PMID- 31713003 OWN - NLM STAT- MEDLINE DCOM- 20201009 LR - 20221207 IS - 2211-3436 (Electronic) IS - 2211-3428 (Linking) VI - 43 IP - 1 DP - 2020 Feb TI - Exosomes derived from cancer stem cells of gemcitabine-resistant pancreatic cancer cells enhance drug resistance by delivering miR-210. PG - 123-136 LID - 10.1007/s13402-019-00476-6 [doi] AB - PURPOSE: Gemcitabine (GEM)-based chemotherapy is the first-line treatment for locally advanced pancreatic cancer. GEM resistance, however, remains a significant clinical challenge. Here, we investigated whether exosomes derived from GEM-resistant pancreatic cancer stem cells (CSCs) mediate cell-cell communication between cells that are sensitive or resistant to GEM and, by doing so, regulate drug resistance. METHODS: GEM-sensitive BxPC-3-derived Bx(S) and PANC-1 pancreatic cancer cells were cultured with exosomes extracted from CSCs isolated from GEM-resistant BxPC-3-derived Bx(R) cells (Bx(R)-CSC). The effect of exosomes on drug resistance, cell cycle progression, apoptosis and miRNA expression was evaluated in Bx(S) and PANC-1 cells. Relevant miRNAs associated with GEM resistance were identified and the role of miR-210 in conferring drug resistance was examined in vitro and in vivo. RESULTS: Bx(R)-CSC-derived exosomes induced GEM resistance, inhibited GEM-induced cell cycle arrest, antagonized GEM-induced apoptosis, and promoted tube formation and cell migration in Bx(S) and PANC-1 cells. Elevated miR-210 expression levels were detected in Bx(R)-CSCs and Bx(R)-CSC-derived exosomes compared to those in Bx(S)-CSCs and Bx(S)-CSC-derived exosomes. In addition, increased expression levels of miR-210 were observed in Bx(S) and PANC-1 cells cultured with Bx(R)-CSC-derived exosomes upon exposure to GEM in a dose-dependent manner. Also, a series of biological changes was observed in Bx(S) cells after transfection with miR-210 mimics, including activation of the mammalian target of rapamycin (mTOR) signaling pathway, and these changes were similar to those triggered by Bx(R)-CSC-derived exosomes. CONCLUSIONS: Our findings suggest that exosomes derived from GEM-resistant pancreatic cancer stem cells mediate the horizontal transfer of drug-resistant traits to GEM-sensitive pancreatic cancer cells by delivering miR-210. FAU - Yang, Zhiyong AU - Yang Z AD - Pancreatic Surgery Center, Department of Hepatobiliary and Pancreatic Surgery, Zhongnan Hospital of Wuhan University, Wuhan, China. FAU - Zhao, Ning AU - Zhao N AD - Department of Gastrointestinal Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China. FAU - Cui, Jing AU - Cui J AD - Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Wu, Heshui AU - Wu H AD - Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Xiong, Jiongxin AU - Xiong J AD - Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. FAU - Peng, Tao AU - Peng T AD - Department of Pancreatic Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430022, China. pengtao8815@163.com. LA - eng PT - Journal Article DEP - 20191112 PL - Netherlands TA - Cell Oncol (Dordr) JT - Cellular oncology (Dordrecht) JID - 101552938 RN - 0 (Antineoplastic Agents) RN - 0 (MIRN210 microRNA, human) RN - 0 (MicroRNAs) RN - 0W860991D6 (Deoxycytidine) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - 0 (Gemcitabine) SB - IM MH - Antineoplastic Agents/pharmacology MH - Apoptosis/drug effects MH - Cell Cycle Checkpoints/drug effects MH - Cell Line, Tumor MH - Cell Movement/drug effects/genetics MH - Cell Survival/drug effects/genetics MH - Deoxycytidine/*analogs & derivatives/pharmacology MH - Drug Resistance, Neoplasm/*genetics MH - Exosomes/*drug effects/genetics/*metabolism MH - Gene Expression Regulation, Neoplastic/drug effects/genetics MH - Humans MH - MicroRNAs/genetics/*metabolism MH - Microscopy, Electron, Transmission MH - Neoplastic Stem Cells/cytology/*metabolism/ultrastructure MH - Pancreatic Neoplasms/genetics/*metabolism MH - Signal Transduction/drug effects/genetics MH - TOR Serine-Threonine Kinases/genetics/metabolism MH - Gemcitabine OTO - NOTNLM OT - Cancer stem cells OT - Drug resistance OT - Exosomes OT - Gemcitabine OT - MicroRNA-210 OT - Pancreatic cancer EDAT- 2019/11/13 06:00 MHDA- 2020/10/10 06:00 CRDT- 2019/11/13 06:00 PHST- 2019/09/17 00:00 [accepted] PHST- 2019/11/13 06:00 [pubmed] PHST- 2020/10/10 06:00 [medline] PHST- 2019/11/13 06:00 [entrez] AID - 10.1007/s13402-019-00476-6 [pii] AID - 10.1007/s13402-019-00476-6 [doi] PST - ppublish SO - Cell Oncol (Dordr). 2020 Feb;43(1):123-136. doi: 10.1007/s13402-019-00476-6. Epub 2019 Nov 12.