lncRNA ZNF649-AS1 Induces Trastuzumab Resistance by Promoting ATG5 Expression and Autophagy
Mingli Han1, Xueke Qian1, Hui Cao2
1Department of Breast Surgery, The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, China.
Abstract:
The regulatory mechanism of long non-coding RNAs (lncRNAs) in trastuzumab resistance is not well established to date. In this research, we identified differentially expressed lncRNA and investigated its regulatory role in trastuzumab resistance of breast cancer. HiSeq sequencing and quantitative real-time PCR were performed to identify the dysregulated lncRNAs. Mass spectrometry, RNA fluorescence in situ hybridization (RNA-FISH), and immunoprecipitation assays were performed to identify the direct interactions between ZNF649-AS1 and other associated targets, such as polypyrimidine tract binding protein 1 (PTBP1) and autophagy related 5 (ATG5). Our results showed that ZNF649-AS1 was more highly expressed in trastuzumab-resistant cells compared to sensitive cells. Increased expression of ZNF649-AS1 was associated with a poorer response and shorter survival time of breast cancer patients. ZNF649-AS1 was upregulated by H3K27ac modification at the presence of trastuzumab treatment, and knockdown of ZNF649-AS1 reversed trastuzumab resistance via modulating ATG5 expression and autophagy. Mechanically, ZNF649-AS1 was associated with PTBP1 protein, which further promoted the transcription activity of the ATG5 gene. In conclusion, we demonstrated that H3K27ac modification-induced upregulation of ZNF649-AS1 could cause autophagy and trastuzumab resistance through associating with PTBP1 and promoting ATG5 transcription.
Insights
Long non-coding RNA ZNF649-AS1 promotes trastuzumab resistance in breast cancer by increasing autophagy. Its upregulation, driven by H3K27ac modification, involves PTBP1 to boost ATG5 transcription, worsening patient outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- The role of long non-coding RNAs (lncRNAs) in trastuzumab resistance remains unclear.
- Understanding lncRNA regulation is crucial for improving breast cancer treatment efficacy.
Purpose of the Study:
- To identify and investigate the function of dysregulated lncRNAs in trastuzumab resistance.
- To elucidate the regulatory mechanism of ZNF649-AS1 in breast cancer.
Main Methods:
- Differential expression analysis using HiSeq sequencing and qRT-PCR.
- Interaction studies via mass spectrometry, RNA-FISH, and immunoprecipitation.
- Assessment of ZNF649-AS1 knockdown effects on trastuzumab resistance and autophagy.
Main Results:
- ZNF649-AS1 expression is elevated in trastuzumab-resistant cells and linked to poorer patient survival.
- H3K27ac modification upregulates ZNF649-AS1 during trastuzumab treatment.
- ZNF649-AS1 knockdown reverses resistance by modulating ATG5 and autophagy.
Conclusions:
- H3K27ac-induced ZNF649-AS1 upregulation contributes to trastuzumab resistance.
- ZNF649-AS1 interacts with PTBP1 to promote ATG5 transcription, enhancing autophagy.
- ZNF649-AS1 represents a potential therapeutic target for overcoming trastuzumab resistance.
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