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Updated: Jan 9, 2026

Radiosensitivity of Cancer Stem Cells in Lung Cancer Cell Lines
Published on: August 21, 2019
Lars2-signaling mediates platinum resistance by accumulating cancer stem cell population and suppressing anti-tumor
Yuqing Wang1, Min Deng1, Haipeng Lei1
1Cancer Centre, Faculty of Health Sciences, University of Macau, Macau SAR, China; Centre for Precision Medicine Research and Training, Faculty of Health Sciences, University of Macau, Macau SAR, China; Ministry of Education Frontiers Science Center for Precision Oncology, University of Macau, Taipa, Macau SAR, China; Zhuhai UM Science & Technology Research Institute, Hengqin, China.
Abstract:
Platinum-based chemotherapy remains a cornerstone of cancer treatment; however, its clinical efficacy is frequently compromised by acquired drug resistance. Our study elucidated a novel resistance mechanism mediated by LARS2 signaling in mammary tumors. Through comprehensive multi-omics analyses of cancer patients, mouse models, and functional validation, we demonstrated that platinum treatment upregulates LARS2 via a danger-triggered host response during resistant tumor progression, concomitant with increased chromatin accessibility. This signaling drives drug resistance through two key mechanisms: enrichment of cancer stem cells and promotion of TGF-β-mediated immunosuppression, as evidenced by M2 macrophage polarization and CD8+ T cell exhaustion. Importantly, we developed an effective therapeutic strategy combining carboplatin with LARS2 signaling pathway inhibition, which successfully reversed platinum resistance and restored PD-1 checkpoint blockade sensitivity in preclinical models. These findings not only advance our understanding of chemotherapy resistance, but also provide a translatable therapeutic framework for breast cancer and other platinum-treated malignancies.
Insights
This study reveals LARS2 signaling as a key driver of platinum chemotherapy resistance in breast cancer. Inhibiting LARS2 signaling can overcome resistance and enhance immunotherapy effectiveness.
Area of Science:
- Oncology
- Molecular Biology
- Immunology
Background:
- Platinum-based chemotherapy is vital for cancer treatment but often fails due to acquired drug resistance.
- Understanding novel resistance mechanisms is crucial for improving patient outcomes.
Purpose of the Study:
- To elucidate a novel LARS2 signaling-mediated resistance mechanism in platinum-treated mammary tumors.
- To explore therapeutic strategies to overcome platinum resistance and enhance immunotherapy.
Main Methods:
- Multi-omics analyses in cancer patients and mouse models.
- Functional validation of LARS2 signaling pathways.
- Assessment of cancer stem cell enrichment and tumor microenvironment modulation.
Main Results:
- Platinum treatment upregulates LARS2 via a danger-triggered response, increasing chromatin accessibility.
- LARS2 signaling promotes resistance by enriching cancer stem cells and inducing TGF-β-mediated immunosuppression (M2 polarization, CD8+ T cell exhaustion).
- Combination therapy of carboplatin with LARS2 inhibition reversed platinum resistance and restored PD-1 blockade sensitivity in preclinical models.
Conclusions:
- LARS2 signaling represents a significant mechanism of platinum chemotherapy resistance.
- Targeting LARS2 signaling offers a promising therapeutic strategy for overcoming resistance in breast cancer and other platinum-treated malignancies.
- This approach can potentially re-sensitize tumors to immunotherapy.
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