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APAF1-Binding Long Noncoding RNA Promotes Tumor Growth and Multidrug Resistance in Gastric Cancer by Blocking
Qiang Wang1,2, Chen Chen3, Xiao Xu4
1Department of Hepatobiliary Surgery, The Affiliated Drum Tower Hospital of Nanjing University Medical School, Nanjing, 210000, China.
Abstract:
Chemotherapeutics remain the first choice for advanced gastric cancers (GCs). However, drug resistance and unavoidable severe toxicity lead to chemotherapy failure and poor prognosis. Long noncoding RNAs (lncRNAs) play critical roles in tumor progression in many cancers, including GC. Here, through RNA screening, an apoptotic protease-activating factor 1 (APAF1)-binding lncRNA (ABL) that is significantly elevated in cancerous GC tissues and an independent prognostic factor for GC patients is identified. Moreover, ABL overexpression inhibits GC cell apoptosis and promotes GC cell survival and multidrug resistance in GC xenograft and organoid models. Mechanistically, ABL directly binds to the RNA-binding protein IGF2BP1 via its KH1/2 domain, and then IGF2BP1 further recognizes the METTL3-mediated m6A modification on ABL, which maintains ABL stability. In addition, ABL can bind to the WD1/WD2 domain of APAF1, which competitively prevent cytochrome c from interacting with APAF1, blocking apoptosome assembly and caspase-9/3 activation; these events lead to resistance to cell death in GC cells. Intriguingly, targeting ABL using encapsulated liposomal siRNA can significantly enhance the sensitivity of GC cells to chemotherapy. Collectively, the results suggest that ABL can be a potential prognostic biomarker and therapeutic target in GC.
Insights
A newly identified long noncoding RNA, ABL, promotes gastric cancer (GC) growth and drug resistance by inhibiting apoptosis. Targeting ABL with siRNA offers a promising therapeutic strategy for improving GC treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Chemotherapy is the primary treatment for advanced gastric cancer (GC), but drug resistance and toxicity limit its efficacy.
- Long noncoding RNAs (lncRNAs) are increasingly recognized for their roles in cancer progression, including GC.
Purpose of the Study:
- To identify novel lncRNAs involved in GC pathogenesis and drug resistance.
- To elucidate the molecular mechanisms underlying the function of a specific lncRNA, ABL, in GC.
- To evaluate ABL as a potential prognostic biomarker and therapeutic target for GC.
Main Methods:
- RNA screening to identify differentially expressed lncRNAs in GC tissues.
- Functional studies using GC cell lines, xenograft, and organoid models to assess the role of ABL in apoptosis, survival, and drug resistance.
- Molecular mechanism studies involving RNA-binding protein interactions, m6A modification analysis, and apoptosis pathway assays.
- In vivo studies using liposomal siRNA to target ABL and assess its therapeutic potential in combination with chemotherapy.
Main Results:
- ABL, an apoptotic protease-activating factor 1 (APAF1)-binding lncRNA, is significantly upregulated in GC tissues and serves as an independent prognostic factor.
- ABL overexpression enhances GC cell survival, inhibits apoptosis, and promotes multidrug resistance.
- ABL stabilizes itself through interaction with IGF2BP1 and METTL3-mediated m6A modification.
- ABL impedes apoptosome formation by preventing cytochrome c binding to APAF1, thereby blocking caspase activation and promoting cell death resistance.
- Targeting ABL with liposomal siRNA significantly improves GC cell sensitivity to chemotherapy.
Conclusions:
- ABL is a key oncogenic lncRNA in gastric cancer, promoting tumor progression and chemoresistance.
- ABL represents a potential prognostic biomarker for GC patients.
- Targeting ABL offers a promising therapeutic strategy to overcome drug resistance and improve outcomes in gastric cancer treatment.
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