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BEX1 mediates sorafenib resistance in hepatocellular carcinoma by regulating AKT signaling
Na Zhuang1, Zhiyun Gu1, Juan Feng1
1Research Center for Precision Medicine, Chongqing Key Laboratory of Translational Research for Cancer Metastasis and Individualized Treatment, Chongqing University Cancer Hospital, Chongqing, China.
Abstract:
Sorafenib is the first-line therapy for advanced hepatocellular carcinoma (HCC). However, acquired tolerance after sorafenib treatment significantly limits its therapeutic efficacy, and the mechanisms underlying resistance remains poorly characterized. In this study, we identified BEX1 as key mediator of sorafenib resistance in HCC. We found that BEX1 expression was significantly reduced in sorafenib-resistant HCC cells and xenograft models, moreover, BEX1 expression in HCC tissues was down-regulated compared with that normal liver tissues in The Cancer Genome Atlas (TCGA) database, K-M analysis demonstrated that reduced BEX1 expression was correlated with poor clinical prognosis in HCC patients. Loss- and gain-of-function studies showed that BEX1 regulates the cell-killing ability of sorafenib. Further studies revealed that BEX1 renders HCC cells sensitive to sorafenib via induction of apoptosis and negatively regulates the phosphorylation of Akt. In summary, our study uncover BEX1 may serve as a promising predictive biomarker for the prognosis of patients with HCC.
Insights
This study identifies BEX1 as a key factor in hepatocellular carcinoma (HCC) resistance to sorafenib. Lower BEX1 levels predict poor prognosis, suggesting BEX1 as a potential biomarker for HCC treatment.
Area of Science:
- Hepatocellular Carcinoma Research
- Cancer Biology
- Molecular Oncology
Background:
- Sorafenib is a first-line treatment for advanced hepatocellular carcinoma (HCC).
- Acquired resistance to sorafenib limits its effectiveness in HCC treatment.
- Mechanisms underlying sorafenib resistance in HCC are not fully understood.
Purpose of the Study:
- To identify key mediators of sorafenib resistance in hepatocellular carcinoma.
- To investigate the role of BEX1 in sorafenib sensitivity and patient prognosis.
Main Methods:
- Analysis of BEX1 expression in sorafenib-resistant HCC cell lines and xenograft models.
- Examination of BEX1 expression in The Cancer Genome Atlas (TCGA) database.
- Kaplan-Meier (K-M) survival analysis.
- Loss- and gain-of-function studies to assess BEX1's regulatory role.
- Investigation of BEX1's effect on apoptosis and Akt phosphorylation.
Main Results:
- BEX1 expression is significantly reduced in sorafenib-resistant HCC cells and models.
- Down-regulated BEX1 expression is observed in HCC tissues compared to normal liver tissues.
- Reduced BEX1 expression correlates with poor clinical prognosis in HCC patients.
- BEX1 regulates sorafenib's cell-killing efficacy by inducing apoptosis and inhibiting Akt phosphorylation.
Conclusions:
- BEX1 acts as a crucial mediator of sorafenib resistance in hepatocellular carcinoma.
- BEX1 functions by promoting apoptosis and negatively regulating Akt phosphorylation.
- BEX1 represents a potential predictive biomarker for assessing prognosis in HCC patients.
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