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Methionine restriction promotes cisplatin sensitivity of gastric cancer resistant cells by down-regulating circ-CDK13
Lin Xin1, Yong-Hui Zou1, Chen-Xi Liu2
1Department of General Surgery, The Second Affiliated Hospital of Nanchang University, Nanchang, 330006, Jiangxi Province, China.
Background:
Methionine restriction (MR) is a research direction in the treatment of gastric cancer (GC). The aim of this study was to investigate the molecular mechanism of MR on enhancing cisplatin (DDP) sensitivity of drug-resistant GC cells.
Methods:
Twenty pairs of GC tissues and adjacent normal gastric mucosa tissues were collected. DDP-resistant cell lines (KATO/DDP and MKN45/DDP), mouse model of GC and GC patient-derived organoid (PDO) models were established. Lentivirus-mediated METase overexpression was used for MR. Cell viability and apoptosis were detected by MTT assay and flow cytometry. Western blotting was used to detect multi-drug resistance-1 (MDR1), MDR-associated protein 1 (MRP1) eukaryotic initiation factor 4A-Ⅲ (EIF4A3), and METase protein expressions. The levels of circRNAs were detected by qRT-PCR. Tumor volume and weight were measured. The proliferation of tumor cells was detected by immunohistochemical staining.
Results:
The differentially expressed circRNAs of GC were screened in Gene Expression Omnibus database. MR in KATO/DDP and MKN45/DDP cells significantly down-regulated circ-CDK13 level. Overexpression of circ-CDK13 significantly inhibited apoptosis of sensitive cells (KATO III and MKN45). Interference with circ-CDK13 significantly promoted apoptosis of drug-resistant cells (KATO/DDP and MKN45/DDP). MR enhanced the DDP sensitivity of GC resistant cells, GC PDO and GC mice by down-regulating circ-CDK13. EIF4A3 binds to the downstream flanking sequence of circ-CDK13, and interference with EIF4A3 reduces circ-CDK13 levels, but does not affect CDK13. The expressions of circ-CDK13 and EIF4A3 in GC clinical samples were increased and positively correlated. Simultaneously overexpression of METase and EIF4A3 in resistant cells inhibited apoptosis, and further interference with circ-CDK13 reversed this effect.
Conclusion:
MR inhibits circ-CDK13 level by down-regulating EIF4A3, thereby increasing the sensitivity of GC drug-resistant cells to DDP.
Insights
Methionine restriction (MR) enhances cisplatin sensitivity in gastric cancer (GC) by reducing circ-CDK13 levels. This molecular mechanism involves down-regulating eukaryotic initiation factor 4A-III (EIF4A3), offering a new therapeutic strategy for drug-resistant GC.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Gastric cancer (GC) poses a significant global health challenge, with drug resistance limiting treatment efficacy.
- Methionine restriction (MR) is an emerging dietary strategy with potential in cancer therapy.
- Understanding the molecular mechanisms underlying MR's effects is crucial for optimizing GC treatment.
Purpose of the Study:
- To investigate the molecular mechanism by which methionine restriction (MR) enhances cisplatin (DDP) sensitivity in drug-resistant gastric cancer (GC) cells.
- To identify key molecular players, including circRNAs and proteins, involved in MR-mediated sensitization.
- To validate findings in preclinical models, including patient-derived organoids (PDOs) and mouse models.
Main Methods:
- Established DDP-resistant GC cell lines, GC patient-derived organoid (PDO) models, and a mouse model of GC.
- Utilized lentivirus-mediated METase overexpression for MR induction.
- Assessed cell viability, apoptosis, protein expression (MDR1, MRP1, EIF4A3, METase), and circRNA levels (circ-CDK13) via MTT assay, flow cytometry, Western blotting, and qRT-PCR.
Main Results:
- Methionine restriction significantly down-regulated circ-CDK13 levels in DDP-resistant GC cells.
- Overexpression of circ-CDK13 inhibited apoptosis in sensitive GC cells, while its interference promoted apoptosis in drug-resistant cells.
- MR enhanced DDP sensitivity in resistant GC cells, PDOs, and mice by down-regulating circ-CDK13, mediated by the interaction between EIF4A3 and circ-CDK13.
- Elevated circ-CDK13 and EIF4A3 expression correlated positively in clinical GC samples.
Conclusions:
- Methionine restriction inhibits circ-CDK13 levels by down-regulating EIF4A3.
- This mechanism enhances the sensitivity of drug-resistant gastric cancer cells to cisplatin.
- The findings highlight a novel therapeutic pathway involving MR, circ-CDK13, and EIF4A3 for overcoming GC chemoresistance.
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