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Heat-killed Prevotella intermedia promotes the progression of oral squamous cell carcinoma by inhibiting the expression of tumor suppressors and affecting the tumor microenvironment. 热杀死的中间前驱菌通过抑制肿瘤抑制因子的表达和影响肿瘤微环境来促进口腔鳞状细胞癌的进展。
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-21 DOI: 10.1186/s40164-024-00500-y
Yifan Zhou, Yao Qin, Jingjing Ma, Zhiyuan Li, Weiwei Heng, Lei Zhang, Hong Liu, Ruowei Li, Miaomiao Zhang, Qiao Peng, Pei Ye, Ning Duan, Ting Liu, Wenmei Wang, Xiang Wang

Background: Oral microbial dysbiosis contributes to the development of oral squamous cell carcinoma (OSCC). Our previous study showed that Prevotella intermedia (P. intermedia) were enriched in the oral mucosal surface, plaque, and saliva of patients with OSCC. Intratumoral microbiome could reshape the immune system and influence the development of various tumors. However, the invasion status of human OSCC tissues by P. intermedia and the pathway through which intratumoral P. intermedia potentiates tumor progression remain unexplored.

Methods: P. intermedia in human OSCC or normal tissues was detected by FISH. A mouse OSCC cell line SCC7 was adopted to investigate the effects of heat-killed P. intermedia treatment on cell proliferation, invasion, and cytokine release by using CCK-8 assay, transwell invasion assay and ELISA. Moreover, we established a mouse transplanted tumor model by using SCC7 cells, injected heat-killed P. intermedia into tumor tissues, and investigated the effects of heat-killed P. intermedia on tumor growth, invasion, cytokine levels, immune cell infiltrations, and expression levels by using gross observation, H&E staining, ELISA, immunohistochemistry, mRNA sequencing, and transcriptomic analysis.

Results: Our results indicated that P. intermedia were abundant in OSCC and surrounding muscle tissues. Heat-killed P. intermedia promoted SCC7 cell proliferation, invasion and proinflammatory cytokine secretions, accelerated transplanted tumor growth in mice, exacerbate muscle and perineural invasion of OSCC, elevated the serum levels of IL-17A, IL-6, TNF-α, IFN-γ, and PD-L1, induced Treg cells M2 type macrophages in mouse transplanted tumors. The data of transcriptomic analysis revealed that heat-killed P. intermedia increased the expression levels of inflammatory cytokines and chemokines while reduced the expression levels of some tumor suppressor genes in mouse transplanted tumors. Additionally, IL-17 signaling pathway was upregulated whereas GABAergic system was downregulated by heat-killed P. intermedia treatment.

Conclusions: Taken together, our results suggest that P. intermedia could inhibit the expression of tumor suppressors, alter the tumor microenvironment, and promote the progression of OSCC.

背景:口腔微生物菌群失调会导致口腔鳞状细胞癌(OSCC)的发生。我们之前的研究表明,口腔黏膜表面、牙菌斑和 OSCC 患者的唾液中富含中间前驱菌(P. intermedia)。瘤内微生物组可重塑免疫系统并影响各种肿瘤的发展。然而,P. intermedia对人类OSCC组织的侵袭状况以及瘤内P. intermedia促进肿瘤进展的途径仍有待探索:方法:通过 FISH 法检测人 OSCC 或正常组织中的中间念珠菌。采用小鼠 OSCC 细胞系 SCC7,通过 CCK-8 试验、经孔侵袭试验和酶联免疫吸附试验,研究了热杀灭的介壳虫处理对细胞增殖、侵袭和细胞因子释放的影响。此外,我们还利用 SCC7 细胞建立了小鼠移植瘤模型,将热处理后的中间体注射到肿瘤组织中,并通过大体观察、H&E 染色、ELISA、免疫组化、mRNA 测序和转录组分析等方法研究了热处理后的中间体对肿瘤生长、侵袭、细胞因子水平、免疫细胞浸润和表达水平的影响:结果:我们的研究结果表明,OSCC及其周围的肌肉组织中含有大量的中间体。热杀灭的中间体促进了SCC7细胞的增殖、侵袭和促炎细胞因子的分泌,加速了小鼠移植瘤的生长,加剧了OSCC的肌肉和神经周围侵袭,升高了血清中IL-17A、IL-6、TNF-α、IFN-γ和PD-L1的水平,诱导了小鼠移植瘤的Treg细胞M2型巨噬细胞。转录组分析数据显示,热杀灭的中间体增加了小鼠移植肿瘤中炎性细胞因子和趋化因子的表达水平,同时降低了一些肿瘤抑制基因的表达水平。此外,IL-17 信号通路被上调,而 GABAergic 系统则被下调:综上所述,我们的研究结果表明,中间蕨类植物可抑制肿瘤抑制因子的表达,改变肿瘤微环境,促进 OSCC 的进展。
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引用次数: 0
Ubiquitin ligase subunit FBXO9 inhibits V-ATPase assembly and impedes lung cancer metastasis 泛素连接酶亚基 FBXO9 可抑制 V-ATP 酶的组装并阻碍肺癌转移
