RHBDF1 modulates cisplatin sensitivity of small cell lung cancer through YAP1/Smad2 signaling pathway

Lei Wang1, Lishuang Qi2, Xiaoyi Huang3,4

  • 1Department of Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, Heilongjiang, 150081, China.

Heliyon
|July 19, 2024
PubMed

Insights

Human rhomboid-5 homolog-1 (RHBDF1) suppresses tumor growth and enhances cisplatin sensitivity in small cell lung cancer (SCLC). Low RHBDF1 expression correlates with poor prognosis, suggesting RHBDF1 as a therapeutic target for SCLC chemoresistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Small cell lung cancer (SCLC) is a highly aggressive malignancy characterized by rapid progression and frequent development of drug resistance.
  • Cisplatin is a cornerstone chemotherapy agent for SCLC, but intrinsic and acquired resistance significantly limit its clinical efficacy.
  • Human rhomboid-5 homolog-1 (RHBDF1) was identified as a differentially expressed gene in cisplatin-resistant SCLC tissues, prompting investigation into its role.

Purpose of the Study:

  • To investigate the functional role of RHBDF1 in SCLC proliferation, apoptosis, and cisplatin chemosensitivity.
  • To elucidate the molecular mechanisms underlying RHBDF1's function in SCLC.
  • To evaluate the clinical significance of RHBDF1 expression in SCLC patient samples.

Main Methods:

  • Gain- and loss-of-function experiments (RHBDF1 knockdown and overexpression) were performed in SCLC cell lines.
  • Molecular mechanisms were investigated using bioinformatics analysis, quantitative real-time PCR (qRT-PCR), western blotting, and immunoprecipitation.
  • RHBDF1 expression in clinical SCLC specimens was assessed by immunohistochemistry.

Main Results:

  • RHBDF1 knockdown promoted SCLC cell proliferation, enhanced cisplatin chemoresistance, and inhibited apoptosis both in vitro and in vivo.
  • Overexpression of RHBDF1 reversed these effects, restoring cisplatin sensitivity and promoting apoptosis.
  • Mechanistically, RHBDF1 was found to interact with YAP1, leading to increased Smad2 phosphorylation and nuclear translocation, thereby inhibiting proliferation and enhancing chemosensitivity.
  • Low RHBDF1 expression was observed in clinical SCLC specimens and correlated with adverse clinicopathological features and poor prognosis.

Conclusions:

  • RHBDF1 functions as a tumor suppressor in SCLC, inhibiting proliferation and promoting cisplatin sensitivity.
  • The novel RHBDF1/YAP1/Smad2 signaling pathway plays a critical role in regulating cisplatin chemosensitivity in SCLC.
  • Targeting the RHBDF1/YAP1/Smad2 pathway represents a promising therapeutic strategy to overcome chemotherapy resistance in SCLC.

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