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NDRG2 promotes adriamycin sensitivity through a Bad/p53 complex at the mitochondria in breast cancer
Yifang Wei1, Shentong Yu1,2, Yongping Zhang3
1State Key Laboratory of Cancer Biology, Department of Biochemistry and Molecular Biology, The Fourth Military Medical University, Xi'an, 710032, Shaanxi, China.
Abstract:
Chemo-resistance presents a difficult challenge for the treatment of breast cancer. Our previous study showed that N-Myc downstream-regulated gene 2 (NDRG2) is involved in p53-mediated apoptosis induced by chemotherapy, through a mechanism that has so far remained obscure. Here, we explored the role of NDRG2 in chemo-resistance with a focus on Adriamycin (ADR) and found that NDRG2 expression decreased in ADR resistance breast cancer cells. Interestingly, NDRG2 can promote ADR sensitivity by inhibiting proliferation, enhancing cellular damage responses, and promoting apoptosis in a p53-dependent manner. We also found that NDRG2 could upregulate Bad expression by increasing its half-life, which is associated with p53 to mitochondria. Hence, our collective data provided the first evidence that NDRG2 promoting sensitivity of breast cancer is dependent on p53 by preventing p53 from entering the nucleus rather than changing its expression.
Insights
N-Myc downstream-regulated gene 2 (NDRG2) enhances Adriamycin sensitivity in breast cancer by promoting apoptosis and cellular damage responses. This effect is p53-dependent, with NDRG2 preventing p53 nuclear entry to regulate chemo-resistance.
Area of Science:
- Molecular Oncology
- Cancer Therapeutics
- Cellular Biology
Background:
- Chemo-resistance is a significant obstacle in breast cancer treatment.
- N-Myc downstream-regulated gene 2 (NDRG2) has been implicated in p53-mediated apoptosis during chemotherapy.
- The precise mechanism of NDRG2's role in chemo-resistance remains largely unknown.
Purpose of the Study:
- To investigate the role of NDRG2 in Adriamycin (ADR) resistance in breast cancer.
- To elucidate the mechanism by which NDRG2 influences chemo-sensitivity.
- To determine the involvement of p53 in NDRG2-mediated chemo-resistance.
Main Methods:
- Analysis of NDRG2 expression in Adriamycin (ADR)-resistant breast cancer cells.
- Assessment of NDRG2's impact on proliferation, cellular damage responses, and apoptosis.
- Investigation of NDRG2's effect on p53 localization and Bad protein half-life.
Main Results:
- NDRG2 expression was found to be decreased in ADR-resistant breast cancer cells.
- Overexpression of NDRG2 enhanced ADR sensitivity by inhibiting proliferation and promoting apoptosis.
- NDRG2 upregulates Bad expression by increasing its half-life, facilitating p53 mitochondrial association, and preventing p53 nuclear entry.
Conclusions:
- NDRG2 plays a crucial role in enhancing breast cancer sensitivity to Adriamycin.
- The chemo-sensitizing effect of NDRG2 is dependent on p53, specifically by inhibiting p53 nuclear translocation.
- NDRG2 influences chemo-resistance not by altering p53 expression levels but by modulating its cellular localization and downstream effects.
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