Abstract

AimsSorafenib, the approved first-line chemotherapy drug for HCC (Hepatocellular Carcinoma), remains the key treatment agent which effectively improves the survival rate of advanced HCC patients. However, the sorafenib primary resistance limits the application of sorafenib for HCC treatment. The aims of current study are to explore the role and mechanism of SETD1A (Histone Lysine Methyltransferase SET Domain Containing 1A) in sorafenib primary resistance. Main methodsThe SETD1A expression in HCC was analyzed by Gene Expression Profiling Interactive Analysis. The survival of HCC patients was analyzed by Kaplan-Meier Plotter. Western Blot and Real-time qPCR were performed to measure the protein and mRNA levels, respectively. Cell counting kit-8 assay and colony formation assay were performed to determine cell viability and proliferation. Propidium Iodide and Trypan Blue staining assays were performed to investigate cell death. Key findingsHere, we showed that the expression of SETD1A was markedly upregulated in both HCC cell lines and tumor tissues compared to normal hepatocytes and corresponding non-tumor liver tissues, respectively. Regardless of whether treated with sorafenib, the patients who had higher level of SETD1A underwent lower survival rate of overall. In addition, SETD1A expression was positively correlated with the IC50 of sorafenib treated HCC cell lines. Furthermore, we indicated that knockdown of SETD1 augmented proliferation inhibition and cell death induced by sorafenib. SETD1A deficiency impaired YAP (Yes-associated protein) phosphorylation and activation. YAP activation contributed to SETD1A mediated sorafenib primary resistance. SignificanceThe current study demonstrated that SETD1A enhanced YAP activation to induce sorafenib primary resistance in HCC.

Highlights

  • Sorafenib, the approved first-line chemotherapy drug for Hepatocellular carcinoma (HCC), remains the key treatment agent which can effectively improve the survival rate of advanced HCC patients

  • Here, we showed that the expression of SETD1A was markedly upregulated in both HCC cell lines and tumor tissues compared to normal hepatocytes and corresponding non-tumor liver tissues, respectively

  • We indicated that knockdown of SETD1 augmented proliferation inhibition and cell death induced by sorafenib

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Summary

Introduction

The approved first-line chemotherapy drug for HCC, remains the key treatment agent which can effectively improve the survival rate of advanced HCC patients. HCC was often diagnosed at advanced stage, there were no reliable and effective treatment options, and the first-line systemic palliative drug approved by the Food and Drug Administration (FDA) was sorafenib [2,3,4]. The efficacy of sorafenib is transient owing to primary resistant. Primary resistance is partially due to HCC heterogeneity, the resistance is mainly caused by long-term exposure to sorafenib which rapidly induced activation of PI3K/AKT (phosphatidylinositol-3-kinase/protein kinase B, EMT (epithelial–mesenchymal transition) and JAK/STAT (janus tyrosine kinase/signal transducer and activator of transcription) pathways [6,7,8,9,10]

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