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CircOMA1 modulates cabergoline resistance by downregulating ferroptosis in prolactinoma
1Department of Histology and Embryology, Zhongshan School of Medicine, Sun Yat-sen University, Guangzhou, 510080, China.
Purpose:
Prolactinomas are one of the most common pituitary neuroendocrine tumors (PitNETs), accounting for approximately 50% of all pituitary tumors. Dopamine agonists are the main treatment for prolactinoma, but a small number of patients are still resistant to pharmacotherapy. Recent discoveries have revealed that ferroptosis is involved in regulating tumor drug resistance. However, the role of ferroptosis in prolactinoma has not been reported. In this study, we aimed to explore the mechanism of a circRNA in ferroptosis in prolactinoma.
Methods:
The expression of circOMA1 in prolactinoma tissues was examined by quantitative reverse transcription PCR (qRT-PCR). The biological function of circOMA1 was evaluated in vitro and in vivo. To explore the role of ferroptosis in prolactinoma, we used qRT-PCR and western blotting. Glutamate-cysteine ligase, modifier subunit (GCLM) was predicted to be a direct target gene of miR-145-5p by bioinformatics analysis, which was confirmed by luciferase reporter assays.
Results:
circOMA1 was overexpressed in drug-resistant prolactinoma tissues compared with sensitive prolactinoma samples. We further found that circOMA1 promoted MMQ cells growth in vivo and in vitro. In addition, GCLM was directly targeted by miR-145-5p and indirectly regulated by circOMA1. Importantly, circOMA1 induced ferroptosis resistance through the increased expression of Nrf2, GPX4, and xCT, and circOMA1 attenuated CAB-induced ferroptosis in MMQ cells in vivo and in vitro.
Conclusion:
The present study demonstrates that circOMA1 attenuates CAB efficacy through ferroptosis resistance and may be a new therapeutic target for the individualized treatment of DA-resistant prolactinoma patients.
Insights
Circular RNA circOMA1 promotes drug resistance in prolactinomas by inhibiting ferroptosis. This finding suggests circOMA1 as a potential therapeutic target for dopamine agonist-resistant prolactinoma patients.
Area of Science:
- Endocrinology
- Oncology
- Molecular Biology
Background:
- Prolactinomas are common pituitary tumors, often treated with dopamine agonists (DAs).
- A subset of patients exhibit resistance to DA pharmacotherapy.
- Ferroptosis, a regulated cell death pathway, is implicated in tumor drug resistance, but its role in prolactinoma remains unexplored.
Purpose of the Study:
- To investigate the role of a specific circular RNA (circRNA), circOMA1, in ferroptosis within prolactinoma.
- To elucidate the underlying molecular mechanisms connecting circOMA1, ferroptosis, and drug resistance in prolactinoma.
Main Methods:
- Quantitative reverse transcription PCR (qRT-PCR) and western blotting were used to assess gene and protein expression.
- In vitro and in vivo experiments evaluated the biological function of circOMA1.
- Bioinformatics analysis and luciferase reporter assays identified miR-145-5p as a target of circOMA1 and GCLM as a target of miR-145-5p.
Main Results:
- circOMA1 was significantly overexpressed in drug-resistant prolactinoma tissues.
- circOMA1 promoted prolactinoma cell growth both in vitro and in vivo.
- circOMA1 induced resistance to ferroptosis by upregulating Nrf2, GPX4, and xCT expression.
- circOMA1 attenuated the ferroptosis induced by cabergoline (CAB) in prolactinoma cells.
Conclusions:
- circOMA1 contributes to dopamine agonist resistance in prolactinoma by promoting ferroptosis resistance.
- circOMA1 represents a potential therapeutic target for overcoming drug resistance in prolactinoma patients.
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