
Mechanism of ferroptosis mediated by the bromodomain protein subfamily 4/nuclear factor-kappa B signaling pathway in chemotherapy resistance of triple-negative breast cancer
Zhang Shuowen, Li Dan, He Jing, Du Zhixing, Pei Yongbin
Mechanism of ferroptosis mediated by the bromodomain protein subfamily 4/nuclear factor-kappa B signaling pathway in chemotherapy resistance of triple-negative breast cancer
Objective To investigate the mechanism of ferroptosis mediated by the bromodomain protein subfamily 4(BRD4)/nuclear factor-kappa B(NF-κB) signaling pathway in the malignant biological behavior of breast cancer. Methods Doxorubicin-resistant MDA-MB-231 cells(MDA-MB-231/DOX) were divided into control group(Con group),DOX group,and si-BRD4+DOX group. In the si-BRD4+DOX group,MDA-MB-231/DOX cells were transfected with si-BRD4 for 48 hours and were then treated with 1 μmol/L DOX for 24 hours. Colony formation assay and 5-ethynyl-2'-deoxyuridine(EdU) analysis were used to evaluate the proliferation ability of cells,and FerroOrange and liperfloo were used to measure the concentration of ferrous ion and the level of lipid peroxidation. A total of 15 female BALB/c-nu mice were randomly divided into control group,DOX group,and DOX+Si-BRD group,with 5 mice in each group,and a subcutaneous inoculation model of MDA-MB-231/DOX cells was established. The methods of qRT-PCR,Western blotting,and immunohistochemistry were used to measure the expression of the BRD4/NF-κB signaling pathway. Results Compared with the si-NC group,the si-BRD4#1 group and the si-BRD4#2 group had significant reductions in the number of cell clones,positive EDU staining,and glutathione level in MDA-MB-231 and BT549 cells(P<0.001),as well as significant increases in the level of ferrous ion,the level of reactive oxygen species(ROS),and oxidized glutathione/glutathione ratio(P<0.01). Compared with the parental cells(MDA-MB-231),there were increases in the mRNA and protein expression levels of BRD4 in MDA-MB-231/DOX cells. Compared with the Con group,the DOX group had significant increases in the expression levels of IKβ-α,NF-κB,and BRD4 and the level of ROS(P<0.05) and significant reductions in the number of cell clones and positive EDU staining(P<0.05); compared with the DOX group,the si-BRD4+DOX group had significant reductions in the expression levels of IKβ-α and NF-κB,the number of cell clones,and positive EDU staining(P<0.05) and a significant increase in the level of ROS(P<0.05). Compared with the control group,the DOX group had significant reductions in tumor weight and volume(P<0.05) and a significant increase in the number of TUNEL-stained cells in tumor tissue(P<0.05). In addition,compared with the DOX group,the BRD4+DOX group had further reductions in tumor weight and volume(P<0.001) and a significant increase in the number of TUNEL-stained cells(P<0.001). Compared with the DOX group,the BRD4+DOX group had significant reductions in Ki-67,BRD-4,and NF-κB(P<0.01) and a significant increase in 4-hydroxynonenal(P<0.01) in tumor tissue. Conclusion BRD4 is an important drug resistance factor,which can inhibit ferroptosis induced by chemotherapy in breast cancer by promoting the activation of the NF-κB signaling pathway.
bromodomain protein subfamily 4 / nuclear factor-kappa B / ferroptosis / breast cancer
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