Abstract

Acquired resistance to chemotherapy is a major obstacle in breast cancer (BC) treatment. Accumulated evidence has uncovered that microRNAs (miRNAs) are vital regulators of chemoresistance in cancer. Growing studies reveal that miR-137 acts as a suppressor in tumor progression. However, it remains obscure the role of miR-137 in modulating the sensitivity of BC cells to doxorubicin (DOX). In this study, we demonstrate that miR-137 exerts a significant effect on repressing the development of chemoresistance of BC cells in response to DOX via attenuating epithelial-mesenchymal transition (EMT) of tumor cells in vitro and in vivo. MiR-137 overexpression dramatically elevated the sensitivity of BC cells to DOX as well as impaired the DOX-promoted EMT of tumor cells. Mechanistically, miR-137 directly targeted dual-specificity phosphatase 4 (DUSP4) to impact on the EMT and chemoresistance of BC cells upon DOX treatment. Consistently, decreased DUSP4 efficiently enhanced the sensitivity of BC cells to DOX while overexpressed DUSP4 significantly diminished the beneficial effect of miR-137 on BC cells chemoresistance. Moreover, the increased miR-137 heightened the sensitivity of BC cells-derived tumors to DOX through targeting DUSP4 in vivo. Together, our results provide a novel insight into the DOX resistance of BC cells and miR-137 may serve as a new promising therapeutic target for overcoming chemoresistance in BC.

Highlights

  • Breast cancer (BC) is one of the most frequently diagnosed cancers in women worldwide[1]

  • We demonstrate that overexpressed miR-137 alleviated the development of DOX resistance in breast cancer (BC) cells and dual-specificity phosphatase 4 (DUSP4) is a novel target gene of miR-137

  • Resistance of BC, we first studied the viability of four BC cell lines (MCF-7/ADR [adriamycin-resistant], MDAMB-468, HCC1937, MCF-7) following exposure to different concentrations of DOX

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Summary

Introduction

Breast cancer (BC) is one of the most frequently diagnosed cancers in women worldwide[1]. Doxorubicin (DOX) and its analog epirubicin are widely used in most chemotherapeutic regimens in BC4. Intrinsic or acquired resistance to DOX limits the clinical outcomes. Active EMT is often detected in cancer progression, and the abnormally activated EMT enables cells to acquire highly malignant properties, including mobility, invasiveness, and distant metastasis ability[8,9]. An increasing number of studies have indicated that cancer cells that undergo EMT acquire cancer stem cell characteristics, significantly promoting the development of chemoresistance[10]. Targeting EMT can overcome chemoresistance and suppress tumor metastasis[6]. In BC, accumulating evidence has demonstrated that EMT is involved in drug resistance

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