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PRODH Regulates Tamoxifen Resistance through Ferroptosis in Breast Cancer Cells
Ping Zhang1, Na Qian1, Haigen Lai1
1The Department of Biochemistry, Medicine School, Yichun University, Yichun 336000, China.
Background:
Estrogen receptor-positive breast cancer accounts for around 70% of all cases. Tamoxifen, an anti-estrogenic inhibitor, is the primary drug used for this type of breast cancer treatment. However, tamoxifen resistance is a major challenge in clinics. Metabolic reprogramming, an emerging hallmark of cancer, plays a key role in cancer initiation, progression, and therapy resistance. The metabolism of non-essential amino acids such as serine, proline, and glutamine is involved in tumor metabolism reprogramming. Although the association of glutamine metabolism with tamoxifen resistance has been well established, the role of proline metabolism and its critical enzyme PRODH is unknown.
Objective:
The aim of this study is to explore the role and mechanism of PRODH in tamoxifen resistance in breast cancer cells.
Methods:
PRODH and GPX4 expressions in tamoxifen-resistant cells were detected using real-time PCR and Western blot analysis. The breast cells' response to tamoxifen was measured using MTT assays. Trans-well assays were used to detect cell migration and invasion. A Xenograft tumor assay was used to detect the role of PRODH in tumor growth. Reactive oxygen species were measured using flow cytometry.
Results:
PRODH expression is reduced in tamoxifen-resistant cells, and its overexpression enhances tamoxifen response in vitro and in vivo. Conversely, PRODH knockdown confers tamoxifen resistance in tamoxifen-sensitive cells. Mechanistic studies show that ferroptosis is inhibited in tamoxifen-resistant cells and overexpression of PRODH restores the ferroptosis in tamoxifen-resistant cells. Moreover, Ferrostatin-1 (Fer-1), the ferroptosis inhibitor, reversed the effect of PRODH on tamoxifen resistance.
Conclusions:
These findings suggest that PRODH regulates tamoxifen resistance by regulating ferroptosis in tamoxifen-resistant cells.
Insights
Proline dehydrogenase (PRODH) regulates tamoxifen resistance in breast cancer by controlling ferroptosis. Restoring PRODH function can overcome tamoxifen resistance, offering new therapeutic strategies.
Area of Science:
- Oncology
- Cancer Metabolism
- Molecular Biology
Background:
- Estrogen receptor-positive breast cancer (ER+ BC) is common, with tamoxifen as a primary treatment.
- Tamoxifen resistance is a significant clinical challenge, often linked to metabolic reprogramming.
- The role of proline metabolism, specifically proline dehydrogenase (PRODH), in tamoxifen resistance remains unexplored.
Purpose of the Study:
- To investigate the function and mechanism of PRODH in tamoxifen resistance within breast cancer cells.
- To determine if PRODH impacts cellular responses to tamoxifen therapy.
Main Methods:
- Quantitative real-time PCR and Western blot to assess PRODH and GPX4 expression.
- MTT assays to evaluate breast cell sensitivity to tamoxifen.
- Trans-well assays for cell migration and invasion analysis.
- Xenograft tumor assays to study PRODH's in vivo role in tumor growth.
- Flow cytometry to measure reactive oxygen species levels.
Main Results:
- PRODH expression was decreased in tamoxifen-resistant cells.
- Overexpression of PRODH improved tamoxifen response both in vitro and in vivo.
- PRODH knockdown induced tamoxifen resistance in sensitive cells.
- Ferroptosis was suppressed in resistant cells; PRODH overexpression restored it.
- Ferrostatin-1 (Fer-1) reversed PRODH's impact on tamoxifen resistance.
Conclusions:
- PRODH plays a critical role in regulating tamoxifen resistance in breast cancer.
- PRODH influences tamoxifen resistance through the modulation of ferroptosis.
- Targeting PRODH or ferroptosis pathways may offer strategies to overcome tamoxifen resistance.
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