Alpha-hederin reprograms multi-miRNAs activity and overcome small extracellular vesicles-mediated paclitaxel

Yuzhen Chang1,2, Xinyu Gao3, Yuchen Jiang1

  • 1Shanghai Key Laboratory of Molecular Imaging, Jiading District Central Hospital Affiliated Shanghai University of Medicine and Health Sciences, Shanghai, China.

Frontiers in Pharmacology
|February 16, 2024
PubMed

Insights

Alpha-hederin overcomes paclitaxel resistance in non-small cell lung cancer by targeting small extracellular vesicles (sEVs). This natural compound sensitizes resistant cells by inhibiting TGFβ/SMAD2 signaling and promoting miRNA accumulation within sEVs.

Area of Science:

  • Oncology
  • Cell Biology
  • Molecular Medicine

Background:

  • Small extracellular vesicles (sEVs) play a crucial role in tumor microenvironment communication, contributing to cancer progression and therapeutic resistance.
  • Targeting sEVs offers a potential strategy to overcome chemoresistance by reprogramming the tumor microenvironment.
  • Current therapeutic approaches lack agents specifically designed to reverse tumor chemoresistance mediated by sEVs.

Purpose of the Study:

  • To investigate the efficacy of alpha-hederin in overcoming paclitaxel (PTX) resistance in non-small cell lung cancer (NSCLC) via the small extracellular vesicle (sEV) pathway.
  • To elucidate the molecular mechanisms by which alpha-hederin modulates chemoresistance transmission through sEVs.
  • To evaluate the potential of alpha-hederin as a therapeutic agent for PTX-resistant NSCLC.

Main Methods:

  • Utilized a paclitaxel-resistant A549T cell line and GW4869 inhibitor to study sEV secretion.
  • Employed CCK-8 assay, flow cytometry, transcriptomics, Western blot, oil red O staining, and metabolomics to analyze cellular and molecular changes.
  • Conducted in vivo molecular imaging, immunohistochemistry, and RT-PCR to assess the impact of alpha-hederin on chemoresistance transmission and miRNA/lncRNA expression.

Main Results:

  • Alpha-hederin effectively overcame PTX resistance in A549T cells, dependent on sEV secretion.
  • Transcriptomic analysis revealed sEVs from resistant cells enhanced TGFβ signaling and unsaturated fatty acid synthesis; alpha-hederin inhibited these pathways.
  • Alpha-hederin promoted the sorting of miR-21-5p, miR-23a-3p, and miR-125b-5p into sEVs, which targeted and reduced TGFβ/SMADs signaling in recipient cells, sensitizing them to PTX.

Conclusions:

  • Alpha-hederin sensitizes PTX-resistant NSCLC cells by modulating sEV cargo, specifically through the accumulation of multiple miRNAs.
  • The mechanism involves the inhibition of TGFβ/SMAD2 pathways in recipient cells via sEV-mediated miRNA delivery.
  • Alpha-hederin represents a promising therapeutic strategy for overcoming chemoresistance in NSCLC by targeting sEV-mediated intercellular communication.