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ATP11A Promotes Epithelial-mesenchymal Transition in Gastric Cancer Cells via the Hippo Pathway. ATP11A 通过 Hippo 通路促进胃癌细胞的上皮-间质转化
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.7150/jca.97895
Zhihua Wang, Mingmiao Xue, Junqiang Liu, Han Jiang, Feifan Li, Min Xu, Huizhi Wang

Background: ATP11A, a P-type ATPase, functions as flippases at the plasma membrane to maintain cellular function and vitality in several cancers. However, the role of ATP11A in gastric cancer remains unknown. This study aimed to identify ATP11A related to the biological behavior of gastric cancer, and elucidate the underlying mechanism. Methods: The Cancer Genome Atlas (TCGA) and Genotype-Tissue Expression (GTEx) databases were used to analyze the expression and prognosis of ATP11A. The biofunctions of ATP11A were explored through Gene Ontology (GO), Kyoto Encyclopedia of Genes and Genomes (KEGG) and Gene Set Enrichment Analysis (GSEA). The expression of ATP11A were validated by immunohistochemistry (IHC), qRT-PCR and Western blotting. Transwell, wound healing, CCK8 and colony-formation were to detected the migration, invasion and proliferation of gastric cancer cells. The epithelial-mesenchymal transition (EMT) and Hippo pathway markers were examined by Western blotting. Results: The expression of ATP11A was higher in gastric cancer tissues than in normal tissues, and high ATP11A levels were related to worse prognosis of gastric cancer patients. Additionally, we proved that ATP11A promoted the migration, invasion and proliferation in gastric cancer cells. Furthermore, ATP11A was found to promote EMT by devitalizing the Hippo pathway. Conclusion: ATP11A promoted migration, invasion, proliferation and EMT via Hippo signaling devitalization in gastric cancer cells.

背景:ATP11A 是一种 P 型 ATP 酶,在几种癌症中发挥着质膜翻转酶的功能,以维持细胞的功能和活力。然而,ATP11A在胃癌中的作用仍然未知。本研究旨在鉴定与胃癌生物学行为相关的 ATP11A,并阐明其潜在机制。研究方法利用癌症基因组图谱(TCGA)和基因型-组织表达(GTEx)数据库分析ATP11A的表达和预后。通过基因本体(GO)、京都基因与基因组百科全书(KEGG)和基因组富集分析(GSEA)探讨了ATP11A的生物功能。通过免疫组织化学(IHC)、qRT-PCR 和 Western 印迹分析验证了 ATP11A 的表达。通过Transwell、伤口愈合、CCK8和集落形成检测胃癌细胞的迁移、侵袭和增殖。通过 Western 印迹检测上皮-间质转化(EMT)和 Hippo 通路标记物。结果显示ATP11A在胃癌组织中的表达高于正常组织,高水平的ATP11A与胃癌患者的预后有关。此外,我们还证实 ATP11A 能促进胃癌细胞的迁移、侵袭和增殖。此外,我们还发现 ATP11A 可通过破坏 Hippo 通路来促进 EMT。结论ATP11A 通过抑制 Hippo 信号转导促进了胃癌细胞的迁移、侵袭、增殖和 EMT。
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引用次数: 0
Autophagy Modulation in Therapeutic Strategy of Breast Cancer Drug Resistance. 自噬调节在乳腺癌耐药性治疗策略中的作用
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.7150/jca.97775
Maoqi Wang, Mianxue Liu, Cheng Yang, Yingqiu Hu, Xiujuan Liao, Qiang Liu

Breast cancer (BC) is a prevalent malignancy globally. Autophagy plays a pivotal role in all stages of this disease, including development, metastasis, and onset. Therefore, it is envisaged that targeting cell autophagy through appropriate tactics would evolve into a novel breast cancer prevention and therapy strategy. A multitude of chemotherapeutic medications can stimulate autophagy in tumor cells. It has led to divergent opinions on the function of autophagy in cancer treatment, as both stimulating and blocking autophagy can improve the effectiveness of anticancer medications. Consequently, the decision of whether to stimulate or inhibit autophagy during breast cancer treatment has become crucial. Understanding the distinctive mechanisms of autophagy in BC and its significance in medication therapy might facilitate the creation of targeted treatment plans based on the roles particular to autophagy. This review summarizes recent studies on the autophagy mechanism in breast cancer and provides insights into autophagy-based BC therapeutic techniques, giving fresh avenues for future BC treatment.

