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c-KIT joins the TSC ToolKIT: a new driver of renal cystogenesis. c-KIT加入TSC工具箱:肾囊发生的新驱动因素。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-22 DOI: 10.1038/s44321-025-00359-4
Mark R Woodford,Dimitra Bourboulia,Mehdi Mollapour
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引用次数: 0
Mutant CHCHD10 disrupts cytochrome c oxidation and activates mitochondrial retrograde signaling. 突变体CHCHD10破坏细胞色素c氧化并激活线粒体逆行信号。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-19 DOI: 10.1038/s44321-025-00358-5
Márcio Augusto Campos-Ribeiro,Erminia Donnarumma,Hendrik Nolte,Paul Cobine,Elodie Vimont,Dusanka Milenkovic,Juan Diego Hernandez-Camacho,Francina Langa-Vives,Etienne Kornobis,Esthel Pénard,Sonny Yde,Thomas Langer,Véronique Paquis-Flucklinger,Timothy Wai
Mutations in CHCHD10, a mitochondrial intermembrane space (IMS) protein implicated in proteostasis and cristae maintenance, cause mitochondrial disease. Knock-in mice modeling the human CHCHD10S59L variant associated with ALS-FTD develop a mitochondrial cardiomyopathy driven by CHCHD10 aggregation and activation of the mitochondrial integrated stress response (mtISR). We show that cardiac dysfunction is associated with dual defects originating at the onset of disease: (1) bioenergetic failure linked to impaired mitochondrial copper homeostasis and cytochrome c oxidation, and (2) maladaptive mtISR signaling via the OMA1-DELE1-HRI axis. Using protease-inactive Oma1E324Q/E324Q knock-in mice, we show that blunting mtISR in Chchd10S55L/+ mice delays cardiomyopathy onset without rescuing CHCHD10 insolubility, cristae defects or OXPHOS impairment. Proteomic profiling of insoluble mitochondrial proteins in Chchd10S55L/+ mice reveals widespread disruptions of mitochondrial proteostasis, including IMS proteins involved in cytochrome c biogenesis. Defective respiration in mutant mitochondria is rescued by the addition of cytochrome c, pinpointing IMS proteostasis disruption as a key pathogenic mechanism. Thus, mutant CHCHD10 insolubility compromises metabolic resilience by impairing bioenergetics and stress adaptation, offering new perspectives for the development of therapeutic targets.
CHCHD10是一种线粒体膜间隙(IMS)蛋白,与蛋白质平衡和嵴维持有关,其突变可导致线粒体疾病。模拟与ALS-FTD相关的人类CHCHD10S59L变异的敲入小鼠在CHCHD10聚集和线粒体综合应激反应(mtISR)激活的驱动下发生线粒体心肌病。我们发现心功能障碍与疾病发病时产生的双重缺陷有关:(1)与线粒体铜稳态和细胞色素c氧化受损相关的生物能量衰竭,以及(2)通过OMA1-DELE1-HRI轴的mtISR信号适应不良。使用蛋白酶失活的Oma1E324Q/E324Q敲入小鼠,我们发现Chchd10S55L/+小鼠的mtISR钝化延迟了心肌病的发作,而没有挽救CHCHD10不溶性、嵴缺陷或OXPHOS损伤。Chchd10S55L/+小鼠的不溶性线粒体蛋白的蛋白质组学分析显示,线粒体蛋白质稳态普遍中断,包括参与细胞色素c生物发生的IMS蛋白。细胞色素c的加入挽救了突变线粒体的呼吸缺陷,从而确定了IMS蛋白平衡破坏是一个关键的致病机制。因此,突变体CHCHD10不溶性通过损害生物能量学和应激适应来损害代谢弹性,为治疗靶点的开发提供了新的视角。
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引用次数: 0
Loss of CTLH component MAEA impairs DNA repair and replication and leads to developmental delay. CTLH成分MAEA的缺失会损害DNA的修复和复制,导致发育迟缓。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-19 DOI: 10.1038/s44321-025-00352-x
Søren H Hough,Satpal S Jhujh,Samah W Awwad,Oliver E Lewis,Simon Lam,John C Thomas,Thorsten Mosler,Aldo Bader,Lauren Bartik,Shane McKee,Shivarajan Amudhavalli,Estelle Colin,Nadirah Damseh,Emma Clement,Pilar Cacheiro,Anirban Majumdar,Damian Smedley,Joël Fluss,Rosalinda Giannini,Isabelle Thiffault,Guido Zagnoli Vieira,Rimma Belotserkovskaya,Stephen J Smerdon,Petra Beli,Yaron Galanty,Christopher J Carnie,Grant S Stewart,Stephen P Jackson
