Abstract
A main obstacle to overcome during the treatment of tumors is drug resistance to chemotherapy; emerging studies indicate that a key factor contributing to this problem is the acidic tumor microenvironment. Here, we found that LASS2 expression was significantly lower in drug-resistant Michigan Cancer Foundation-7/adriamycin (MCF-7/ADR) human breast cancer cells than the drug-sensitive MCF-7 cells, and low expression of LASS2 was associated with poor prognosis in patients with breast cancer. Our results showed that the overexpression of LASS2 in MCF-7/ADR cells increased the chemosensitivity to multiple chemotherapeutic agents, including doxorubicin (Dox), whereas LASS2 knockdown in MCF-7 cells decreased the chemosensitivity. Cell-cycle analysis revealed a corresponding increase in apoptosis in the LASS2-overexpressing cells following Dox exposure, showing that the overexpression of LASS2 increased the susceptibility to Dox cytotoxicity. This effect was mediated by a significant increase in pHe (extracellular pH) and lysosomal pH, and more Dox entered the cells and stayed in the nuclei of cells. In nude mice, the combination of LASS2 overexpression and Dox significantly inhibited the growth of xenografts. Our findings suggest that LASS2 is involved in chemotherapeutic outcomes and low LASS2 expression may predict chemoresistance.
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Accession codes
Abbreviations
- 5-FU:
-
5-fluorouracil
- ABC:
-
ATP-binding cassette
- ADR:
-
adriamycin
- DDP:
-
cisplatin
- DFS:
-
disease-free survival
- Dox:
-
doxorubicin
- EPI:
-
epirubicin hydrochloride
- IAP:
-
inhibitor of apoptosis protein
- LASS2:
-
Homo sapiens longevity assurance homolog 2 of yeast LAG1
- MDR:
-
multidrug resistance
- MTO:
-
mitoxantrone dihydrochloride
- OS:
-
overall survival
- pHe:
-
extracellular pH
- pHi:
-
intracellular pH
- PSS:
-
protonation, sequestration and secretion
- V-ATPase:
-
vacuolar-H+-ATPase
- VRL:
-
vinorelbine bitartrate
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Acknowledgements
We are grateful to Shenglin Huang, Jun Li and Jie Chen for the kind suggestions and technical assistance. This work was supported by grants from the National Key Basic Research Program of China (2009CB521803), National Key Sci-Tech Special Project of China (2012ZX10002011-004) and National Natural Science Foundation of China (30973492 and 81030038).
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Fan, S., Niu, Y., Tan, N. et al. LASS2 enhances chemosensitivity of breast cancer by counteracting acidic tumor microenvironment through inhibiting activity of V-ATPase proton pump. Oncogene 32, 1682–1690 (2013). https://doi.org/10.1038/onc.2012.183
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DOI: https://doi.org/10.1038/onc.2012.183
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