Abstract
Gene associated with retinoid-interferon-induced mortality (GRIM-19), an important subunit of mitochondrial complex I, has been identified as a tumor suppressor, and its reduced expression has been reported to be associated with tumorigenesis and metastasis. Autophagy has been proposed as a protective mechanism for cell survival under various stresses, including chemotherapy. However, it remains unknown whether GRIM-19 is linked to autophagy and chemotherapy resistance. Here, we showed that suppression of GRIM-19 by shRNA enhanced cell-type-dependent autophagy by activating extracellular regulated protein kinase (ERK) and hypoxia inducible factor-1a (HIF-1a) in a reactive oxygen species (ROS)-mediated manner, and thereby conferred resistance to paclitaxel. Besides, the antioxidant N-acetyl-L-cysteine (NAC) and autophagy inhibitor 3-MA could in part overcome this resistance. We also found that GRIM-19 expression was significantly correlated with clinical stage and grade in patients with cervical cancers. Taken together, our results indicated that GRIM-19 inhibition induced autophagy and chemotherapy resistance, which could affect prognosis of cervical cancers. Our study has identified new function of GRIM-19 and its underlying mechanism, and it will provide possible avenues for therapeutic targeting in cervical cancers.
Keywords:
Autophagy; Cervical cancer; Chemotherapy; ERK; GRIM-19; HIF-1a.
MeSH terms
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Adult
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Antineoplastic Agents, Phytogenic / pharmacology
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Apoptosis / drug effects
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Apoptosis Regulatory Proteins / antagonists & inhibitors
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Apoptosis Regulatory Proteins / genetics
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Apoptosis Regulatory Proteins / metabolism*
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Autophagy / drug effects*
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Biomarkers, Tumor / metabolism
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Blotting, Western
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Case-Control Studies
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Cell Proliferation / drug effects
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Drug Resistance, Neoplasm
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Female
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Fluorescent Antibody Technique
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Follow-Up Studies
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HeLa Cells
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Humans
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Hypoxia-Inducible Factor 1, alpha Subunit / metabolism*
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Lymphatic Metastasis
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Male
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Mitogen-Activated Protein Kinase 1 / metabolism*
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Mitogen-Activated Protein Kinase 3 / metabolism*
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NADH, NADPH Oxidoreductases / antagonists & inhibitors
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NADH, NADPH Oxidoreductases / genetics
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NADH, NADPH Oxidoreductases / metabolism*
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Neoplasm Invasiveness
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Neoplasm Staging
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Paclitaxel / pharmacology
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Prognosis
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RNA, Small Interfering / genetics
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STAT3 Transcription Factor / metabolism*
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Survival Rate
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Tumor Cells, Cultured
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Uterine Cervical Neoplasms / drug therapy
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Uterine Cervical Neoplasms / metabolism
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Uterine Cervical Neoplasms / pathology*
Substances
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Antineoplastic Agents, Phytogenic
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Apoptosis Regulatory Proteins
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Biomarkers, Tumor
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HIF1A protein, human
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Hypoxia-Inducible Factor 1, alpha Subunit
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RNA, Small Interfering
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STAT3 Transcription Factor
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STAT3 protein, human
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NADH, NADPH Oxidoreductases
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NDUFA13 protein, human
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MAPK1 protein, human
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Mitogen-Activated Protein Kinase 1
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Mitogen-Activated Protein Kinase 3
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Paclitaxel