Journal
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
Volume 19, Issue 7, Pages -Publisher
MDPI
DOI: 10.3390/ijms19071981
Keywords
gastric cancer; trastuzumab resistance; Wnt/beta-catenin pathway; EMT; label-free quantitative proteomics
Funding
- Research Fund for Doctoral Program of North Sichuan Medical College [CBY17-QD05]
- Sichuan Province Education Department [17ZB0170]
- Sichuan Science and Technology department [2016JY0032]
- Project for first-class pharmaceutical sciences of North Sichuan Medical College
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Resistance to trastuzumab, which specifically target HER2-positive breast and gastric cancer, can develop ultimately in cancer patients. However, the underlying mechanisms of resistance in gastric cancer have not been fully elucidated. Here, we established trastuzumab-resistant MKN45 and NCI N87 gastric cancer sublines from their parental cells. The resistant cells exhibited characteristics of epithelial-mesenchymal transition (EMT) and acquired higher migratory and invasive capacities. To exploit the activated pathways and develop new strategies to overcome trastuzumab resistance, we investigated MKN45 and MKN45/R cells via label-free quantitative proteomics, and found pathways that were altered significantly in MKN45/R cells, with the Wnt/beta-catenin pathway being the most significant. We further confirmed the activation of this pathway by detecting its key molecules in MKN45/R and NCI N87/R cells viaWestern blot, in which Wnt3A, FZD6, and CTNNB1 increased, whereas GSK-3 beta decreased, manifesting the activation of the Wnt/beta-catenin pathway. Correspondingly, inhibition of Wnt/beta-catenin pathway by ICG-001, a specific Wnt/beta-catenin inhibitor, preferentially reduced proliferation and invasion of trastuzumab-resistant cells and reversed EMT. Concurringly, CTNNB1 knockdown in stable cell lines potently sensitized cells to trastuzumab and induced more apoptosis. Taken together, our study demonstrates that the Wnt/beta-catenin pathway mediates trastuzumab resistance, and the combination of Wnt/beta-catenin inhibitors with trastuzumab may be an effective treatment option.
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