CCL20 triggered by chemotherapy hinders the therapeutic efficacy of breast cancer

Chemotherapeutic resistance in triple-negative breast cancer (TNBC) has brought great challenges to the improvement of patient survival. The mechanisms of taxane chemoresistance in TNBC have not been well investigated. Our results illustrated C-C motif chemokine ligand 20 (CCL20) was significantly e...

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Veröffentlicht in:PLoS biology 2018-07, Vol.16 (7), p.e2005869-e2005869
Hauptverfasser: Chen, Weilong, Qin, Yuanyuan, Wang, Dong, Zhou, Lei, Liu, Yin, Chen, Sheng, Yin, Liang, Xiao, Yaoxing, Yao, Xiao-Hong, Yang, Xiaoli, Ma, Wei, Chen, Weifeng, He, Xueyan, Zhang, Lixing, Yang, Qifeng, Bian, Xiuwu, Shao, Zhi-Ming, Liu, Suling
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container_end_page e2005869
container_issue 7
container_start_page e2005869
container_title PLoS biology
container_volume 16
creator Chen, Weilong
Qin, Yuanyuan
Wang, Dong
Zhou, Lei
Liu, Yin
Chen, Sheng
Yin, Liang
Xiao, Yaoxing
Yao, Xiao-Hong
Yang, Xiaoli
Ma, Wei
Chen, Weifeng
He, Xueyan
Zhang, Lixing
Yang, Qifeng
Bian, Xiuwu
Shao, Zhi-Ming
Liu, Suling
description Chemotherapeutic resistance in triple-negative breast cancer (TNBC) has brought great challenges to the improvement of patient survival. The mechanisms of taxane chemoresistance in TNBC have not been well investigated. Our results illustrated C-C motif chemokine ligand 20 (CCL20) was significantly elevated during taxane-containing chemotherapy in breast cancer patients with nonpathologic complete response. Furthermore, CCL20 promoted the self-renewal and maintenance of breast cancer stem cells (BCSCs) or breast cancer stem-like cells through protein kinase Cζ (PKCζ) or p38 mitogen-activated protein kinase (MAPK)-mediated activation of p65 nuclear factor kappa B (NF-κB) pathway, significantly increasing the frequency and taxane resistance of BCSCs. Moreover, CCL20-promoted NF-κB activation increased ATP-binding cassette subfamily B member 1 (ABCB1)/multidrug resistance 1 (MDR1) expression, leading to the extracellular efflux of taxane. These results suggested that chemotherapy-induced CCL20 mediated chemoresistance via up-regulating ABCB1. In addition, NF-κB activation increased CCL20 expression, forming a positive feedback loop between NF-κB and CCL20 pathways, which provides sustained impetus for chemoresistance in breast cancer cells. Our results suggest that CCL20 can be a novel predictive marker for taxane response, and the blockade of CCL20 or its downstream pathway might reverse the taxane resistance in breast cancer patients.
doi_str_mv 10.1371/journal.pbio.2005869
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The mechanisms of taxane chemoresistance in TNBC have not been well investigated. Our results illustrated C-C motif chemokine ligand 20 (CCL20) was significantly elevated during taxane-containing chemotherapy in breast cancer patients with nonpathologic complete response. Furthermore, CCL20 promoted the self-renewal and maintenance of breast cancer stem cells (BCSCs) or breast cancer stem-like cells through protein kinase Cζ (PKCζ) or p38 mitogen-activated protein kinase (MAPK)-mediated activation of p65 nuclear factor kappa B (NF-κB) pathway, significantly increasing the frequency and taxane resistance of BCSCs. Moreover, CCL20-promoted NF-κB activation increased ATP-binding cassette subfamily B member 1 (ABCB1)/multidrug resistance 1 (MDR1) expression, leading to the extracellular efflux of taxane. These results suggested that chemotherapy-induced CCL20 mediated chemoresistance via up-regulating ABCB1. In addition, NF-κB activation increased CCL20 expression, forming a positive feedback loop between NF-κB and CCL20 pathways, which provides sustained impetus for chemoresistance in breast cancer cells. Our results suggest that CCL20 can be a novel predictive marker for taxane response, and the blockade of CCL20 or its downstream pathway might reverse the taxane resistance in breast cancer patients.