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-14 DOI: 10.1186/s40164-024-00497-4
Liang Liu, Xiaodong Chen, Leilei Wu, Kaizong Huang, Zhenyi Wang, Yaolin Zheng, Cheng Zheng, Zhenshan Zhang, Jiayan Chen, Jiaming Wei, Song Chen, Weilin Jin, Jinfei Chen, Dongping Wei, Yaping Xu
The evolutionarily conserved protein FBXO9 acts as a substrate receptor for the SKP1-cullin-1-RBX1 ubiquitin ligase and is implicated in cancer, exhibiting either tumor-suppressive or oncogenic effects depending on the specific tumor type. However, their role in lung cancer metastasis remains unclear. Lentiviral vectors carrying miRNA-based shRNA sequences for gene-specific knockdown were generated, and Lenti-CRISPR-Cas9 vectors containing gene-specific sgRNA sequences were designed. Gene overexpression was achieved using doxycycline-inducible lentiviral constructs, while gene knockdown or knockout cells were generated using shRNA and CRISPR-Cas9, respectively. Functional assays included migration, clonogenic survival assays, tumor sphere assays, and protein interaction studies using mass spectrometry, immunoprecipitation, and immunoblot analysis. This study identified FBXO9 as a crucial regulator that suppresses lung cancer cell migration, tumor sphere growth and restricts metastasis. We showed that FBXO9 facilitates the ubiquitination of the catalytic subunit A (ATP6V1A) of the Vacuolar-type H+-ATPase (V-ATPase), resulting in its interaction with the cytoplasmic chaperone HSPA8 and subsequent sequestration within the cytoplasm. This process hinders the assembly of functional V-ATPase, resulting in reduced vesicular acidification. In contrast, depletion of FBXO9 reduced ATP6V1A ubiquitination, resulting in increased V-ATPase assembly and vesicular acidification, thus promoting pro-metastatic Wnt signaling and metastasis of lung cancer cells. Furthermore, we demonstrated the effectiveness of inhibitors targeting V-ATPase in inhibiting lung cancer metastasis in a mouse model. Finally, we established a correlation between lower FBXO9 levels and poorer survival outcomes in patients with lung cancer. These findings collectively elucidate the critical role of FBXO9 in regulating V-ATPase assembly and provide a molecular basis for FBXO9’s function in inhibiting lung cancer metastasis. This highlights the potential therapeutic opportunities of FBXO9 supplementation.
进化保守的蛋白质FBXO9是SKP1-cullin-1-RBX1泛素连接酶的底物受体,与癌症有牵连,根据具体的肿瘤类型表现出抑制肿瘤或致癌的作用。然而,它们在肺癌转移中的作用仍不清楚。研究人员生成了携带基于 miRNA 的 shRNA 序列的慢病毒载体,用于基因特异性敲除,并设计了包含基因特异性 sgRNA 序列的 Lenti-CRISPR-Cas9 载体。使用强力霉素诱导的慢病毒构建体实现了基因过表达,而基因敲除或基因敲除细胞则分别使用 shRNA 和 CRISPR-Cas9 生成。功能测试包括迁移、克隆性存活试验、肿瘤球试验,以及利用质谱、免疫沉淀和免疫印迹分析进行的蛋白质相互作用研究。这项研究发现 FBXO9 是抑制肺癌细胞迁移、瘤球生长和限制转移的关键调控因子。我们发现,FBXO9 促进了空泡型 H+-ATPase(V-ATPase)催化亚基 A(ATP6V1A)的泛素化,导致其与细胞质伴侣 HSPA8 相互作用,并随后螯合在细胞质中。这一过程阻碍了功能性 V-ATPase 的组装,导致囊泡酸化减少。与此相反,FBXO9 的耗竭减少了 ATP6V1A 的泛素化,导致 V-ATPase 组装和液泡酸化增加,从而促进了 Wnt 信号的转移和肺癌细胞的转移。此外,我们还在小鼠模型中证明了靶向 V-ATPase 的抑制剂在抑制肺癌转移方面的有效性。最后,我们确定了较低的 FBXO9 水平与肺癌患者较差的生存结果之间的相关性。这些发现共同阐明了 FBXO9 在调节 V-ATPase 组装中的关键作用,并为 FBXO9 抑制肺癌转移的功能提供了分子基础。这凸显了补充 FBXO9 的潜在治疗机会。
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引用次数: 0
Harnessing ferroptosis for enhanced sarcoma treatment: mechanisms, progress and prospects. 利用铁突变加强肉瘤治疗:机制、进展和前景。
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-12 DOI: 10.1186/s40164-024-00498-3
Jing Zeng, Xianghong Zhang, Zhengjun Lin, Yu Zhang, Jing Yang, Pengcheng Dou, Tang Liu

