PPIC-labeled CAFs: Key players in neoadjuvant chemotherapy resistance for gastric cancer
Honghao Yin1, Lili Sun2, Yuan Yuan1
1Tumor Etiology and Screening Department of Cancer Institute and General Surgery, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of Cancer Etiology and Prevention in Liaoning Education Department, The First Hospital of China Medical University, Shenyang, China; Key Laboratory of GI Cancer Etiology and Prevention in Liaoning Province, The First Hospital of China Medical University, Shenyang, China.
Background:
Gastric cancer (GC) is the fourth leading cause of cancer deaths, with advanced cases having a median survival of less than one year. Neoadjuvant chemotherapy (NCT) is vital but faces drug resistance issues, partly due to cancer-associated fibroblasts (CAFs). Yet, specific CAF subpopulations contributing to resistance are poorly understood.
Methods:
Differentially expressed genes (DEGs) between chemosensitive and resistant GC patients were identified using GEO2R. Single-cell sequencing (scRNA-seq) identified CAF-related genes. Immunohistochemistry verified key genes in NCT-treated GC samples, analyzing their correlation with tumor regression grade (TRG) and clinicopathological characteristics.
Results:
PPIC as a gene highly expressed in CAFs was closely associated with NCT resistance in gastric cancer. Immunohistochemistry results revealed positivity for the expression of cyclophilin C (CypC), encoded by PPIC, in the 5-fluorouracil and cisplatin NCT resistant and -sensitive groups of gastric cancer patients at rates of 69.7 % (76/109) and 43.6 % (24/55), respectively (p < 0.001). The high expression of CypC in CAFs was positively correlated to tumor size (p = 0.025), T stage (p = 0.004), TNM stage (p = 0.004), and vascular invasion (p = 0.027). In cancer cells the expression of CypC was associated with OS (p = 0.026). However, in CAFs, CypC expression was not related to OS (p = 0.671).
Conclusions:
PPIC-labeled CAF subgroups are related to NCT resistance and poor prognosis in GC and they may cause drug resistance through signaling pathways such as glucose metabolism and extracellular matrix remodeling. However, the exact mechanism behind the involvement of PPIC-labeled CAF in drug resistance of GC requires further study.
Insights
Specific cancer-associated fibroblast (CAF) subgroups, identified by PPIC expression, are linked to neoadjuvant chemotherapy (NCT) resistance in gastric cancer (GC). This finding offers potential new targets for overcoming drug resistance in GC patients.
Area of Science:
- Oncology
- Cancer Biology
- Molecular Medicine
Background:
- Gastric cancer (GC) is a leading cause of cancer mortality, with advanced stages showing poor survival.
- Neoadjuvant chemotherapy (NCT) is crucial for GC treatment but is often hindered by drug resistance.
- Cancer-associated fibroblasts (CAFs) contribute to GC drug resistance, yet specific CAF subpopulations involved remain unclear.
Purpose of the Study:
- To identify specific cancer-associated fibroblast (CAF) subpopulations that contribute to neoadjuvant chemotherapy (NCT) resistance in gastric cancer (GC).
- To investigate the role of the PPIC gene and its encoded protein, cyclophilin C (CypC), in GC chemoresistance.
Main Methods:
- Differential gene expression analysis (GEO2R) to compare chemosensitive and resistant GC patients.
- Single-cell RNA sequencing (scRNA-seq) to identify CAF-related genes.
- Immunohistochemistry to validate key gene expression (CypC) in GC tissues and correlate with treatment response and clinical features.
Main Results:
- The gene PPIC, highly expressed in CAFs, was significantly associated with NCT resistance in GC.
- Cyclophilin C (CypC) expression was higher in resistant GC tissues compared to sensitive ones (69.7% vs. 43.6%).
- High CAF CypC expression correlated with larger tumor size, advanced T and TNM stages, and vascular invasion, but not overall survival (OS).
Conclusions:
- PPIC-labeled CAF subgroups are implicated in GC chemoresistance and poorer prognosis.
- These CAF subgroups may induce drug resistance via pathways like glucose metabolism and extracellular matrix remodeling.
- Further research is needed to elucidate the precise mechanisms of PPIC-labeled CAFs in GC drug resistance.
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