TRPM4 channels contribute to Adriamycin chemoresistance in breast cancer cells

Juan Guo1, Fang Liu2, Xinyue Yang3

  • 1Institute of Medical Research, Northwestern Polytechnical University, Xi'an, 710072, China; National Engineering Research Center for the Emergency Drug, Beijing Institute of Pharmacology and Toxicology, Beijing, China.

PubMed

Insights

Transient receptor potential melastatin 4 (TRPM4) channel upregulation promotes chemoresistance in breast cancer by increasing P-glycoprotein. Targeting TRPM4 may overcome drug resistance and improve treatment outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cell Biology

Background:

  • Chemoresistance is a major obstacle in breast cancer treatment.
  • Transient receptor potential melastatin 4 (TRPM4) is implicated in cellular processes.
  • Understanding novel resistance mechanisms is crucial for therapeutic advancement.

Purpose of the Study:

  • To investigate the role of TRPM4 in doxorubicin (ADR) resistance in breast cancer.
  • To elucidate the molecular mechanisms by which TRPM4 influences chemoresistance.
  • To explore the potential of TRPM4 as a therapeutic target.

Main Methods:

  • Utilized MCF-7/ADR and MCF-7 cell lines to study TRPM4 expression and function.
  • Employed pharmacological inhibition and genetic knockdown of TRPM4.
  • Analyzed P-glycoprotein (P-gp) and NF-κB levels via Western blot.
  • Assessed cellular swelling and membrane potential changes.
  • Correlated TRPM4 expression with patient survival data from TCGA.

Main Results:

  • TRPM4 expression was significantly upregulated in ADR-resistant breast cancer cells.
  • TRPM4 inhibition or knockdown restored sensitivity to doxorubicin.
  • TRPM4 overexpression reduced sensitivity to ADR in non-resistant cells.
  • Elevated TRPM4 drives P-gp upregulation through TRPM4-mediated cellular swelling, not membrane depolarization.
  • TRPM4 inhibition suppressed NF-κB levels.
  • High TRPM4 expression correlated with reduced patient survival.

Conclusions:

  • TRPM4 plays a critical role in modulating doxorubicin resistance in breast cancer.
  • TRPM4-induced cellular swelling is a key mechanism driving P-gp overexpression.
  • Targeting TRPM4 offers a potential strategy to overcome chemoresistance and improve breast cancer therapy.

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