PMID- 35857905 OWN - NLM STAT- MEDLINE DCOM- 20220722 LR - 20221005 IS - 2001-1326 (Electronic) IS - 2001-1326 (Linking) VI - 12 IP - 7 DP - 2022 Jul TI - Cancer-associated fibroblast-derived exosomal microRNA-20a suppresses the PTEN/PI3K-AKT pathway to promote the progression and chemoresistance of non-small cell lung cancer. PG - e989 LID - 10.1002/ctm2.989 [doi] LID - e989 AB - BACKGROUND: Cancer-associated fibroblasts (CAFs) contributes to overall tumor progression. In the current survey, we explored the ability of microRNA-20a (miR-20a) within these CAF-derived exosomes to influence non-small-cell lung cancer (NSCLC) progression. MATERIALS AND METHODS: Normal tissue-associated fibroblasts (NAFs) and CAFs were collected from samples of NSCLC patient tumors and paracancerous lung tissues. Exosomes derived from these cells were then characterized via Western blotting, nanoparticle tracking analyses, and transmission electron microscopy. The expression of miR-20a was assessed via qPCR and fluorescence in situ hybridization (FISH). CCK-8, EdU uptake, and colony formation assessments were used for evaluating tumor proliferation, while Hoechst staining was performed to monitor the in vitro apoptotic death of tumor cells. A model of xenograft tumor established in nude mice was also used to evaluate in vivo tumor responses. RESULTS: CAF-derived exosomes exhibited miR-20a upregulation and promoted NSCLC cell proliferation and resistance to cisplatin (DDP). Mechanistically, CAF-derived exosomes were discovered to transmit miR-20a to tumor cells wherein it was able to target PTEN to enhance DDP resistance and proliferation. Associated PTEN downregulation following exosome-derived miR-20a treatment enhanced PI3K/AKT pathway activation. CONCLUSION: The achieved outcomes explain that CAFs can release miR-20a-containing exosomes capable of promoting NSCLC progression and chemoresistance, highlighting this pathway as a possible therapeutic target in NSCLC. CI - (c) 2022 The Authors. Clinical and Translational Medicine published by John Wiley & Sons Australia, Ltd on behalf of Shanghai Institute of Clinical Bioinformatics. FAU - Shi, Lin AU - Shi L AD - Department of Traditional Chinese Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China. FAU - Zhu, Weiliang AU - Zhu W AD - Department of Cancer Center, Zhujiang Hospital of Southern Medical University, Guangzhou, China. FAU - Huang, Yuanyuan AU - Huang Y AD - Department of VIP Region, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Zhuo, Lin AU - Zhuo L AD - Department of Traditional Chinese Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China. FAU - Wang, Siyun AU - Wang S AD - Department of Traditional Chinese Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China. FAU - Chen, Shaobing AU - Chen S AD - Department of Traditional Chinese Medicine, Zhujiang Hospital of Southern Medical University, Guangzhou, China. FAU - Zhang, Bei AU - Zhang B AD - Department of VIP Region, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. FAU - Ke, Bin AU - Ke B AUID- ORCID: 0000-0001-6242-9898 AD - Department of VIP Region, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't PL - United States TA - Clin Transl Med JT - Clinical and translational medicine JID - 101597971 RN - 0 (MIRN20a microRNA, human) RN - 0 (MicroRNAs) RN - EC 2.7.11.1 (Proto-Oncogene Proteins c-akt) RN - EC 3.1.3.67 (PTEN Phosphohydrolase) RN - EC 3.1.3.67 (PTEN protein, human) SB - IM MH - Animals MH - *Cancer-Associated Fibroblasts/metabolism/pathology MH - *Carcinoma, Non-Small-Cell Lung/drug therapy/genetics/metabolism MH - Drug Resistance, Neoplasm/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - *Lung Neoplasms/drug therapy/genetics/metabolism MH - Mice MH - Mice, Nude MH - *MicroRNAs/genetics/metabolism MH - PTEN Phosphohydrolase/genetics/metabolism MH - Phosphatidylinositol 3-Kinases/genetics/metabolism MH - Proto-Oncogene Proteins c-akt/genetics/metabolism PMC - PMC9299573 OTO - NOTNLM OT - CAF OT - NSCLC OT - PTEN OT - exosome OT - microRNA-20a COIS- The authors have no relevant financial or non-financial interests to disclose. EDAT- 2022/07/21 06:00 MHDA- 2022/07/23 06:00 PMCR- 2022/07/20 CRDT- 2022/07/20 15:03 PHST- 2022/07/02 00:00 [revised] PHST- 2022/03/08 00:00 [received] PHST- 2022/07/07 00:00 [accepted] PHST- 2022/07/20 15:03 [entrez] PHST- 2022/07/21 06:00 [pubmed] PHST- 2022/07/23 06:00 [medline] PHST- 2022/07/20 00:00 [pmc-release] AID - CTM2989 [pii] AID - 10.1002/ctm2.989 [doi] PST - ppublish SO - Clin Transl Med. 2022 Jul;12(7):e989. doi: 10.1002/ctm2.989.