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Effect of ARHGAP9 on Chemoresistance in High-Risk Advanced Retinoblastoma via the Rac1/β-Catenin/LEF1 Signaling Axis

Wenping Song1,2, Ruijie Li3, Xuan Wu3

  • 1Department of Pharmacy, HNHC Key Laboratory of Anti-tumor Drug Research (Henan Cancer Hospital), Henan Engineering Research Center for Tumor Precision Medicine and Comprehensive Evaluation, The Affiliated Cancer Hospital of Zhengzhou University & Henan Cancer Hospital, Zhengzhou, China.

Abstract

Insights

Rho GTPase-activating protein 9 (ARHGAP9) impacts chemotherapy resistance in retinoblastoma (RB). Restoring ARHGAP9 expression can improve drug response, suggesting its potential as a therapeutic target for high-risk RB.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • High-risk advanced retinoblastoma (RB) exhibits resistance to adjuvant chemotherapy, leading to recurrence and metastasis.
  • Reduced expression of Rho GTPase-activating protein 9 (ARHGAP9) was previously observed in etoposide-resistant RB cells.

Purpose of the Study:

  • To investigate the role of ARHGAP9 in chemoresistance in high-risk advanced RB.
  • To explore ARHGAP9 as a potential prognostic indicator or therapeutic target.

Main Methods:

  • Genomic and epigenomic analyses of peripheral blood from RB patients.
  • In vitro and in vivo studies using ARHGAP9-silenced and ARHGAP9-overexpressing RB cell lines.
  • Functional assays to elucidate the molecular mechanisms of ARHGAP9 in drug response.

Main Results:

  • ARHGAP9 knockdown decreased sensitivity to carboplatin and etoposide; ARHGAP9 overexpression restored drug sensitivity.
  • ARHGAP9 downregulation enhanced Rac1 activity, promoting Rac1-β-catenin interaction and nuclear accumulation.
  • This pathway led to increased LEF1-β-catenin complex formation and upregulation of c-Myc, cyclin D1, and Bcl-2, contributing to chemoresistance.

Conclusions:

  • ARHGAP9 modulates drug responses in RB through the Rac1/β-catenin/LEF1 signaling axis.
  • ARHGAP9 plays a significant role in chemotherapy resistance in high-risk advanced RB.
  • ARHGAP9 is a potential prognostic marker and therapeutic target for advanced high-risk RB.

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