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2015 ; 106
(8
): 1023-32
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Src/STAT3-dependent heme oxygenase-1 induction mediates chemoresistance of breast
cancer cells to doxorubicin by promoting autophagy
#MMPMID26041409
Tan Q
; Wang H
; Hu Y
; Hu M
; Li X
; Aodengqimuge
; Ma Y
; Wei C
; Song L
Cancer Sci
2015[Aug]; 106
(8
): 1023-32
PMID26041409
show ga
Chemotherapeutic resistance in breast cancer, whether acquired or intrinsic,
remains a major clinical obstacle. Thus, increasing tumor cell sensitivity to
chemotherapeutic agents will be helpful in improving the clinical management of
breast cancer. In the present study, we found an induction of HO-1 expression in
doxorubicin (DOX)-treated MDA-MB-231 human breast adenocarcinoma cells, which
showed insensitivity to DOX treatment. Knockdown HO-1 expression dramatically
upregulated the incidence of MDA-MB-231 cell death under DOX treatment,
indicating that HO-1 functions as a critical contributor to drug resistance in
MDA-MB-231 cells. We further observed that DOX exposure induced a cytoprotective
autophagic flux in MDA-MB-231 cells, which was dependent on HO-1 induction.
Moreover, upregulation of HO-1 expression required the activation of both signal
transducer and activator of transcription (STAT)3 and its upstream regulator,
protein kinase Src. Abrogating Src/STAT3 pathway activation attenuated HO-1 and
autophagy induction, thus increasing the chemosensitivity of MDA-MB-231 cells.
Therefore, we conclude that Src/STAT3-dependent HO-1 induction protects
MDA-MB-231 breast cancer cells from DOX-induced death through promoting
autophagy. In the following study, we further demonstrated the contribution of
Src/STAT3/HO-1/autophagy pathway activation to DOX resistance in another breast
cancer cell line, MDA-MB-468, which bears a similar phenotype to MDA-MB-231
cells. Therefore, activation of Src/STAT3/HO-1/autophagy signaling pathway might
play a general role in protecting certain subtypes of breast cancer cells from
DOX-induced cytotoxicity. Targeting this signaling event may provide a potential
approach for overcoming DOX resistance in breast cancer therapeutics.