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TRIM25 regulates oxaliplatin resistance in colorectal cancer by promoting EZH2 stability
Sha Zhou1, Jianhong Peng2, Liuniu Xiao3
1Department of Radiation Oncology, Sun Yat-Sen University Cancer Center, State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine, Guangzhou, 510060, China.
Abstract:
Resistance to chemotherapy remains the major cause of treatment failure in patients with colorectal cancer (CRC). Here, we identified TRIM25 as an epigenetic regulator of oxaliplatin (OXA) resistance in CRC. The level of TRIM25 in OXA-resistant patients who experienced recurrence during the follow-up period was significantly higher than in those who had no recurrence. Patients with high expression of TRIM25 had a significantly higher recurrence rate and worse disease-free survival than those with low TRIM25 expression. Downregulation of TRIM25 dramatically inhibited, while overexpression of TRIM25 increased, CRC cell survival after OXA treatment. In addition, TRIM25 promoted the stem cell properties of CRC cells both in vitro and in vivo. Importantly, we demonstrated that TRIM25 inhibited the binding of E3 ubiquitin ligase TRAF6 to EZH2, thus stabilizing and upregulating EZH2, and promoting OXA resistance. Our study contributes to a better understanding of OXA resistance and indicates that inhibitors against TRIM25 might be an excellent strategy for CRC management in clinical practice.
Insights
This study reveals TRIM25 as a key factor in colorectal cancer (CRC) resistance to oxaliplatin chemotherapy. Targeting TRIM25 may improve treatment outcomes for CRC patients experiencing recurrence.
Area of Science:
- Oncology
- Cancer Epigenetics
- Chemotherapy Resistance
Background:
- Chemotherapy resistance is a primary obstacle in effective colorectal cancer (CRC) treatment.
- Oxaliplatin (OXA) is a cornerstone chemotherapy agent for CRC, but resistance limits its efficacy.
- Understanding the molecular mechanisms underlying OXA resistance is crucial for improving patient survival.
Purpose of the Study:
- To identify novel epigenetic regulators involved in oxaliplatin resistance in colorectal cancer.
- To investigate the role of TRIM25 in mediating oxaliplatin resistance and its association with patient outcomes.
- To elucidate the molecular mechanisms by which TRIM25 influences colorectal cancer cell behavior and drug response.
Main Methods:
- Analysis of TRIM25 expression levels in colorectal cancer patient cohorts with varying oxaliplatin response.
- In vitro and in vivo experiments assessing the impact of TRIM25 modulation (downregulation and overexpression) on colorectal cancer cell survival and stemness.
- Investigation of the interaction between TRIM25, TRAF6, and EZH2 to understand the molecular pathway regulating oxaliplatin resistance.
Main Results:
- Elevated TRIM25 expression correlates significantly with oxaliplatin resistance, higher recurrence rates, and poorer disease-free survival in colorectal cancer patients.
- TRIM25 downregulation sensitizes colorectal cancer cells to oxaliplatin, while its overexpression enhances resistance and promotes cancer stem cell properties.
- TRIM25 functions by inhibiting the interaction between E3 ubiquitin ligase TRAF6 and EZH2, leading to EZH2 stabilization and upregulation, thereby promoting oxaliplatin resistance.
Conclusions:
- TRIM25 is identified as a critical epigenetic regulator of oxaliplatin resistance in colorectal cancer.
- TRIM25 promotes colorectal cancer cell survival and stemness, contributing to treatment failure.
- Targeting TRIM25 presents a promising therapeutic strategy to overcome oxaliplatin resistance in colorectal cancer management.
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