Ubiquitin E3 ligases play crucial roles in the DNA damage response (DDR) by modulating the turnover, localization, activation, and interactions of DDR and DNA replication proteins. We performed a CRISPR-Cas9 knockout screen focused on ubiquitin E3 ligases and related proteins with the DNA topoisomerase I inhibitor camptothecin. This led us to establish that MAEA, a core subunit of the CTLH E3 ligase complex, is a critical regulator of homologous recombination and the replication stress response. In tandem, we identified eight patients with variants in MAEA who present with a neurodevelopmental disorder that we term DIADEM (Developmental delay and Intellectual disability Associated with DEfects in MAEA). Analysis of patient-derived cell lines and mutation modeling reveal an underlying defect in HR-dependent DNA repair and replication fork restart and protection as a likely cause of disease. Mechanistically, we find that MAEA dysfunction hinders DNA repair by reducing the efficiency of RAD51 loading at sites of DNA damage, which we propose may contribute to the presentation of DIADEM by compromising genome integrity and cell division during development.
泛素E3连接酶通过调节DDR和DNA复制蛋白的周转、定位、激活和相互作用,在DNA损伤反应(DDR)中起着至关重要的作用。我们进行了CRISPR-Cas9敲除筛选,重点是泛素E3连接酶和与DNA拓扑异构酶I抑制剂喜树碱相关的蛋白。这使我们建立了MAEA, CTLH E3连接酶复合物的核心亚基,是同源重组和复制应激反应的关键调节因子。同时,我们确定了8例MAEA变异患者,他们表现为神经发育障碍,我们称之为DIADEM(与MAEA缺陷相关的发育迟缓和智力残疾)。对患者来源细胞系的分析和突变模型揭示了hr依赖性DNA修复和复制叉重新启动和保护的潜在缺陷,这可能是疾病的原因。在机制上,我们发现MAEA功能障碍通过降低DNA损伤位点的RAD51装载效率来阻碍DNA修复,我们认为这可能通过损害基因组完整性和发育过程中的细胞分裂来促进DIADEM的出现。
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引用次数: 0
Mechanisms of resistance to VHL loss-induced genetic and pharmacological vulnerabilities. 对VHL损失诱导的遗传和药理学脆弱性的抗性机制。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-19 DOI: 10.1038/s44321-025-00361-w
Jianfeng Ge,Shoko Hirosue,Leticia Castillon,Saroor A Patel,Ludovic Wesolowski,Anna Dyas,Cissy Yong,Sanne de Haan,Jarno Drost,Grant D Stewart,Anna C Obenauf,Daniel Muñoz-Espín,Sakari Vanharanta
The von Hippel-Lindau tumor suppressor (VHL) is a component of a ubiquitin ligase complex that controls cellular responses to hypoxia. Endogenous VHL is also utilized by proteolysis-targeting chimera (PROTAC) protein degraders, a promising class of anti-cancer agents. VHL is broadly essential for cell proliferation, yet it is a key tumor suppressor in renal cell carcinoma. To understand the functional consequences of VHL loss, and to identify targeted approaches for the elimination of VHL null cells, we have used genome-wide CRISPR-Cas9 screening in human renal epithelial cells. We find that, upon VHL loss, the HIF1A/ARNT complex is the central inhibitor of cellular fitness, suppressing mitochondrial respiration, and that VHL null cells show HIF1A-dependent molecular vulnerabilities that can be targeted pharmacologically. Combined VHL/HIF1A inactivation in breast and esophageal cancer cells can also provide resistance to ARV-771, a VHL-based bromodomain degrader that has anti-cancer activity. HIF1A stabilization can thus provide opportunities for early intervention in neoplastic VHL clones, and the VHL-HIF1A axis may be relevant for the development of resistance to the emerging class of PROTAC-based cancer therapies.
