Tumor suppressor miR-193a-3p enhances efficacy of BRAF/MEK inhibitors in BRAF-mutated colorectal cancer
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Sufferers with BRAF-mutated colorectal most cancers (CRC) have a poor prognosis regardless of latest therapeutic advances comparable to mixture remedy with BRAF, MEK, and EGFR inhibitors. To determine microRNAs (miRNAs) that may enhance the efficacy of the BRAF inhibitor dabrafenib (DAB) and the MEK inhibitor trametinib (TRA), we screened 240 miRNA in BRAF-mutated CRC cells and recognized 5 candidate miRNAs.
Overexpression of miR-193a-3p, one of many 5 screened miRNAs, in CRC cells inhibited cell proliferation by inducing apoptosis. Reverse part protein array evaluation revealed that proteins with altered phosphorylation induced by miR-193a-3p had been concerned in a number of oncogenic pathways together with MAPK-related pathways.
Moreover, overexpression of miR-193a-3p in BRAF-mutated cells enhanced the efficacy of DAB and TRA by way of inhibiting reactivation of MAPK signaling and inducing inhibition of Mcl1. Inhibition of Mcl1 by siRNA or by Mcl1 inhibitor elevated the anti-proliferative impact of mixture remedy with DAB, TRA, and anti-EGFR antibody cetuximab.
Collectively, our research demonstrated the chance that miR-193a-3p acts as a tumor suppressor by way of regulating a number of proteins concerned in oncogenesis and impacts mobile sensitivity to MAPK-related pathway inhibitors comparable to BRAF inhibitors, MEK inhibitors, and/or anti-EGFR antibodies.
Addition of miR-193a-3p and/or modulation of proteins concerned within the miR-193a-3p-mediated pathway, comparable to Mcl1, to EGFR/BRAF/MEK inhibition could also be a possible therapeutic technique towards BRAF-mutated CRC.