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Updated: Aug 15, 2025

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Published on: September 30, 2016
CHD4 promotes acquired chemoresistance and tumor progression by activating the MEK/ERK axis
Jing Wu1, Zhijun Zhou2, Jin Li2
1Digestive Diseases Center, The Seventh Affiliated Hospital of Sun Yat-sen University, No. 628 Zhenyuan Road, Shenzhen 518107, Guangdong, China; Guangdong Provincial Key Laboratory of Digestive Cancer Research, The Seventh Affiliated Hospital of Sun Yat-sen University, No. 628 Zhenyuan Road, Shenzhen 518107, Guangdong, China; Department of Gastrointestinal Surgery of the First Affiliated Hospital of Sun Yat-sen University, No. 58 Zhongshan 2nd Road, Guangzhou 510080, Guangdong, China.
Aims:
Chemoresistance remains a major challenge in gastric cancer (GC). Chromodomain helicase DNA-binding protein 4 (CHD4) mediated chromatin remodeling plays critical roles in various tumor types, but its role in chemoresistance in GC remains uncharacterized.
Methods:
CHD4 expression was examined by immunohistochemistry and Western blotting. The role of CHD4 on cell proliferation and chemoresistance of GC was examined in vitro and in vivo. Immunoprecipitation and liquid chromatography-mass spectrometry were used to identify CHD4-binding proteins and a proximity ligation assay was used to explore protein-protein interaction.
Results:
Chemoresistance is associated with upregulation of CHD4 in the tumor tissues of GC patients. Overexpression of CHD4 increased chemoresistance and cell proliferation. Knockdown of CHD4 induced cell apoptosis and cell cycle arrest. CHD4 mediates the decrease of the intracellular concentration of cisplatin by inducing drug efflux. Additionally, CHD4 promotes the interaction between ERK1/2 and MEK1/2, resulting in continuous activation of MEK/ERK pathway. Knockdown of CHD4 in GC increased sensitivity to chemotherapy and suppressed tumor growth in a mouse xenograft model.
Conclusions:
This study identifies CHD4 dominated multi-drug efflux as a promising therapeutic target for overcoming acquired chemoresistance in GC.
Insights
Chromodomain helicase DNA-binding protein 4 (CHD4) drives chemoresistance in gastric cancer by increasing drug efflux and activating the MEK/ERK pathway. Targeting CHD4 offers a promising strategy to overcome treatment resistance in GC patients.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Chemoresistance is a significant obstacle in gastric cancer (GC) treatment.
- The role of Chromodomain helicase DNA-binding protein 4 (CHD4) in GC chemoresistance is currently unknown.
- CHD4 is involved in chromatin remodeling and has critical roles in various cancers.
Purpose of the Study:
- To investigate the role of CHD4 in gastric cancer chemoresistance.
- To elucidate the underlying mechanisms by which CHD4 influences chemoresistance.
- To identify CHD4 as a potential therapeutic target for overcoming GC chemoresistance.
Main Methods:
- Examined CHD4 expression using immunohistochemistry and Western blotting.
- Assessed CHD4's impact on GC cell proliferation and chemoresistance in vitro and in vivo.
- Identified CHD4-binding proteins via immunoprecipitation and liquid chromatography-mass spectrometry.
- Explored protein-protein interactions using proximity ligation assays.
Main Results:
- CHD4 expression is upregulated in GC tissues and associated with chemoresistance.
- Overexpression of CHD4 enhances GC cell proliferation and chemoresistance.
- CHD4 knockdown induces apoptosis, cell cycle arrest, and increases sensitivity to cisplatin by reducing drug efflux.
- CHD4 promotes MEK/ERK pathway activation through interaction with ERK1/2 and MEK1/2.
- CHD4 knockdown suppressed tumor growth in a mouse xenograft model.
Conclusions:
- CHD4 plays a critical role in mediating chemoresistance in gastric cancer.
- CHD4-induced multi-drug efflux is a key mechanism of chemoresistance.
- Targeting CHD4 presents a promising therapeutic strategy to overcome acquired chemoresistance in GC.
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