Sarcoma is a malignant tumor that originates from mesenchymal tissue. The common treatment for sarcoma is surgery supplemented with radiotherapy and chemotherapy. However, patients have a 5-year survival rate of only approximately 60%, and sarcoma cells are highly resistant to chemotherapy. Ferroptosis is an iron-dependent nonapoptotic type of regulated programmed cell death that is closely related to the pathophysiological processes underlying tumorigenesis, neurological diseases and other conditions. Moreover, ferroptosis is mediated via multiple regulatory pathways that may be targets for disease therapy. Recent studies have shown that the induction of ferroptosis is an effective way to kill sarcoma cells and reduce their resistance to chemotherapeutic drugs. Moreover, ferroptosis-related genes are related to the immune system, and their expression can be used to predict sarcoma prognosis. In this review, we describe the molecular mechanism underlying ferroptosis in detail, systematically summarize recent research progress with respect to ferroptosis application as a sarcoma treatment in various contexts, and point out gaps in the theoretical research on ferroptosis, challenges to its clinical application, potential resolutions of these challenges to promote ferroptosis as an efficient, reliable and novel method of clinical sarcoma treatment.

肉瘤是一种源自间质组织的恶性肿瘤。肉瘤的常见治疗方法是手术,辅以放疗和化疗。然而,患者的 5 年生存率仅为 60%左右,而且肉瘤细胞对化疗有很强的抵抗力。铁凋亡是一种铁依赖性的非凋亡性程序性细胞死亡,与肿瘤发生、神经系统疾病和其他疾病的病理生理过程密切相关。此外,铁凋亡通过多种调控途径介导,可能成为疾病治疗的靶点。最近的研究表明,诱导铁氧化是杀死肉瘤细胞并降低其对化疗药物耐药性的有效方法。此外,铁突变相关基因与免疫系统有关,其表达可用于预测肉瘤预后。在这篇综述中,我们详细描述了铁蛋白沉降的分子机制,系统总结了近期在不同背景下应用铁蛋白沉降治疗肉瘤的研究进展,并指出了铁蛋白沉降理论研究的空白、其临床应用面临的挑战以及解决这些挑战的可能性,以促进铁蛋白沉降成为临床治疗肉瘤的一种高效、可靠和新颖的方法。
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引用次数: 0
Suppression of A-to-I RNA-editing enzyme ADAR1 sensitizes hepatocellular carcinoma cells to oxidative stress through regulating Keap1/Nrf2 pathway 抑制A-to-I RNA编辑酶ADAR1可通过调节Keap1/Nrf2通路使肝癌细胞对氧化应激敏感
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-11 DOI: 10.1186/s40164-024-00494-7
Houhong Wang, Xiaoyu Wei, Lu Liu, Junfeng Zhang, Heng Li
A-to-I RNA editing is an abundant post-transcriptional modification event in hepatocellular carcinoma (HCC). Evidence suggests that adenosine deaminases acting on RNA 1 (ADAR1) correlates to oxidative stress that is a crucial factor of HCC pathogenesis. The present study investigated the effect of ADAR1 on survival and oxidative stress of HCC, and underlying mechanisms. ADAR1 expression was measured in fifty HCC and normal tissues via real-time quantitative PCR, and immunohistochemistry. For stable knockdown or overexpression of ADAR1, adeno-associated virus vectors carrying sh-ADAR1 or ADAR1 overexpression were transfected into HepG2 and SMMC-7721 cells. Transfected cells were exposed to oxidative stress agonist tBHP or sorafenib Bay 43-9006. Cell proliferation, apoptosis, and oxidative stress were measured, and tumor xenograft experiment was implemented. ADAR1 was up-regulated in HCC and correlated to unfavorable clinical outcomes. ADAR1 deficiency attenuated proliferation of HCC cells and tumor growth and enhanced apoptosis. Moreover, its loss facilitated intracellular ROS accumulation, and elevated Keap1 and lowered Nrf2 expression. Intracellular GSH content and SOD activity were decreased and MDA content was increased in the absence of ADAR1. The opposite results were observed when ADAR1 was overexpressed. The effects of tBHP and Bay 43–9006 on survival, apoptosis, intracellular ROS accumulation, and Keap1/Nrf2 pathway were further exacerbated by simultaneous inhibition of ADAR1. The current study unveils that ADAR1 is required for survival and oxidative stress of HCC cells, and targeting ADAR1 may sensitize HCC cells to oxidative stress via modulating Keap1/Nrf2 pathway.
