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Παρασκευή 18 Μαΐου 2018

Estrogen receptor positive breast tumors resist chemotherapy by the overexpression of P53 in Cancer Stem Cells

Publication date: Available online 17 May 2018
Source:Journal of the Egyptian National Cancer Institute
Author(s): Fatma Ashour, Mohammed H. Awwad, Hayam E.L. Sharawy, Mohamed Kamal
Background and ObjectivesBreast cancer (BC) is classified according to estrogen receptor (ER) status into ER+ and ER tumors. ER+ tumors have a worse response to chemotherapy compared to ER tumors. BCL-2, TP53, BAX and NF-ΚB are involved in drug resistance in the ER+ tumors. Recently it was shown that Cancer Stem Cells (CSCs) play an important role in drug resistance. In this study we tested the hypothesis that CSCs of the ER+ tumors resist drug through the overexpression of BCL-2, TP53, BAX and NF-ΚB.MethodsCSCs were isolated by anoikis resistance assay from MCF7 (ER+) and MDA-MB-231 (ER) cell lines. Isolated CSCs were treated with doxorubicin (DOX) and the mRNA expression levels of BCL-2, TP53, BAX and NFKB were investigated by quantitative real time PCR (qPCR) with and without treatment.ResultsBCL-2, BAX and NF-ΚB showed decreased expression in MCF7 bulk cancer cells after DOX treatment whereas only BCL-2 and BAX showed decreased expression in MDA-MB-231 bulk cancer cells. Interestingly TP53 was the only gene showed a considerable increase in its expression in CSCs of the ER+ MCF7 cell line compared to bulk cancer cells. Moreover, TP53 was the only gene showing exceptionally higher level of expression in MCF7-CSCs compared to MDA-MB-231-CSCs.ConclusionOur results suggest that CSCs in the ER+ cells escape the effect of DOX treatment by the elevation of p53 expression.



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