Intercellular transfer of small RNAs from astrocytes to lung tumor cells induces resistance to chemotherapy

Assaf Menachem*, Victoria Makovski, Or Bodner, Metsada Pasmanik-Chor, Reuven Stein, Noam Shomron, Yoel Kloog

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

22 Scopus citations


Brain metastases are resistant to chemotherapy and carry a poor prognosis. Studies have shown that tumor cells are surrounded by activated astrocytes, whose cytoprotective properties they exploit for protection from chemotherapy-induced apoptosis. The mechanism of such astrocytic protection is poorly understood. A non-mutational mechanism of resistance to chemotherapy that is receiving increased attention is the regulation of gene translation mediated by small noncoding RNAs (sRNAs), and particularly microRNAs (miRNAs). With the aim of examining the role of astrocytic sRNAs in promoting resistance of human lung tumor PC14 cells to chemotherapy-induced apoptosis, here we used a miRNA microarray to compare sRNA profiles of human lung tumor cells cultured with and without astrocytes. We found that sRNAs are transferred from astrocytes to PC14 cells in a contact-dependent manner. Transfer was rapid, reaching a plateau after only 6 hours in culture. The sRNA transfer was inhibited by the broad-spectrum gap-junction antagonist carbenoxolone, indicating that transfer occurs via gap junctions. Among the transferred sRNAs were several that are implicated in survival pathways. Enforced expression of these sRNAs in PC14 cells increased their resistance to the chemotherapeutic agent paclitaxel. These novel findings might be of clinical relevance for the treatment of patients with brain metastases.

Original languageEnglish
Pages (from-to)12489-12504
Number of pages16
Issue number11
StatePublished - 15 Mar 2016


  • Astrocytes
  • Chemotherapy
  • Intercellular transfer
  • Lung tumor
  • Small RNA


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