A 到 I RNA 编辑是肝细胞癌(HCC)中大量的转录后修饰事件。有证据表明,作用于 RNA 的腺苷脱氨酶 1(ADAR1)与作为 HCC 发病关键因素的氧化应激相关。本研究探讨了 ADAR1 对 HCC 存活和氧化应激的影响及其内在机制。本研究通过实时定量 PCR 和免疫组化技术检测了 50 例 HCC 和正常组织中 ADAR1 的表达。为了稳定敲除或过表达 ADAR1,将携带 sh-ADAR1 或 ADAR1 过表达的腺相关病毒载体转染到 HepG2 和 SMMC-7721 细胞中。将转染细胞暴露于氧化应激激动剂 tBHP 或索拉非尼拜 43-9006。对细胞增殖、凋亡和氧化应激进行了测定,并进行了肿瘤异种移植实验。ADAR1在HCC中上调,并与不利的临床结果相关。ADAR1 缺乏可抑制 HCC 细胞增殖和肿瘤生长,并增强细胞凋亡。此外,ADAR1的缺失会促进细胞内ROS的积累,并升高Keap1和降低Nrf2的表达。在 ADAR1 缺失的情况下,细胞内 GSH 含量和 SOD 活性降低,MDA 含量增加。过表达 ADAR1 时则观察到相反的结果。同时抑制 ADAR1 会进一步加剧 tBHP 和 Bay 43-9006 对存活、凋亡、细胞内 ROS 积累和 Keap1/Nrf2 通路的影响。本研究揭示了ADAR1是HCC细胞存活和氧化应激所必需的,靶向ADAR1可通过调节Keap1/Nrf2通路使HCC细胞对氧化应激敏感。
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引用次数: 0
MSCsDB: a database of single-cell transcriptomic profiles and in-depth comprehensive analyses of human mesenchymal stem cells 间充质干细胞数据库:人类间充质干细胞单细胞转录组图谱和深入综合分析数据库
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-06 DOI: 10.1186/s40164-024-00496-5
Miao Yu, Ke Sui, Zheng Wang, Xi Zhang
Mesenchymal stem cells (MSCs) possess multipotent properties that make them promising candidates for immunomodulation and regenerative medicine. However, MSC heterogeneity poses challenges to their research reproducibility and clinical application. The emergence of single-cell RNA sequencing (scRNA-seq) technology has enabled a thorough examination of MSC heterogeneity, underscoring the necessity for a specialized platform to systematically analyze the published datasets derived from MSC scRNA-seq experiments. However, large-scale integration and in-depth exploration of MSC scRNA-seq datasets to comprehensively depict their developmental patterns, relationships, and knowledge are still lacking. Here, we present MSCsDB ( http://mscsdb.jflab.ac.cn:18088/index/ ), an interactive database that has been constructed using high-quality scRNA-seq datasets from all published sources on MSCs. MSCsDB provides a one-stop interactive query for regulon activities, gene ontology enrichment, signature gene visualization and transcription factor regulon analysis. Additionally, the dedicated module within MSCsDB was developed to facilitate the evaluation of MSC quality, thereby promoting the standardization of MSC subtype usage. Notably, MSCsDB enables users to analyze their MSCs scRNA-seq data directly, yielding visually appealing outputs of exceptional quality that can be conveniently downloaded via email. Furthermore, MSCsDB integrates the current comprehensive MSC atlas taxonomy, which includes 470,000 cells and 5 tissues from 26 subjects, as publicly available references. These references provide molecular characterization and phenotypic prediction for annotating MSC subsets. In summary, MSCsDB serves as a user-friendly and contemporary data repository for human MSCs, offering a dedicated platform that enables users to effectively conduct comprehensive analyses on their individual MSCs scRNA-seq data.
