HAND2-AS1 Promotes Ferroptosis to Reverse Lenvatinib Resistance in Hepatocellular Carcinoma by TLR4/NOX2/DUOX2 Axis

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INTRODUCTION: Lenvatinib resistance causes less than 40% of the objective response rate. Therefore, it is urgent to explore new therapeutic targets to reverse the lenvatinib resistance for HCC. HAND2-AS1 is a critical tumor suppressor gene in various cancers.

METHODS: Here, we investigated the role of HAND2-AS1 in the molecular mechanism of lenvatinib resistance in HCC. It was found that HAND2-AS1 was lowly expressed in the HepG2 lenvatinib resistance (HepG2-LR) cells and HCC tissues and associated with progression-free intervals via TCGA. Overexpression of HAND2-AS1 (OE-HAND2-AS1) decreased the IC50 of lenvatinib in HepG2-LR cells to reverse lenvatinib resistance. Moreover, OE-HAND2-AS1 induced intracellular concentrations of malondialdehyde (MDA) and lipid ROS and decreased the ratio of glutathione to glutathione disulfide (GSH/GSSG) to promote ferroptosis.

RESULTS: A xenograft model in which nude mice were injected with OE-HAND2-AS1 HepG2-LR cells confirmed that OE-HAND2-AS1 could reverse lenvatinib resistance and decrease tumor formation in vivo. HAND2-AS1 promoted the expression of ferroptosis-related genes (TLR4, NOX2, and DUOX2) and promoted ferroptosis to reverse lenvatinib resistance by increasing TLR4/ NOX2/DUOX2 via competing endogenous miR-219a-1-3p in HCC cells. Besides, patients with a low HAND2-AS1 level had early recurrence after resection.

CONCLUSION: These findings suggested that HAND2-AS1 may be a potential therapeutic target and an indicator of early recurrence for HCC.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - year:2024

Enthalten in:

Current cancer drug targets - (2024) vom: 07. März

Sprache:

Englisch

Beteiligte Personen:

Song, Zheng [VerfasserIn]
Zhang, Yu [VerfasserIn]
Luo, Wei [VerfasserIn]
Sun, Chao [VerfasserIn]
Lv, Caihong [VerfasserIn]
Wang, Sihao [VerfasserIn]
He, Quanwei [VerfasserIn]
Xu, Ran [VerfasserIn]
Bai, Zhaofang [VerfasserIn]
Chang, Xiujuan [VerfasserIn]
Yang, Yongping [VerfasserIn]

Links:

Volltext

Themen:

Cancer
Cells
Deaths
Hepatocellular carcinoma
Journal Article
Lenvatinib.
Reactive oxygen species

Anmerkungen:

Date Revised 11.03.2024

published: Print-Electronic

Citation Status Publisher

doi:

10.2174/0115680096279597240219055135

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369551648