ArticleCancer gene therapy2026
E-cadherin-driven interleukin-6 expression promotes autophagy-mediated platinum resistance in ovarian clear cell carcinoma.
Article in Cancer gene therapy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
Ovarian clear cell carcinoma (OCCC) is a distinct histological subtype of epithelial ovarian cancer that frequently exhibits chemotherapy resistance and poor outcomes. We investigated the regulatory role of E-cadherin signaling in driving interleukin-6 (IL-6) expression and promoting autophagy-dependent cisplatin resistance. In epithelial-like OCCC cell lines, elevated E-cadherin expression enhanced cisplatin resistance through β-catenin-mediated IL-6 transcription. Proteomic analysis of matched primary and recurrent OCCC specimens revealed upregulation of autophagy signaling in recurrent tumors. Immunoprecipitation confirmed direct interaction between IL-6 and sequestosome-1 (SQSTM1/p62) via its PB1 domain. In cisplatin-refractory patient-derived xenografts, IL-6 blockade significantly inhibited tumor growth. Clinically, in a cohort of 70 OCCC patients, increased serum IL-6 levels correlated with elevated CA125 (p < 0.001), recurrence (p < 0.001), advanced tumor stage (p = 0.014), and worse survival outcomes. High serum IL-6 was independently associated with shorter progression-free survival (p = 0.005). Collectively, these findings identify the E-cadherin/IL-6/autophagy axis as a key mediator of platinum resistance.
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