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Original Article|Articles in Press

RANKL Promotes Chemotherapy Resistance in Breast Cancer Cells Through STAT3 Mediated Autophagy Induction

  • Author Footnotes
    # Z.T. and X.F.B. contributed equally.
    Zhen-ning Tang
    Footnotes
    # Z.T. and X.F.B. contributed equally.
    Affiliations
    Department of Surgical Oncology, General Hospital of Ningxia Medical University, 750004 Yinchuan, Ningxia, China
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  • Author Footnotes
    # Z.T. and X.F.B. contributed equally.
    Xiao-fang Bi
    Footnotes
    # Z.T. and X.F.B. contributed equally.
    Affiliations
    Department of Pathology, The First People's Hospital of Yinchuan, 750001 Yinchuan, Ningxia, China
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  • Wei-liang Chen
    Affiliations
    Department of Breast Surgery, Herbei Province Cangzhou Hospital of Integrated Traditional and Western Medicine, 061001 Cangzhou, Hebei, China
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  • Chao-lin Zhang
    Correspondence
    Address for correspondence: Chao-lin Zhang, Department of Surgical Oncology, General Hospital of Ningxia Medical University, 804 Shengli Street, Yinchuan, Ningxia, 750004, China
    Affiliations
    Department of Surgical Oncology, General Hospital of Ningxia Medical University, 750004 Yinchuan, Ningxia, China
    Search for articles by this author
  • Author Footnotes
    # Z.T. and X.F.B. contributed equally.
Published:February 06, 2023DOI:https://doi.org/10.1016/j.clbc.2023.01.014

      Highlights

      • Chemoresistance is the reason for the limited efficacy of breast cancer therapeutics.
      • Receptor activator of nuclear factor-kappa B ligand (RANKL) mediates chemoresistance in breast cancer cells through autophagy induction.
      • RANKL induces autophagy by activating the Janus protein tyrosine kinase-signal transducer and activator of transcription 3 (JAK-STAT3) signaling pathway.
      • Targeting RANKL/receptor activator of nuclear factor-kappa B (RANK) may be a potential strategy to overcome chemoresistance in breast cancer patients.

      Abstract

      Background

      This study was to investigate the functional role and mechanism of receptor activator of nuclear factor-kappa B ligand (RANKL) associated autophagy and chemoresistance in breast cancer.

      Materials and Methods

      Cell Counting Kit-8 (CCK-8) assay was used to detect the cell viability. Real-time polymerase chain reaction (PCR) was used for determining the relative mRNA levels of key genes and protein expression was assessed by Western blotting. Immunofluorescence was performed to evaluate the changes in the autophagy flux. Short hairpin (shRNA) was used to knockdown the expression of the target genes in breast cancer cells. Based on The Cancer Genome Atlas (TCGA) database, we explored the expression of receptor activator of nuclear factor-kappa B (RANK), autophagy and signal transducer and activator of transcription 3 (STAT3) signaling associated genes and analyzed their correlation with the prognosis of breast cancer patients.

      Results

      The findings showed that receptor activator of nuclear factor-kappa B ligand (RANKL), the ligand of RANK, could effectively enhance the chemoresistance potential of breast cancer cells. Our results showed that RANKL induced autophagy and enhanced the expression of autophagy associated genes in breast cancer cells. The knockdown of RANK suppressed RANKL mediated autophagy induction in these cells. Furthermore, the inhibition of autophagy suppressed RANKL mediated chemoresistance in breast cancer cells. We found STAT3 signaling pathway was involved in RANKL-induced autophagy. Analysis of the expression of RANK, and autophagy and STAT3 signaling associated genes in breast cancer tissues showed that the expression of autophagy and STAT3 signaling associated genes was correlated with the prognosis of breast cancer patients.

      Conclusion

      The present study suggests that the RANKL/RANK axis may potentially mediate chemoresistance in breast cancer cells by inducing autophagy through the STAT3 signaling pathway.

      Keywords

      Abbreviations:

      RANKL (receptor activator of nuclear factor-kappa B ligand), RANK (receptor activator of nuclear factor-kappa B), STAT3 (signal transducer and activator of transcription 3), LC3-II (Microtubule-associated protein 1 light chain 3 isoform II), ATG5 (autophagy-related 5), TNBC (triple-negative breast cancer), DMEM (Dulbecco's modified Eagle's medium), FBS (fetal bovine serum), GADPH (glyceraldehyde-3-phosphate dehydrogenase), PBS (phosphate-buffered saline), ADM (Adriamycin), 5-FU (5-fluorouracil), CQ (chloroquine), CCK8 (cell counting kit-8), OD (optical density), qRT-PCR (Quantitative real-time polymerase chain reaction), GFP (green fluorescent protein), ECL (enhanced chemiluminescence), shRNA (short hairpin RNA), TCGA (The Cancer Genome Atlas), MAP1LC3 (microtubule-associated protein 1 light chain 3), CSCs (Cancer stem cells), JAK (Janus protein tyrosine kinase), SOCS (suppressor of cytokine signaling), PTPN (protein tyrosine phosphatase non-receptor type)
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