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Published on: February 20, 2017
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.
Abstract:
Chemoresistance presents a critical challenge in breast cancer treatment. Here, we report that transient receptor potential melastatin 4 (TRPM4) plays a role in modulating doxorubicin (ADR) resistance in breast cancer cells. TRPM4 expression was significantly upregulated at both the mRNA and protein levels in MCF-7/ADR cells, a human breast cancer cell line resistant to the chemotherapy drug ADR. Pharmacological inhibition or knockdown of TRPM4 restored ADR sensitivity, while its overexpression in non-resistant MCF-7 cells diminished drug response, confirming the regulatory role of TRPM4 in resistance mechanisms. Western blot analyses confirmed that elevated TRPM4 expression drives P-glycoprotein (P-gp) upregulation in both MCF-7/ADR and KBv200 cells (KB vinblastine 200 resistant cell line), as well as in Huh7 (human hepatocellular carcinoma cell line) and HCT116 (human colorectal cancer cell line). In addition, we demonstrate that TRPM4 inhibition suppresses the level of NF-κB, a pivotal transcription factor regulating P-gp expression. Furthermore, we found that TRPM4-mediated cellular swelling, rather than membrane depolarization, is the primary driver of P-gp overexpression. Drug-resistant MCF-7/ADR cells exhibited significantly larger cell sizes compared to non-resistant MCF-7 cells, and this effect was reversed following TRPM4 inhibition. The swelling was induced by hypotonic stress rather than changes in membrane potential, further confirming the role of TRPM4 in P-gp regulation through volume changes. Analysis of the TCGA (The Cancer Genome Atlas) database revealed that elevated TRPM4 expression correlates with reduced patient survival, suggesting that TRPM4 plays a role in both drug resistance and tumor progression. Our findings provide new insights into the role of TRPM4 in resistance mechanisms and propose that targeting TRPM4 could represent an innovative therapeutic strategy to overcome chemoresistance and enhance drug efficacy in breast cancer.
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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