Abstract
Sorafenib, a multi-kinase inhibitor, is the only standard clinical drug against patients with advanced hepatocellular carcinoma (HCC), however, development of sorafenib resistance in HCC often prevents its long-term efficacy. Therefore, novel targets and strategies are urgently needed to improve antitumor effect of sorafenib. In the present study, we examined the novel mechanisms of sorafenib resistance of HCC cells from the difference in sorafenib resistance between two HCC cell lines. Sorafenib induced more apoptosis of HepG2 cells compared to Hep3B cells from 1 to 5 μM of its concentration. Sorafenib exposure to HepG2 cells but not Hep3B cells increased expression of proapoptotic factor PUMA, and activated PARP and caspase-3. Notably, microRNA-181a (miR-181a) expression levels were lower in HepG2 cells than in Hep3B cells. Exogenous miR-181a expression in HepG2 cells reduced apoptosis, whereas inhibition of miR-181a in Hpe3B cells increased. In addition, we demonstrated that miR-181a directly targets RASSF1, a MAPK signaling factor, and knockdown of RASSF1 increased sorafenib resistance. Taken together, these results suggest that miR-181a provokes sorafenib resistance through suppression of RASSF1. Our data provide an important insight into the novel therapeutic strategy against sorafenib resistance of HCC cells by targeting of miR-181a pathway.
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