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Author Spotlight: Genetic Profiling for Fluorouracil Response in Gastric Cancer
Published on: May 10, 2024
Inhibition of β-glucosidase overcomes gastric cancer chemoresistance through inducing lysosomal dysfunction
Zheng Li1, Dongqiang Xu1, Xudong Tong1
1Department of Gastroenterology, Xiangyang Central Hospital, Affiliated Hospital of Hubei University of Arts and Science, Jingzhou Street 39, Xiangyang 441021, China.
Objective:
The clinical management of gastric cancer still remains challenge due to its poor response to chemotherapy. Better understanding the underlying mechanisms is required for the identification of more comprehensive therapies to overcome chemoresistance in gastric cancer.
Materials And Methods:
GBA1 level was systematically analyzed in gastric cancer patients before and after chemotherapy, and gastric cancer cells exposed to long-term chemo agent's treatment. The roles of GBA1 and its downstream mechanisms were investigated using pharmacological and genetic approaches.
Results:
We observed the time-dependent upregulation of GBA1 expression and enzyme activity in multiple gastric cancer cell lines in response to prolonged exposure of 5-FU. It is noted that this phenomenon was also observed in gastric cancer patients after chemotherapy. Interestingly, no significant differences on GBA1 expression were detected between normal and malignant gastric tissues. These suggest that the predominant role of GBA1 is in the development of gastric cancer chemoresistance rather than tumorigenesis. Functional analysis demonstrated that GBA1 inhibition suppressed gastric cancer growth and survival without affecting migration, and augmented 5-FU's efficacy. Consistently, GBA1 inhibition was active against 5-FU-resistant gastric cancer cells. Mechanism studies showed that GBA1 inhibition led to loss of lysosomal integrity and function in 5-FU-resistant gastric cancer cells.
Conclusions:
We are the first to show that inhibition of β-glucosidase (encoded by GBA1) sensitizes gastric cancer to chemotherapy. Our findings demonstrate the therapeutic value of inhibiting GBA1 in gastric cancer, particularly in those who develop chemoresistance.
Insights
Inhibiting beta-glucosidase (GBA1) sensitizes gastric cancer to chemotherapy by restoring lysosomal function and overcoming resistance. This finding highlights GBA1 inhibition as a potential therapeutic strategy for gastric cancer treatment.
Area of Science:
- Oncology
- Biochemistry
- Pharmacology
Background:
- Gastric cancer presents significant clinical challenges due to poor chemotherapy response.
- Understanding chemoresistance mechanisms is crucial for developing effective gastric cancer therapies.
Purpose of the Study:
- To investigate the role of GBA1 in gastric cancer chemoresistance.
- To explore the therapeutic potential of GBA1 inhibition in overcoming chemotherapy resistance.
Main Methods:
- Analyzed GBA1 levels in gastric cancer patients and cell lines before and after chemotherapy.
- Utilized pharmacological and genetic methods to study GBA1 function and downstream effects.
- Assessed the impact of GBA1 inhibition on gastric cancer cell growth, survival, migration, and chemosensitivity.
Main Results:
- GBA1 expression and activity were upregulated in gastric cancer cells and patients post-chemotherapy.
- GBA1 inhibition suppressed gastric cancer growth and enhanced chemotherapy efficacy, particularly in resistant cells.
- GBA1 inhibition disrupted lysosomal integrity and function in chemoresistant gastric cancer cells.
Conclusions:
- GBA1 inhibition sensitizes gastric cancer to chemotherapy, demonstrating its therapeutic value.
- Targeting GBA1 offers a promising strategy for treating gastric cancer, especially in cases of acquired chemoresistance.
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