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.

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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