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PLAC8 promotes adriamycin resistance via blocking autophagy in breast cancer
Yongxia Chen1, Yunlu Jia2, Misha Mao1
1Department of Surgical Oncology, Sir Run Run Shaw Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Abstract:
Adriamycin (ADM) is currently one of the most effective chemotherapeutic agents in breast cancer treatment. However, growing resistance to ADM could lead to treatment failure and poor outcome. PLAC8 was reported as a novel highly conserved protein and functioned as an oncogene or tumour suppressor in various tumours. Here, we found higher PLAC8 expression was correlated with worse outcome and aggressive phenotype in breast cancer. Breast cancer patients with higher PLAC8 expression showed potential ADM resistance. In vitro experiments further confirmed that PLAC8 inhibited by siRNA or enforced overexpression by infecting pcDNA3.1(C)-PLAC8 plasmid correspondingly decreased or increased ADM resistance. Subsequently, we demonstrated that ectopic PLAC8 expression in MCF-7/ADMR cell blocked the accumulation of the autophagy-associated protein LC3 and resulted in cellular accumulation of p62. Rapamycin-triggered autophagy significantly increased cell response to ADM, while the autophagy inhibitor 3-MA enhanced ADM resistance. 3-MA and PLAC8 could synergistically cause ADM resistance via blocking the autophagy process. Additionally, the down-regulation of p62 by siRNA attenuated the activation of autophagy and PLAC8 expression in breast cancer cells. Thus, our findings suggest that PLAC8, through the participation of p62, inhibits autophagy and consequently results in ADM resistance in breast cancer. PLAC8/p62 pathway may act as novel therapeutic targets in breast cancer treatment and has potential clinical application in overcoming ADM resistance.
Insights
Higher PLAC8 protein expression in breast cancer correlates with Adriamycin (ADM) resistance. PLAC8 inhibits autophagy via p62, suggesting a new therapeutic target to overcome ADM resistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Adriamycin (ADM) is a key chemotherapy for breast cancer, but resistance limits efficacy.
- PLAC8, a conserved protein, acts as an oncogene or tumor suppressor in various cancers.
- Increased PLAC8 expression is linked to poor outcomes and aggressive breast cancer phenotypes.
Purpose of the Study:
- To investigate the role of PLAC8 in Adriamycin (ADM) resistance in breast cancer.
- To elucidate the mechanism by which PLAC8 influences ADM sensitivity.
- To explore the PLAC8/p62 pathway as a potential therapeutic target for overcoming ADM resistance.
Main Methods:
- Correlative analysis of PLAC8 expression with clinical outcomes and tumor aggressiveness.
- In vitro studies using siRNA and plasmid transfection to manipulate PLAC8 levels in breast cancer cells (MCF-7/ADMR).
- Assessment of autophagy markers (LC3, p62) and drug sensitivity following modulation of PLAC8, autophagy activators (Rapamycin), and inhibitors (3-MA).
Main Results:
- Higher PLAC8 expression correlated with worse prognosis and increased ADM resistance in breast cancer patients.
- Overexpression of PLAC8 enhanced ADM resistance, while its inhibition sensitized cells to ADM.
- PLAC8 blocked autophagy by inhibiting LC3 accumulation and increasing p62 levels, contributing to ADM resistance.
- The PLAC8/p62 pathway synergized with autophagy inhibition to promote ADM resistance.
Conclusions:
- PLAC8 promotes Adriamycin resistance in breast cancer by inhibiting the autophagy process, involving the p62 protein.
- The PLAC8/p62 pathway represents a novel therapeutic target for overcoming ADM resistance in breast cancer patients.
- Targeting this pathway may offer clinical applications for improving treatment outcomes in breast cancer.
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