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Dysregulated BARD1 Contributes to Paclitaxel Resistance in Ovarian Cancer via Up-regulating CYP2C8
Li Zhang1, Zixuan Pan1, Liqin Zhang2
1Gynecology Department 1, Affiliated Hospital of Shandong Second Medical University, Weifang, China.
Abstract:
Ovarian cancer remains one of the most lethal gynaecological malignancies, with paclitaxel resistance being a major therapeutic challenge that limits treatment efficacy and patient survival. We found that although the BARD1 level was not signi-ficantly altered in patients with ovarian cancer (OC), patients with higher BARD1 levels had increased survival time, suggesting that the down-regulation of BARD1 may be related to the paclitaxel sensitivity. Through examining the expression of BARD1 in tumour samples from paclitaxel responders and non-responders, we observed that the BARD1 level was significantly reduced in non-responders. CYP2C8 was up-regulated in non-responders. Also, the BARD1 level was negatively correlated with the level of CYP2C8. BARD1 over-expression in OC cells could repress the CYP2C8 expression, while knockdown of BARD1 could up-regulate CYP2C8 expression, which could be rescued by H2A-Ub. Results from gain and loss of functional experiments indicated that BARD1 functions as a tumour suppressor during paclitaxel treatment, and BARD1 down-regulation increased the IC50 of paclitaxel from 2.46 nM to 5.33 nM in SK-OV-3 cells and from 3.11 nM to 7.51 nM in CaoV-3 cells. We are the first to demonstrate that the down-regulation of BARD1 contributes to paclitaxel resistance via up-regulating CYP2C8 in patients with OC, which provides a potent target for clinical OC treatment.
Insights
Lower BARD1 levels in ovarian cancer (OC) correlate with paclitaxel resistance. Restoring BARD1 may overcome resistance, offering a new therapeutic target for this lethal gynaecological malignancy.
Area of Science:
- Oncology
- Gynaecology
- Pharmacology
Background:
- Ovarian cancer (OC) is a leading cause of gynaecological cancer death.
- Paclitaxel resistance significantly limits treatment efficacy and patient survival in OC.
- The role of BARD1 in OC paclitaxel sensitivity is not well understood.
Purpose of the Study:
- To investigate the relationship between BARD1 expression and paclitaxel sensitivity in OC.
- To elucidate the mechanism by which BARD1 influences paclitaxel resistance.
- To identify BARD1 as a potential therapeutic target for overcoming paclitaxel resistance in OC.
Main Methods:
- Analysis of BARD1 expression in OC tumor samples from paclitaxel responders and non-responders.
- Correlation analysis between BARD1 and CYP2C8 expression.
- In vitro functional experiments (overexpression and knockdown) of BARD1 in OC cells.
- Assessment of paclitaxel IC50 values following BARD1 manipulation.
Main Results:
- BARD1 levels were significantly reduced in paclitaxel non-responders compared to responders.
- CYP2C8 expression was upregulated in non-responders and negatively correlated with BARD1 levels.
- BARD1 downregulation increased paclitaxel IC50 values in OC cell lines, indicating enhanced resistance.
- BARD1 functions as a tumor suppressor in the context of paclitaxel treatment.
Conclusions:
- Downregulation of BARD1 contributes to paclitaxel resistance in ovarian cancer by upregulating CYP2C8.
- BARD1 acts as a tumor suppressor and its reduced expression is linked to poorer treatment outcomes.
- Targeting BARD1 or modulating its pathway presents a promising strategy for overcoming paclitaxel resistance in OC.
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