Protein Disulfide Isomerase 4 Drives Docetaxel Resistance in Prostate Cancer

Subo Qian1, Shun Zhang1, Yu Wu1

  • 1Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.

Chemotherapy
|November 25, 2020
PubMed
Abstract

Insights

Protein disulfide isomerase 4 (PDIA4) promotes docetaxel resistance in prostate cancer by activating Akt signaling. Targeting PDIA4 may overcome this resistance, offering a new therapeutic strategy for prostate cancer patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Protein disulfide isomerase 4 (PDIA4) is linked to chemoresistance in various cancers.
  • Mechanisms of PDIA4 in docetaxel (DTX) resistance in prostate cancer (PCa) remain unclear.

Purpose of the Study:

  • To investigate the role of PDIA4 in DTX resistance in PCa cells.
  • To elucidate the underlying molecular mechanisms of PDIA4-mediated DTX resistance.

Main Methods:

  • Developed DTX-resistant PCa cell lines (PC-3/DTXR, C4-2B/DTXR).
  • Utilized short hairpin RNAs (shPDIA4) to knockdown PDIA4 expression.
  • Employed PDIA4-expressing adenoviral vectors to overexpress PDIA4.

Main Results:

  • PDIA4 was significantly overexpressed in DTX-resistant PCa cells.
  • PDIA4 knockdown induced apoptosis and increased sensitivity to DTX.
  • PDIA4 overexpression enhanced DTX resistance and upregulated phosphorylated Akt (p-Akt).

Conclusions:

  • PDIA4 acts as a negative regulator of apoptosis in PCa cells.
  • PDIA4 confers DTX resistance by activating the Akt signaling pathway.
  • Targeting PDIA4 presents a potential adjuvant therapy for overcoming DTX resistance in PCa.

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