Long noncoding RNA DDX11-AS1 represses sorafenib-induced ferroptosis in hepatocellular carcinoma cells via Nrf2-Keap1 pathway
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Published on: April 25, 2018
1The Second Affiliated Hospital of Dalian Medical University, Dalian, China, NO. 467, Zhongshan Road, Shahekou district, Liaoning, 116000. liangsurgery@163.com.
Abstract:
Sorafenib, a first-line therapeutic option for advanced hepatocellular carcinoma (HCC), faces a formidable challenge in the form of emerging resistance. Recently, the oncogene DDX11 antisense RNA 1 (DDX11-AS1) has been implicated in various cancers, including HCC. However, its role in sorafenib resistance remains unknown. Our findings reveal that DDX11-AS1 is upregulated in sorafenib-resistant HCC cells, contributing to their resistance by suppressing ferroptosis. Further investigation elucidated the mechanism by which DDX11-AS1 activates the antioxidant Nrf2-Keap1 pathway. By interacting with Nrf2 and hindering its association with Keap1, DDX11-AS1 enhances the stability and nuclear translocation of Nrf2. In summary, our study unveils the potent role of DDX11-AS1 as an enhancer of sorafenib resistance, inhibiting sorafenib-induced ferroptosis through the activation of the Nrf2-Keap1 pathway in HCC. These findings offer a promising therapeutic strategy to overcome resistance and effectively treat HCC.
Insights
The oncogene DDX11-AS1 promotes sorafenib resistance in hepatocellular carcinoma (HCC) by blocking ferroptosis. This occurs through activating the Nrf2-Keap1 pathway, offering a potential strategy to improve HCC treatment.
Area of Science:
- Molecular Oncology
- Hepatocellular Carcinoma Research
- Drug Resistance Mechanisms
Background:
- Sorafenib is a primary treatment for advanced hepatocellular carcinoma (HCC).
- Emerging resistance to sorafenib significantly limits its therapeutic efficacy.
- The oncogene DDX11 antisense RNA 1 (DDX11-AS1) is implicated in various cancers, but its role in sorafenib resistance in HCC is uncharacterized.
Purpose of the Study:
- To investigate the role of DDX11-AS1 in sorafenib resistance in HCC.
- To elucidate the underlying molecular mechanisms by which DDX11-AS1 influences sorafenib resistance.
Main Methods:
- Analysis of DDX11-AS1 expression in sorafenib-resistant HCC cells.
- Investigation of DDX11-AS1's effect on ferroptosis.
- Elucidation of DDX11-AS1's interaction with the Nrf2-Keap1 pathway.
Main Results:
- DDX11-AS1 expression is upregulated in sorafenib-resistant HCC cells.
- DDX11-AS1 suppresses sorafenib-induced ferroptosis, contributing to resistance.
- DDX11-AS1 activates the Nrf2-Keap1 pathway by enhancing Nrf2 stability and nuclear translocation.
Conclusions:
- DDX11-AS1 promotes sorafenib resistance in HCC by inhibiting ferroptosis via the Nrf2-Keap1 pathway.
- Targeting DDX11-AS1 presents a potential therapeutic strategy to overcome sorafenib resistance in HCC.
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