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        <identifier>oai:figshare.com:article/34053693</identifier>
        <datestamp>2026-10-02T04:38:41Z</datestamp>
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          <dc:title>Table 1_MYH9 confers doxorubicin resistance by stabilizing GRP78 and suppressing the PERK signaling-driven apoptotic pathway in breast cancer.docx</dc:title>
          <dc:creator>Jing Jiang (130103)</dc:creator>
          <dc:creator>Tianzi You (25161609)</dc:creator>
          <dc:creator>Ziyi Zhao (8139873)</dc:creator>
          <dc:creator>Binlei Sheng (25161612)</dc:creator>
          <dc:creator>Zhanqi Sun (23659423)</dc:creator>
          <dc:creator>Xujun Li (14049801)</dc:creator>
          <dc:subject>Oncology and Carcinogenesis not elsewhere classified</dc:subject>
          <dc:subject>ADR-resistant</dc:subject>
          <dc:subject>breast cancer</dc:subject>
          <dc:subject>endoplasmic reticulum stress</dc:subject>
          <dc:subject>GRP78</dc:subject>
          <dc:subject>MYH9</dc:subject>
          <dc:description>Background&lt;p&gt;MYH9 is upregulated in various malignancies, but its role in breast cancer chemoresistance remains unclear. We investigated whether MYH9 regulates doxorubicin (ADR) resistance via GRP78 stabilization and PERK pathway modulation.&lt;/p&gt;Methods&lt;p&gt;MYH9 expression was analyzed in breast cancer tissues and cell lines by immunohistochemistry and western blot. ADR-resistant MCF-7 and MDA-MB-231 cell lines were established. MYH9 knockdown/overexpression and GRP78 overexpression were achieved by lentiviral transduction. Protein interactions, degradation assays, PERK signaling, apoptosis, and in vivo drug responses were evaluated.&lt;/p&gt;Results&lt;p&gt;MYH9 was significantly upregulated in breast cancer tissues, particularly in triple-negative breast cancer (95.2%), and further elevated in ADR-resistant cells. MYH9 overexpression enhanced ADR tolerance, while knockdown sensitized resistant cells in vitro and in vivo. Mechanistically, MYH9 directly bound GRP78 (but not CALR or GRP94), inhibiting ubiquitin-mediated proteasomal degradation. MYH9 depletion reduced GRP78 levels and activated the PERK pathway (p-eIF2α, ATF4, CHOP), promoting apoptosis via Bax/Bad upregulation and Bcl-2 downregulation. ERS induction with thapsigargin enhanced ADR sensitivity, whereas 4-PBA attenuated it. GRP78 overexpression rescued ADR resistance, confirming GRP78 dependency.&lt;/p&gt;Conclusion&lt;p&gt;MYH9 confers ADR resistance in breast cancer by stabilizing GRP78 and suppressing PERK-driven apoptosis, identifying the MYH9/GRP78 axis as a potential therapeutic target for overcoming chemoresistance.&lt;/p&gt;</dc:description>
          <dc:date>2026-10-02T04:38:41Z</dc:date>
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          <dc:identifier>10.3389/fonc.2026.1923603.s001</dc:identifier>
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          <dc:rights>CC BY 4.0</dc:rights>
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