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Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Targeting Smoothened Sensitizes Gastric Cancer to Chemotherapy in Experimental Models
Huifa Ma1, Yongsheng Tian1, Xiangyang Yu2
1Department of General Surgery, Tianjin Hospital, Tianjin, China (mainland).
Abstract:
BACKGROUND The Hedgehog pathway receptor smoothened (SMO) has critical roles in tumor progression. However, whether SMO is a key factor regulating gastric cancer chemotherapy resistance is unknown. MATERIAL AND METHODS We investigated the potential functions of SMO in inducing gastric cancer paclitaxel resistance in clinical samples, gastric cancer cell lines (424GC and AGS), and subcutaneous syngeneic mouse models. RESULTS We found high SMO expression in paclitaxel-resistant gastric cancer clinical samples. Paclitaxel gastric cancer cells had higher SMO expression than in drug-sensitive cells. Upregulating SMO expression induced paclitaxel resistance in gastric cells lines via enhancing cell proliferation and inhibiting apoptosis. The combination of IPI-926, an inhibitor of SMO, with paclitaxel decreased cell viability of paclitaxel-resistant gastric cancer cells in vitro and controlled tumor growth in animal models. CONCLUSIONS The Hedgehog pathway receptor SMO is an important regulator of gastric cancer paclitaxel resistance and could be a target for sensitizing paclitaxel-resistant tumors.
Insights
Smoothened (SMO) receptor is highly expressed in paclitaxel-resistant gastric cancer. Inhibiting SMO with IPI-926 combined with paclitaxel shows promise for overcoming drug resistance in gastric tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- The Hedgehog pathway and its receptor, smoothened (SMO), are implicated in tumor progression.
- The role of SMO in gastric cancer chemotherapy resistance remains largely unexplored.
Purpose of the Study:
- To investigate the function of SMO in paclitaxel resistance in gastric cancer.
- To evaluate SMO as a potential therapeutic target for overcoming chemotherapy resistance.
Main Methods:
- Analysis of SMO expression in clinical gastric cancer samples and cell lines (424GC, AGS).
- In vitro and in vivo studies using paclitaxel-resistant gastric cancer models.
- Assessment of SMO inhibition using IPI-926 in combination therapy.
Main Results:
- High SMO expression was observed in paclitaxel-resistant gastric cancer samples and cells.
- Increased SMO expression promoted paclitaxel resistance by enhancing proliferation and inhibiting apoptosis.
- Combined treatment with IPI-926 and paclitaxel reduced cell viability and controlled tumor growth.
Conclusions:
- SMO is a key regulator of paclitaxel resistance in gastric cancer.
- Targeting SMO presents a potential strategy to sensitize paclitaxel-resistant gastric tumors.
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