乳腺癌(BC)是一种全球流行的恶性肿瘤。自噬在这种疾病的各个阶段(包括发展、转移和发病)都发挥着关键作用。因此,通过适当的策略针对细胞自噬,有望发展成为一种新型的乳腺癌预防和治疗策略。多种化疗药物可刺激肿瘤细胞自噬。这导致人们对自噬在癌症治疗中的功能众说纷纭,因为刺激和阻断自噬都能提高抗癌药物的疗效。因此,在乳腺癌治疗过程中决定刺激还是抑制自噬变得至关重要。了解自噬在乳腺癌治疗中的独特机制及其在药物治疗中的意义,有助于根据自噬的特殊作用制定有针对性的治疗方案。本综述总结了近期有关乳腺癌自噬机制的研究,并深入探讨了基于自噬的乳腺癌治疗技术,为未来的乳腺癌治疗提供了新的思路。
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引用次数: 0
The transcription factor ZNF248 promotes colorectal cancer metastasis by binding to ZEB1. 转录因子 ZNF248 通过与 ZEB1 结合促进结直肠癌转移。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.7150/jca.92886
Yanying Ren, Xiaoxu Sun, Xin Chen, Shuai Shao, JingTong Tang, Zhaohui Xu, Yang Xu, Haonan Kang, Liming Wang

Colorectal cancer (CRC) is one of the most common malignant tumors globally, with metastasis emerging as the leading cause of mortality in CRC patients. Transcription factors play pivotal roles in the metastatic process. Using bioinformatics tools, we analyzed the TCGA-COAD and GES146587 datasets and identified ZNF248 participating in tumor progression. By analyzing 100 CRC patient tissues, it is found that ZNF248 is highly expressed in cancer tissue as well as in CRC cell lines identified by qRT-PCR. Our study discovered that ZNF248 enhances CRC cell migratory and invasive capabilities. A positive correlation was found between ZNF248 and epithelial-mesenchymal transition (EMT)-related markers (ZEB1, snail1), while E-cadherin exhibited a negative correlation with ZNF248. In addition, the analysis of the TCGA dataset demonstrated a strong correlation between the mRNA level of ZNF248 and ZEB1 expressions. Furthermore, it is found that the overexpression of ZEB1 could reverse CRC cell invasion and migration, along with the inhibition on EMT marker expressions induced by the RNA interference with ZNF248. Immunohistochemical analysis indicated a substantial association of ZNF248 expression with the lymph node metastasis, and with the liver metastasis (P =0.01, P =0.01), and a positive correlation between ZNF248 and ZEB1 expression (P =0.021) was also identified. Using Chip-PCR assay, it is found that ZNF248 bound to the ZEB1 promoter region. These findings showed that ZNF248 promotes CRC metastasis in vivo, revealed its role as an oncogene in CRC by targeting ZEB1 and activating the EMT pathway, which provided novel and promising biomarkers for CRC therapy through targeting ZEB1.

结肠直肠癌(CRC)是全球最常见的恶性肿瘤之一,转移是导致 CRC 患者死亡的主要原因。转录因子在转移过程中起着关键作用。我们利用生物信息学工具分析了 TCGA-COAD 和 GES146587 数据集,发现了 ZNF248 参与肿瘤进展。通过分析 100 例 CRC 患者组织,我们发现 ZNF248 在癌症组织以及通过 qRT-PCR 鉴定的 CRC 细胞系中高表达。我们的研究发现,ZNF248 能增强 CRC 细胞的迁移和侵袭能力。研究发现,ZNF248与上皮-间质转化(EMT)相关标记物(ZEB1、蜗牛1)呈正相关,而E-粘连蛋白与ZNF248呈负相关。此外,对 TCGA 数据集的分析表明,ZNF248 的 mRNA 水平与 ZEB1 的表达之间存在很强的相关性。此外,研究还发现,ZEB1的过表达可以逆转CRC细胞的侵袭和迁移,同时ZNF248的RNA干扰也会抑制EMT标记物的表达。免疫组化分析表明,ZNF248的表达与淋巴结转移和肝转移有很大关系(P =0.01,P =0.01),ZNF248和ZEB1的表达之间也存在正相关(P =0.021)。通过芯片-PCR检测发现,ZNF248与ZEB1启动子区域结合。这些研究结果表明,ZNF248通过靶向ZEB1和激活EMT通路,促进了CRC在体内的转移,揭示了它在CRC中作为癌基因的作用,这为通过靶向ZEB1治疗CRC提供了新的和有前景的生物标记物。
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引用次数: 0
STAT3 inhibitor Stattic Exhibits the Synergistic Effect with FGFRs Inhibitor Erdafitinib in FGFR1-positive Lung Squamous Cell Carcinoma. STAT3 抑制剂 Stattic 与 FGFRs 抑制剂 Erdafitinib 在 FGFR1 阳性肺鳞状细胞癌中的协同作用
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-19 eCollection Date: 2024-01-01 DOI: 10.7150/jca.97477
Hongqin Zhong, Ling Wang, Xue Zhu, Shu Li, Xiyue Li, Chen Ding, Ke Wang, Xun Wang