von Hippel-Lindau肿瘤抑制因子(VHL)是泛素连接酶复合物的一个组成部分,控制细胞对缺氧的反应。内源性VHL也被靶向蛋白水解嵌合体(PROTAC)蛋白降解物所利用,这是一类很有前途的抗癌药物。在肾细胞癌中,VHL是一个重要的肿瘤抑制因子。为了了解VHL缺失的功能后果,并确定消除VHL零细胞的靶向方法,我们在人肾上皮细胞中使用了全基因组CRISPR-Cas9筛选。我们发现,在VHL缺失时,HIF1A/ARNT复合物是细胞适应性的主要抑制剂,抑制线粒体呼吸,并且VHL缺失细胞显示出可靶向药物的HIF1A依赖分子脆弱性。乳腺癌和食管癌细胞中VHL/HIF1A联合失活也可以提供对ARV-771的抗性,ARV-771是一种基于VHL的溴结构域降解物,具有抗癌活性。因此,HIF1A的稳定可以为肿瘤性VHL克隆的早期干预提供机会,并且VHL-HIF1A轴可能与对新兴的基于protac的癌症治疗的耐药发展有关。
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引用次数: 0
Microplastics as environmental modifiers of lung disease. 微塑料作为肺部疾病的环境调节剂。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-11 DOI: 10.1038/s44321-025-00353-w
Emmanouela Epeslidou,Julia S Scott,Bim de Klein,Jeremy Tan Cudia,Barbro Melgert,Stefan Prekovic
Human-driven environmental change continues to reshape global patterns of disease, as seen in past pollution-related respiratory crises. Microplastics, persistent synthetic polymer particles, have now emerged as a widespread airborne contaminant with growing relevance for lung health. Continuous inhalation exposure, particularly in indoor environments rich in synthetic fibers, raises concern about their contribution to respiratory disease. Epidemiological and experimental studies increasingly link microplastic exposure to lung cancer, asthma, chronic obstructive pulmonary disease, and pulmonary fibrosis, yet the underlying mechanisms remain poorly defined. This review integrates current evidence on how particle properties influence biological outcomes and outlines how different polymer types, sizes, and aging states affect lung cells through inflammation, oxidative stress, ferroptosis, epithelial-mesenchymal transition, and epigenetic change. Together, these findings suggest that microplastics may act as environmental modifiers that exacerbate disease progression. Recognizing their complex and persistent nature highlights the need for standardized exposure metrics, mechanistic research at realistic doses, and coordinated scientific and regulatory action.
正如过去与污染有关的呼吸系统危机所示,人类驱动的环境变化继续重塑全球疾病模式。微塑料是一种持久性合成聚合物颗粒,现已成为一种广泛存在的空气污染物,与肺部健康的关系日益密切。持续吸入接触,特别是在富含合成纤维的室内环境中,引起人们对其对呼吸道疾病的影响的关注。流行病学和实验研究越来越多地将微塑料暴露与肺癌、哮喘、慢性阻塞性肺病和肺纤维化联系起来,但其潜在机制仍不明确。这篇综述整合了目前关于颗粒特性如何影响生物学结果的证据,并概述了不同聚合物类型、大小和衰老状态如何通过炎症、氧化应激、铁死亡、上皮-间质转化和表观遗传变化影响肺细胞。总之,这些发现表明,微塑料可能作为环境调节剂,加剧疾病进展。认识到它们的复杂性和持久性,强调需要标准化的暴露度量、实际剂量的机制研究以及协调的科学和监管行动。
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引用次数: 0
Metabo-epigenetic circuits of heart failure: chromatin-modifying enzymes as determinants of metabolic plasticity. 心力衰竭的代谢-表观遗传回路:染色质修饰酶作为代谢可塑性的决定因素。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-11 DOI: 10.1038/s44321-025-00343-y
Mark E Pepin,Xuemin Gong,Almut Schulze,Johannes Backs
Metabolic adaptations are a functional requirement for the heart to accommodate its broad range of physiologic operating conditions. It is increasingly recognized that persistent and exaggerated metabolic alterations precede adverse cardiac remodeling leading to heart failure. These metabolic shifts are coupled with changes in cardiac gene expression, driven in part by chromatin-modifying enzymes, which have recently been identified as both sensors and transducers of metabolic stress and gene regulatory networks, respectively. This review synthesizes the latest evidence implicating chromatin-modifying enzymes as key regulators of metabolic reprogramming in the heart, providing a framework to understand how metabolic stressors are incorporated as epigenetic modifications that regulate cardiac gene expression. We propose a model of 'metabo-epigenetic circuitry' within which energy metabolic perturbations drive transcriptional and epigenetic changes that ultimately contribute to cardiac dysfunction. Although many nodes in these circuits remain unidentified, this viewpoint opens new avenues for investigating chromatin-modifying enzymes as therapeutic targets to halt the metabolic programs that promote heart failure.
