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.

Abstract

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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