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METTL1-Mediated m7G tRNA Modification Promotes Lenvatinib Resistance in Hepatocellular Carcinoma
Manling Huang1,2, Jianting Long1, Zhijia Yao1
1Department of Oncology, Cancer Center, the First Affiliated Hospital, Sun Yat-sen University, Guangzhou, P.R. China.
Abstract:
The tyrosine kinase inhibitor lenvatinib is a first-line drug for treating patients with advanced hepatocellular carcinoma (HCC). However, its efficacy is severely hampered by drug resistance. Insights into the molecular mechanisms underlying lenvatinib resistance could provide new strategies to improve and prolong responses. Here, we performed unbiased proteomic screening of parental and lenvatinib-resistant HCC cells and discovered that methyltransferase-like protein-1 (METTL1) and WD repeat domain 4 protein (WDR4), the two key components of the tRNA N7-methylguanosine (m7G) methyltransferase complex, were dramatically upregulated in lenvatinib-resistant cells. METTL1 knockdown overrode resistance by impairing the proliferation capacity of HCC cells and promoting apoptosis under lenvatinib treatment. In addition, overexpression of wild-type METTL1 but not its catalytic dead mutant induced lenvatinib resistance. Animal experiments including hydrodynamic injection, subcutaneous implantation, and orthotopic xenograft mouse models further demonstrated the critical function of METTL1/WDR4-mediated m7G tRNA modification in promoting lenvatinib resistance in vivo. Mechanistically, METTL1 promoted translation of EGFR pathway genes to trigger drug resistance. This work reveals the important role of METTL1-mediated m7G tRNA modification in promoting lenvatinib resistance and provides a promising prediction marker and intervention target for resistance.
Significance:
Upregulation of tRNA m7G methyltransferase complex components METTL1 and WDR4 promotes lenvatinib resistance in HCC and confers a sensitivity to METTL1 targeting, providing a promising strategy to override resistance.
Insights
Methyltransferase-like protein-1 (METTL1) and WDR4 upregulation drives lenvatinib resistance in hepatocellular carcinoma (HCC). Targeting METTL1 can overcome this resistance, offering new therapeutic strategies for HCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Lenvatinib is a first-line treatment for advanced hepatocellular carcinoma (HCC).
- Drug resistance significantly limits lenvatinib's efficacy in HCC patients.
- Understanding resistance mechanisms is crucial for improving treatment outcomes.
Purpose of the Study:
- To investigate the molecular mechanisms underlying lenvatinib resistance in HCC.
- To identify potential therapeutic targets for overcoming lenvatinib resistance.
Main Methods:
- Unbiased proteomic screening of parental and lenvatinib-resistant HCC cells.
- Gene knockdown and overexpression studies of METTL1 and WDR4.
- In vivo validation using hydrodynamic injection, subcutaneous implantation, and orthotopic xenograft mouse models.
- Analysis of EGFR pathway gene translation.
Main Results:
- METTL1 and WDR4, key components of the tRNA m7G methyltransferase complex, were significantly upregulated in lenvatinib-resistant HCC cells.
- METTL1 knockdown reversed lenvatinib resistance by inhibiting proliferation and promoting apoptosis.
- METTL1 overexpression induced lenvatinib resistance, while a catalytic dead mutant did not.
- METTL1/WDR4-mediated m7G tRNA modification was critical for lenvatinib resistance in vivo.
- METTL1 promoted EGFR pathway gene translation, contributing to drug resistance.
Conclusions:
- METTL1-mediated m7G tRNA modification plays a critical role in promoting lenvatinib resistance in HCC.
- METTL1 and WDR4 are potential biomarkers for predicting lenvatinib resistance.
- Targeting METTL1 offers a promising strategy to overcome lenvatinib resistance in HCC.
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