miR-15a and miR-20b sensitize hepatocellular carcinoma cells to sorafenib through repressing CDC37L1 and consequent

Li Li1, Shijun Yu1, Jingde Chen1

  • 1Department of Oncology, Shanghai East Hospital, Tongji University School of Medicine, Shanghai, 200120, China.

Cell Death Discovery
|June 27, 2022
PubMed

Insights

MicroRNAs miR-15a and miR-20b enhance sorafenib sensitivity in hepatocellular carcinoma (HCC) by targeting CDC37L1. High CDC37L1 and PPIA expression predicts poor prognosis in HCC patients receiving sorafenib.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Sorafenib is a targeted therapy for advanced hepatocellular carcinoma (HCC).
  • Intrinsic resistance to sorafenib limits its effectiveness in HCC treatment.
  • Identifying mechanisms of sorafenib resistance is crucial for improving patient outcomes.

Purpose of the Study:

  • To identify genes influencing sorafenib resistance in HCC using CRISPR/Cas9 screening.
  • To elucidate the molecular mechanisms underlying sorafenib resistance and sensitivity.
  • To explore potential therapeutic targets and prognostic biomarkers for HCC treated with sorafenib.

Main Methods:

  • CRISPR/Cas9 genome-scale screening to identify genes affecting sorafenib resistance.
  • Functional assays including cell viability, colony formation, and flow cytometry to assess miRNA effects.
  • In vitro and in vivo experiments to evaluate the role of CDC37L1 in sorafenib resistance.
  • Immunohistochemical staining of HCC tissue microarrays to analyze protein expression and patient prognosis.

Main Results:

  • Deficiency of miR-15a and miR-20b was linked to sorafenib resistance in HCC cells.
  • Exogenous expression of miR-15a and miR-20b increased sorafenib sensitivity.
  • CDC37L1 was identified as a common target of miR-15a and miR-20b, and its deficiency enhanced sorafenib sensitivity.
  • CDC37L1 promotes sorafenib resistance by increasing PPIA expression via HSP90.
  • High CDC37L1 and PPIA expression correlated with worse prognosis in HCC patients treated with sorafenib.

Conclusions:

  • miR-15a and miR-20b play critical roles in modulating sorafenib response in HCC.
  • CDC37L1 and PPIA are key mediators of sorafenib resistance in HCC.
  • These molecules represent potential therapeutic targets and prognostic biomarkers for HCC patients undergoing sorafenib treatment.