间充质干细胞(MSCs)具有多能特性,使其在免疫调节和再生医学方面大有可为。然而,间充质干细胞的异质性给其研究的可重复性和临床应用带来了挑战。单细胞 RNA 测序(scRNA-seq)技术的出现使人们能够对间叶干细胞的异质性进行深入研究,这也凸显了需要一个专门的平台来系统分析已发表的间叶干细胞 scRNA-seq 实验数据集的必要性。然而,目前仍缺乏对间叶干细胞scRNA-seq数据集的大规模整合和深入探索,以全面描述其发育模式、关系和知识。在此,我们介绍一个交互式数据库 MSCsDB ( http://mscsdb.jflab.ac.cn:18088/index/ ),该数据库是利用所有已发表的有关间充质干细胞的高质量 scRNA-seq 数据集构建而成的。MSCsDB 提供一站式互动查询功能,包括调控子活动、基因本体富集、特征基因可视化和转录因子调控子分析。此外,MSCsDB 还开发了专用模块,以方便对间叶干细胞质量进行评估,从而促进间叶干细胞亚型使用的标准化。值得注意的是,MSCsDB 使用户能够直接分析他们的间充质干细胞 scRNA-seq 数据,从而获得具有视觉吸引力的高质量输出结果,并可通过电子邮件方便地下载。此外,MSCsDB 还整合了当前全面的间充质干细胞分类图谱,其中包括来自 26 个研究对象的 470,000 个细胞和 5 个组织,作为公开的参考资料。这些参考文献为标注间充质干细胞亚群提供了分子特征和表型预测。总之,MSCsDB 是一个用户友好型的现代人类间充质干细胞数据储存库,它提供了一个专用平台,使用户能够有效地对其个体间充质干细胞 scRNA-seq 数据进行综合分析。
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引用次数: 0
Cytokine-based models for efficient differentiation between infection and cytokine release syndrome in patients with hematological malignancies 基于细胞因子的模型,有效区分血液恶性肿瘤患者的感染和细胞因子释放综合征
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-05 DOI: 10.1186/s40164-024-00495-6
Linqin Wang, Yuqi Lv, Linghui Zhou, Shenghao Wu, Yuanyuan Zhu, Shan Fu, Shuyi Ding, Ruimin Hong, Mingming Zhang, Hanjing Yu, Alex H. Chang, Guoqing Wei, Yongxian Hu, He Huang
Although the efficacy of chimeric antigen receptor (CAR)-T cell therapy has been widely demonstrated, its clinical application is hampered by the complexity and fatality of its side effects. Cytokine release syndrome (CRS) is the most common toxicity following CAR-T cell infusion, and its symptoms substantially overlap with those of infection. Whereas, current diagnostic techniques for infections are time-consuming and not highly sensitive. Thus, we are aiming to develop feasible and efficient models to optimize the differential diagnosis in clinical practice. This study included 191 febrile patients from our center, including 85 with CRS-related fever and 106 with infectious fever. By leveraging the serum cytokine profile at the peak of fever, we generated differential models using a classification tree algorithm and a stepwise logistic regression analysis, respectively. The first model utilized three cytokines (IFN-β, CXCL1, and CXCL10) and demonstrated high sensitivity (90% training, 100% validation) and specificity (98.44% training, 90.48% validation) levels. The five-cytokine model (CXCL10, CCL19, IL-4, VEGF, and CCL20) also showed high sensitivity (91.67% training, 95.65% validation) and specificity (98.44% training, 100% validation). These feasible and accurate differentiation models may prompt early diagnosis of infections during immune therapy, allowing for early and appropriate intervention.
虽然嵌合抗原受体(CAR)-T 细胞疗法的疗效已得到广泛证实,但其副作用的复杂性和致命性阻碍了它在临床上的应用。细胞因子释放综合征(CRS)是 CAR-T 细胞输注后最常见的毒性反应,其症状与感染症状有很大的重叠。而目前的感染诊断技术费时费力,灵敏度也不高。因此,我们旨在开发可行且高效的模型,以优化临床实践中的鉴别诊断。本研究纳入了本中心的 191 名发热患者,包括 85 名 CRS 相关发热患者和 106 名感染性发热患者。利用发热高峰期的血清细胞因子谱,我们分别采用分类树算法和逐步逻辑回归分析法生成了鉴别模型。第一个模型使用了三种细胞因子(IFN-β、CXCL1 和 CXCL10),显示出较高的灵敏度(90% 训练,100% 验证)和特异性(98.44% 训练,90.48% 验证)水平。五种细胞因子模型(CXCL10、CCL19、IL-4、VEGF 和 CCL20)也显示出较高的灵敏度(训练率 91.67%,验证率 95.65%)和特异性(训练率 98.44%,验证率 100%)。这些可行且准确的分化模型可在免疫治疗过程中提示感染的早期诊断,以便及早采取适当的干预措施。
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引用次数: 0
The multi-CDK inhibitor dinaciclib reverses bromo- and extra-terminal domain (BET) inhibitor resistance in acute myeloid leukemia via inhibition of Wnt/β-catenin signaling. 多CDK抑制剂dinaciclib可通过抑制Wnt/β-catenin信号转导逆转急性髓性白血病的溴外端域(BET)抑制剂耐药性。
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-04 DOI: 10.1186/s40164-024-00483-w
