Testicular germ cell tumor (TGCT) is a rare
cancer but the most common
tumor among adolescent and young adult males. Patients with advanced TGCT often exhibit a worse prognosis due to the acquisition of therapeutic resistance.
Cisplatin-based
chemotherapy is a standard treatment for advanced TGCTs initially sensitive to
cisplatin, as exemplified by
embryonal carcinoma. The acquisition of
cisplatin resistance, however, could be a fatal obstacle for TGCT management. To identify
cisplatin resistance-related genes, we performed transcriptome analysis for
cisplatin-resistant TGCT cells compared to parental cells. In two types of
cisplatin-resistant TGCT cell models that we established from patient-derived TGCT cells, and from the NEC8 cell line, we found that
mRNA levels of the high-mobility-group
nucleosome-binding gene HMGN5 and meiosis-related gene TEX11 were remarkably upregulated compared to those in the corresponding parental cells. We showed that either HMGN5 or TEX11 knockdown substantially reduced the viability of
cisplatin-resistant TGCT cells in the presence of
cisplatin. Notably, TEX11 silencing in
cisplatin-resistant TGCT cells increased the level of cleaved
PARP1 protein, and the percentage of double-strand break marker γH2AX-positive cells. We further demonstrated the therapeutic efficiency of TEX11-specific
siRNA on in vivo xenograft models derived from
cisplatin-resistant patient-derived TGCT cells. Taken together, the present study provides a potential insight into a mechanism of
cisplatin resistance via TEX11-dependent pathways that inhibit apoptosis and DNA damage. We expect that our findings can be applied to the improvement of
cisplatin-based
chemotherapy for TGCT, particularly for TEX11-overexpressing
tumor.