Abstract

Chemoresistance is considered to be a major cause of the recurrence and metastasis of breast cancer (BC). LncRNA SNHG7 has been reported to be upregulated in breast cancer and to promote tumor progression and metastasis. Nevertheless, the function and potential regulatory mechanism of SNHG7 in BC drug resistance are still largely unclear. This study indicated that SNHG7 was highly expressed in chemoresistant BC tissues and cells. Upregulated SNHG7 might predict a low pCR rate and poor clinical outcome in BC patients. Knockdown of SNHG7 enhanced drug sensitivity and drug-induced apoptosis in chemoresistant BC cells. In terms of the mechanism, miR-34a was found to be a target of SNHG7 and its expression in breast cancer tissues and chemoresistant cell lines was negatively correlated with SNHG7 expression. Importantly, sh-SNHG7 upregulated miR-34a expression, reduced the percentages of CD44+/CD24−cells, and inhibited sphere-formation and stem cell factor (Oct4, Nanog, SOX2) expression. Functional loss experiments showed that the repressive effect of SNHG7 knockdown on BC cell stemness was partially reversed by transfection with miR-34a inhibitors. In summary, this study indicated that SNHG7 contributed to the chemoresistance of BC and mediated chemoresistance and cancer stemness by sponging miR-34a.

Highlights

  • Breast cancer is one of the most prevalent cancers and the second leading causes of cancer-related death among women worldwide [1]

  • Chemoresistance frequently occurs in Abbreviations: SNHG7, Small Nucleolar RNA Host Gene 7; breast cancer (BC), Breast cancer; NAC, Neoadjuvant chemotherapy; RFS, Recurrence-free Survival; NSCLC, Non-small cell lung cancer; RECIST, Response Evaluation Criteria in Solid Tumors; DMEM, Dulbecco’s Modified Eagle’s Medium; STR, Short tandem repeat; pathological complete response (pCR), Pathological complete response; FFPE, Formalin-fixed paraffin embedded; OS, Overall Survival; Diseasefree survival (DFS), Disease-Free Survival; HR, Hazard ratio; CSCs, Cancer stem cells

  • The results indicated that transfection of with SNHG7 shRNA upregulated miR-34a expression in breast cancer cells, which was exceptionally reversed by miR-34a inhibitors (Figure 5A)

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Summary

Introduction

Breast cancer is one of the most prevalent cancers and the second leading causes of cancer-related death among women worldwide [1]. Due to the continuous optimization of diagnostic methods and treatment measures, including surgery, chemotherapy and radiotherapy, the cure rate of BC has drastically improved during the past decade [2]. Chemoresistance frequently occurs in Abbreviations: SNHG7, Small Nucleolar RNA Host Gene 7; BC, Breast cancer; NAC, Neoadjuvant chemotherapy; RFS, Recurrence-free Survival; NSCLC, Non-small cell lung cancer; RECIST, Response Evaluation Criteria in Solid Tumors; DMEM, Dulbecco’s Modified Eagle’s Medium; STR, Short tandem repeat; pCR, Pathological complete response; FFPE, Formalin-fixed paraffin embedded; OS, Overall Survival; DFS, Disease-Free Survival; HR, Hazard ratio; CSCs, Cancer stem cells. Doxorubicin and taxane are widely used in systemic chemotherapy of BC and their resistance usually implied the failure of the optimal treatment [4]. It is of great importance to sequentially elucidate the underlying mechanisms and to discover novel therapeutic targets to overcome chemoresistance in breast cancer patients

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