代谢适应是心脏适应其广泛的生理操作条件的功能要求。越来越多的人认识到,持续和夸大的代谢改变先于不利的心脏重塑导致心力衰竭。这些代谢变化与心脏基因表达的变化相结合,部分由染色质修饰酶驱动,染色质修饰酶最近被确定为代谢应激和基因调控网络的传感器和传感器。本综述综合了染色质修饰酶作为心脏代谢重编程关键调控因子的最新证据,为理解代谢应激因子如何作为调节心脏基因表达的表观遗传修饰被纳入提供了一个框架。我们提出了一个“代谢-表观遗传回路”模型,其中能量代谢扰动驱动转录和表观遗传变化,最终导致心功能障碍。尽管这些回路中的许多节点仍未被确定,但这一观点为研究染色质修饰酶作为停止促进心力衰竭的代谢程序的治疗靶点开辟了新的途径。
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引用次数: 0
Channelrhodopsin variants for high-rate optogenetic neurostimulation at low light intensities. 低光强下高速率光遗传神经刺激的通道视紫红质变异。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-09 DOI: 10.1038/s44321-025-00350-z
Lennart Roos,Aida Garrido-Charles,Niels Albrecht,Anna Vavakou,Alexey Alekseev,Martina Bleyer,Anupriya Thirumalai,Artur Mittring,Theocharis Alvanos,Antoine T Huet,Ernst Bamberg,Kathrin Kusch,Bettina J Wolf,Tobias Moser,Thomas Mager
Optogenetics allows versatile control of excitable cell networks, which advances basic science research and drives the development of future medical applications. Fast-closing channelrhodopsins (ChRs) are required for high temporal fidelity of neurostimulation, but their short channel open times require sufficient plasma membrane expression and high light intensity, challenging clinical translation. Here, we addressed the need of high-rate neurostimulation by engineering optimized blue-light-sensitive ChR variants. In particular, we report on the ChR2 variant f-ChR2 TC enabling high frequency stimulation at low light requirements, due to its good plasma membrane targeted expression and balanced closing kinetics. Upon Adeno-associated virus (AAV) mediated f-ChR2 TC expression in spiral ganglion neurons of the inner ear in mice, f-ChR2 TC accordingly enabled optogenetic stimulation of the auditory nerve with sizeable responses beyond 300 Hz and low pulse energy thresholds. Translating the approach to the larger cochlea of gerbils, we tested the utility of f-ChR2 TC for evaluating multichannel optical cochlear implants with blue light emitting diodes and found light-efficient stimulation of the auditory pathway by single LEDs at rates ≥100 Hz.
光遗传学允许对可兴奋细胞网络进行多种控制,从而推进基础科学研究并推动未来医学应用的发展。快速关闭的通道视紫红质(ChRs)需要高时间保真的神经刺激,但它们的通道打开时间短,需要足够的质膜表达和高光强,这对临床翻译具有挑战性。在这里,我们通过工程优化蓝光敏感ChR变体来解决高速率神经刺激的需求。特别是,我们报道了ChR2变体f-ChR2 TC,由于其良好的质膜靶向表达和平衡的关闭动力学,可以在低光要求下实现高频刺激。腺相关病毒(AAV)介导的f-ChR2 TC在小鼠内耳螺旋神经节神经元中的表达,相应地,f-ChR2 TC使听觉神经的光遗传刺激在300 Hz以上和低脉冲能量阈值下产生相当大的反应。将该方法应用于沙鼠更大的耳蜗,我们测试了f-ChR2 TC用于评估带有蓝色发光二极管的多通道光学耳蜗植入物的有效性,并发现单个led以≥100 Hz的速率对听觉通路进行光效刺激。
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引用次数: 0
Loss of EHMT2 enhances NK cell-driven anti-tumor immunity through TGF-β1 suppression. EHMT2缺失通过抑制TGF-β1增强NK细胞驱动的抗肿瘤免疫。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-09 DOI: 10.1038/s44321-025-00357-6
Suresh Chava,Suresh Bugide,Parmanand Malvi,Kelly D DeMarco,Boyang Ma,Chaitanya N Parikh,Marcus Ruscetti,Allan Zajac,Guoping Cai,Romi Gupta,Narendra Wajapeyee
