Abstract
Background
Cancer stem-like cells (CSLCs) drive tumour progression and chemoresistance. The concerted efforts of EXO1 and TLS polymerases safeguard DNA integrity against chemotherapeutic drugs. In absence of potential drug targets, non-small cell lung carcinoma (NSCLC) patients have few therapeutic options. In current scenario, microRNAs offer a potential avenue for eradicating CSLCs.
Methods
EXO1 downregulation impact on CSLCs expansion was assessed via flow cytometry. Co-localisation of EXO1, Polη and Polι was validated through co-immunoprecipitation and confocal-imaging. The effects of co-downregulation of Polη and Polι on CSLC survival, repair synthesis, and mutagenesis were evaluated using flow cytometry and immunohistochemistry in cell lines and xenografts. MicroRNA targeting EXO1 was studied for its role in CSLCs regulation.
Results
EXO1 downregulation in NSCLC CSLCs induces DNA lesions, triggering apoptosis and enhances cisplatin sensitivity. It collaborates with Polη and Polι in DNA repair, contributing to cisplatin resistance in CSLCs. Absence of Polη and Polι impairs repair and reduces cisplatin-induced mutagenesis. Co-downregulation of Polη and Polι in xenografts reduces tumour proliferation significantly. MiR-3163 overexpression sensitises CSLCs to cisplatin via targeting EXO1/Polη/Polι axis, as shown in mechanistic studies.
Conclusion
This study unveils a novel regulatory pathway involving EXO1/Polη/Polι axis and miR-3163, providing insights into CSLCs regulation in NSCLC.

EXO1/Polη/Polι axis targeted by miR-3163, resulting in the inhibition of cell growth and induction of apoptosis in NSCLC CSLCs.
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Data availability
The datasets generated and/or analysed during the current study are available from the corresponding author on reasonable request.
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Acknowledgements
TM and DS are recipients of Senior Research Fellowship from CSIR. Also, the authors are thankful to Prof. Qi-En Wang and Prof. Ramesh Ganju from The Ohio State University for providing the cell lines.
Funding
The study was supported by ICMR, New Delhi (File no. 2020-4993/SCR/ADHOC-BMS).
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Tanima Mandal: conceptualisation, methodology, investigation, formal analysis, writing—original draft; Devendra Shukla: conceptualisation, methodology, investigation, formal analysis, writing—original draft; Md Maqsood Ahamad Khan: investigation; Senthil Kumar Ganesan: formal analysis; Amit Kumar Srivastava: conceptualisation, methodology, resources, investigation, formal analysis, validation, writing—reviewing and editing.
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All animal protocols were approved by the CSIR-IICB-Animal ethics committee (IICB/AEC/Meeting/July/2020/1). All methods are reported following the ARRIVE guidelines (https://arriveguidelines.org) for animal experiment reporting, with ethics approval.
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Mandal, T., Shukla, D., Khan, M.M.A. et al. The EXO1/Polη/Polι axis as a promising target for miR-3163-mediated attenuation of cancer stem-like cells in non-small cell lung carcinoma. Br J Cancer 131, 1668–1682 (2024). https://doi.org/10.1038/s41416-024-02840-2
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DOI: https://doi.org/10.1038/s41416-024-02840-2
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