ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway

Abstract Background Cisplatin chemotherapy is an important treatment for advanced ovarian cancer (OC). However, the development of cisplatin resistance greatly limits the survival time of OC patients. Endothelial cell-specific molecule 1 (ESM1) has been found to be an important proto-oncogene promot...

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Main Authors: Hui Li, Tingyu Fan, Mei Qin, Shuanghua Chen, Wenchao Zhou, Peiting Wu, Yuwei Yuan, Xing Tang, Tian Zeng, Jiawen Fang, Ting Yi, Juan Zhang, Juan Zou, Yukun Li
Format: Article
Language:English
Published: Springer 2025-03-01
Series:Discover Oncology
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Online Access:https://doi.org/10.1007/s12672-025-02113-1
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author Hui Li
Tingyu Fan
Mei Qin
Shuanghua Chen
Wenchao Zhou
Peiting Wu
Yuwei Yuan
Xing Tang
Tian Zeng
Jiawen Fang
Ting Yi
Juan Zhang
Juan Zou
Yukun Li
author_facet Hui Li
Tingyu Fan
Mei Qin
Shuanghua Chen
Wenchao Zhou
Peiting Wu
Yuwei Yuan
Xing Tang
Tian Zeng
Jiawen Fang
Ting Yi
Juan Zhang
Juan Zou
Yukun Li
author_sort Hui Li
collection DOAJ
description Abstract Background Cisplatin chemotherapy is an important treatment for advanced ovarian cancer (OC). However, the development of cisplatin resistance greatly limits the survival time of OC patients. Endothelial cell-specific molecule 1 (ESM1) has been found to be an important proto-oncogene promoting OC, but its mediating OC cisplatin resistance remains unknown. Methods We used quantitative polymerase chain reaction (qPCR) to measure transcription levels of ESM1, Growth arrest specific transcript 5 (GAS5), miR-23a-3p, and Phosphatase And Tensin Homolog (PTEN). A double luciferase reporter gene assay confirmed the direct binding of GAS5 to miR-23a-3p and miR-23a-3p to PTEN mRNA. The effects of ESM1, GAS5, miR-23a-3p, and PTEN on OC cisplatin resistance were tested with an Half Maximal Inhibitory Concentration (IC50) assay. Flow cytometry was used to assess the effects of ESM1, GAS5, and miR-23a-3p on cisplatin-induced OC apoptosis. Changes in apoptosis-related proteins and PI3K/AKT-related proteins were analyzed with western blot (WB). Results ESM1 inhibits the levels of GAS5 and PTEN but increases miR-23a-3p. ESM1 and miR-23a-3p promote OC cisplatin resistance. GAS5 and miR-23a-3p promote cisplatin sensitivity for OC cells. Moreover, the main molecular mechanism is the ESM1/GAS5/miR-23a-3p/PTEN/PI3K/Akt signaling axis. Conclusion ESM1 promotes OC cisplatin resistance by activating the Phosphoinositide-3-Kinase (PI3K)/AKT Serine/Threonine Kinase (Akt) signaling pathway through the GAS5/miR-23a-3p/PTEN signaling axis. This suggests that prescriptive ESM1 regulates key downstream molecular mechanisms via non-coding RNA and can be used before neoadjuvant chemotherapy in OC is initiated.
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spelling doaj-art-3586271c9af24c7cbd3d7255226f46df2025-08-20T02:41:32ZengSpringerDiscover Oncology2730-60112025-03-0116111310.1007/s12672-025-02113-1ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathwayHui Li0Tingyu Fan1Mei Qin2Shuanghua Chen3Wenchao Zhou4Peiting Wu5Yuwei Yuan6Xing Tang7Tian Zeng8Jiawen Fang9Ting Yi10Juan Zhang11Juan Zou12Yukun Li13Department of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Gynecology, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityHunan Traditional Chinese Medicine CollegeDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityNursing Class of 2022, School of Nursing, Heilongjiang University of Traditional Chinese MedicineTrauma Center, The Affiliated Zhuzhou Hospital Xiangya Medical College, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityDepartment of Assisted Reproductive Centre, Zhuzhou Hospital Affiliated to Xiangya School of Medicine, Central South UniversityAbstract Background Cisplatin chemotherapy is an important treatment for advanced ovarian cancer (OC). However, the development of cisplatin resistance greatly limits the survival time of OC patients. Endothelial cell-specific molecule 1 (ESM1) has been found to be an important proto-oncogene promoting OC, but its mediating OC cisplatin resistance remains unknown. Methods We used quantitative polymerase chain reaction (qPCR) to measure transcription levels of ESM1, Growth arrest specific transcript 5 (GAS5), miR-23a-3p, and Phosphatase And Tensin Homolog (PTEN). A double luciferase reporter gene assay confirmed the direct binding of GAS5 to miR-23a-3p and miR-23a-3p to PTEN mRNA. The effects of ESM1, GAS5, miR-23a-3p, and PTEN on OC cisplatin resistance were tested with an Half Maximal Inhibitory Concentration (IC50) assay. Flow cytometry was used to assess the effects of ESM1, GAS5, and miR-23a-3p on cisplatin-induced OC apoptosis. Changes in apoptosis-related proteins and PI3K/AKT-related proteins were analyzed with western blot (WB). Results ESM1 inhibits the levels of GAS5 and PTEN but increases miR-23a-3p. ESM1 and miR-23a-3p promote OC cisplatin resistance. GAS5 and miR-23a-3p promote cisplatin sensitivity for OC cells. Moreover, the main molecular mechanism is the ESM1/GAS5/miR-23a-3p/PTEN/PI3K/Akt signaling axis. Conclusion ESM1 promotes OC cisplatin resistance by activating the Phosphoinositide-3-Kinase (PI3K)/AKT Serine/Threonine Kinase (Akt) signaling pathway through the GAS5/miR-23a-3p/PTEN signaling axis. This suggests that prescriptive ESM1 regulates key downstream molecular mechanisms via non-coding RNA and can be used before neoadjuvant chemotherapy in OC is initiated.https://doi.org/10.1007/s12672-025-02113-1Ovarian cancerESM1GAS5PTEN/PI3K/AKT pathwayCisplatin resistance
spellingShingle Hui Li
Tingyu Fan
Mei Qin
Shuanghua Chen
Wenchao Zhou
Peiting Wu
Yuwei Yuan
Xing Tang
Tian Zeng
Jiawen Fang
Ting Yi
Juan Zhang
Juan Zou
Yukun Li
ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
Discover Oncology
Ovarian cancer
ESM1
GAS5
PTEN/PI3K/AKT pathway
Cisplatin resistance
title ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
title_full ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
title_fullStr ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
title_full_unstemmed ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
title_short ESM1 suppresses LncRNA GAS5/miR-23a-3p/PTEN axis to promote the cisplatin-chemotherapy resistance of ovarian cancer cells via activating the PI3K/AKT pathway
title_sort esm1 suppresses lncrna gas5 mir 23a 3p pten axis to promote the cisplatin chemotherapy resistance of ovarian cancer cells via activating the pi3k akt pathway
topic Ovarian cancer
ESM1
GAS5
PTEN/PI3K/AKT pathway
Cisplatin resistance
url https://doi.org/10.1007/s12672-025-02113-1
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