Natural Killer (NK) cells play a critical role in regulating tumor growth, but our understanding of the mechanisms underlying their anti-tumor activity remains limited. We identified the histone methyltransferase EHMT2 as a key suppressor of NK cell-mediated cytotoxicity. EHMT2 inhibition in cancer cells enhanced NK cell-mediated elimination of diverse cancers, including uveal melanoma, breast cancer, and pancreatic cancer. EHMT2 loss increased AZGP1 and decreased TGF-β1 levels, resulting in the autocrine elevation of NKG2D ligands MICB and ULBP3, chemokines in cancer cells, and the paracrine stimulation of NK cell function. In a syngeneic pancreatic cancer model, EHMT2 inhibition suppressed tumors in an NK cell-dependent manner, as NK cell depletion restored tumor growth. This effect persisted and remained dependent on NK cells in Rag2 knockout mice (lacking T and B cells), but not in NSG mice (lacking T-, B- and NK-cells). Furthermore, EHMT2 and TGF-β1 inhibitors suppressed tumors in immunocompetent, but not in immunodeficient mice. These findings establish EHMT2 as a suppressor of NK cell-mediated anti-tumor immunity and a promising therapeutic target.
自然杀伤细胞(NK)在调节肿瘤生长中起着至关重要的作用,但我们对其抗肿瘤活性的机制的理解仍然有限。我们发现组蛋白甲基转移酶EHMT2是NK细胞介导的细胞毒性的关键抑制因子。肿瘤细胞中EHMT2的抑制增强了NK细胞介导的多种癌症的消除,包括葡萄膜黑色素瘤、乳腺癌和胰腺癌。EHMT2缺失导致AZGP1升高,TGF-β1水平降低,导致NKG2D配体MICB、ULBP3、癌细胞趋化因子自分泌升高,旁分泌刺激NK细胞功能。在同基因胰腺癌模型中,EHMT2抑制以NK细胞依赖的方式抑制肿瘤,因为NK细胞耗竭恢复了肿瘤的生长。在Rag2敲除小鼠(缺乏T和B细胞)中,这种效应持续存在并依赖于NK细胞,但在NSG小鼠(缺乏T-, B-和NK细胞)中则不存在。此外,EHMT2和TGF-β1抑制剂在免疫正常小鼠中抑制肿瘤,而在免疫缺陷小鼠中无抑制作用。这些发现表明EHMT2是NK细胞介导的抗肿瘤免疫的抑制因子和一个有希望的治疗靶点。
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引用次数: 0
Micrometastasis-derived models enable drug testing for early-stage, high-risk melanoma patients. 微转移衍生模型使早期高风险黑色素瘤患者的药物测试成为可能。
IF 11.1 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-05 DOI: 10.1038/s44321-025-00339-8
Kathrin Weidele,Christian Werno,Steffi Treitschke,Catherine Botteron,Martin Hoffmann,Sebastian Scheitler,Lukas Wöhrl,Zbigniew Czyz,Giancarlo Feliciello,Florian Weber,Adithi Ravikumar Varadarajan,Jens Warfsmann,Silvia Materna-Reichelt,Marie Katzer,Laura Schreieder,Parvaneh Mohammadi,Hedayatollah Hosseini,Kamran Honarnejad,Sebastian Haferkamp,Melanie Werner-Klein,Christoph A Klein
Relapse in melanoma after targeted or immune therapy necessitates the rapid identification of effective alternatives. To address this gap, we investigated whether the timely generation of preclinical models for functional drug testing could reveal additional therapeutic options. Our study focused on: (i) the feasibility of generating in vivo and in vitro models from melanoma lymph node (LN)-derived disseminated cancer cells (DCCs) before relapse, (ii) the implementation of preclinical models to identify therapeutic alternatives, and (iii) the ability to detect patients who could benefit from early functional in vitro drug testing. Successful model generation was significantly associated with DCC quantity, LN origin, and mortality risk. All patient-derived xenograft models were available before patient death and, in 82% of cases, before relapse. Proof-of-concept in vitro drug screening using 315 anti-cancer drugs identified additional candidates, and coculture of DCCs and LN cells revealed specific T-cell activation and responses to immunotherapy. Our data establish a process for selecting melanoma patients at high risk of progression, enabling the timely generation of patient-derived models to support functionally guided treatment decisions at relapse.
