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Updated: Mar 23, 2026

Evaluating the Effectiveness of Cancer Drug Sensitization In Vitro and In Vivo
Published on: February 6, 2015
TR4 nuclear receptor enhances the cisplatin chemo-sensitivity via altering the ATF3 expression to better suppress HCC
Jiliang Shen1,2, Hui Lin1, Gonghui Li1
1Chawnshang Chang Liver Cancer Center, Department of General Surgery, Sir Run-Run Shaw Hospital, Zhejiang University, Hangzhou 310016, China.
Abstract:
Early studies indicated that TR4 nuclear receptor (TR4) may play a key role to modulate the prostate cancer progression, its potential linkage to liver cancer progression, however, remains unclear. Here we found that higher TR4 expression in hepatocellular carcinoma (HCC) cells might enhance the efficacy of cisplatin chemotherapy to better suppress the HCC progression. Knocking down TR4 with TR4-siRNA in HCC Huh7 and Hep3B cells increased cisplatin chemotherapy resistance and overexpression of TR4 with TR4-cDNA in HCC LM3 and SNU387 cells increased cisplatin chemotherapy sensitivity. Mechanism dissection found that TR4 might function through altering the ATF3 expression at the transcriptional level to enhance the cisplatin chemotherapy sensitivity, and interrupting ATF3 expression via ATF3-siRNA reversed TR4-enhanced cisplatin chemotherapy sensitivity in HCC cells. The in vivo HCC mouse model using xenografted HCC LM3 cells also confirmed in vitro cell lines data showing TR4 enhanced the cisplatin chemotherapy sensitivity. Together, these results provided a new potential therapeutic approach via altering the TR4-ATF3 signals to increase the efficacy of cisplatin to better suppress the HCC progression.
Insights
The study reveals that the TR4 nuclear receptor enhances cisplatin chemotherapy sensitivity in liver cancer. Modulating TR4 and ATF3 signaling offers a potential strategy to improve chemotherapy efficacy for hepatocellular carcinoma (HCC) treatment.
Area of Science:
- Oncology
- Molecular Biology
- Hepatology
Background:
- The role of the TR4 nuclear receptor (TR4) in prostate cancer is established, but its involvement in liver cancer progression is unclear.
- Hepatocellular carcinoma (HCC) is a major global health concern, and improving chemotherapy response is critical.
Purpose of the Study:
- To investigate the role of TR4 in hepatocellular carcinoma (HCC) progression and its impact on cisplatin chemotherapy efficacy.
- To elucidate the molecular mechanisms by which TR4 influences HCC response to cisplatin.
Main Methods:
- Utilized HCC cell lines (Huh7, Hep3B, LM3, SNU387) with TR4 knockdown (TR4-siRNA) and overexpression (TR4-cDNA).
- Assessed cisplatin chemotherapy sensitivity and resistance in vitro.
- Investigated the role of ATF3 expression at the transcriptional level and used ATF3-siRNA to interrupt its function.
- Validated findings in an in vivo HCC mouse model using xenografted HCC LM3 cells.
Main Results:
- Higher TR4 expression in HCC cells enhanced cisplatin chemotherapy efficacy.
- TR4 knockdown increased cisplatin resistance, while TR4 overexpression increased sensitivity.
- TR4 modulated ATF3 expression transcriptionally, and this interaction was crucial for enhancing cisplatin sensitivity.
- Interrupting ATF3 expression reversed the pro-sensitivity effects of TR4.
- In vivo studies confirmed that TR4 enhances cisplatin chemotherapy sensitivity in HCC.
Conclusions:
- TR4 nuclear receptor plays a significant role in enhancing cisplatin chemotherapy sensitivity in hepatocellular carcinoma.
- The TR4-ATF3 signaling pathway is a key mechanism mediating this effect.
- Targeting the TR4-ATF3 axis presents a potential therapeutic strategy to improve cisplatin efficacy for HCC treatment.
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