PLOD3 contributes to HER-2 therapy resistance in gastric cancer through FoxO3/Survivin pathway
Yueda Chen1, Botian Ye2, Chunyan Wang3
1Department of General Surgery, Zhongshan Hospital (Xiamen), Fudan University, Xiamen, Fujian, 361015, China.
Abstract:
Human epidermal growth factor receptor 2 (HER-2), a famous therapeutic target for breast cancer, is also associated with an increased risk of recurrence and poor outcomes of other malignancies, including gastric cancer. Yet the mechanism of HER-2 therapy resistance remains controversial due to the heterogeneity of gastric adenocarcinoma. We know, Procollagen-Lysine,2-Oxoglutarate 5-Dioxygenase 3 (PLOD3), a key gene coding enzymes that catalyze the lysyl hydroxylation of extracellular matrix collagen, plays an important contributor to HER-2 targeting agent Trastuzumab resistance in gastric cancer. Herein, we analyzed clinical samples of gastric cancer patients and gastric cancer cell lines and identified PLOD3, unveiled that depletion of PLOD3 leads to decreased cell proliferation, tumor growth and Trastuzumab sensitivity in these Trastuzumab resistant GC cell lines. Clinically, increased PLOD3 expression correlates with decreased Trastuzumab therapy responsiveness in GC patients. Mechanistically, we show that PLOD3 represses tumor suppressor FoxO3 expression, therefore upregulating Survivin protein expression that contributes to Trastuzumab resistance in GC. Therefore, our study identifies a new signaling axis PLOD3-FoxO3- Survivin pathway that may be therapeutically targeted in HER-2 positive gastric cancer.
Insights
Procollagen-Lysine,2-Oxoglutarate 5-Dioxygenase 3 (PLOD3) drives resistance to Trastuzumab therapy in HER-2 positive gastric cancer. Targeting the PLOD3-FoxO3-Survivin pathway may improve treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Human epidermal growth factor receptor 2 (HER-2) is a therapeutic target in breast and gastric cancers.
- Resistance to HER-2 targeted therapies like Trastuzumab is a significant clinical challenge in gastric adenocarcinoma.
- The underlying mechanisms of HER-2 therapy resistance in gastric cancer are not fully understood due to tumor heterogeneity.
Purpose of the Study:
- To investigate the role of Procollagen-Lysine,2-Oxoglutarate 5-Dioxygenase 3 (PLOD3) in Trastuzumab resistance in gastric cancer.
- To elucidate the molecular mechanisms by which PLOD3 contributes to therapy resistance.
- To identify potential therapeutic targets for overcoming Trastuzumab resistance in HER-2 positive gastric cancer.
Main Methods:
- Analysis of clinical gastric cancer samples and cell lines.
- Depletion of PLOD3 in Trastuzumab-resistant gastric cancer cell lines.
- Assessment of cell proliferation, tumor growth, and Trastuzumab sensitivity.
- Investigation of the PLOD3-FoxO3-Survivin signaling axis.
Main Results:
- PLOD3 expression is increased in Trastuzumab-resistant gastric cancer.
- Depletion of PLOD3 reduces cell proliferation, tumor growth, and enhances Trastuzumab sensitivity.
- Increased PLOD3 expression correlates with poor response to Trastuzumab therapy in patients.
- PLOD3 represses tumor suppressor FoxO3, leading to increased Survivin, contributing to resistance.
Conclusions:
- PLOD3 is a key mediator of Trastuzumab resistance in HER-2 positive gastric cancer.
- The PLOD3-FoxO3-Survivin pathway represents a novel therapeutic target.
- Targeting this pathway holds promise for improving treatment efficacy in gastric cancer patients.
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