</description><identifier>ISSN: 1545-7885</identifier><identifier>ISSN: 1544-9173</identifier><identifier>EISSN: 1545-7885</identifier><identifier>DOI: 10.1371/journal.pbio.2005869</identifier><identifier>PMID: 30052635</identifier><language>eng</language><publisher>United States: Public Library of Science</publisher><subject>Activation ; Apoptosis ; Biology and Life Sciences ; Breast cancer ; Cancer ; CCL20 protein ; Cell self-renewal ; Chemoresistance ; Chemotherapy ; Chronic illnesses ; Cytokines ; Drug therapy ; Efflux ; Feedback loops ; Gene expression ; Glycoproteins ; Kinases ; Laboratories ; Leukemia ; Life sciences ; Lymphoma ; MAP kinase ; MDR1 protein ; Medicine and Health Sciences ; Multidrug resistance ; NF-κB protein ; Oncology ; P-Glycoprotein ; Pathology ; Patient outcomes ; Patients ; Positive feedback ; Protein kinase ; Protein kinase C ; Proteins ; Research and Analysis Methods ; Senescence ; Stem cells ; Surgery ; Taxanes</subject><ispartof>PLoS biology, 2018-07, Vol.16 (7), p.e2005869-e2005869</ispartof><rights>COPYRIGHT 2018 Public Library of Science</rights><rights>2018 Chen et al. This is an open access article distributed under the terms of the Creative Commons Attribution License: http://creativecommons.org/licenses/by/4.0/ (the “License”), which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. 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The mechanisms of taxane chemoresistance in TNBC have not been well investigated. Our results illustrated C-C motif chemokine ligand 20 (CCL20) was significantly elevated during taxane-containing chemotherapy in breast cancer patients with nonpathologic complete response. Furthermore, CCL20 promoted the self-renewal and maintenance of breast cancer stem cells (BCSCs) or breast cancer stem-like cells through protein kinase Cζ (PKCζ) or p38 mitogen-activated protein kinase (MAPK)-mediated activation of p65 nuclear factor kappa B (NF-κB) pathway, significantly increasing the frequency and taxane resistance of BCSCs. Moreover, CCL20-promoted NF-κB activation increased ATP-binding cassette subfamily B member 1 (ABCB1)/multidrug resistance 1 (MDR1) expression, leading to the extracellular efflux of taxane. These results suggested that chemotherapy-induced CCL20 mediated chemoresistance via up-regulating ABCB1. In addition, NF-κB activation increased CCL20 expression, forming a positive feedback loop between NF-κB and CCL20 pathways, which provides sustained impetus for chemoresistance in breast cancer cells. Our results suggest that CCL20 can be a novel predictive marker for taxane response, and the blockade of CCL20 or its downstream pathway might reverse the taxane resistance in breast cancer patients.</description><subject>Activation</subject><subject>Apoptosis</subject><subject>Biology and Life Sciences</subject><subject>Breast cancer</subject><subject>Cancer</subject><subject>CCL20 protein</subject><subject>Cell self-renewal</subject><subject>Chemoresistance</subject><subject>Chemotherapy</subject><subject>Chronic illnesses</subject><subject>Cytokines</subject><subject>Drug therapy</subject><subject>Efflux</subject><subject>Feedback loops</subject><subject>Gene expression</subject><subject>Glycoproteins</subject><subject>Kinases</subject><subject>Laboratories</subject><subject>Leukemia</subject><subject>Life sciences</subject><subject>Lymphoma</subject><subject>MAP kinase</subject><subject>MDR1 protein</subject><subject>Medicine and Health Sciences</subject><subject>Multidrug resistance</subject><subject>NF-κB protein</subject><subject>Oncology</subject><subject>P-Glycoprotein</subject><subject>Pathology</subject><subject>Patient outcomes</subject><subject>Patients</subject><subject>Positive feedback</subject><subject>Protein kinase</subject><subject>Protein kinase C</subject><subject>Proteins</subject><subject>Research and Analysis