression of FEN1. Overexpression of YY1 in the cells results in down-regulation of FEN1 and sensitization of the cancer cells to MMC or taxol. Furthermore, we observe that the level of FEN1 is inversely correlated with cancer drug and radiation resistance and with survivorship in breast cancer patients.
Conclusion:
Altogether, our current data indicate that YY1 is a transcription repressor of FEN1 regulating FEN1 levels in response to DNA damaging agents. FEN1 is up-regulated in human breast cancer and its levels inversely correlated with cancer drug and radiation resistance and with survivorship in breast cancer patients.
Insights
Transcription repressor YY1 regulates Flap endonuclease 1 (FEN1) expression, impacting cancer drug resistance. Higher FEN1 levels correlate with poorer survival in breast cancer patients, suggesting FEN1 as a therapeutic target.
Area of Science:
- Molecular oncology and cancer therapeutics
- DNA repair mechanisms and drug resistance
Background:
- Drug resistance is a major hurdle in cancer therapy, often linked to enhanced DNA repair systems after chemotherapy.
- Flap endonuclease 1 (FEN1) is crucial for DNA replication and repair, and its upregulation by DNA-damaging agents contributes to drug resistance.
- The transcriptional regulation of FEN1 and its prognostic impact in human cancers remain unclear.
Purpose of the Study:
- To identify transcription factors regulating FEN1 expression in human cancer.
- To investigate the functional role of these factors in FEN1 expression and cancer cell response to chemotherapy.
- To determine the correlation between FEN1 levels, treatment response, and patient survival in breast cancer.
Main Methods:
- Utilized biochemical, molecular, and cellular approaches to identify and characterize FEN1 transcription factors/repressors.
- Examined FEN1 promoter binding and gene expression changes in response to chemotherapeutic drugs (mitomycin C, Taxol).
- Assessed FEN1 protein levels in human breast cancer specimens and correlated them with clinical outcomes.
Main Results:
- FEN1 expression significantly increases upon treatment with chemotherapeutic drugs.
- The transcription factor YY1 binds to the FEN1 promoter, suppressing its expression; YY1 dissociation leads to FEN1 overexpression.
- Overexpression of YY1 sensitizes cancer cells to chemotherapy, and high FEN1 levels inversely correlate with drug/radiation resistance and patient survival.
Conclusions:
- YY1 acts as a transcriptional repressor of FEN1, modulating its expression in response to DNA damage.
- FEN1 is upregulated in human breast cancer.
- Elevated FEN1 levels are associated with increased resistance to chemotherapy and radiation, and poorer patient survival.
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