RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity

Abstract Background Endocrine-resistant breast cancers have elevated expression of XBP1, where it drives endocrine resistance by controlling the expression of its target genes. Despite the in-depth understanding of the biological functions of XBP1 in ER-positive breast cancer, effectors of endocrine...

Full description

Bibliographic Details
Main Authors: David Barua, Afrin Sultana, Md Nahidul Islam, Fergus Cox, Ananya Gupta, Sanjeev Gupta
Format: Article
Language:English
Published: BMC 2023-03-01
Series:BMC Cancer
Subjects:
Online Access:https://doi.org/10.1186/s12885-023-10745-1
_version_ 1827974511481323520
author David Barua
Afrin Sultana
Md Nahidul Islam
Fergus Cox
Ananya Gupta
Sanjeev Gupta
author_facet David Barua
Afrin Sultana
Md Nahidul Islam
Fergus Cox
Ananya Gupta
Sanjeev Gupta
author_sort David Barua
collection DOAJ
description Abstract Background Endocrine-resistant breast cancers have elevated expression of XBP1, where it drives endocrine resistance by controlling the expression of its target genes. Despite the in-depth understanding of the biological functions of XBP1 in ER-positive breast cancer, effectors of endocrine resistance downstream of XBP1 are poorly understood. The aim of this study was to identify the XBP1-regulated genes contributing to endocrine resistance in breast cancer. Methods XBP1 deficient sub-clones in MCF7 cells were generated using the CRISPR-Cas9 gene knockout strategy and were validated using western blot and RT-PCR. Cell viability and cell proliferation were evaluated using the MTS assay and colony formation assay, respectively. Cell death and cell cycle analysis were determined using flow cytometry. Transcriptomic data was analysed to identify XBP1-regulated targets and differential expression of target genes was evaluated using western blot and qRT-PCR. Lentivirus and retrovirus transfection were used to generate RRM2 and CDC6 overexpressing clones, respectively. The prognostic value of the XBP1-gene signature was analysed using Kaplan–Meier survival analysis. Results Deletion of XBP1 compromised the upregulation of UPR-target genes during conditions of endoplasmic reticulum (EnR) stress and sensitized cells to EnR stress-induced cell death. Loss of XBP1 in MCF7 cells decreased cell growth, attenuated the induction of estrogen-responsive genes and sensitized them to anti-estrogen agents. The expression of cell cycle associated genes RRM2, CDC6, and TOP2A was significantly reduced upon XBP1 deletion/inhibition in several ER-positive breast cancer cells. Expression of RRM2, CDC6, and TOP2A was increased upon estrogen stimulation and in cells harbouring point-mutants (Y537S, D538G) of ESR1 in steroid free conditions. Ectopic expression of RRM2 and CDC6 increased cell growth and reversed the hypersensitivity of XBP1 KO cells towards tamoxifen conferring endocrine resistance. Importantly, increased expression of XBP1-gene signature was associated with poor outcome and reduced efficacy of tamoxifen treatment in ER-positive breast cancer. Conclusions Our results suggest that RRM2 and CDC6 downstream of XBP1 contribute to endocrine resistance in ER-positive breast cancer. XBP1-gene signature is associated with poor outcome and response to tamoxifen in ER-positive breast cancer.
first_indexed 2024-04-09T19:55:32Z
format Article
id doaj.art-a910b33cf4a84ea3a00d979d0edc7af1
institution Directory Open Access Journal
issn 1471-2407
language English
last_indexed 2024-04-09T19:55:32Z
publishDate 2023-03-01
publisher BMC
record_format Article
series BMC Cancer
spelling doaj.art-a910b33cf4a84ea3a00d979d0edc7af12023-04-03T05:30:25ZengBMCBMC Cancer1471-24072023-03-0123111610.1186/s12885-023-10745-1RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivityDavid Barua0Afrin Sultana1Md Nahidul Islam2Fergus Cox3Ananya Gupta4Sanjeev Gupta5Discipline of Pathology, Cancer Progression and Treatment Research Group, Lambe Institute for Translational Research, School of Medicine, University of GalwayDiscipline of Pathology, Cancer Progression and Treatment Research Group, Lambe Institute for Translational Research, School of Medicine, University of GalwayDiscipline of Biochemistry, School of Medicine, University of GalwayDiscipline