miR-191 promotes radiation resistance of prostate cancer through interaction with RXRA - ScienceDirect
miR-191 promotes radiation resistance of prostate cancer through interaction with RXRA - ScienceDirect:
microRNA-191
RXRA
radiation resistance
primary prostate cancer
sciencedirect.com
miR-191 promotes radiation resistance of prostate cancer through interaction with RXRA
Highlights
- •miR-191 expression is elevated in prostate cancer patients with higher Gleason score.
- •High miR-191 promotes radiation survival and targets retinoid X receptor alpha, RXRA.
- •Treatment with the RXRA agonist 9-cis-retinoic acid restores radiosensitivity.
- •Patients with high miR-191 and low RXRA experienced quicker biochemical recurrence.
Abstract
Radiation
therapy is a common treatment for prostate cancer, however recurrence
remains a problem. MicroRNA expression is altered in prostate cancer and
may promote therapy resistance. Through bioinformatic analyses of TCGA
and CPC-GENE patient cohorts, we identified higher miR-191 expression in
tumor versus normal tissue, and increased expression in higher Gleason
scores. In vitro and in vivo experiments demonstrated
that miR-191 overexpression promotes radiation survival, and contributes
to a more aggressive phenotype. Retinoid X receptor alpha, RXRA,
was discovered to be a novel target of miR-191, and knockdown
recapitulated radioresistance. Furthermore, treatment of prostate cancer
cells with the RXRA agonist 9-cis-retinoic acid
restored radiosensitivity. Supporting this relationship, patients with
high miR-191 and low RXRA abundance experienced quicker biochemical
recurrence. Reduced RXRA translated to a higher risk of distant failure after radiotherapy. Notably, this miR-191/RXRA
interaction was conserved in a novel primary cell line derived from
radiorecurrent prostate cancer. Together, our findings demonstrate that
miR-191 promotes prostate cancer survival after radiotherapy, and
highlights retinoids as a potential option to improve radiotherapy
response.
Keywords
microRNAmicroRNA-191
RXRA
radiation resistance
primary prostate cancer
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