PMID- 32813021 OWN - NLM STAT- MEDLINE DCOM- 20210427 LR - 20210427 IS - 1523-5866 (Electronic) IS - 1522-8517 (Print) IS - 1522-8517 (Linking) VI - 23 IP - 3 DP - 2021 Mar 25 TI - TGF-beta1 modulates temozolomide resistance in glioblastoma via altered microRNA processing and elevated MGMT. PG - 435-446 LID - 10.1093/neuonc/noaa198 [doi] AB - BACKGROUND: Our previous studies have indicated that miR-198 reduces cellular methylguanine DNA methyltransferase (MGMT) levels to enhance temozolomide sensitivity. Transforming growth factor beta 1 (TGF-beta1) switches off miR-198 expression by repressing K-homology splicing regulatory protein (KSRP) expression in epidermal keratinocytes. However, the underlying role of TGF-beta1 in temozolomide resistance has remained unknown. METHODS: The distribution of KSRP was detected by western blotting and immunofluorescence. Microarray analysis was used to compare the levels of long noncoding RNAs (lncRNAs) between TGF-beta1-treated and untreated cells. RNA immunoprecipitation was performed to verify the relationship between RNAs and KSRP. Flow cytometry and orthotopic and subcutaneous xenograft tumor models were used to determine the function of TGF-beta1 in temozolomide resistance. RESULTS: Overexpression of TGF-beta1 contributed to temozolomide resistance in MGMT promoter hypomethylated glioblastoma cells in vitro and in vivo. TGF-beta1 treatment reduced cellular MGMT levels through suppressing the expression of miR-198. However, TGF-beta1 upregulation did not affect KSRP expression in glioma cells. We identified and characterized 2 lncRNAs (H19 and HOXD-AS2) that were upregulated by TGF-beta1 through Smad signaling. H19 and HOXD-AS2 exhibited competitive binding to KSRP and prevented KSRP from binding to primary miR-198, thus decreasing miR-198 expression. HOXD-AS2 or H19 upregulation strongly promoted temozolomide resistance and MGMT expression. Moreover, KSRP depletion abrogated the effects of TGF-beta1 and lncRNAs on miR-198 and MGMT. Finally, we found that patients with low levels of TGF-beta1 or lncRNA expression benefited from temozolomide therapy. CONCLUSIONS: Our results reveal an underlying mechanism by which TGF-beta1 confers temozolomide resistance. Furthermore, our findings suggest that a novel combination of temozolomide with a TGF-beta inhibitor may serve as an effective therapy for glioblastomas. CI - (c) The Author(s) 2020. Published by Oxford University Press on behalf of the Society for Neuro-Oncology. FAU - Nie, Er AU - Nie E AD - Department of Neurosurgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, PR China. FAU - Jin, Xin AU - Jin X AD - Department of Medicine, Nanjing Gaochun People's Hospital, Nanjing, Jiangsu Province, PR China. FAU - Miao, Faan AU - Miao F AD - Department of Neurosurgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, PR China. FAU - Yu, Tianfu AU - Yu T AD - Department of Neurosurgery, The Affiliated Drum Tower Hospital, School of Medicine, Nanjing University, Nanjing, Jiangsu Province, PR China. FAU - Zhi, Tongle AU - Zhi T AD - Department of Neurosurgery, Yancheng City No. 1 People's Hospital, The 4th Affiliated Hospital of Nantong University, Yancheng, Jiangsu Province, PR China. FAU - Shi, Zhumei AU - Shi Z AD - Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, PR China. FAU - Wang, Yingyi AU - Wang Y AD - Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, PR China. FAU - Zhang, Junxia AU - Zhang J AD - Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, PR China. FAU - Xie, Manyi AU - Xie M AD - Department of Neurosurgery, The Affiliated Hospital of Xuzhou Medical University, Xuzhou, Jiangsu Province, PR China. FAU - You, Yongping AU - You Y AD - Department of Neurosurgery, the First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, PR China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - England TA - Neuro Oncol JT - Neuro-oncology JID - 100887420 RN - 0 (Antineoplastic Agents, Alkylating) RN - 0 (MIRN198 microRNA, human) RN - 0 (MicroRNAs) RN - 0 (Transforming Growth Factor beta1) RN - 0 (Tumor Suppressor Proteins) RN - EC 2.1.1.- (DNA Modification Methylases) RN - EC 2.1.1.63 (MGMT protein, human) RN - EC 6.5.1.- (DNA Repair Enzymes) RN - YF1K15M17Y (Temozolomide) SB - IM MH - Antineoplastic Agents, Alkylating/pharmacology/therapeutic use MH - Cell Line, Tumor MH - DNA Modification Methylases/genetics MH - DNA Repair Enzymes MH - Drug Resistance, Neoplasm/genetics MH - *Glioblastoma/drug therapy/genetics MH - Humans MH - *MicroRNAs/genetics MH - Temozolomide/pharmacology/therapeutic use MH - Transforming Growth Factor beta1/genetics/therapeutic use MH - Tumor Suppressor Proteins/genetics PMC - PMC7992894 OTO - NOTNLM OT - KSRP OT - MGMT OT - TGF-beta1 OT - glioblastoma OT - temozolomide resistance EDAT- 2020/08/20 06:00 MHDA- 2021/04/28 06:00 PMCR- 2020/08/19 CRDT- 2020/08/20 06:00 PHST- 2020/08/20 06:00 [pubmed] PHST- 2021/04/28 06:00 [medline] PHST- 2020/08/20 06:00 [entrez] PHST- 2020/08/19 00:00 [pmc-release] AID - 5894410 [pii] AID - noaa198 [pii] AID - 10.1093/neuonc/noaa198 [doi] PST - ppublish SO - Neuro Oncol. 2021 Mar 25;23(3):435-446. doi: 10.1093/neuonc/noaa198.