of Pathology, Cancer Progression and Treatment Research Group, Lambe Institute for Translational Research, School of Medicine, University of GalwayDiscipline of Physiology, Human Biology Building, School of Medicine, University of GalwayDiscipline of Pathology, Cancer Progression and Treatment Research Group, Lambe Institute for Translational Research, School of Medicine, University of GalwayAbstract Background Endocrine-resistant breast cancers have elevated expression of XBP1, where it drives endocrine resistance by controlling the expression of its target genes. Despite the in-depth understanding of the biological functions of XBP1 in ER-positive breast cancer, effectors of endocrine resistance downstream of XBP1 are poorly understood. The aim of this study was to identify the XBP1-regulated genes contributing to endocrine resistance in breast cancer. Methods XBP1 deficient sub-clones in MCF7 cells were generated using the CRISPR-Cas9 gene knockout strategy and were validated using western blot and RT-PCR. Cell viability and cell proliferation were evaluated using the MTS assay and colony formation assay, respectively. Cell death and cell cycle analysis were determined using flow cytometry. Transcriptomic data was analysed to identify XBP1-regulated targets and differential expression of target genes was evaluated using western blot and qRT-PCR. Lentivirus and retrovirus transfection were used to generate RRM2 and CDC6 overexpressing clones, respectively. The prognostic value of the XBP1-gene signature was analysed using Kaplan–Meier survival analysis. Results Deletion of XBP1 compromised the upregulation of UPR-target genes during conditions of endoplasmic reticulum (EnR) stress and sensitized cells to EnR stress-induced cell death. Loss of XBP1 in MCF7 cells decreased cell growth, attenuated the induction of estrogen-responsive genes and sensitized them to anti-estrogen agents. The expression of cell cycle associated genes RRM2, CDC6, and TOP2A was significantly reduced upon XBP1 deletion/inhibition in several ER-positive breast cancer cells. Expression of RRM2, CDC6, and TOP2A was increased upon estrogen stimulation and in cells harbouring point-mutants (Y537S, D538G) of ESR1 in steroid free conditions. Ectopic expression of RRM2 and CDC6 increased cell growth and reversed the hypersensitivity of XBP1 KO cells towards tamoxifen conferring endocrine resistance. Importantly, increased expression of XBP1-gene signature was associated with poor outcome and reduced efficacy of tamoxifen treatment in ER-positive breast cancer. Conclusions Our results suggest that RRM2 and CDC6 downstream of XBP1 contribute to endocrine resistance in ER-positive breast cancer. XBP1-gene signature is associated with poor outcome and response to tamoxifen in ER-positive breast cancer.https://doi.org/10.1186/s12885-023-10745-1XBP1Endocrine resistanceRRM2CDC6Breast cancerER stress
spellingShingle David Barua
Afrin Sultana
Md Nahidul Islam
Fergus Cox
Ananya Gupta
Sanjeev Gupta
RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
BMC Cancer
XBP1
Endocrine resistance
RRM2
CDC6
Breast cancer
ER stress
title RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
title_full RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
title_fullStr RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
title_full_unstemmed RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
title_short RRM2 and CDC6 are novel effectors of XBP1-mediated endocrine resistance and predictive markers of tamoxifen sensitivity
title_sort rrm2 and cdc6 are novel effectors of xbp1 mediated endocrine resistance and predictive markers of tamoxifen sensitivity
topic XBP1
Endocrine resistance
RRM2
CDC6
Breast cancer
ER stress
url https://doi.org/10.1186/s12885-023-10745-1
work_keys_str_mv AT davidbarua rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity
AT afrinsultana rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity
AT mdnahidulislam rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity
AT ferguscox rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity
AT ananyagupta rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity
AT sanjeevgupta rrm2andcdc6arenoveleffectorsofxbp1mediatedendocrineresistanceandpredictivemarkersoftamoxifensensitivity