机构地区:[1]天津医科大学肿瘤医院检验科天津市肿瘤防治重点实验室,300060 [2]天津医科大学肿瘤医院肺部肿瘤内科,300060 [3]天津医科大学肿瘤医院药剂科,300060 [4]天津医科大学
出 处:《中华医学杂志》2016年第18期1454-1458,共5页National Medical Journal of China
基 金:国家自然科学基金(81402174)
摘 要:目的探讨微小RNA-21(miR-21)在肺癌化疗耐药中的作用及机制,为非小细胞肺癌多药耐药的逆转提供实验性及理论性依据。方法通过实时荧光定量聚合酶链反应(qRT—PCR)检测非小细胞肺癌顺铂敏感细胞株A549及耐药细胞株A549/DDP(原发A549/DDP细胞)中miR-21的表达差异。合成miR-21的干扰序列,以脂质体为载体转染A549/DDP细胞,下调细胞中miR-21表达水平;检测细胞对化疗药物顺铂敏感性的变化;流式细胞术检测肿瘤细胞凋亡及细胞周期相关指标;蛋白质免疫印迹(Westernblot)法检测生存素(Survivin)、周期蛋白D1(CyclinD1)、表皮生长因子受体(EGFR)、多药耐药相关蛋白(MRP)和脂蛋白受体相关蛋白(LRP)表达水平。结果miR-21在原发A549/DDP细胞中表达水平是顺铂敏感细胞株A549的(522.3±31.6)%,差异有统计学意义(t=48.318,P〈0.01);miR-21表达下调后,A549/DDP细胞对顺铂的敏感性明显增加,半数抑菌浓度(IC,。)降低为(22.2±1.2)μmol/L,转染空载质粒对照组的IC50为(48.6±3.2)μmol/L,差异有统计学意义(t=5.608,P〈0.01)。与转染空载质粒对照组相比,成功转染A549/DDP细胞组细胞凋亡率为(27.7±1.1)%,显著高于原发A549/DDP细胞的凋亡率(16.8±1.1)%,差异有统计学意义(t=10.183,P〈0.01)。成功转染A549/DDP细胞组细胞周期G0/G1期比例为(37.5±1.2)%,显著低于原发A549/DDP细胞的GO/G1期比例(43.4±2.3)%,差异有统计学意义(t=8.202,P〈0.01),生存素表达水平是原发A549/DDP细胞的(71.7±4.3)%,差异有统计学意义(t=4.771,P〈0.01),CyclinD1表达水平是原发A549/DDP细胞的(69.4±4.5)%,差异有统计学意义(t=5.162,P〈0.01),EGFR表达水平是原发A549/DDP细胞的(52.3±3.2)%,差异�Objective To investigate the role of miR-21 on muhidrug resistance (MDR) in non-small cell lung cancer ( NSCLC ) and to provide experimental and theoretical basis for MDR reversal. Methods Quantitative reverse-transcription polymerase chain reaction (qRT-PCR) was used to determine the mRNA level of miR-21 both in the chemo-sensitivity cell strain A549 and the chemo-resistance cell strain A549/DDP (primary A549/DDP cells). The miR-21 interference sequence was synthesized and transfected into A549/DDP cells by liposome as the carrier. The miR-21 expression level was knocked down and the change of chemo-sensitivity of cells was detected. Effects of miR-21 on the cell apoptosis and cell cycle in miR-21-depleted A549/DDP cells were analyzed by flow cytometry to elucidate the involvement of miR-21 in MDR reversal in NSCLC. The expression of multidrug-resistant proteins Survivin, Cyclin D1, Epidermal growth factor receptor (EGFR), Muhidrug resistance-associated proteinl (MRP1) and Lipoprotein receptor- related protein (LRP) were detected by Western blot. Results MiR-21 level in multidrug-resistant NSCLC cell line A549/DDP was (5. 223 ±0. 316) folds higher than that in A549 cell line (t =48. 318, P 〈0.01 ). Knockdown of miR-21 in A549/DDP cells significantly reversed their sensitivity to cis-DDP, meanwhile, the value of half maximal inhibitory concentration was significantly decreased compared with control group transfected with empty vector ( (22.2 ± 1.2) and (48.6 ± 3.2) p,mol/L, t = 5. 608, P 〈 0.01 ). Cell apoptosis rate in A549/DDP cell with knockdown of miR-21 was significantly increased compared with primary A549/DDP cell line ( (27.7 ± 1.1 ) % and (16.8 ± 1.1 ) %, t = 10. 183, P 〈0.01). Cell cycle GO/G1 phase in A549/DDP cell with knockdown of miR-21 was significantly decreased compared with primary A549/DDP cell line ( (37.5 ± 1.2) % and (43.4 ± 2.3 ) %, t = 8. 202, P 〈 0.01 ). Compared with primary A549/DDP cell line, the exp
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