Lung squamous cell carcinoma (LUSC), a subset of non-small cell lung cancer (NSCLC), accounts for about 30% of all lung cancers (LC) and exhibits a dismal response to current therapeutic protocols. Existed studies have indicated that aberrations in fibroblast growth factor receptors (FGFRs) play a pivotal role in the progression of LUSC, rendering them as attractive targets for therapeutic intervention in this cancer type. This study found that Erdafitinib (Erda), a novel pan-FGF receptor tyrosine kinase inhibitor (TKI), exerted a cytotoxic effect on LUSC cells. However, STAT3, the downstream target of FGFRs, remained still activated despite Erdafitinib treatment. Then, a STAT3 inhibitor, Stattic (Sta), was concurrently used with Erdafitinib, and the combined treatment demonstrated a synergistic efficacy in both in vitro and in vivo models of LUSC when compared to that of the treatment of the Erdafitinib or Stattic alone. Further molecular studies showed that such an effect of Erdafitinib and Stattic was associated with their concurrently inhibitory effect on FGFR1 and STAT3 signaling in LUSC cells. Therefore, the findings of this study indicated that the concurrent use of Erdafitinib and Stattic is a promising therapeutic approach for the treatment of FGFR1-positive LUSC.

肺鳞状细胞癌(LUSC)是非小细胞肺癌(NSCLC)的一个分支,约占所有肺癌(LC)的 30%,对目前的治疗方案反应不佳。现有研究表明,成纤维细胞生长因子受体(FGFRs)的畸变在非小细胞肺癌的进展过程中起着关键作用,使其成为治疗该癌症类型的诱人靶点。这项研究发现,新型泛FGF受体酪氨酸激酶抑制剂(TKI)厄达非替尼(Erdafitinib,Erda)对LUSC细胞具有细胞毒性作用。然而,尽管厄达非替尼治疗了LUSC细胞,但FGFR下游靶点STAT3仍被激活。随后,一种 STAT3 抑制剂 Stattic(Sta)与 Erdafitinib 同时使用,与单独使用 Erdafitinib 或 Stattic 治疗相比,联合治疗在 LUSC 体外和体内模型中均显示出协同疗效。进一步的分子研究表明,Erdafitinib和Stattic的这种效应与它们同时抑制LUSC细胞中的FGFR1和STAT3信号转导有关。因此,本研究结果表明,同时使用厄达非替尼和Stattic是治疗FGFR1阳性LUSC的一种很有前景的治疗方法。
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引用次数: 0
Lysyl Oxidase (LOX) Family Proteins: Key Players in Breast Cancer Occurrence and Progression. 赖氨酰氧化酶(LOX)家族蛋白:乳腺癌发生和发展过程中的关键角色。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98688
Jinsong Li, Xinmeng Wang, Ruai Liu, Jiaji Zi, Yihan Li, Zhengliang Li, Wei Xiong

The lysyl oxidase (LOX) family proteins are secreted copper-dependent amine oxidases, comprised of five paralogues: LOX and LOX-like 1-4 (LOXL1-4), which are characterized by catalytic activity contributing to the remodeling of the cross-linking of the structural extracellular matrix (ECM). ECM remodeling plays a key role in the angiogenesis surrounding tumours, whereby a corrupt tumour microenvironment (TME) takes shape. Additionally, dysregulation and aberrant expression of LOX family proteins have been implicated in the occurrence and progression of various types of human cancers, including lung cancer, hepatocellular carcinoma, gastric cancer, renal cell carcinoma, and colorectal cancer. Breast cancer is the most prevalent malignant tumour in women worldwide, and its incidence rate is increasing annually. In recent years, a growing body of evidence has revealed significant upregulation of LOX family proteins in breast cancer, which contributes to cancer cell proliferation, invasion, and metastasis. Furthermore, elevated expression of LOX family proteins is closely associated with poor prognosis in breast cancer patients. We herein review the structure, regulation, function, and mechanisms of LOX family proteins in the occurrence and progression of breast cancer. In addition, we highlight recent insights into their mechanisms and their potential involvement in the clinical value and novel biological roles of LOX family members in tumour progression and the TME of breast cancer. This review will provide a theoretical basis and reference for clinical diagnosis and treatment of breast cancer, as well as for the screening of effective LOX-specific inhibitors.

