M6A associated TSUC7 inhibition contributed to Erlotinib Resistance in Lung Adenocarcinoma through a Notch Signaling Activation Dependent Way
Abstract BackgroundThe small tyrosine kinase inhibitors (TKIs) subversively altered the lung cancer treatments, but patients will inevitably face the therapy resistance and disease recurrence. We aim to explore the potential roles of non-coding RNAs in sensitizing the TKIs effects. MethodsMultiple cellular and molecular detections were applied to confirm the mechanistic regulations and intracellular connections. ResultsWe explored the specific gene features of candidates in association with resistance, and found the miR-146a/Notch signaling was sustained highly activated in a m6A dependent manner, and the m6A regulator of YTHDF2 suppressed TUSC7, and then contributed to the resistant features. Functionally, m6A controlled the stemness of EMT features through METTL3 and YTHDF2, and resulted in resistance in PC9ER and HCC827ER cells. The sponging regulation of TUSC7 toward to miR-146a inhibited Notch signaling functions, and affected the cancer progression and stem cells’ renewal in PC9ER and HCC827ER cells. The Notch signaling functions manipulated the cMYC and DICER inner cytoplasm, and the absence of either cMYC or DICER1 lead to TUSC7 and miR-146a decreasing respectively, formed the closed circle to maintain the balance. ConclusionPC9ER and HCC827ER cells harbored much more stem-like cells, and the resistance could be reversed by Notch signaling inactivation. The intrinsic miR-146 and TUSC7 levels are monitored by m6A effectors, miR-146 and TUSC7 themselves formed the circling loop to sustain the homeostasis. Further in clinics, the combined using of TKIs and Notch specific inhibitory non-coding RNAs will pave the way for yielding the susceptibility to targeted therapy in lung cancer.