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Lung cancer remains a leading cause of cancer-related mortality worldwide. The prognosis of lung cancer remains poor due to the emergence of chemoresistance. MicroRNAs (miRNAs) have shown oncogenic or tumor-suppressive abilities in various cancers. In this study, we identified that miR-155 was upregulated in lung cancer tissues. The sensitivity of lung cancer cells to cisplatin was enhanced when the miR-155 expression was suppressed, and the chemoresistance was suppressed by silencing of miR-155 in lung cancer cells. Notably, ABCA3, a transmembrane protein mainly expressed in exosomes, was validated as a target of miR-155. The chemoresistance of lung cancer was markedly reversed by ABCA3, but not by other ABC genes. These data indicate that the miR-155-mediated repression of ABCA3 is crucial to the chemoresistance of lung cancer, and that the miR-155-ABCA3-chemoresistance axis plays a critical role in lung cancer pathogenesis and may be a potential therapeutic target for the treatment of lung cancer.
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