赖氨酰氧化酶(LOX)家族蛋白是分泌型铜依赖性胺氧化酶,由五个对映体组成:其特点是具有催化活性,有助于重塑细胞外基质(ECM)的交联结构。ECM 重塑在肿瘤周围的血管生成中起着关键作用,肿瘤微环境(TME)就是在这种作用下形成的。此外,LOX 家族蛋白的失调和异常表达也与肺癌、肝细胞癌、胃癌、肾细胞癌和结肠直肠癌等各类人类癌症的发生和发展有关。乳腺癌是全球女性最常见的恶性肿瘤,其发病率呈逐年上升趋势。近年来,越来越多的证据表明,LOX 家族蛋白在乳腺癌中显著上调,导致癌细胞增殖、侵袭和转移。此外,LOX 家族蛋白的高表达与乳腺癌患者的不良预后密切相关。本文综述了 LOX 家族蛋白的结构、调控、功能以及在乳腺癌发生和发展过程中的作用机制。此外,我们还将重点介绍 LOX 家族成员在肿瘤进展和乳腺癌 TME 中的作用机制及其潜在的临床价值和新的生物学作用。这篇综述将为乳腺癌的临床诊断和治疗以及筛选有效的 LOX 特异性抑制剂提供理论依据和参考。
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引用次数: 0
A tellurium-based small compound ameliorates tumor metastasis by downregulating heparanase expression. 一种碲基小化合物通过下调肝素酶的表达改善肿瘤转移。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.96001
Yuan-Hao Liu, Li-Hsien Wu, Wen-Jun Fan, Shih-Han Chiu, Pei-Hsuan Chen, Chia C Wang, Che-Hsin Lee

Tellurium is a rare element, and ammonium trichloro (dioxoethylene-o,o') tellurate (AS101) is the most bioactive molecule among several synthetic tellurium compounds. AS101 was found to be immunomodulatory and can modulate types of cytokines. However, the effect of AS101 on tumor metastasis remains unclear. Heparanase, an endo-glucuronidase, cleaves heparin sulfate side chains of proteoglycans on the cell surface, further leading to the degradation of the extracellular matrix. Heparanase also releases angiogenic factors in the extracellular matrix, is overexpressed in tumor cells, and promotes tumor metastasis and angiogenesis. In this study, we investigated the effect of AS101 in 4T1 and CT26 cells, especially heparanase. Heparanase expression was downregulated in 4T1 and CT26 cells after treatment with AS101 in vitro. The protein level involved in the protein kinase-B/mammalian target of rapamycin (AKT/mTOR) signaling pathway also declined. Cell migration assays revealed the inhibitory effect of AS101 on migration. The results of this study indicate that AS101 inhibits tumor migration by downregulating heparanase through the AKT/mTOR signaling pathway and has positive effects in vivo.

碲是一种稀有元素,而三氯(二氧代乙烯-o,o')碲酸铵(AS101)是几种合成碲化合物中最具生物活性的分子。研究发现,AS101 具有免疫调节作用,可以调节细胞因子的类型。然而,AS101 对肿瘤转移的影响仍不清楚。肝素酶是一种内切葡糖醛酸酶,能裂解细胞表面蛋白聚糖的肝素硫酸侧链,进一步导致细胞外基质降解。肝素酶还能释放细胞外基质中的血管生成因子,在肿瘤细胞中过表达,促进肿瘤转移和血管生成。在本研究中,我们研究了 AS101 对 4T1 和 CT26 细胞的影响,尤其是对肝素酶的影响。体外用AS101处理4T1和CT26细胞后,肝素酶表达下调。参与蛋白激酶-B/哺乳动物雷帕霉素靶标(AKT/mTOR)信号通路的蛋白水平也有所下降。细胞迁移试验显示了 AS101 对迁移的抑制作用。本研究结果表明,AS101通过AKT/mTOR信号通路下调肝素酶,从而抑制肿瘤迁移,并在体内产生积极作用。
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引用次数: 0
Development of an m6A subtype classifier to guide precision therapy for patients with bladder cancer. 开发 m6A 亚型分类器,指导膀胱癌患者的精准治疗。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.99483
Ganghua Zhang, Jingxin Yang, Jianing Fang, Rui Yu, Zhijing Yin, Guanjun Chen, Panpan Tai, Dong He, Ke Cao, Jiaode Jiang

