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Saturday May 25, 2024 from 16:00 to 17:30

Room: Regency

> Poster POS-24 Chemoresistant reversal and prediction of therapeutic responses in ovarian cancer

Guoxiong Xu

Director
Research Center for Clinical Medicine
Jinshan Hospital of Fudan University

Abstract

Chemoresistant reversal and prediction of therapeutic responses in ovarian cancer

Guoxiong Xu1.

1Research Center for Clinical Medicine, Jinshan Hospital of Fudan University, Shanghai, People's Republic of China

Introduction: Ovarian cancer (OC) is the most lethal disease in women. Despite the improvement of therapeutic responses, about 70% of OC patients with stage III-IV faced chemoresistance and relapsed within 3 years. Our previous study found that the paclitaxel (PTX)-resistant acquisition was related to the disorders of signal transducer and activator of transcription 1 (STAT1) expression and lncRNAs. The current study focuses on the mechanisms of chemoresistance and launches a prediction model for therapeutic responses in OC patients. Methods: qRT-PCR, Western blot, immunofluorescence, immunohistochemistry, CCK-8, colony formation, spheroid formation, and dual-luciferase assays were used. The xenograft mouse model was applied for the in vivo study. Bioinformatics and clinical correlation data were analyzed using online databases. The RNA-seq technique was used to identify differentially expressed PTX-resistant lncRNAs. Results: Transcriptome sequencing and experimental verification demonstrated the decrease of STAT1 in PTX-resistant OC cells. Gain-of-function and loss-of-function experiments indicated that STAT1 enhanced PTX sensitivity and inhibited tumor formation in vitro and in vivo by triggering the apoptotic pathway. The RNA-seq defined differentially excessed-lncRNAs between PTX-resistant and PTX-sensitive OC cells. Combined with the analysis of immune-related lncRNAs from the public database, 9 PTX-resistant immune-related lncRNAs (DEir) were discovered. Single-cell RNA sequencing (scRNA-seq) data of OC confirmed the relevance of DEir-lncRNAs in immune responsiveness. Patients with a high prediction score were more prone to evade immunotherapy and chemotherapy. Conclusions: These findings provide a potential application for reversing PTX resistance and the novel prediction model for predicting immunotherapeutic and chemotherapeutic responses in OC patients. (This work was supported by a grant from the Natural Science Foundation of Shanghai).

This work was supported by a grant from the Natural Science Foundation of Shanghai.

Presentations by Guoxiong Xu

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