PMID- 36751636 OWN - NLM STAT- MEDLINE DCOM- 20230209 LR - 20230428 IS - 2167-8359 (Electronic) IS - 2167-8359 (Linking) VI - 11 DP - 2023 TI - FGF19 promotes cell autophagy and cisplatin chemoresistance by activating MAPK signaling in ovarian cancer. PG - e14827 LID - 10.7717/peerj.14827 [doi] LID - e14827 AB - BACKGROUND: Chemotherapy is one of the primary treatments for ovarian cancer patients. Autophagy has been linked to chemotherapy resistance in tumor cells. Recent studies have suggested that fibroblast growth factor 19 (FGF19) may be involved in the onset and progression of malignancies. However, the relationship between FGF19 and autophagy in ovarian cancer is still unknown. METHODS: Next-generation sequencing (NGS) was conducted to analyze gene mutation profiles of 62 cases of high grade serous ovarian cancer (HGSOC). Fluorescence in situ hybridization (FISH) was performed to validate the amplification of FGF19 in HGSOC tissues. Quantitative PCR (qPCR) and immunohistochemistry (IHC) were used to analyze the difference of FGF19 in mRNA and protein expression. Meanwhile, bioinformatics techniques were used to analyze the expression profiles of FGF19 and the correlation with prognosis. Besides, immunofluorescence, transmission electron microscopy and Cell Counting Kit 8 (CCK-8) were used to investigate the potential mechanisms. RESULTS: In this study, we found that FGF19 promotes cisplatin resistance in ovarian cancer cells by inducing autophagy. NGS analysis of 62 HGSOC cases identified a significantly amplified gene, FGF19. In addition, the expression level of FGF19 in ovarian cancer samples was higher than that in normal samples. FISH results showed a positive correlation between amplification and expression of FGF19. Knockdown of FGF19 inhibited the cell autophagy through decrease in the expression of LC3 and Beclin 1, and increase in the expression of SQSTM1/p62. Furthermore, we observed that p38 MAPK phosphorylation was down-regulated after FGF19 knockdown. IFN-gamma, a potential p38 MAPK activator, counteracted the inhibition of cell autophagy and the anti-proliferation effect of cisplatin induced by FGF19 knockdown in ovarian cancer cells. CONCLUSION: FGF19 increases autophagy and chemoresistance in ovarian cancer by activating the p38 MAPK pathway. These results could point to FGF19 being a potential therapeutic target for ovarian cancer. CI - (c) 2023 Zhu et al. FAU - Zhu, Wei AU - Zhu W AD - Department of Pathology, Xiangya Hospital, Central South University, Changsha, China. AD - Department of Pathology, School of Basic Medical Science, Central South University, Changsha, China. FAU - Huang, Meiyuan AU - Huang M AD - Department of Pathology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South University, Zhuzhou, China. FAU - Thakur, Abhimanyu AU - Thakur A AD - Pritzker School of Molecular Engineering, Ben May Department for Cancer Research, University of Chicago, Chicago, Illinois, USA. FAU - Yan, Yuanliang AU - Yan Y AUID- ORCID: 0000-0001-6610-3617 AD - Department of Pharmacy, Xiangya Hospital, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. FAU - Wu, Xiaoying AU - Wu X AD - Department of Pathology, Xiangya Hospital, Central South University, Changsha, China. AD - Department of Pathology, School of Basic Medical Science, Central South University, Changsha, China. AD - National Clinical Research Center for Geriatric Disorders, Xiangya Hospital, Central South University, Changsha, China. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20230202 PL - United States TA - PeerJ JT - PeerJ JID - 101603425 RN - Q20Q21Q62J (Cisplatin) RN - 0 (Antineoplastic Agents) RN - 0 (FGF19 protein, human) RN - 62031-54-3 (Fibroblast Growth Factors) SB - IM MH - Humans MH - Female MH - Cisplatin MH - *Antineoplastic Agents/pharmacology MH - Drug Resistance, Neoplasm MH - In Situ Hybridization, Fluorescence MH - Cell Line, Tumor MH - *Ovarian Neoplasms/drug therapy MH - Autophagy MH - Fibroblast Growth Factors/genetics PMC - PMC9899438 OTO - NOTNLM OT - Autophagy OT - Chemoresistance OT - FGF19 OT - MAPK OT - Ovarian cancer COIS- Yuanliang Yan is an Academic Editor for PeerJ. EDAT- 2023/02/09 06:00 MHDA- 2023/02/10 06:00 PMCR- 2023/02/02 CRDT- 2023/02/08 01:59 PHST- 2022/10/13 00:00 [received] PHST- 2023/01/09 00:00 [accepted] PHST- 2023/02/08 01:59 [entrez] PHST- 2023/02/09 06:00 [pubmed] PHST- 2023/02/10 06:00 [medline] PHST- 2023/02/02 00:00 [pmc-release] AID - 14827 [pii] AID - 10.7717/peerj.14827 [doi] PST - epublish SO - PeerJ. 2023 Feb 2;11:e14827. doi: 10.7717/peerj.14827. eCollection 2023.