PMID- 31913198 OWN - NLM STAT- MEDLINE DCOM- 20210202 LR - 20211204 IS - 1473-5741 (Electronic) IS - 0959-4973 (Linking) VI - 31 IP - 4 DP - 2020 Apr TI - miR-21 modulates cisplatin resistance of gastric cancer cells by inhibiting autophagy via the PI3K/Akt/mTOR pathway. PG - 385-393 LID - 10.1097/CAD.0000000000000886 [doi] AB - Resistance to cisplatin (DDP) remains a major obstacle in the control of gastric cancer (GC) progression. A previous study revealed that microRNA-21 (miR-21) contributes to DDP resistance in GC cells via the phosphoinositide 3-kinase (PI3K)/protein kinase B (Akt) pathway. The aim of the current study was to explore the mechanisms underlying the cytoprotective function of miR-21. In this study, DDP-resistant GC cells were obtained by continuous exposure of human gastric adenocarcinoma cells to increasing concentrations of DDP. Western blot analysis was used to evaluate activation of the PI3K/Akt/mechanistic target of rapamycin kinase (mTOR) pathway. The level of miR-21 was altered by transfection of miR-21 mimic and inhibitor. Autophagy was assessed by detecting autophagosome formation, Beclin-1 and LC3 expression. An Annexin V-propidium iodide assay was performed to estimate the survival and death of GC cells. GC cells became refractory to the growth inhibition and apoptosis induced by DDP treatment, activation of Akt and mTOR were increased in DDP-resistant GC cells. Inhibition of autophagy decreased the sensitivity of GC cells to DDP, and autophagy induction produced the opposite effect. DDP-resistant GC cells expressed higher levels of miR-21 compared with the parent cells. Transfection of GC cells with miR-21 mimics contributed to restored DDP resistance by suppressing autophagy, while miR-21 inhibitor sensitized DDP-resistant GC cells by promoting autophagy. In conclusion, the results demonstrated that miR-21 is associated with DDP resistance in GC cells by inhibiting autophagy via the PI3K/Akt/mTOR pathway, and autophagy inducers could be therapeutic targets for the effective treatment of DDP resistance in GC. FAU - Gu, Yifan AU - Gu Y AD - Department of General Surgery, Xinhua Hospital, School of Medicine. FAU - Fei, Zhewei AU - Fei Z AD - Department of General Surgery, Xinhua Hospital, School of Medicine. AD - Department of General Surgery, Xinhua Hospital Chongming Branch, School of Medicine, Shanghai Jiaotong University, Shanghai, People's Republic of China. FAU - Zhu, Ronghua AU - Zhu R AD - Department of General Surgery, Xinhua Hospital Chongming Branch, School of Medicine, Shanghai Jiaotong University, Shanghai, People's Republic of China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Anticancer Drugs JT - Anti-cancer drugs JID - 9100823 RN - 0 (Antineoplastic Agents) RN - 0 (Biomarkers, Tumor) RN - 0 (MIRN21 microRNA, human) RN - 0 (MicroRNAs) RN - EC 2.7.1.1 (MTOR protein, human) RN - EC 2.7.11.1 (AKT1 protein, human) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 2.7.11.1 (TOR Serine-Threonine Kinases) RN - Q20Q21Q62J (Cisplatin) SB - IM MH - Antineoplastic Agents/pharmacology MH - Apoptosis MH - *Autophagy MH - Biomarkers, Tumor/genetics/metabolism MH - Cell Proliferation MH - Cisplatin/pharmacology MH - Drug Resistance, Neoplasm/*genetics MH - Gene Expression Regulation, Neoplastic MH - Humans MH - MicroRNAs/*genetics MH - Phosphatidylinositol 3-Kinases/genetics/*metabolism MH - Proto-Oncogene Proteins c-akt/genetics/*metabolism MH - Signal Transduction/drug effects MH - Stomach Neoplasms/*drug therapy/genetics/metabolism/pathology MH - TOR Serine-Threonine Kinases/genetics/*metabolism MH - Tumor Cells, Cultured EDAT- 2020/01/09 06:00 MHDA- 2021/02/03 06:00 CRDT- 2020/01/09 06:00 PHST- 2020/01/09 06:00 [pubmed] PHST- 2021/02/03 06:00 [medline] PHST- 2020/01/09 06:00 [entrez] AID - 00001813-202004000-00009 [pii] AID - 10.1097/CAD.0000000000000886 [doi] PST - ppublish SO - Anticancer Drugs. 2020 Apr;31(4):385-393. doi: 10.1097/CAD.0000000000000886.