Purpose: Bladder cancer (BLCA) is a highly heterogeneous tumor. We aim to construct a classifier from the perspective of N6-methyladenosine methylation (m6A) to identify patients with different prognostic risks and treatment responsiveness for precision therapy. Methods: Data on gene expression profile, mutation, and clinical characteristics were mainly obtained from the TCGA-BLCA cohort. Unsupervised clustering was performed to construct m6A subtypes. The tumor microenvironment (TME) landscapes were explored by using ssGSEA, ESTIMATE, and MCPcounter algorithms. K-M survival curves and Cox regression analysis were used to demonstrate the significance of m6A subtypes in predicting prognosis. pRRophetic, oncoPredict, and TIDE algorithms were used to evaluate responsiveness to antitumor therapy. A classifier of m6a subtypes was finally developed based on random forest and artificial neural network (ANN). Results: The two m6A subtypes have significantly different m6A-related gene expression profiles and mutational landscapes. TME analysis showed a higher level of stromal and Inhibitory immune components in subtype B compared with subtype A. The m6A subtype is a clinically independent prognostic predictor of BLCA, subtype B has a poorer prognosis. Drug sensitivity analysis showed that subtype B has lower IC50 values and AUC values for cisplatin and docetaxel. Efficacy assessment showed significantly poorer radiotherapy efficacy and lower immunotherapy responsiveness in subtype B. We finally constructed an ANN classifier to accurately classify BLCA patients into two m6A subtypes. Conclusion: Our study developed a classifier for identifying subtypes with different m6A characteristics, and BLCA patients with different m6A subtypes have significantly different prognosis and responsiveness to antitumor therapy.

目的:膀胱癌(BLCA)是一种高度异质性肿瘤。我们旨在从 N6-甲基腺苷甲基化(m6A)的角度构建一个分类器,以识别具有不同预后风险和治疗反应性的患者,从而进行精准治疗。研究方法基因表达谱、基因突变和临床特征数据主要来自TCGA-BLCA队列。通过无监督聚类构建m6A亚型。使用ssGSEA、ESTIMATE和MCPcounter算法探索了肿瘤微环境(TME)图谱。pRRophetic 算法、oncoPredict 算法和 TIDE 算法用于评估抗肿瘤治疗的反应性。最后,基于随机森林和人工神经网络(ANN)建立了 m6a 亚型分类器。结果显示两种 m6A 亚型的 m6A 相关基因表达谱和突变图谱明显不同。TME分析显示,与A亚型相比,B亚型的基质和抑制性免疫成分水平更高。m6A亚型是预测BLCA临床预后的独立指标,B亚型的预后较差。药物敏感性分析表明,B亚型对顺铂和多西他赛的IC50值和AUC值较低。疗效评估显示,B亚型的放疗疗效明显较差,免疫治疗反应性也较低。结论不同 m6A 亚型的 BLCA 患者的预后和对抗肿瘤治疗的反应明显不同。
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引用次数: 0
Dual Role of Necroptosis in Cervical Cancer: Promoting Tumor Aggression and Modulating the Immune Microenvironment via the JAK2-STAT3 Pathway. 宫颈癌坏死的双重作用:通过 JAK2-STAT3 通路促进肿瘤侵袭和调节免疫微环境通过 JAK2-STAT3 通路促进肿瘤侵袭和调节免疫微环境
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.98738
Fangfang Xu, Yingjun Ye, Yueqing Gao, Shaohua Xu

