IMR Press / FBL / Volume 29 / Issue 3 / DOI: 10.31083/j.fbl2903106
Open Access Original Research
Cisplatin Disrupts Proteasome Bounce-Back Effect through Suppressing ZEB1/Nfe2l1 in Cholangiocarcinoma
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1 Department of Pathophysiology, College of High Altitude Military Medicine, Third Military Medical University (Army Medical University), 400038 Chongqing, China
2 Department of Biochemistry and Molecular Biology, School of Basic Medical Sciences, Southwest Medical University, 646000 Luzhou, Sichuan, China
3 Department of Physiology, School of Basic Medical Sciences, Southwest Medical University, 646000 Luzhou, Sichuan, China
*Correspondence: mengwangkk23@126.com (Meng Wang); hmmiao@tmmu.edu.cn (Hongming Miao)
These authors contributed equally.
Front. Biosci. (Landmark Ed) 2024, 29(3), 106; https://doi.org/10.31083/j.fbl2903106
Submitted: 29 August 2023 | Revised: 10 January 2024 | Accepted: 6 February 2024 | Published: 15 March 2024
Copyright: © 2024 The Author(s). Published by IMR Press.
This is an open access article under the CC BY 4.0 license.
Abstract

Background: Bortezomib (BTZ) is a powerful proteasome inhibitor that has been approved for the treatment of haematologic malignancies. Its effectiveness has been assessed against different types of solid tumours. BTZ is ineffective in most solid tumours because of drug resistance, including cholangiocarcinoma, which is associated with a proteasome bounce-back effect. However, the mechanism through which proteasome inhibitors induce the proteasome bounce-back effect remains largely unknown. Methods: Cholangiocarcinoma cells were treated with BTZ, cisplatin, or a combination of both. The mRNA levels of Nfe2l1 and proteasome subunit genes (PSMA1, PSMB7, PSMD1, PSMD11, PSMD14, and PSME4) were determined using quantitative real time polymerase chain reaction (qPCR). The protein levels of nuclear factor-erythroid 2-related factor 1 (Nfe2l1) and proteasome enzyme activity were evaluated using western blotting and proteasome activity assays, respectively. Transcriptome sequencing was performed to screen for potential transcription factors that regulate Nfe2l1 expression. The effect of zinc finger E-box-binding homeobox 1 (ZEB1) on the expression of Nfe2l1 and proteasome subunit genes, as well as proteasome enzyme activity, was evaluated after the knockdown of ZEB1 expression with siRNA before treatment with BTZ. The transcriptional activity of ZEB1 on the Nfe2l1 promoter was detected using dual-luciferase reporter gene and chromatin immunoprecipitation assays. Cell viability was measured using the cell counting kit-8 (CCK-8) assay and cell apoptosis was assessed using western blotting and flow cytometry. Results: Cisplatin treatment of BTZ-treated human cholangiocarcinoma cell line (RBE) suppressed proteasome subunit gene expression (proteasome bounce-back) and proteasomal enzyme activity. This effect was achieved by reducing the levels of Nfe2l1 mRNA and protein. Our study utilised transcriptome sequencing to identify ZEB1 as an upstream transcription factor of Nfe2l1, which was confirmed using dual-luciferase reporter gene and chromatin immunoprecipitation assays. Notably, ZEB1 knockdown using siRNA (si-ZEB1) hindered the expression of proteasome subunit genes under both basal and BTZ-induced conditions, leading to the inhibition of proteasomal enzyme activity. Furthermore, the combination treatment with BTZ, cisplatin, and si-ZEB1 significantly reduced the viability of RBE cells. Conclusions: Our study uncovered a novel mechanism through which cisplatin disrupts the BTZ-induced proteasome bounce-back effect by suppressing the ZEB1/Nfe2l1 axis in cholangiocarcinoma. This finding provides a theoretical basis for developing proteasome inhibitor-based strategies for the clinical treatment of cholangiocarcinoma and other tumours.

Keywords
cisplatin
bortezomib
Nfe2l1
ZEB1
cholangiocarcinoma
Funding
CSTB2022NSCQ-JQX0010/Chongqing Fund for Outstanding Youth
2010010006264785/Postdoctoral Special Funding of Chongqing
2019LZXNYDZ03/Luzhou City-Southwest Medical University Foundation
2022YFS0632-B2/Sichuan Science and Technology Program
2023QN002/The Project of Southwest Medical University
Figures
Fig. 1.
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