Alexander R Marr, Madeline Halpin, Dominique L Corbin, Yerdanos Asemelash, Steven Sher, Britten K Gordon, Ethan C Whipp, Shaneice Mitchell, Bonnie K Harrington, Shelley Orwick, Samon Benrashid, Virginia M Goettl, Vedat Yildiz, Andrew D Mitchell, Olivia Cahn, Alice S Mims, Karilyn T M Larkin, Meixao Long, James Blachly, Jennifer A Woyach, Rosa Lapalombella, Nicole R Grieselhuber

Acute myeloid leukemia (AML) is a highly aggressive hematologic cancer with poor survival across a broad range of molecular subtypes. Development of efficacious and well-tolerable therapies encompassing the range of mutations that can arise in AML remains an unmet need. The bromo- and extra-terminal domain (BET) family of proteins represents an attractive therapeutic target in AML due to their crucial roles in many cellular functions, regardless of any specific mutation. Many BET inhibitors (BETi) are currently in pre-clinical and early clinical development, but acquisition of resistance continues to remain an obstacle for the drug class. Novel methods to circumvent this development of resistance could be instrumental for the future use of BET inhibitors in AML, both as monotherapy and in combination. To date, many investigations into possible drug combinations of BETi with CDK inhibitors have focused on CDK9, which has a known physical and functional interaction with the BET protein BRD4. Therefore, we wished to investigate possible synergy and additive effects between inhibitors of these targets in AML. Here, we describe combination therapy with the multi-CDK inhibitor dinaciclib and the BETi PLX51107 in pre-clinical models of AML. Dinaciclib and PLX51107 demonstrate additive effects in AML cell lines, primary AML samples, and in vivo. Further, we demonstrate novel activity of dinaciclib through inhibition of the canonical/β-catenin dependent Wnt signaling pathway, a known resistance mechanism to BETi in AML. We show dinaciclib inhibits Wnt signaling at multiple levels, including downregulation of β-catenin, the Wnt co-receptor LRP6, as well as many Wnt pathway components and targets. Moreover, dinaciclib sensitivity remains unaffected in a setting of BET resistance, demonstrating similar inhibitory effects on Wnt signaling when compared to BET-sensitive cells. Ultimately, our results demonstrate rationale for combination CDKi and BETi in AML. In addition, our novel finding of Wnt signaling inhibition could have potential implications in other cancers where Wnt signaling is dysregulated and demonstrates one possible approach to circumvent development of BET resistance in AML.

急性髓性白血病(AML)是一种侵袭性很强的血液肿瘤,不同分子亚型的患者生存率都很低。针对急性髓性白血病可能出现的各种突变,开发疗效好、耐受性好的疗法仍是一项尚未满足的需求。溴和末端外结构域(BET)蛋白家族是治疗急性髓细胞性白血病的一个极具吸引力的靶点,因为它们在许多细胞功能中发挥着至关重要的作用,与任何特定突变无关。目前,许多 BET 抑制剂(BETi)正处于临床前和早期临床开发阶段,但耐药性的获得仍然是该类药物的一个障碍。规避耐药性产生的新方法将有助于 BET 抑制剂未来在急性髓细胞白血病中的应用,无论是作为单药还是联合用药。迄今为止,许多关于 BETi 与 CDK 抑制剂可能的药物组合的研究都集中在 CDK9 上,因为 CDK9 与 BET 蛋白 BRD4 有已知的物理和功能相互作用。因此,我们希望研究这些靶点抑制剂在急性髓细胞白血病中可能产生的协同作用和相加效应。在此,我们介绍了在急性髓细胞性白血病临床前模型中使用多 CDK 抑制剂 dinaciclib 和 BETi PLX51107 的联合疗法。Dinaciclib 和 PLX51107 在急性髓细胞白血病细胞系、原发性急性髓细胞白血病样本和体内均显示出相加效应。此外,我们还证明了Dinaciclib通过抑制典型/β-catenin依赖性Wnt信号通路的新型活性,而Wnt信号通路是AML中已知的BETi耐药机制。我们发现,dinaciclib 可在多个水平上抑制 Wnt 信号转导,包括下调 β-catenin、Wnt 共受体 LRP6 以及许多 Wnt 通路成分和靶点。此外,在BET耐药的情况下,dinaciclib的敏感性仍不受影响,与BET敏感细胞相比,它对Wnt信号的抑制作用相似。最终,我们的研究结果证明了在急性髓细胞白血病中联合使用 CDKi 和 BETi 的合理性。此外,我们在抑制 Wnt 信号转导方面的新发现可能会对 Wnt 信号转导失调的其他癌症产生潜在影响,并为避免 AML 中 BET 抗性的发生提供了一种可能的方法。
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引用次数: 0
