首页|AKR1C1 interacts with STAT3 to increase intracellular glutathione and confers resistance to oxaliplatin in colorectal cancer

AKR1C1 interacts with STAT3 to increase intracellular glutathione and confers resistance to oxaliplatin in colorectal cancer

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Oxaliplatin(OXA),a platinum-based chemotherapeutic agent,remains a mainstay in first-line treatments for advanced colorectal cancer(CRC).However,the eventual development of OXA resis-tance represents a significant clinical challenge.In the present study,we demonstrate that the aldo-keto reductase 1C1(AKR1C1)is overexpressed in CRC cells upon acquisition of OXA resistance,evident in OXA-resistant CRC cell lines.We employed genetic silencing and pharmacological inhibition strategies to establish that suppression of AKR1C1 restores OXA sensitivity.Mechanistically,AKR1C1 interacts with and activates the transcription factor STAT3,which upregulates the glutamate transporter EAAT3,thereby elevating intracellular glutathione levels and conferring OXA resistance.Alantolactone,a potent natural product inhibitor of AKR1C1,effectively reverses this chemoresistance,restricting the growth of OXA-resistant CRC cells both in vitro and in vivo.Our findings uncover a critical AKR1C1-dependent mechanism behind OXA resistance and propose a promising combinatorial therapeutic strategy to over-come this resistance in CRC.

Oxaliplatin resistanceAKR1C1Colorectal cancerAlantolactoneGlutathioneCombination therapyNatural productChemoresistance

Zhiwen Fu、Tingting Wu、Chen Gao、Lulu Wang、Yu Zhang、Chen Shi

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Department of Pharmacy,Union Hospital,Tongji Medical College,Huazhong University of Science and Technology,Wuhan 430022,China

Hubei Province Clinical Research Center for Precision Medicine for Critical Illness,Wuhan 430022,China

2024

药学学报(英文版)

药学学报(英文版)

CSTPCD
ISSN:
年,卷(期):2024.14(12)