In the dynamic landscape of cervical cancer (CC) pathophysiology, this study aimed to elucidate the role of necroptosis in modulating tumor proliferation, invasion, and the immune microenvironment in CC. In this study, the impact of necroptosis on CC was evaluated through a series of bioinformatical analyses and experimental approaches. The impact of necroptosis on CC was illustrated by analyzing its effects on tumor aggression, immune responses, and the JAK2-STAT3 signaling pathway. Bevacizumab, a monoclonal antibody targeting vascular endothelial growth factor (VEGF), was also evaluated for its potential induction of necroptosis in CC cells and its interaction with necroptosis inhibitors. Additionally, the study assessed the influence of necroptosis on the immune microenvironment, particularly in T-cell-related pathways and the expression of tumor suppressor genes in CC. Necroptosis was found to enhance VEGFA expression through the activation of the JAK2-STAT3 pathway, promoting tumor proliferative and invasive capabilities in CC. Bevacizumab induced necroptosis in CC cells, potentially leading to resistance to therapy. The combination of bevacizumab with necroptosis inhibitors attenuated VEGFA expression, suggesting a novel therapeutic strategy. Additionally, necroptosis activated T-cell-related pathways and promoted the infiltration and activation of Jurkat T cells. CD3D-a tumor suppressor gene in CC-was identified as a critical marker and its expression could be upregulated by necroptosis via the JAK2-STAT3 pathway in Jurkat T cells. Treatment of CC cells with supernatants from necroptosis-induced Jurkat cells resulted in reduced tumor cell proliferation and invasion. This study reveals a complex interaction between necroptosis, tumor progression, and the immune response in CC. The findings propose a nuanced approach to leveraging necroptosis for therapeutic interventions, highlighting the potential of combining necroptosis inhibitors with existing therapies to improve treatment outcomes in CC.

在宫颈癌(CC)病理生理学的动态变化中,本研究旨在阐明坏死蛋白在调节CC中肿瘤增殖、侵袭和免疫微环境中的作用。本研究通过一系列生物信息学分析和实验方法评估了坏死蛋白对CC的影响。通过分析坏死对肿瘤侵袭、免疫反应和JAK2-STAT3信号通路的影响,说明了坏死对CC的影响。研究还评估了贝伐单抗(一种靶向血管内皮生长因子(VEGF)的单克隆抗体)对CC细胞坏死的潜在诱导作用及其与坏死抑制剂的相互作用。此外,研究还评估了坏死对免疫微环境的影响,尤其是对T细胞相关通路和CC中肿瘤抑制基因表达的影响。研究发现,坏死通过激活JAK2-STAT3通路增强了血管内皮生长因子的表达,促进了CC中肿瘤的增殖和侵袭能力。贝伐单抗诱导CC细胞坏死,可能导致耐药性。贝伐珠单抗与坏死抑制剂联合使用可减轻血管内皮生长因子(VEGFA)的表达,从而提出了一种新的治疗策略。此外,坏死激活了T细胞相关通路,促进了Jurkat T细胞的浸润和活化。CD3D--CC中的肿瘤抑制基因--被确定为一个关键标记物,其表达可通过Jurkat T细胞中的JAK2-STAT3通路被坏死上调。用坏死诱导的 Jurkat 细胞的上清液处理 CC 细胞可减少肿瘤细胞的增殖和侵袭。这项研究揭示了CC细胞坏死、肿瘤进展和免疫反应之间复杂的相互作用。研究结果提出了一种利用坏死抑制进行治疗干预的细致方法,强调了将坏死抑制剂与现有疗法相结合以改善CC治疗效果的潜力。
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引用次数: 0
Integrated analysis of single-cell RNA-seq and bulk RNA-seq reveals MMP mediated expression patterns by distinct tumor microenvironment immune profiles in cervical cancer. 单细胞 RNA-seq 和大量 RNA-seq 的综合分析揭示了宫颈癌中不同肿瘤微环境免疫图谱介导的 MMP 表达模式。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.96429
He Wang, Xinbo Li, Siyu Zhou, Wendi Guo, Zhao Wang, Linlin Sun, Zhongyi Zhao, Yanyan Han, Sanyuan Zhang, Jieping Lv, Yi Ping, Zhe Wang

Background: Few studies have analyzed the effect of matrix metalloproteinase (MMP) expression patterns on the tumor microenvironment (TME) during development of cervical cancer (CC). Methods: We elucidated the landscape and score of MMP expression in CC using single-cell RNA sequencing (scRNA-seq) and RNA sequencing datasets. Further, we aimed the MMPscore to probe the infiltration of immune cells. Further, MMP expression was measured by quantitative Real-Time Polymerase Chain Reaction (qRT-PCR). Results: We found MMPs were cell-type specific expressed in diverse types of CC cells, regulating the relative pathways of CC progression. Two distinct MMP expression patterns that associated infiltrated tumor microenvironment (TME) were identified. We discovered MMP expression patterns can predict the stage of tumor, subtype, stromal activity in the TME, genetic variation, and patient outcome. Patients with high MMPscore benefited from significantly better treatment and clinical outcomes. Conclusion: These results indicate high MMPscore in diverse cell types may regulate immune response and improve the survival of patients with CC, which assist in developing more effective immunization strategies.