Methods</subject><subject>Senescence</subject><subject>Stem cells</subject><subject>Surgery</subject><subject>Taxanes</subject><issn>1545-7885</issn><issn>1544-9173</issn><issn>1545-7885</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2018</creationdate><recordtype>article</recordtype><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>DOA</sourceid><recordid>eNqVksuO0zAUhiMEYobCGyCIxAYWLb7Etw3SqOJSqWLEdWs5znHqURoXO0H07XFpZjRFswB5Yfv4O799jv-ieIrRAlOBX1-FMfamW-xqHxYEISa5ulecY1axuZCS3b-1PisepXSFECGKyIfFGc044ZSdF5-WyzVB5RB920KEpqz3pd3ANgwbiGa3Lze-byCmMu_LYwzGwdsSnPPW2H0ZXFlHMGkorektxMfFA2e6BE-meVZ8e_f26_LDfH35frW8WM8tV2yYW0opNAIbA4oJTB0RFtUN0IZWtbM1UIUpx5ZDw4XhXDKiaE0qoVwjERN0Vjw_6u66kPTUjaQJkopWnCqUidWRaIK50rvotybudTBe_wmE2GoTcy0daCm5QLZhjoGspDIKG8GZkrWocX6iy1pvptvGeguNhX6IpjsRPT3p_Ua34afmSBImZBZ4OQnE8GOENOitTxa6zvQQxsO7hWSSklz1rHjxF3p3dRPVmlyA713I99qDqL5gleQUZVNkanEHlUcDW29DD87n-EnCq5OEzAzwa2jNmJJeffn8H-zHf2cvv5-y1ZG1MaQUwd30GSN9MP91Q_TB_Hoyf057dvuPbpKu3U5_AydJ_YA</recordid><startdate>20180727</startdate><enddate>20180727</enddate><creator>Chen, Weilong</creator><creator>Qin, Yuanyuan</creator><creator>Wang, Dong</creator><creator>Zhou, Lei</creator><creator>Liu, Yin</creator><creator>Chen, Sheng</creator><creator>Yin, Liang</creator><creator>Xiao, Yaoxing</creator><creator>Yao, Xiao-Hong</creator><creator>Yang, Xiaoli</creator><creator>Ma, Wei</creator><creator>Chen, Weifeng</creator><creator>He, Xueyan</creator><creator>Zhang, Lixing</creator><creator>Yang, Qifeng</creator><creator>Bian, Xiuwu</creator><creator>Shao, Zhi-Ming</creator><creator>Liu, Suling</creator><general>Public Library of Science</general><general>Public Library of Science (PLoS)</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>IOV</scope><scope>ISN</scope><scope>ISR</scope><scope>3V.</scope><scope>7QG</scope><scope>7QL</scope><scope>7SN</scope><scope>7SS</scope><scope>7T5</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8FD</scope><scope>8FE</scope><scope>8FH</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BBNVY</scope><scope>BENPR</scope><scope>BHPHI</scope><scope>C1K</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>H94</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>LK8</scope><scope>M0S</scope><scope>M1P</scope><scope>M7N</scope><scope>M7P</scope><scope>P64</scope><scope>PATMY</scope><scope>PIMPY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PYCSY</scope><scope>RC3</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope><scope>CZG</scope><orcidid>https://orcid.org/0000-0002-0475-0242</orcidid></search><sort><creationdate>20180727</creationdate><title>CCL20 triggered by chemotherapy hinders the therapeutic efficacy of breast cancer</title><author>Chen, Weilong ; Qin, Yuanyuan ; Wang, Dong ; Zhou, Lei ; Liu, Yin ; Chen, Sheng ; Yin, Liang ; Xiao, Yaoxing ; Yao, Xiao-Hong ; Yang, Xiaoli ; Ma, Wei ; Chen, Weifeng ; He, Xueyan ; Zhang, Lixing ; Yang, Qifeng ; Bian, Xiuwu ; Shao, Zhi-Ming ; Liu, Suling</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c695t-c333ed71aae95713f27c0bde3d34bfcbe391361c6ed67a6685293b2479fd80573</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2018</creationdate><topic>Activation</topic><topic>Apoptosis</topic><topic>Biology and Life Sciences</topic><topic>Breast cancer</topic><topic>Cancer</topic><topic>CCL20 protein</topic><topic>Cell self-renewal</topic><topic>Chemoresistance</topic><topic>Chemotherapy</topic><topic>Chronic illnesses</topic><topic>Cytokines</topic><topic>Drug therapy</topic><topic>Efflux</topic><topic>Feedback loops</topic><topic>Gene expression</topic><topic>Glycoproteins</topic><topic>Kinases</topic><topic>Laboratories</topic><topic>Leukemia</topic><topic>Life sciences</topic><topic>Lymphoma</topic><topic>MAP kinase</topic><topic>MDR1 protein</topic><topic>Medicine and Health Sciences</topic><topic>Multidrug resistance</topic><topic>NF-κB protein</topic><topic>Oncology</topic><topic>P-Glycoprotein</topic><topic>Pathology</topic><topic>Patient