靶向或免疫治疗后黑色素瘤复发需要快速识别有效的替代方案。为了解决这一差距,我们研究了功能药物测试的临床前模型能否及时生成,从而揭示额外的治疗选择。我们的研究重点是:(i)在复发前从黑色素瘤淋巴结(LN)衍生的播散性癌细胞(DCCs)中生成体内和体外模型的可行性,(ii)临床前模型的实施以确定治疗方案,以及(iii)检测能够从早期功能体外药物测试中受益的患者的能力。成功的模型生成与DCC数量、LN起源和死亡风险显著相关。所有患者来源的异种移植物模型在患者死亡前可用,82%的病例在复发前可用。使用315种抗癌药物的体外概念验证药物筛选确定了额外的候选药物,dcc和LN细胞共培养揭示了特异性t细胞活化和对免疫治疗的反应。我们的数据建立了一个选择高风险进展黑色素瘤患者的过程,使患者衍生模型能够及时生成,以支持复发时功能指导的治疗决策。
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引用次数: 0
circ-EGFR is a predictor of response to Cetuximab and a potential target in colorectal cancer. circ-EGFR是对西妥昔单抗反应的预测因子,也是结直肠癌的潜在靶点。
IF 8.3 1区 医学 Q1 MEDICINE, RESEARCH & EXPERIMENTAL Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1038/s44321-025-00333-0
Silei Sui, Yuan Li, Joan Maurel, Ajay Goel

Cetuximab, an EGFR-targeting monoclonal antibody, provides beneficial yet limited clinical improvement in KRAS wild-type metastatic colorectal cancer (mCRC). While circRNA dysregulation has been implicated in various cancers, the role of circ-EGFR in response to EGFR-targeted therapy in mCRC remains largely unexplored. Here, we identified circ-EGFR as a promising predictive biomarker for cetuximab response. Clinically, we first determined that tissue-based circ-EGFR biomarker effectively stratified responders from non-responders to cetuximab in mCRC, with an Area under the Curve (AUC) of 76.8%. Functional assays demonstrated that circ-EGFR enhances the sensitivity to cetuximab, whereas its depletion induces resistance in CRC. Mechanistically, we revealed that circ-EGFR functions as a sponge for miR-942-3p, resulting in the upregulation of GAS1, which activates the Hedgehog signaling pathway and promotes the efficacy of cetuximab in CRC. Importantly, we effectively translated this tissue-based biomarker into a liquid biopsy predictor for anti-EGFR response (AUC: 76.9%), highlighting its non-invasive potential. In conclusion, circ-EGFR is a significant predictor of cetuximab efficacy in mCRC, potentially aiding in patient selection and treatment management, especially for patients with low circ-EGFR expression.

西妥昔单抗是一种靶向egfr的单克隆抗体,可为KRAS野生型转移性结直肠癌(mCRC)提供有益但有限的临床改善。虽然circRNA失调与多种癌症有关,但在mCRC中,circ-EGFR在egfr靶向治疗应答中的作用仍未得到充分研究。在这里,我们确定了circ-EGFR作为西妥昔单抗反应的一个有希望的预测性生物标志物。在临床上,我们首先确定了基于组织的circ-EGFR生物标志物有效地将mCRC患者对西妥昔单抗的应答者和无应答者分层,曲线下面积(AUC)为76.8%。功能分析表明,circ-EGFR增强了对西妥昔单抗的敏感性,而其耗竭则在结直肠癌中诱导耐药性。在机制上,我们发现circ-EGFR作为miR-942-3p的海绵,导致GAS1的上调,从而激活Hedgehog信号通路,促进西图昔单抗治疗CRC的疗效。重要的是,我们有效地将这种基于组织的生物标志物转化为抗egfr反应的液体活检预测因子(AUC: 76.9%),突出了其非侵入性潜力。总之,circ-EGFR是西妥昔单抗治疗mCRC疗效的重要预测指标,可能有助于患者的选择和治疗管理,特别是对于低circ-EGFR表达的患者。
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引用次数: 0
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EMBO Molecular Medicine
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