MiR-15b-3p weakens bicalutamide sensitivity in prostate cancer via targeting KLF2 to suppress ferroptosis

© The author(s)..

Bicalutamide (BIC) resistance impedes the treatment of prostate cancer (PCa) and seems to involve ferroptosis; however, the underlying mechanism remains unclear. Our study aimed to explore how miR-15b-3p modulates ferroptosis in response to BIC resistance and determine whether the miRNA is suitable for early screening of PCa. Here, we found that PCa tissues had significantly higher miR-15b-3p expression than adjacent normal tissues. Analysis of blood samples in patients who underwent prostate-specific antigen (PSA) screening revealed that miR-15b-3p was a more accurate diagnostic than PSA (miR-15b-3p area under the curve [AUC] = 0.941, PSA AUC = 0.815). In vitro experiments then demonstrated that miR-15b-3p expression was markedly higher in LNCaP, PC-3, and DU145 cells than in RWPE-1 cells. Treatment with BIC decreased miR-15b-3p expression and progressive ferroptosis. Mechanistically, we identified KLF2 as the downstream target of miR-15b-3p. Overexpressing KLF2 facilitated ferroptosis via augmenting MDA and iron concentrations, in turn inhibiting the SLC7A11/GPX4 axis and decreasing GSH concentration. Through modulating ferroptosis, miR-15b-3p mimic and inhibitor weakened and enhanced BIC sensitivity, respectively. Furthermore, BIC treatment limited xenograft tumor volume in vivo, whereas agomir-15b-3p promoted tumor growth, indicating that miR-15b-3p attenuated the tumor-suppressive effects of BIC. Taken together, our results suggested that miR-15b-3p is crucial to BIC resistance, specifically via targeting KLF2 and thereby suppressing ferroptosis. High miR-15b-3p expression in early PCa screening should reflect a higher probability of cancer. In conclusion, miR-15b-3p has strong potential as a screening and diagnostic biomarker with reliable prospects for clinical application. Furthermore, because patients with high miR-15b-3p and low KLF2 expression have a greater risk of BIC resistance and malignant progression, targeting the miRNA and its downstream protein may be a new treatment strategy.

Medienart:

E-Artikel

Erscheinungsjahr:

2024

Erschienen:

2024

Enthalten in:

Zur Gesamtaufnahme - volume:15

Enthalten in:

Journal of Cancer - 15(2024), 8 vom: 15., Seite 2306-2317

Sprache:

Englisch

Beteiligte Personen:

Zhang, Chunlin [VerfasserIn]
Yu, Haitao [VerfasserIn]
Bai, Xuesong [VerfasserIn]
Zhou, Xiang [VerfasserIn]
Feng, Zhenwei [VerfasserIn]
Li, Yang [VerfasserIn]
Peng, Xiang [VerfasserIn]
Mei, Yuhua [VerfasserIn]
Li, Li [VerfasserIn]
Gou, Xin [VerfasserIn]
Deng, Yuanzhong [VerfasserIn]
Chen, Guo [VerfasserIn]

Links:

Volltext

Themen:

Bicalutamide resistance
Ferroptosis
Journal Article
MiRNA
Prostate cancer
Prostate-specific antigen

Anmerkungen:

Date Revised 19.03.2024

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.7150/jca.92379

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM369851714