Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN

Abstract FOLFOX (5-fluorouracil, oxaliplatin, folinic acid) is a standard treatment for hepatocellular carcinoma, but its efficacy is often limited by drug resistance, the underlying mechanisms of which remain unclear. In this study, oxaliplatin (OXA)- and 5-fluorouracil (5-Fu)-resistant hepatocellu...

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Main Authors: Yuan Zeng, Haoran Jiang, Zhoufeng Chen, Jun Xu, Xiangting Zhang, Weimin Cai, Xianjie Zeng, Peipei Ma, Rong lin, Huilin Yu, Yuanhang He, Huiya Ying, Ruoru Zhou, Xiao Wu, Fujun Yu
Format: Article
Language:English
Published: Nature Publishing Group 2025-01-01
Series:Cell Death and Disease
Online Access:https://doi.org/10.1038/s41419-025-07359-9
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author Yuan Zeng
Haoran Jiang
Zhoufeng Chen
Jun Xu
Xiangting Zhang
Weimin Cai
Xianjie Zeng
Peipei Ma
Rong lin
Huilin Yu
Yuanhang He
Huiya Ying
Ruoru Zhou
Xiao Wu
Fujun Yu
author_facet Yuan Zeng
Haoran Jiang
Zhoufeng Chen
Jun Xu
Xiangting Zhang
Weimin Cai
Xianjie Zeng
Peipei Ma
Rong lin
Huilin Yu
Yuanhang He
Huiya Ying
Ruoru Zhou
Xiao Wu
Fujun Yu
author_sort Yuan Zeng
collection DOAJ
description Abstract FOLFOX (5-fluorouracil, oxaliplatin, folinic acid) is a standard treatment for hepatocellular carcinoma, but its efficacy is often limited by drug resistance, the underlying mechanisms of which remain unclear. In this study, oxaliplatin (OXA)- and 5-fluorouracil (5-Fu)-resistant hepatocellular carcinoma cell lines were established, and enhanced glycolytic activity was identified in resistant cells. Inhibiting glycolysis effectively suppressed the malignant behavior of both OXA- and 5-Fu-resistant cells. Mechanistically, active glycolysis induced elevated levels of lactylation, predominantly histone lactylation, with H3K14la playing a key role in regulating gene expression. The ubiquitin E3 ligase NEDD4 was identified as a downstream target of H3K14la. Furthermore, NEDD4, regulated by histone lactylation, interacted with PTEN to mediate its ubiquitination and subsequent degradation. The downregulation of PTEN formed a positive feedback loop, further driving the malignant progression of OXA- and 5-Fu-resistant cells. This study elucidates a shared mechanism underlying OXA and 5-Fu resistance in hepatocellular carcinoma and highlights a promising therapeutic target for overcoming clinical chemotherapy resistance.
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institution Kabale University
issn 2041-4889
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publishDate 2025-01-01
publisher Nature Publishing Group
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series Cell Death and Disease
spelling doaj-art-f471ac49cbed45debe282c3de56db31d2025-02-02T12:44:48ZengNature Publishing GroupCell Death and Disease2041-48892025-01-0116111610.1038/s41419-025-07359-9Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTENYuan Zeng0Haoran Jiang1Zhoufeng Chen2Jun Xu3Xiangting Zhang4Weimin Cai5Xianjie Zeng6Peipei Ma7Rong lin8Huilin Yu9Yuanhang He10Huiya Ying11Ruoru Zhou12Xiao Wu13Fujun Yu14Department of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Radiation Oncology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversitySchool of Pharmaceutical Science, Fujian Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityThe First Clinical Medical College, Wenzhou Medical UniversityThe First Clinical Medical College, Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityDepartment of Gastroenterology, the First Affiliated Hospital of Wenzhou Medical UniversityAbstract FOLFOX (5-fluorouracil, oxaliplatin, folinic acid) is a standard treatment for hepatocellular carcinoma, but its efficacy is often limited by drug resistance, the underlying mechanisms of which remain unclear. In this study, oxaliplatin (OXA)- and 5-fluorouracil (5-Fu)-resistant hepatocellular carcinoma cell lines were established, and enhanced glycolytic activity was identified in resistant cells. Inhibiting glycolysis effectively suppressed the malignant behavior of both OXA- and 5-Fu-resistant cells. Mechanistically, active glycolysis induced elevated levels of lactylation, predominantly histone lactylation, with H3K14la playing a key role in regulating gene expression. The ubiquitin E3 ligase NEDD4 was identified as a downstream target of H3K14la. Furthermore, NEDD4, regulated by histone lactylation, interacted with PTEN to mediate its ubiquitination and subsequent degradation. The downregulation of PTEN formed a positive feedback loop, further driving the malignant progression of OXA- and 5-Fu-resistant cells. This study elucidates a shared mechanism underlying OXA and 5-Fu resistance in hepatocellular carcinoma and highlights a promising therapeutic target for overcoming clinical chemotherapy resistance.https://doi.org/10.1038/s41419-025-07359-9
spellingShingle Yuan Zeng
Haoran Jiang
Zhoufeng Chen
Jun Xu
Xiangting Zhang
Weimin Cai
Xianjie Zeng
Peipei Ma
Rong lin
Huilin Yu
Yuanhang He
Huiya Ying
Ruoru Zhou
Xiao Wu
Fujun Yu
Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
Cell Death and Disease
title Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
title_full Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
title_fullStr Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
title_full_unstemmed Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
title_short Histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with PTEN
title_sort histone lactylation promotes multidrug resistance in hepatocellular carcinoma by forming a positive feedback loop with pten
url https://doi.org/10.1038/s41419-025-07359-9
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