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Updated: Jul 4, 2025

Synthesis and Characterization of an Aspirin-fumarate Prodrug that Inhibits NFκB Activity and Breast Cancer Stem Cells
Published on: January 18, 2017
Sphingomyelin synthase 2 promotes the stemness of breast cancer cells via modulating NF-κB signaling pathway
Haizhan Feng1, Yahui Dong1, Kunling Chen2
1Department of Breast Surgery, Zhujiang Hospital, Southern Medical University, Guangzhou, China.
Objectives:
Multi-drug resistance (MDR) to chemotherapy is the main obstacle influencing the anti-tumor effect in breast cancer, which might lead to the metastasis and recurrence of cancer. Until now, there are still no effective methods that can overcome MDR. In this study, we aimed to investigate the role of sphingomyelin synthase 2 (SMS2) in breast cancer resistance.
Methods:
Quantitative RT-PCR analysis was performed to assess changes in mRNA expression. Western blot analysis was performed to detect protein expression. Inhibitory concentration value of adriamycin (ADR) was evaluated using CCK 8 assay. The stemness ability of breast cancer cells was assessed by spheroid-formation assay. Immunofluorescence staining was conducted to show the cellular distribution of proteins. Breast tumor masses were harvested from the xenograft tumor mouse model.
Results:
SMS2 overexpression increased the IC50 values of breast cancer cells. SMS2 decreased the CD24 transcription level but increased the transcription levels of stemness-related genes including CD44, ALDH, OCT 4 and SOX2 in breast cancer cells. SMS2 overexpression promoted the nuclear translocation of phosphorylated NF-κB, while suppression of SMS2 could inhibit the NF-κB pathway.
Conclusions:
SMS2 increased the stemness of breast cancer cells via NF-κB signaling pathway, leading to resistance to the chemotherapeutic drug ADR. Thus, SMS2 might play a critical role in the development of breast cancer resistance, which is a previously unrecognized mechanism in breast cancer MDR development.
Insights
Sphingomyelin synthase 2 (SMS2) promotes breast cancer stemness and resistance to chemotherapy drug adriamycin (ADR) by activating the NF-κB pathway. This discovery offers a new target for overcoming multi-drug resistance (MDR) in breast cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Multi-drug resistance (MDR) is a major challenge in breast cancer treatment, often leading to metastasis and recurrence.
- Current therapeutic strategies lack effective methods to overcome MDR.
- The role of sphingomyelin synthase 2 (SMS2) in breast cancer resistance remains largely unexplored.
Purpose of the Study:
- To investigate the function of sphingomyelin synthase 2 (SMS2) in the context of breast cancer chemoresistance.
- To elucidate the molecular mechanisms by which SMS2 influences breast cancer cell stemness and drug resistance.
Main Methods:
- Quantitative RT-PCR and Western blot analysis to assess mRNA and protein expression of SMS2.
- CCK-8 assay to determine adriamycin (ADR) inhibitory concentration (IC50) values.
- Spheroid-formation assay to evaluate cancer stem cell properties.
- Immunofluorescence and xenograft mouse models to study protein localization and in vivo effects.
Main Results:
- SMS2 overexpression significantly increased IC50 values, indicating enhanced resistance to ADR.
- SMS2 modulated the expression of stemness markers, decreasing CD24 and increasing CD44, ALDH, OCT 4, and SOX2.
- SMS2 promoted the nuclear translocation of phosphorylated NF-κB, suggesting activation of the NF-κB signaling pathway.
Conclusions:
- SMS2 enhances breast cancer stemness and ADR resistance through the NF-κB signaling pathway.
- SMS2 represents a novel therapeutic target for overcoming chemoresistance in breast cancer.
- This study uncovers a previously unrecognized mechanism in the development of breast cancer MDR.
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