Drug conjugates for the treatment of lung cancer: from drug discovery to clinical practice 治疗肺癌的药物共轭物:从药物发现到临床实践
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-03-01 DOI: 10.1186/s40164-024-00493-8
Ling Zhou, Yunlong Lu, Wei Liu, Shanglong Wang, Lingling Wang, Pengdou Zheng, Guisha Zi, Huiguo Liu, Wukun Liu, Shuang Wei
A drug conjugate consists of a cytotoxic drug bound via a linker to a targeted ligand, allowing the targeted delivery of the drug to one or more tumor sites. This approach simultaneously reduces drug toxicity and increases efficacy, with a powerful combination of efficient killing and precise targeting. Antibody‒drug conjugates (ADCs) are the best-known type of drug conjugate, combining the specificity of antibodies with the cytotoxicity of chemotherapeutic drugs to reduce adverse reactions by preferentially targeting the payload to the tumor. The structure of ADCs has also provided inspiration for the development of additional drug conjugates. In recent years, drug conjugates such as ADCs, peptide‒drug conjugates (PDCs) and radionuclide drug conjugates (RDCs) have been approved by the Food and Drug Administration (FDA). The scope and application of drug conjugates have been expanding, including combination therapy and precise drug delivery, and a variety of new conjugation technology concepts have emerged. Additionally, new conjugation technology-based drugs have been developed in industry. In addition to chemotherapy, targeted therapy and immunotherapy, drug conjugate therapy has undergone continuous development and made significant progress in treating lung cancer in recent years, offering a promising strategy for the treatment of this disease. In this review, we discuss recent advances in the use of drug conjugates for lung cancer treatment, including structure-based drug design, mechanisms of action, clinical trials, and side effects. Furthermore, challenges, potential approaches and future prospects are presented.
药物共轭物由细胞毒性药物通过连接体与靶向配体结合而成,可将药物靶向输送到一个或多个肿瘤部位。这种方法可同时降低药物毒性和提高疗效,是高效杀伤和精确靶向的有力结合。抗体-药物共轭物(ADC)是最著名的药物共轭物类型,它结合了抗体的特异性和化疗药物的细胞毒性,通过将有效载荷优先靶向肿瘤来减少不良反应。ADC 的结构也为开发其他药物共轭物提供了灵感。近年来,ADCs、多肽药物共轭物(PDCs)和放射性核素药物共轭物(RDCs)等药物共轭物已获得美国食品药品管理局(FDA)的批准。药物共轭物的范围和应用也在不断扩大,包括联合治疗和精确给药,并出现了各种新的共轭技术概念。此外,工业界也开发出了基于共轭技术的新药。除了化疗、靶向治疗和免疫治疗外,近年来药物共轭疗法也得到了不断发展,并在治疗肺癌方面取得了重大进展,为该疾病的治疗提供了一种前景广阔的策略。在这篇综述中,我们将讨论利用药物共轭物治疗肺癌的最新进展,包括基于结构的药物设计、作用机制、临床试验和副作用。此外,还介绍了面临的挑战、潜在的方法和未来前景。
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引用次数: 0
Dual-targeted CAR T-cell immunotherapies for hematological malignancies: latest updates from the 2023 ASH annual meeting 治疗血液恶性肿瘤的双靶向 CAR T 细胞免疫疗法:2023 年 ASH 年会的最新进展
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-02-27 DOI: 10.1186/s40164-024-00485-8
Jingyi Yang, Hao Guo, Lu Han, Yongping Song, Keshu Zhou
Over the past few years, dual-targeted chimeric antigen receptor (CAR) T-cell therapy has been employed in the management of hematological malignancies to mitigate treatment failure, particularly in cases of antigen escape. The most widely used approaches include CD19/CD20, CD20/CD22, and BCMA/CD19 CAR T-cells. Alternative immune cells, including natural killer T cells and invariant natural killer T cells, exhibit innate anti-tumor activity and reduced toxicity. This review summarizes several recent clinical trial reports and preclinical studies from the 2023 American Society of Hematology (ASH) annual meeting on dual-targeted CAR T-cell immunotherapy for hematological malignancies.
