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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 J+Hematol+Oncol
2016 ; 9
(1
): 76
Nephropedia Template TP
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A new mechanism of trastuzumab resistance in gastric cancer: MACC1 promotes the
Warburg effect via activation of the PI3K/AKT signaling pathway
#MMPMID27581375
Liu J
; Pan C
; Guo L
; Wu M
; Guo J
; Peng S
; Wu Q
; Zuo Q
J Hematol Oncol
2016[Aug]; 9
(1
): 76
PMID27581375
show ga
BACKGROUND: Trastuzumab, a humanized antibody targeting HER2, exhibits remarkable
therapeutic efficacy against HER2-positive gastric cancer. However, recurrent
therapeutic resistance presents revolutionary claims. Warburg effect and AKT
signaling pathway was involved in the resistance to trastuzumab. Our previous
studies have demonstrated that overexpression of metastasis associated with the
colon cancer 1 (MACC1) predicted poor prognosis of GC and promoted tumor cells
proliferation and invasion. In this study, we found that MACC1 was significantly
upregulated in trastuzumab-resistant cell lines. Besides, downregulation of MACC1
reversed this resistance. METHODS: The effect of trastuzumab and glycolysis
inhibitor combination on cell viability, apoptosis, and cell metabolism was
investigated in vitro using established trastuzumab-resistant GC cell lines. We
assessed the impact of trastuzumab combined with oxamate on tumor growth and
metabolism in an established xenograft model of HER2-positive GC cell lines.
RESULTS: Here, we found that MACC1 was significantly upregulated in
trastuzumab-resistant cell lines. Besides, downregulation of MACC1 in
trastuzumab-resistant cells reversed this resistance. Overexpression of
MACC1-induced trastuzumab resistance, enhanced the Warburg effect, and activated
the PI3K/AKT signaling pathway, while downregulation of MACC1 presented the
opposite effects. Moreover, when the PI3K/AKT signaling pathway was inhibited,
the effects of MACC1 on resistance and glycolysis were diminished. Our findings
indicated that MACC1 promoted the Warburg effect mainly through the PI3K/AKT
signaling pathway, which further enhanced GC cells trastuzumab resistance.
CONCLUSIONS: Our results indicate that co-targeting of HER2 and the Warburg
effect reversed trastuzumab resistance in vitro and in vivo, suggesting that the
combination might overcome trastuzumab resistance in MACC1-overexpressed,
HER2-positive GC patients.