Abstract

Cisplatin and other platinum-based drugs have been widely used in the treatment of ovarian cancer, but most patients acquire the drug resistance that greatly compromises the efficacy of drugs. Understanding the mechanism of drug resistance is important for finding new therapeutic approaches. In the present study, we found that the expression of vimentin was downregulated in drug-resistant ovarian cancer cell lines A2780-DR and HO-8910 as compared to their respective control cells. Overexpression of vimentin in A2780-DR cells markedly increased their sensitivity to cisplatin, whereas knockdown of vimentin in A2780, HO-8910-PM and HO-8910 cells increased the resistance to cisplatin, demonstrating that vimentin silencing enhanced cisplatin resistance in ovarian cancer cells. Quantitative proteomic analysis identified 95 differentially expressed proteins between the vimentin silenced A2780 cells (A2780-VIM-KN) and the control cells, in which downregulation of endocytic proteins and the upregulation of exocytotic proteins CHMP2B and PDZK1 were proposed to contribute the decreased cisplatin accumulation in vimentin knockdown cells. Silencing of vimentin induced upregulation of cancer stem cell markers and both A2780-DR and A2780-VIM-KN cells were more facile to form spheroids than control cells under serum-free culture condition. Our results also revealed that vimentin knockdown increased the 14-3-3 mediated retention of Cdc25C in the cytoplasm, leading to inactivation of Cdk1 and the prolonged G2 phase arrest that allowed the longer period of time for cells to repair cisplatin-damaged DNA. Taken together, we demonstrated that vimentin silencing enhanced cells' resistance to cisplatin via prolonged G2 arrest and increased exocytosis, suggesting that vimentin is a potential target for treatment of drug resistant ovarian cancer.

Highlights

  • Ovarian cancer causes the majority death in women with gynecological cancer

  • These results propose that the expression levels of vimentin are negatively correlated to drug resistance in ovarian cancer cells

  • Downregulation of vimentin was identified in widely used drug resistant ovarian cancer cell lines in the present and previous studies [14, 23], suggesting that the www.impactjournals.com/oncotarget low expression of vimentin correlated with drug resistance in ovarian cancer cells

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Summary

Introduction

Ovarian cancer causes the majority death in women with gynecological cancer. Patients with ovarian cancer are normally treated with surgical resection followed by platinum/taxane-based chemotherapy. The acquisition of resistance to currently available drugs during therapy is frequently present in ovarian cancer patients that have greatly compromised the therapeutic efficacy [1,2,3]. Platinum-based drug resistance in ovarian cancer has been attributed to many factors including intracellular cisplatin inactivation, reduced intracellular drug accumulation, increased DNA repair and defects in cell death signaling pathways [4]. Overexpression of ATP7A or ATP7B responsible for the efflux of cisplatin increases the www.impactjournals.com/oncotarget resistance to cisplatin [8]. Increased repair of damaged DNA contributes to the drug resistance [9,10,11,12]. Defects in cell death signaling pathways are present in drug resistant cells. AKT was phosphorylated by DNA-PK which inhibited cisplatin-mediated apoptosis [13]

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