在过去几年中,双靶点嵌合抗原受体(CAR)T细胞疗法已被用于血液恶性肿瘤的治疗,以缓解治疗失败,尤其是在抗原逃逸的情况下。使用最广泛的方法包括 CD19/CD20、CD20/CD22 和 BCMA/CD19 CAR T 细胞。替代性免疫细胞,包括自然杀伤 T 细胞和不变自然杀伤 T 细胞,表现出先天性抗肿瘤活性并降低毒性。本综述总结了 2023 年美国血液学会(ASH)年会上有关血液恶性肿瘤双靶向 CAR T 细胞免疫疗法的几项最新临床试验报告和临床前研究。
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引用次数: 0
Strain-dependent modifiers exacerbate familial leukemia caused by GATA1-deficiency 菌株依赖性调节因子会加剧由 GATA1 缺失引起的家族性白血病
IF 10.9 1区 医学 Q1 Medicine Pub Date : 2024-02-26 DOI: 10.1186/s40164-024-00491-w
Ikuo Hirano, Kanako Abe, James Douglas Engel, Masayuki Yamamoto, Ritsuko Shimizu
GATA1 plays a critical role in differentiation, proliferation, and apoptosis during erythropoiesis. We developed a Gata1 knock-down allele (Gata1.05) that results in GATA1 expression at 5% of endogenous level. In female mice heterozygous for both the Gata1.05 and wild-type alleles, we observed a predisposition to erythroblastic leukemia three to six months after birth. Since no male Gata1.05 progeny survive gestation, we originally maintained heterozygous females in a mixed genetic background of C57BL/6J and DBA/2 strains. Around 30% of these mice reproducibly develop leukemia, but the other subset did not develop leukemia, even though they harbor a high number of preleukemic erythroblasts. These observations prompted us to hypothesize that there may be potential influence of genetic determinants on the progression of Gata1.05-driven hematopoietic precursors to full-blown leukemia. In an initial examination of Gata1.05/X mice backcrossed into C3H/He, BALB/c, DBA/2, C57BL/6J and 129X1/SvJ strains, we discerned that the backgrounds of C57BL/6J and 129X1/SvJ significantly expedited leukemia onset in Gata1.05/X mice. Conversely, backgrounds of C3H/He, BALB/c and DBA/2 did not substantially modify the effect of the Gata1 mutation. This indicates the existence of genetic modifiers that accentuate Gata1.05 leukemogenesis. Subsequent cohort studies evaluated Gata1.05/X mice within mix backgrounds of BALB/c:129X1/SvJ and BALB/c:C57BL/6J. In these settings, Gata1.05-driven leukemia manifested in autosomal dominant patterns within the 129X1/SvJ background and in autosomal recessive patterns within C57BL/6J background. To the best of our knowledge, this study provides the inaugural evidence of genetic modifiers that can reshape the outcome based on leukemia-associated gene signatures.
GATA1 在红细胞生成过程中的分化、增殖和凋亡中起着关键作用。我们开发了一种 Gata1 基因敲除等位基因(Gata1.05),其 GATA1 表达量仅为内源性水平的 5%。在杂合了 Gata1.05 和野生型等位基因的雌性小鼠中,我们观察到它们在出生后三到六个月易患红细胞白血病。由于 Gata1.05 的雄性后代在妊娠期无法存活,我们最初将杂合雌性小鼠饲养在 C57BL/6J 和 DBA/2 品系的混合遗传背景中。这些小鼠中约有 30% 可重复发生白血病,但另一部分却没有发生白血病,尽管它们体内有大量白血病前红细胞。这些观察结果促使我们假设,遗传决定因素可能对 Gata1.05 驱动的造血前体发展为全面白血病有潜在影响。在对回交到 C3H/He、BALB/c、DBA/2、C57BL/6J 和 129X1/SvJ 品系的 Gata1.05/X 小鼠进行的初步研究中,我们发现 C57BL/6J 和 129X1/SvJ 的背景明显加快了 Gata1.05/X 小鼠白血病的发生。相反,C3H/He、BALB/c 和 DBA/2 的背景并没有在很大程度上改变 Gata1 突变的影响。这表明遗传修饰因子的存在加剧了 Gata1.05 白血病的发生。随后的队列研究评估了在 BALB/c:129X1/SvJ 和 BALB/c:C57BL/6J 混合背景下的 Gata1.05/X 小鼠。在这些背景中,Gata1.05 驱动的白血病在 129X1/SvJ 背景中表现为常染色体显性模式,而在 C57BL/6J 背景中则表现为常染色体隐性模式。据我们所知,这项研究首次提供了基于白血病相关基因特征的遗传修饰因子可以重塑结果的证据。
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引用次数: 0
期刊
Experimental Hematology & Oncology
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