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FOXM1 Contributes to Chemotherapy Sensitivity in Cervical Cancer by Regulating TTK
Qing Tang1, Anli Xu1, Ying Yang1
1Department of Gynecology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, 264000 Yantai, Shandong, China.
Background:
The emergence of chemotherapy resistance usually causes therapeutic failure in advanced cervical cancer. Forkhead box protein M1 (FOXM1) and threonine tyrosine kinase (TTK) are closely associated with cancer drug sensitivity, but the mechanism of FOXM1 on TTK involvement in chemo-treated cervical cancer remains unclear. Here, we aimed to observe the effects of FOXM1 on TTK and on chemotherapy sensitivity in cervical cancer.
Methods:
The expressions of FOXM1 and TTK in cervical cancer tissues and para-cancerous tissues were analyzed by immunohistochemistry. SiHa and Hela cells were transfected with human lentivirus-FOXM1, small interfering RNA (siRNA) or pcDNA3.1/FOXM1 to analyze the changes in TTK protein expression. Furthermore, the cells were treated with paclitaxel (8 μM) or cisplatin (10 μM) to analyze the effects of FOXM1 on chemotherapy sensitivity. SiHa cells were used to construct a xenograft model to study the effects of FOXM1 expression in response to paclitaxel treatment. The tumor size and weight were observed. The expressions of Ki-67, FOXM1, and TTK protein in tumor tissues were measured by immunohistochemistry.
Results:
High expression of FOXM1 and TTK were found in the cervical cancer tissues (p < 0.05). The TTK protein expressions were decreased by FOMX1-siRNA transfection in SiHa and Hela cells (p < 0.01). The cell viability and cell cycle were also suppressed by FOMX1-siRNA transfection (p < 0.01) but enhanced by pcDNA3.1/FOXM1 transfection (p < 0.01). For paclitaxel or cisplatin treatment, the cell viability and cell DNA damage were improved due to the FOXM1 overexpression (p < 0.01). TTK inhibitor significantly suppressed the effects of FOXM1 overexpression (p < 0.01).
Conclusions:
FOXM1 regulated TTK and affected the therapeutic efficacy of cisplatin and paclitaxel in cervical cancer.
Insights
Forkhead box protein M1 (FOXM1) regulates threonine tyrosine kinase (TTK) and enhances chemotherapy sensitivity in cervical cancer. This finding may improve treatments for advanced cervical cancer by targeting FOXM1 and TTK pathways.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Chemotherapy resistance is a major challenge in advanced cervical cancer treatment.
- The roles of Forkhead box protein M1 (FOXM1) and threonine tyrosine kinase (TTK) in chemoresistance are known, but their interaction in cervical cancer is unclear.
Purpose of the Study:
- To investigate the effect of FOXM1 on TTK expression and its subsequent impact on chemotherapy sensitivity in cervical cancer.
- To elucidate the underlying mechanism of FOXM1-mediated chemoresistance in cervical cancer.
Main Methods:
- Immunohistochemistry was used to analyze FOXM1 and TTK expression in cervical cancer tissues.
- Cell lines (SiHa and Hela) were manipulated (lentivirus, siRNA, pcDNA3.1) to alter FOXM1 expression and assess TTK levels.
- Cells were treated with paclitaxel or cisplatin to evaluate chemotherapy sensitivity, with xenograft models used for in vivo validation.
Main Results:
- Cervical cancer tissues exhibited high expression of both FOXM1 and TTK.
- FOXM1 downregulation reduced TTK expression, cell viability, and cell cycle progression.
- FOXM1 overexpression enhanced cell viability and DNA damage in response to paclitaxel and cisplatin, an effect reversed by a TTK inhibitor.
Conclusions:
- FOXM1 plays a crucial role in regulating TTK expression in cervical cancer.
- FOXM1 influences the therapeutic efficacy of cisplatin and paclitaxel, suggesting its potential as a therapeutic target.
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