YEATS2/TAK1 axis mediates TGF-β1 driven adaptive resistance to sorafenib in hepatocellular carcinoma
Lizhi Bai1, Yu Wang2, Guanyi Li1
1Department of Thoracic Surgery, Affiliated Zhongshan Hospital of Dalian University, Dalian, 115007, China.
Abstract:
Although Sorafenib can effectively prolong the median survival time of HCC patients with limited side effects, it may cause many patients to develop drug resistance, becoming a barrier to extending the overall survival time of HCC patients. Our previous research explored the mechanism of the TGF-β1 pathway in the occurrence and development of liver cancer; the mechanism of the TGF-β1 pathway in sorafenib resistance needs further exploration. Through the analysis of the related sequencing results of TGF-β1-treated Huh7 cells and sorafenib-resistant Huh7 cells in the GEO database, we identified YEATS2 as a TGF-β1-responsive gene that is consistently upregulated in sorafenib-resistant HCC models and associated with poor patient prognosis. Silencing YEATS2 significantly restored sorafenib sensitivity under TGF-β1-conditioned settings. Mechanistically, YEATS2 physically interacted with TGF-β-activated kinase 1 (TAK1), as supported by structural modeling, molecular dynamics simulation, and reciprocal co-immunoprecipitation. YEATS2 enhanced TAK1 activation and downstream stress-response signaling, whereas pharmacological or genetic inhibition of TAK1 abrogated YEATS2-mediated adaptive resistance to sorafenib. Our findings identify YEATS2 as a critical mediator of TGF-β1-driven adaptive resistance to sorafenib in HCC through functional activation of TAK1 signaling. Our findings identify the YEATS2-TAK1 axis as a mechanistically relevant pathway underlying TGF-β1-conditioned adaptive resistance to sorafenib in HCC.
Insights
Hepatocellular carcinoma (HCC) patients developing sorafenib resistance can be treated by targeting the YEATS2-TAK1 pathway. This pathway mediates resistance driven by TGF-β1, offering new therapeutic strategies for HCC.
Area of Science:
- Hepatocellular Carcinoma Research
- Molecular Oncology
- Drug Resistance Mechanisms
Background:
- Sorafenib is a standard treatment for hepatocellular carcinoma (HCC), but drug resistance limits its efficacy.
- The transforming growth factor-beta 1 (TGF-β1) pathway is implicated in HCC development, and its role in sorafenib resistance requires further investigation.
Purpose of the Study:
- To elucidate the mechanism of TGF-β1-mediated sorafenib resistance in HCC.
- To identify novel therapeutic targets for overcoming sorafenib resistance in HCC.
Main Methods:
- Analysis of gene expression data from TGF-β1-treated and sorafenib-resistant HCC cell lines (GEO database).
- Gene silencing of YEATS2 and assessment of sorafenib sensitivity.
- Investigating the interaction between YEATS2 and TGF-β-activated kinase 1 (TAK1) using structural modeling, molecular dynamics simulation, and co-immunoprecipitation.
- Inhibition of TAK1 activity to evaluate its role in resistance.
Main Results:
- YEATS2 was identified as a TGF-β1-responsive gene upregulated in sorafenib-resistant HCC models, correlating with poor prognosis.
- Silencing YEATS2 restored sorafenib sensitivity in HCC cells under TGF-β1 stimulation.
- YEATS2 physically interacts with TAK1, enhancing its activation and downstream signaling.
- Inhibition of TAK1 abrogated YEATS2-mediated adaptive resistance to sorafenib.
Conclusions:
- YEATS2 acts as a key mediator of TGF-β1-driven adaptive resistance to sorafenib in HCC.
- The YEATS2-TAK1 signaling axis represents a novel therapeutic target for overcoming sorafenib resistance in HCC.
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