MARCH1 attenuates lung adenocarcinoma by blocking macrophage M2 polarization and cisplatin resistance through

Huifeng Wang1, Yanyan Sun2, Rui Zi1

  • 1The First Department of Oncology, Tumor Hospital, General Hospital of Ningxia Medical University, Yinchuan, Ningxia Hui Autonomous Region 750004, People's Republic of China.

Insights

Membrane-associated RING-CH finger protein 1 (MARCH1) suppresses lung cancer progression and cisplatin resistance by blocking M2 macrophage polarization via SLC25A17 ubiquitination. This discovery offers a new therapeutic strategy for lung adenocarcinoma (LUAD).

Area of Science:

  • Oncology
  • Immunology
  • Molecular Biology

Background:

  • Cisplatin (DDP) resistance is a major challenge in lung adenocarcinoma (LUAD) treatment, linked to an inflamed tumor microenvironment.
  • Membrane-associated RING-CH finger protein 1 (MARCH1) influences the tumor microenvironment and chemotherapy resistance, but its specific role in DDP-resistant LUAD is unclear.

Purpose of the Study:

  • To elucidate the role and underlying mechanisms of MARCH1 in DDP-resistant LUAD.
  • To investigate MARCH1's impact on tumor-associated macrophage polarization and cisplatin sensitivity.

Main Methods:

  • Analysis of MARCH1 expression in DDP-resistant LUAD tissues and correlation with prognosis.
  • In vitro studies using DDP/A549 cells to assess MARCH1's effects on sensitivity, proliferation, invasion, and apoptosis.
  • Co-culture experiments, ELISA, flow cytometry, Western blotting, immunofluorescence, co-immunoprecipitation, and ubiquitination assays to explore molecular mechanisms.
  • In vivo tumor models to confirm MARCH1's therapeutic potential.

Main Results:

  • MARCH1 was downregulated in DDP-resistant LUAD, with low expression correlating with poor prognosis.
  • MARCH1 overexpression enhanced DDP sensitivity, suppressed cancer cell proliferation/invasion, and promoted apoptosis.
  • MARCH1 suppressed M2 polarization of tumor-associated macrophages and modulated the tumor immune microenvironment.
  • MARCH1 facilitated the ubiquitination and degradation of SLC25A17, a key factor in M2 polarization and DDP resistance.

Conclusions:

  • MARCH1 suppresses lung cancer progression and DDP resistance by inhibiting M2 macrophage polarization through ubiquitinating SLC25A17.
  • MARCH1 represents a potential therapeutic target for overcoming cisplatin resistance in LUAD.
  • This study reveals a novel mechanism underlying DDP resistance in LUAD involving MARCH1 and macrophage polarization.