Abstract

BackgroundChemoresistance to temozolomide (TMZ) is a major challenge in the treatment of glioblastoma (GBM). We previously found that miR-519a functions as a tumor suppressor in glioma by targeting the signal transducer and activator of transcription 3 (STAT3)-mediated autophagy oncogenic pathway. Here, we investigated the effects of miR-519a on TMZ chemosensitivity and autophagy in GBM cells. Furthermore, the underlying molecular mechanisms and signaling pathways were explored.MethodsIn the present study, two stable TMZ-resistant GBM cell lines were successfully generated by exposure of parental cells to a gradually increasing TMZ concentration. After transfecting U87-MG/TMZ and U87-MG cells with miR-519a mimic or inhibitor, a series of biochemical assays such as MTT, apoptosis, and colony formation were performed to determine the chemosensitive response to TMZ. The autophagy levels in GBM cells were detected by transmission electron microscopy, LC3B protein immunofluorescence, and Western blotting analysis. Stable knockdown and overexpression of miR-519a in GBM cells were established using lentivirus. A xenograft nude mouse model and in situ brain model were used to examine the in vivo effects of miR-519a. Tumor tissue samples were collected from 48 patients with GBM and were used to assess the relationship between miR-519a and STAT3 expression.ResultsTMZ treatment significantly upregulated miR-519a in U87-MG cells but not in U87-MG/TMZ cells. Moreover, the expression of miR-519a and baseline autophagy levels was lower in U87-MG/TMZ cells as compared to U87-MG cells. miR-519a dramatically enhanced TMZ-induced autophagy and apoptotic cell death in U87-MG/TMZ cells, while inhibition of miR-519a promoted TMZ resistance and reduced TMZ-induced autophagy in U87-MG cells. Furthermore, miR-519a induced autophagy through modification of STAT3 expression. The in vivo results showed that miR-519a can enhance apoptosis and sensitized GBM to TMZ treatment by promoting autophagy and targeting the STAT3/Bcl-2/Beclin-1 pathway. In human GBM tissues, we found an inverse correlation between miR-519a and STAT3 expression.ConclusionsOur results suggested that miR-519a increased the sensitivity of GBM cells to TMZ therapy. The positive effects of miR-519a may be mediated through autophagy. In addition, miR-519a overexpression can induce autophagy by inhibiting STAT3/Bcl-2 pathway. Therefore, a combination of miR-519a and TMZ may represent an effective therapeutic strategy in GBM.

Highlights

  • Chemoresistance to temozolomide (TMZ) is a major challenge in the treatment of glioblastoma (GBM)

  • We found that miR-519a sensitized the U87-MG/TMZ cells to TMZ and confirmed that anti-miR-519a induced TMZ resistance in U87-MG cells (Fig. 1c)

  • The results revealed that the number of autophagic vacuoles per cell was markedly increased in miR-519a-overexpressing U87-MG/TMZ cells and decreased in miR-519a-knockdown U87-MG cells after TMZ treatment (Fig. 2d)

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Summary

Introduction

Chemoresistance to temozolomide (TMZ) is a major challenge in the treatment of glioblastoma (GBM). Glioblastoma (GBM) is the most common primary malignant brain tumor in adults [1]. Multimodality treatment such as cytoreductive surgery followed by radiotherapy with concomitant and adjuvant temozolomide (TMZ) chemotherapy has been widely accepted as the new standard of care for patients with newly diagnosed GBM. Intrinsic or acquired chemoresistance to TMZ is a major clinical obstacle for the treatment of GBM patients. A better understanding of the molecular mechanisms underlying TMZ chemoresistance may lead to improved clinical outcomes in GBM patients. Modulation of autophagy in response to TMZ treatment may hold great promise for circumventing chemotherapeutic resistance and improving anticancer efficacy in GBM patients. The roles of autophagy in regulating GBM cell death and survival remain controversial

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