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.
Abstract:
Sorafenib is a classical targeted drug for the treatment of advanced hepatocellular carcinoma (HCC), but intrinsic resistance severely limited its therapeutic effects. In the present study, we aimed to identify crucial genes in HCC cells that affect sorafenib resistance by a CRISPR/Cas9 genome-scale screening. The results indicated that the deficiency of miR-15a and miR-20b contributed to sorafenib resistance, whereas exogenous expression of miR-15a and miR-20b enhanced sorafenib sensitivity of HCC cells by cell viability, colony formation, and flow cytometry analyses. Further analyses revealed that cell division cycle 37 like 1 (CDC37L1) as a common target of miR-15a and 20b, was negatively regulated by the two miRNAs and could enhance sorafenib resistance of HCC cells in vitro and in vivo. Mechanistically, CDC37L1, as a cochaperone, effectively increased the expression of peptidylprolyl isomerase A (PPIA) through strengthening the binding between heat shock protein 90 (HSP90) and PPIA. The results from immunohistochemical staining of a HCC tissue microarray revealed a positive association between CDC37L1 and PPIA expression, and high expression of CDC37L1 and PPIA predicted worse prognosis of HCC patients after sorafenib therapy. Taken together, our findings reveal crucial roles of miR-15a, miR-20b, CDC37L1, and PPIA in sorafenib response of HCC cells. These factors may serve as therapeutic targets and predict prognosis for HCC treated with sorafenib.
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.
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