Fas signaling promotes chemoresistance in gastrointestinal cancer by up-regulating P-glycoprotein

Oncotarget. 2014 Nov 15;5(21):10763-77. doi: 10.18632/oncotarget.2498.

Abstract

Fas signaling promotes metastasis of gastrointestinal (GI) cancer cells by inducing epithelial-mesenchymal transition (EMT), and EMT acquisition has been found to cause cancer chemoresistance. Here, we demonstrated that the response to chemotherapy of GI cancer patients with higher expression of FasL was significantly worse than patients with lower expression. Fas-induced activation of the ERK1/2-MAPK pathway decreased the sensitivity of GI cancer cells to chemotherapeutic agents and promoted the expression of P-glycoprotein (P-gp). FasL promoted chemoresistance of GI cancer cell via upregulation of P-gp by increasing β-catenin and decreasing miR-145. β-catenin promoted P-gp gene transcription by binding with P-gp promoter while miR-145 suppressed P-gp expression by interacting with the mRNA 3'UTR of P-gp. Immunostaining and qRT-PCR analysis of human GI cancer samples revealed a positive association among FasL, β-catenin, and P-gp, but a negative correlation between miR-145 and FasL or P-gp. Altogether, our results showed Fas signaling could promote chemoresistance in GI cancer through modulation of P-gp expression by β-catenin and miR-145. Our findings suggest that Fas signaling-based cancer therapies should be administered cautiously, as activation of this pathway may not only lead to apoptosis but also induce chemoresistance.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / genetics
  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / metabolism*
  • Apoptosis
  • Blotting, Western
  • Cell Proliferation
  • Chromatin Immunoprecipitation
  • Drug Resistance, Multiple*
  • Drug Resistance, Neoplasm*
  • Epithelial-Mesenchymal Transition
  • Fas Ligand Protein / genetics
  • Fas Ligand Protein / metabolism*
  • Gastrointestinal Neoplasms / drug therapy
  • Gastrointestinal Neoplasms / metabolism*
  • Gastrointestinal Neoplasms / pathology
  • Humans
  • Immunoenzyme Techniques
  • MicroRNAs / genetics
  • Precancerous Conditions / drug therapy
  • Precancerous Conditions / metabolism*
  • Precancerous Conditions / pathology
  • RNA, Messenger / genetics
  • Real-Time Polymerase Chain Reaction
  • Reverse Transcriptase Polymerase Chain Reaction
  • Tumor Cells, Cultured
  • beta Catenin / genetics
  • beta Catenin / metabolism*

Substances

  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Fas Ligand Protein
  • MIRN145 microRNA, human
  • MicroRNAs
  • RNA, Messenger
  • beta Catenin