Abstract | BACKGROUND: Brain metastasis affects 20-40 % of lung cancer patients, severely diminishing their quality of life. This research focuses on miR-21, overexpressed in these patients and inversely associated with DGKB in the ERK/STAT3 pathway, suggesting a dysregulated pathway with therapeutic potential. AIMS: The objective was to investigate miR-21's role in lung cancer patients with brain metastases and whether targeting this pathway could improve treatment outcomes. We also examined the miR-21 content in tumor spheres-derived extracellular vesicles (EVs) and their influence on ERK/STAT3 signaling and metastasis. MATERIALS AND METHODS:
Tumor spheres were created from metastatic lung cancer cells. We studied miR-21 levels in these spheres, their impact on macrophage polarization, and the transition of nonmetastatic lung cancer cells. Furthermore, we analyzed miR-21 content in EVs derived from these spheres and their effect on ERK/STAT3 signaling and metastasis potential. KEY FINDINGS: We found tumor spheres had high miR-21 levels, promoting macrophage polarization and, epithelial-mesenchymal transition. These spheres-derived EVs, enriched with miR-21, accelerated ERK/STAT3 signaling and metastasis. Silencing miR-21 and inhibiting ERK signaling with ulixertinib notably mitigated these effects. Moreover, ulixertinib reduced brain metastasis incidence and increased survival in a mouse model and led to reduced tumor sphere generation and miR-21 levels in EVs. SIGNIFICANCE: Our study highlights the exacerbation of lung-to-brain metastasis via miR-21-rich EV secretion. This underlines the therapeutic promise of targeting the miR-21/ERK/STAT3 pathway with ulixertinib for managing brain metastasis from lung cancer.
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Authors | Tung-Yu Tiong, Mei-Lin Chan, Chun-Hua Wang, Vijesh Kumar Yadav, Narpati Wesa Pikatan, Iat-Hang Fong, Chi-Tai Yeh, Kuang-Tai Kuo, Wen-Chien Huang |
Journal | Life sciences
(Life Sci)
Vol. 329
Pg. 121945
(Sep 15 2023)
ISSN: 1879-0631 [Electronic] Netherlands |
PMID | 37454756
(Publication Type: Journal Article)
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Copyright | Copyright © 2023 Elsevier Inc. All rights reserved. |
Chemical References |
- MicroRNAs
- ulixertinib
- MIRN-21 microRNA, mouse
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Topics |
- Animals
- Mice
- Brain Neoplasms
(genetics)
- Lung
(metabolism)
- Lung Neoplasms
(pathology)
- MicroRNAs
(genetics, metabolism)
- Quality of Life
- Tumor Microenvironment
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