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SETDB1 decline promotes the resistance to sorafenib via DRP1 phosphorylation-mediated mitochondrial dysfunction in
Mingjian Fan1, Jiahang Wu1, Yunjiao Wu2
1KingMed School of Laboratory Medicine, Guangzhou Medical University, Guangzhou 511436, China.
Abstract:
Sorafenib is a widely-adopted kinase inhibitor in anticancer therapy for advanced hepatocellular carcinoma (HCC) and the individualized pharmacological resistance to sorafenib is still an unresolved issue. Whether histone H3K9 methyltransferase SETDB1, which represses chromatin states and promotes various oncogenesis, modulate this process is still elusive. The analysis from both TCGA-LIHC cohort and our clinical HCC patient samples revealed that hepatic SETDB1 expression positively correlates with the prognosis of HCC patients receiving sorafenib therapy. Meanwhile, SETDB1 silencing diminished the cytotoxic effects of sorafenib in hepatoma cells. Mechanistically, SETDB1 knockdown led to mitochondrial dysfunction, including reduced mitochondrial membrane potential, mitochondria superoxide (mSOX), mitochondrial DNA (mtDNA) content, increased fission and DRP1S616 phosphorylation (pDRP1S616) in HepG2 cells. Not only did mSOX fluctuation modulate the sensitivity to sorafenib, but DRP1 activity-silenced counterpart pDRP1S616A inactivation also elevated the susceptibility to sorafenib and the corresponding mSOX and mtDNA content. Finally, pDRP1S616 IHC staining in clinical samples showed that hepatic pDRP1S616 level negatively correlates with the prognosis of HCC patients with sorafenib therapy as well. We first demonstrated that SETDB1 knockdown reduced the susceptibility to sorafenib through enhancing mitochondrial pDRP1S616 in hepatoma cells and hepatic SETDB1 expression might be a potential indicator for clinical HCC sorafenib therapy.
Insights
Hepatic SETDB1 expression improves sorafenib efficacy in hepatocellular carcinoma (HCC) by preventing mitochondrial dysfunction and excessive DRP1 phosphorylation. SETDB1 may serve as a predictive biomarker for sorafenib therapy in HCC patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Sorafenib is a standard treatment for advanced hepatocellular carcinoma (HCC).
- Individualized resistance to sorafenib remains a significant clinical challenge.
- The role of histone H3K9 methyltransferase SETDB1 in sorafenib resistance is largely unknown.
Purpose of the Study:
- To investigate the role of SETDB1 in modulating sorafenib sensitivity in HCC.
- To elucidate the underlying molecular mechanisms involving mitochondrial function and DRP1 phosphorylation.
Main Methods:
- Analysis of SETDB1 expression in TCGA-LIHC and clinical HCC samples.
- Assessment of sorafenib cytotoxicity in SETDB1-silenced hepatoma cells.
- Evaluation of mitochondrial function (membrane potential, mSOX, mtDNA content, fission) and DRP1 phosphorylation (pDRP1S616) in HepG2 cells.
- Correlation analysis between hepatic pDRP1S616 levels and patient prognosis.
Main Results:
- Hepatic SETDB1 expression positively correlates with better prognosis in HCC patients treated with sorafenib.
- SETDB1 silencing diminishes sorafenib's cytotoxic effects and impairs mitochondrial function.
- SETDB1 knockdown increases mitochondrial superoxide (mSOX), reduces mitochondrial DNA (mtDNA) content, and promotes DRP1S616 phosphorylation.
- Inhibition of DRP1 phosphorylation (pDRP1S616A) enhances sorafenib sensitivity, mSOX, and mtDNA content.
- Elevated hepatic pDRP1S616 levels negatively correlate with prognosis in sorafenib-treated HCC patients.
Conclusions:
- SETDB1 enhances sorafenib susceptibility in HCC by maintaining mitochondrial integrity and regulating DRP1 phosphorylation.
- Hepatic SETDB1 expression is a potential predictive biomarker for sorafenib therapy in HCC.
- Targeting SETDB1 or modulating mitochondrial function could offer new therapeutic strategies for overcoming sorafenib resistance.
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