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Disrupting KRAS-AGO2 interaction: a dual-pronged strategy to sensitize chemo-immunotherapy in KRAS-mutated colorectal
Jingyi Xie1,2, Simeng Wang1, Juan Liu3
1Department of Endocrinology and Metabolism and International Joint Research Center for Tumor Precision Medicine of Shaanxi Province, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, 710061, People's Republic of China.
Abstract:
KRAS mutations are among the most common genetic alterations in colorectal cancer (CRC) and are strongly linked to poor prognosis and therapeutic resistance. However, current treatments targeting KRAS-mutated CRC have shown limited clinical efficacy. Argonaute 2 (AGO2) is a critical component in microRNA (miRNA)-mediated gene silencing complex, which is involved in the maturation of miRNAs and the regulation of target genes. It has been reported that mutated KRAS can interact with AGO2 and impair its function, thereby amplifying the oncogenic potency of mutant KRAS and accelerating tumor progression. To explore the therapeutic implications of this interaction, we developed a peptide inhibitor and engineered peptide-gold nanoparticles (Au-pep) that specifically disrupted KRAS-AGO2 interaction, which dramatically attenuated the malignant phenotype of KRAS-mutated CRC cells. Mechanistically, Au-pep-mediated disruption of the KRAS-AGO2 complex led to partial restoration of the miRNA expression landscape, with let‑7c‑5p emerging as the most significantly up‑regulated effector. As a result, restored let-7c-5p caused a significant down-regulation of key oncogenic drivers (KRAS, c-Myc and Bcl2) to suppress the growth of KRAS-mutated CRC cells and induce their apoptosis. Furthermore, this miRNA restoration conferred dual therapeutic benefits by sensitizing KRAS-mutated CRC cells to 5-fluorouracil (5-FU) via ABCC5 repression and augmenting immunotherapy responsiveness via PD-L1 down-regulation. Our findings, taken together, delineate a new therapeutic paradigm with significant translational potential for improving clinical outcomes in this recalcitrant patient population.
Insights
A novel peptide-gold nanoparticle therapy disrupts KRAS-AGO2 interaction, restoring microRNA (miRNA) let-7c-5p to suppress KRAS-mutated colorectal cancer (CRC) growth and enhance treatment sensitivity.
Area of Science:
- Oncology
- Molecular Biology
- Nanotechnology
Background:
- KRAS mutations are common in colorectal cancer (CRC), leading to poor prognosis and treatment resistance.
- Mutated KRAS interacts with Argonaute 2 (AGO2), impairing microRNA (miRNA) function and promoting tumor progression.
- Current therapies for KRAS-mutated CRC have limited efficacy.
Purpose of the Study:
- To investigate the therapeutic potential of disrupting the KRAS-AGO2 interaction in KRAS-mutated CRC.
- To develop and evaluate a peptide-gold nanoparticle (Au-pep) inhibitor targeting the KRAS-AGO2 complex.
- To elucidate the underlying molecular mechanisms of Au-pep treatment.
Main Methods:
- Development of peptide-gold nanoparticles (Au-pep) to specifically inhibit KRAS-AGO2 interaction.
- Assessment of Au-pep's effect on the malignant phenotype of KRAS-mutated CRC cells.
- Analysis of miRNA expression landscape changes and identification of key miRNA effectors.
- Evaluation of Au-pep's impact on oncogenic driver expression (KRAS, c-Myc, Bcl2).
- Investigation of Au-pep's synergistic effects with 5-fluorouracil (5-FU) and immunotherapy.
Main Results:
- Au-pep treatment significantly attenuated the malignant phenotype of KRAS-mutated CRC cells.
- Disruption of the KRAS-AGO2 complex partially restored miRNA expression, notably up-regulating let-7c-5p.
- Restored let-7c-5p down-regulated oncogenic drivers (KRAS, c-Myc, Bcl2), suppressing CRC cell growth and inducing apoptosis.
- Au-pep sensitized CRC cells to 5-FU by repressing ABCC5 and enhanced immunotherapy response via PD-L1 down-regulation.
Conclusions:
- Disrupting the KRAS-AGO2 interaction with Au-pep offers a novel therapeutic strategy for KRAS-mutated CRC.
- This approach restores miRNA function, suppresses tumor growth, and overcomes therapeutic resistance.
- The findings present a promising therapeutic paradigm with significant translational potential for recalcitrant CRC patients.
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