title: TXNDC17 promotes paclitaxel resistance via inducing autophagy in ovarian cancer.
abstract: Paclitaxel is recommended as a first-line chemotherapeutic agent against ovarian cancer, but drug resistance becomes a major limitation of its success clinically. The key molecule or mechanism associated with paclitaxel resistance in ovarian cancer still remains unclear. Here, we showed that TXNDC17 screened from 356 differentially expressed proteins by LC-MS/MS label-free quantitative proteomics was more highly expressed in paclitaxel-resistant ovarian cancer cells and tissues, and the high expression of TXNDC17 was associated with poorer prognostic factors and exhibited shortened survival in 157 ovarian cancer patients. Moreover, paclitaxel exposure induced upregulation of TXNDC17 and BECN1 expression, increase of autophagosome formation, and autophagic flux that conferred cytoprotection for ovarian cancer cells from paclitaxel. TXNDC17 inhibition by siRNA or enforced overexpression by a pcDNA3.1(+)-TXNDC17 plasmid correspondingly decreased or increased the autophagy response and paclitaxel resistance. Additionally, the downregulation of BECN1 by siRNA attenuated the activation of autophagy and cytoprotection from paclitaxel induced by TXNDC17 overexpression in ovarian cancer cells. Thus, our findings suggest that TXNDC17, through participation of BECN1, induces autophagy and consequently results in paclitaxel resistance in ovarian cancer. TXNDC17 may be a potential predictor or target in ovarian cancer therapeutics.
authors.affiliation: a Women's Reproductive Health Laboratory of Zhejiang Province; Women's Hospital; School of Medicine ; Zhejiang University ; Hangzhou , China.
authors.forename: Song-Fa
authors.initials: SF
authors.lastname: Zhang
authors.forename: Xin-Yu
authors.initials: XY
authors.lastname: Wang
authors.forename: Zhi-Qin
authors.initials: ZQ
authors.lastname: Fu
authors.forename: Qiao-Hua
authors.initials: QH
authors.lastname: Peng
authors.forename: Jian-Yang
authors.initials: JY
authors.lastname: Zhang
authors.forename: Feng
authors.initials: F
authors.lastname: Ye
authors.forename: Yun-Feng
authors.initials: YF
authors.lastname: Fu
authors.forename: Cai-Yun
authors.initials: CY
authors.lastname: Zhou
authors.forename: Wei-Guo
authors.initials: WG
authors.lastname: Lu
authors.forename: Xiao-Dong
authors.initials: XD
authors.lastname: Cheng
authors.forename: Xing
authors.initials: X
authors.lastname: Xie
mesh_terms: D000972:Antineoplastic Agents, Phytogenic / Q000494:pharmacology*; D017209:Apoptosis / Q000187:drug effects; D051017:Apoptosis Regulatory Proteins / Q000378:metabolism*; D001343:Autophagy / Q000187:drug effects* / Q000502:physiology; D000071186:Beclin-1; D045744:Cell Line, Tumor; D002470:Cell Survival / Q000187:drug effects; D019008:Drug Resistance, Neoplasm / Q000187:drug effects*; D005260:Female; D006801:Humans; D008565:Membrane Proteins / Q000378:metabolism*; D008869:Microtubule-Associated Proteins / Q000378:metabolism; D010051:Ovarian Neoplasms / Q000378:metabolism*; D017239:Paclitaxel / Q000494:pharmacology*; D013879:Thioredoxins / Q000378:metabolism*
chemical_list: D000972:Antineoplastic Agents, Phytogenic; D051017:Apoptosis Regulatory Proteins; C491997:BECN1 protein, human; D000071186:Beclin-1; D008565:Membrane Proteins; D008869:Microtubule-Associated Proteins; C482341:TXNDC17 protein, human; D013879:Thioredoxins; D017239:Paclitaxel
keywords: 95% CI, 95% confidence interval; ALDOC, aldolase C, fructose-bisphosphate; ATG5, autophagy-related 5; BECN1; BECN1, Beclin 1, autophagy-related; BafA1, bafilomycin A1; CNN3, calponin 3, acidic; DAPI, 4', 6-diamidino-2-phenylindole; FLNA, filamin A, α; GO, gene ontology; GenMAPP, gene microarray pathway profiler; HBSS, Hank's balanced salt solution; HR, hazard ratio; KEGG, Kyoto encyclopedia of genes and genome; LC-MS/MS, liquid chromatography-mass spectrometry/ mass spectrometry; MAP1LC3B/LC3B, microtubule-associated protein 1 light chain 3 β; OS, overall survival; PFS, progression-free survival; PGAM1, phosphoglycerate mutase 1 (brain); SQSTM1, sequestosome 1; TNF, tumor necrosis factor; TXN, thioredoxin; TXNDC17; TXNDC17, thioredoxin domain containing 17; UTP23, small subunit (SSU) processome component, homolog (yeast); autophagy; ovarian cancer; paclitaxel resistance; siRNA, short interfering RNA