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TRIM25 promotes temozolomide resistance in glioma by regulating oxidative stress and ferroptotic cell death via the ubiquitination of keap1

Abstract

Resistance to temozolomide (TMZ) remains an important cause of treatment failure in patients with glioblastoma multiforme (GBM). TRIM25, as a tripartite motif-containing (TRIM) family member, plays a significant role in cancer progression and chemoresistance. However, the function of TRIM25 and its precise mechanism in regulating GBM progression and TMZ resistance remain poorly understood. We found that the expression of TRIM25 was upregulated in GBM, and it was associated with tumor grade and TMZ resistance. Elevated TRIM25 expression predicted a poor prognosis in GBM patients and enhanced tumor growth in vitro and in vivo. Further analysis revealed that elevated TRIM25 expression inhibited oxidative stress and ferroptotic cell death in glioma cells under TMZ treatment. Mechanistically, TRIM25 regulates TMZ resistance by promoting the nuclear import of nuclear factor erythroid 2-related factor 2(Nrf2) via keap1 ubiquitination. Knockdown of Nrf2 abolished the ability of TRIM25 to promote glioma cell survival and TMZ resistance. Our results support the targeting of TRIM25 as a new therapeutic strategy for glioma.

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Fig. 1: TRIM25 expression and its correlation with clinical features of glioma.
Fig. 2: TRIM25 promotes TMZ resistance in glioma cells.
Fig. 3: TRIM25 regulates TMZ resistance via ROS-driven ferroptosis.
Fig. 4: TRIM25 alleviates ROS accumulation by activating Nrf2.
Fig. 5: TRIM25 regulates TMZ chemoresistance in glioma cells in an Nrf2-dependent manner.
Fig. 6: TRIM25 promotes the nuclear import of Nrf2 by ubiquitinating Keap1.
Fig. 7: TRIM25 promoted TMZ resistance in an orthotopic GBM model in vivo.

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Funding

This project was supported by the National Natural Science Foundation of China (No. 82002751), Medical Science and Technology Project of Henan Province (No. SBGJ202102139), China Postdoctoral Science Foundation (2020M682361), Excellent Youth Foundation of Henan Province (222300420071), Outstanding Young Talents of Health Science and Technology Innovation of Henan Province (YXKC2022033) and the Funding for Scientific Research and Innovation Team of The First Affiliated Hospital of Zhengzhou University (Grant No. QNCXTD2023005).

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LWM and JHW designed the study, and JWW, LW, and YYZ wrote the manuscript and performed the experiments. TS and CZ generated the figures, and ZLH, LJZ, and XZL revised the manuscript.

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Correspondence to Junhu Wan or Liwei Ma.

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Wei, J., Wang, L., Zhang, Y. et al. TRIM25 promotes temozolomide resistance in glioma by regulating oxidative stress and ferroptotic cell death via the ubiquitination of keap1. Oncogene 42, 2103–2112 (2023). https://doi.org/10.1038/s41388-023-02717-3

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