MiRNA-21 induces epithelial to mesenchymal transition and gemcitabine resistance via the PTEN/AKT pathway in breast cancer

Tumour Biol. 2016 Jun;37(6):7245-54. doi: 10.1007/s13277-015-4604-7. Epub 2015 Dec 14.

Abstract

Acquisition of gemcitabine resistance in breast cancer has not been fully clarified. Prior studies suggest that miRNAs are important to chemoresistance in solid tumors and we confirmed that miR-21 is involved in the development of gemcitabine resistance. Epithelial-to-mesenchymal transition (EMT) and AKT pathway activation were noted to be important to this resistance as well. PTEN, a direct target gene of miR-21, was significantly downregulated in gemcitabine-resistant breast cancer cells and restoration of PTEN expression blocked miR-21-induced EMT and gemcitabine resistance. Our data offer novel insight into gemcitabine resistance in breast cancer and suggest that miR-21 may be used to predict optimal breast cancer therapy and may be a potential therapeutic target for reversing gemcitabine resistance.

Keywords: Breast cancer; Epithelial to mesenchymal transition (EMT); Gemcitabine resistance; miR-21.

MeSH terms

  • Animals
  • Antimetabolites, Antineoplastic / pharmacology*
  • Antimetabolites, Antineoplastic / therapeutic use
  • Breast Neoplasms / drug therapy
  • Breast Neoplasms / pathology*
  • Cell Line, Tumor
  • Cell Movement
  • Deoxycytidine / analogs & derivatives*
  • Deoxycytidine / pharmacology
  • Deoxycytidine / therapeutic use
  • Down-Regulation / genetics
  • Drug Resistance, Neoplasm / genetics*
  • Epithelial-Mesenchymal Transition / genetics*
  • Female
  • Gemcitabine
  • Gene Expression Regulation, Neoplastic
  • Humans
  • MCF-7 Cells
  • Mice
  • Mice, Inbred BALB C
  • Mice, Nude
  • MicroRNAs / antagonists & inhibitors
  • MicroRNAs / metabolism*
  • PTEN Phosphohydrolase / physiology
  • Proto-Oncogene Proteins c-akt / physiology
  • RNA, Neoplasm
  • RNA, Small Interfering / genetics
  • Signal Transduction
  • Xenograft Model Antitumor Assays

Substances

  • Antimetabolites, Antineoplastic
  • MIRN21 microRNA, human
  • MicroRNAs
  • RNA, Neoplasm
  • RNA, Small Interfering
  • Deoxycytidine
  • AKT1 protein, human
  • Proto-Oncogene Proteins c-akt
  • PTEN Phosphohydrolase
  • PTEN protein, human
  • Gemcitabine