Long Noncoding RNA lncARSR Promotes Doxorubicin Resistance in Hepatocellular Carcinoma via Modulating PTEN-PI3K/Akt Pathway
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Published on: May 30, 2025
Yaling Li1, Yun Ye1, Bimin Feng1
1Department of Pharmacy, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Abstract:
Hepatocellular carcinoma (HCC) is generally resistant to chemotherapy due to intrinsic or acquired drug resistances. Many molecules and signaling pathways are involved in chemo-resistance of HCC cells. However, the contribution of long noncoding RNA (lncRNA) to chemo-resistance of HCC cells is still largely unknown. In this study, we revealed the critical roles of long noncoding RNA lncARSR in chemo-resistance of HCC cells. lncARSR is upregulated in HCC, associated with large tumor size and advanced BCLC stage, and indicts poor prognosis. Functional assays showed that overexpression of lncARSR enhances doxorubicin resistance of HCC cells in vitro and in vivo. And while knockdown of lncARSR increases sensitivity of HCC cells to doxorubicin in vitro and in vivo. Mechanistically, we found that lncARSR physically associates with PTEN mRNA, promotes PTEN mRNA degradation, decreases PTEN expression, and activates PI3K/Akt pathway. PTEN is downregulated in HCC, and the expression of PTEN is negatively correlated with lncARSR in HCC tissues. Furthermore, the effects of lncARSR overexpression on doxorubicin resistance could be reversed by PI3K/Akt pathway inhibitor, and lncARSR knockdown-induced doxorubicin sensitivity could be reversed by PTEN depletion. Taken together, our results showed that upregulated lncARSR promotes doxorubicin resistance in HCC via modulating PTEN-PI3K/Akt pathway, and implied that lncARSR may serve as a promising prognostic biomarker and therapeutic target for HCC chemo-resistance. J. Cell. Biochem. 118: 4498-4507, 2017. © 2017 Wiley Periodicals, Inc.
Insights
Long noncoding RNA lncARSR promotes resistance to doxorubicin chemotherapy in hepatocellular carcinoma (HCC). This molecule targets PTEN, activating the PI3K/Akt pathway, and serves as a prognostic biomarker for HCC chemo-resistance.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Hepatocellular carcinoma (HCC) exhibits significant resistance to chemotherapy.
- The role of long noncoding RNAs (lncRNAs) in HCC chemo-resistance remains largely unexplored.
- Understanding resistance mechanisms is crucial for improving HCC treatment outcomes.
Purpose of the Study:
- To investigate the role of lncARSR in mediating chemo-resistance in hepatocellular carcinoma.
- To elucidate the molecular mechanisms by which lncARSR affects HCC chemo-resistance.
- To evaluate lncARSR as a potential prognostic biomarker and therapeutic target for HCC.
Main Methods:
- Quantitative real-time PCR to assess lncARSR and PTEN expression.
- In vitro and in vivo functional assays (overexpression and knockdown) to evaluate doxorubicin resistance.
- RNA immunoprecipitation and Western blotting to confirm lncARSR-PTEN interaction and pathway activation.
- Analysis of clinical HCC tissues for correlation between lncARSR, PTEN, and prognosis.
Main Results:
- lncARSR is upregulated in HCC tissues and correlates with poor prognosis, larger tumor size, and advanced BCLC stage.
- Overexpression of lncARSR confers doxorubicin resistance in HCC cells, while its knockdown increases sensitivity.
- lncARSR promotes PTEN mRNA degradation, leading to decreased PTEN expression and activation of the PI3K/Akt pathway.
- PTEN expression is negatively correlated with lncARSR levels in HCC tissues.
- Reversal of chemo-resistance effects by PI3K/Akt pathway inhibitors and PTEN depletion confirmed the mechanism.
Conclusions:
- Upregulated lncARSR promotes doxorubicin resistance in hepatocellular carcinoma by modulating the PTEN-PI3K/Akt pathway.
- lncARSR represents a potential prognostic biomarker for HCC.
- lncARSR may serve as a novel therapeutic target to overcome chemo-resistance in HCC.
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