outcomes</topic><topic>Patients</topic><topic>Positive feedback</topic><topic>Protein kinase</topic><topic>Protein kinase C</topic><topic>Proteins</topic><topic>Research and Analysis Methods</topic><topic>Senescence</topic><topic>Stem cells</topic><topic>Surgery</topic><topic>Taxanes</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Chen, Weilong</creatorcontrib><creatorcontrib>Qin, Yuanyuan</creatorcontrib><creatorcontrib>Wang, Dong</creatorcontrib><creatorcontrib>Zhou, Lei</creatorcontrib><creatorcontrib>Liu, Yin</creatorcontrib><creatorcontrib>Chen, Sheng</creatorcontrib><creatorcontrib>Yin, Liang</creatorcontrib><creatorcontrib>Xiao, Yaoxing</creatorcontrib><creatorcontrib>Yao, Xiao-Hong</creatorcontrib><creatorcontrib>Yang, Xiaoli</creatorcontrib><creatorcontrib>Ma, Wei</creatorcontrib><creatorcontrib>Chen, Weifeng</creatorcontrib><creatorcontrib>He, Xueyan</creatorcontrib><creatorcontrib>Zhang, Lixing</creatorcontrib><creatorcontrib>Yang, Qifeng</creatorcontrib><creatorcontrib>Bian, Xiuwu</creatorcontrib><creatorcontrib>Shao, Zhi-Ming</creatorcontrib><creatorcontrib>Liu, Suling</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Opposing Viewpoints</collection><collection>Gale In Context: Canada</collection><collection>Gale In Context: Science</collection><collection>ProQuest Central (Corporate)</collection><collection>Animal Behavior Abstracts</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Ecology Abstracts</collection><collection>Entomology Abstracts (Full archive)</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Nucleic Acids Abstracts</collection><collection>Health &amp; 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The mechanisms of taxane chemoresistance in TNBC have not been well investigated. Our results illustrated C-C motif chemokine ligand 20 (CCL20) was significantly elevated during taxane-containing chemotherapy in breast cancer patients with nonpathologic complete response. Furthermore, CCL20 promoted the self-renewal and maintenance of breast cancer stem cells (BCSCs) or breast cancer stem-like cells through protein kinase Cζ (PKCζ) or p38 mitogen-activated protein kinase (MAPK)-mediated activation of p65 nuclear factor kappa B (NF-κB) pathway, significantly increasing the frequency and taxane resistance of BCSCs. Moreover, CCL20-promoted NF-κB activation increased ATP-binding cassette subfamily B member 1 (ABCB1)/multidrug resistance 1 (MDR1) expression, leading to the extracellular efflux of taxane. These results suggested that chemotherapy-induced CCL20 mediated chemoresistance via up-regulating ABCB1. In addition, NF-κB activation increased CCL20 expression, forming a positive feedback loop between NF-κB and CCL20 pathways, which provides sustained impetus for chemoresistance in breast cancer cells. Our results suggest that CCL20 can be a novel predictive marker for taxane response, and the blockade of CCL20 or its downstream pathway might reverse the taxane resistance in breast cancer patients.</abstract><cop>United States</cop><pub>Public Library of Science</pub><pmid>30052635</pmid><doi>10.1371/journal.pbio.2005869</doi><orcidid>https://orcid.org/0000-0002-0475-0242</orcidid><oa>free_for_read</oa></addata></record>
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subjects Activation
Apoptosis
Biology and Life Sciences
Breast cancer
Cancer
CCL20 protein
Cell self-renewal
Chemoresistance
Chemotherapy
Chronic illnesses
Cytokines
Drug therapy
Efflux
Feedback loops
Gene expression
Glycoproteins
Kinases
Laboratories
Leukemia
Life sciences
Lymphoma
MAP kinase
MDR1 protein
Medicine and Health Sciences
Multidrug resistance
NF-κB protein
Oncology
P-Glycoprotein
Pathology
Patient outcomes
Patients
Positive feedback
Protein kinase
Protein kinase C
Proteins
Research and Analysis Methods
Senescence
Stem cells
Surgery
Taxanes
title CCL20 triggered by chemotherapy hinders the therapeutic efficacy of breast cancer
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