Long Non-Coding RNA KCNQ1OT1 Promotes Multidrug Resistance in Chordoma by Functioning as a Molecular Sponge of

Lei Li1, Guohua Lv1, Bing Wang1

  • 1Department of Spine Surgery, The Second Xiangya Hospital, Central South University, Changsha, Hunan 410011, People's Republic of China.

Abstract

Insights

This study reveals KCNQ1OT1 promotes chemotherapy resistance in chordoma by regulating the miR-27b-3p/ATF2 pathway. Lowering KCNQ1OT1 expression can overcome multidrug resistance (MDR) in chordoma.

Area of Science:

  • Oncology
  • Molecular Biology

Background:

  • Chordoma is a rare bone tumor often treated with chemotherapy.
  • Multidrug resistance (MDR) significantly limits chemotherapy efficacy in advanced chordoma.

Purpose of the Study:

  • To investigate the role of KCNQ1OT1 in chordoma chemotherapy resistance.
  • To elucidate the molecular mechanism underlying KCNQ1OT1-mediated MDR in chordoma.

Main Methods:

  • Quantitative RT-PCR to assess KCNQ1OT1, miR-27b-3p, and ATF2 mRNA levels.
  • CCK8 and Western blot assays to evaluate chemoresistance and protein expression.

Main Results:

  • KCNQ1OT1 expression was elevated in chemotherapy-resistant chordoma patients and cells.
  • Downregulating KCNQ1OT1 reduced MDR in chordoma.
  • KCNQ1OT1 enhances MDR by sponging miR-27b-3p, leading to increased ATF2 expression.

Conclusions:

  • KCNQ1OT1 is a key driver of MDR in chordoma.
  • The KCNQ1OT1/miR-27b-3p/ATF2 axis represents a novel therapeutic target for overcoming chordoma MDR.
  • Serum KCNQ1OT1 levels may predict chemotherapy response in chordoma patients.

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