背景:很少有研究分析基质金属蛋白酶(MMP)表达模式对宫颈癌(CC)发病过程中肿瘤微环境(TME)的影响。研究方法我们利用单细胞RNA测序(scRNA-seq)和RNA测序数据集阐明了MMP在宫颈癌中的表达格局和得分。此外,我们还利用 MMPscore 来探测免疫细胞的浸润情况。此外,我们还通过实时聚合酶链式反应(qRT-PCR)对 MMP 的表达进行了定量检测。结果显示我们发现MMPs在不同类型的CC细胞中表达具有细胞类型特异性,调节着CC进展的相对途径。我们发现两种不同的 MMP 表达模式与肿瘤微环境(TME)浸润有关。我们发现,MMP表达模式可以预测肿瘤的分期、亚型、TME中的基质活性、基因变异和患者预后。MMP评分高的患者治疗效果和临床预后明显更好。结论这些结果表明,不同细胞类型中的高MMPscore可调节免疫反应,提高CC患者的生存率,有助于制定更有效的免疫策略。
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引用次数: 0
Robotic radical hysterectomy for cervical cancer: current trends and controversies. 宫颈癌机器人根治性子宫切除术:当前趋势与争议。
IF 3.3 3区 医学 Q2 ONCOLOGY Pub Date : 2024-08-13 eCollection Date: 2024-01-01 DOI: 10.7150/jca.99705
Jeeyeon Kim, Ha Kyun Chang, Jiheum Paek, Hyeon Ji Park, Hye Yeon Moon

Minimally invasive radical hysterectomy (MIRH) is widely performed as a treatment for early-stage cervical cancer. However, in 2018, a randomized controlled trial (RCT) called the Laparoscopic Approach to Cervical Cancer (LACC) trial showed that MIRH had poorer oncologic outcomes compared to laparotomy. Since then, several clinical studies have supported this finding, and most surgeons now perform MIRH with limited surgical indications. However, most of the reported studies evaluated laparoscopic radical hysterectomy rather than robotic radical hysterectomy (RRH). Robotic surgery has advantages for complex surgical procedures in the deep and narrow pelvic cavity in cervical cancer, making it necessary to evaluate the benefits and potential harms of RRH individually. Based on this systematic review, RRH is a safe and effective alternative to abdominal approach for early-stage cervical cancer. RRH offers significant perioperative benefits, including reduced blood loss, shorter hospital stays, and fewer complications, without compromising oncologic outcomes such as overall survival and progression-free survival. Additionally, surgeons should aim to minimize tumor cell spillage into the peritoneal cavity by eliminating the use of uterine manipulators or vaginal colpotomy. Ongoing RCTs will reveal whether we can perform RRH without oncologic compromise in cervical cancer.

微创根治性子宫切除术(MIRH)作为一种治疗早期宫颈癌的方法被广泛采用。然而,2018 年,一项名为 "宫颈癌腹腔镜治疗方法(LACC)"的随机对照试验(RCT)显示,与开腹手术相比,微创根治性子宫切除术的肿瘤治疗效果较差。此后,又有多项临床研究证实了这一结论,现在大多数外科医生都在有限的手术适应症下实施 MIRH。然而,大多数报道的研究评估的是腹腔镜根治性子宫切除术,而不是机器人根治性子宫切除术(RRH)。机器人手术对于宫颈癌盆腔深部和狭窄部位的复杂手术具有优势,因此有必要单独评估RRH的益处和潜在危害。根据本系统综述,RRH 是一种安全有效的早期宫颈癌腹腔手术替代方法。RRH 具有显著的围手术期优势,包括减少失血量、缩短住院时间和减少并发症,同时不会影响总生存期和无进展生存期等肿瘤学结果。此外,外科医生应避免使用子宫操作器或阴道结肠切除术,以尽量减少肿瘤细胞溢入腹腔。正在进行的 RCT 将揭示我们能否在不影响宫颈癌肿瘤学的情况下实施 RRH。
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