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Abstract A012: Targeting proteasome vulnerabilities for the treatment of monosomy 7 associated blood disorders 摘要 A012:靶向蛋白酶体漏洞治疗与 7 号单体相关的血液疾病
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a012
Haijiao Zhang, Basil Allen, D. Bottomly, P. Ryabinin, Schannon K Mcweeney
Monosomy 7 is among the most frequent cytogenetic abnormalities in hematological disorders and is associated with short survival and drug resistance. Despite its high prevalence and detrimental impact, the therapeutic vulnerabilities underlying monosomy 7-associated blood disorders remain largely elusive, impeding progress toward improved patient care. The homeostatic cellular requirement for a normal dosage of essential genes creates an opportunity to target vulnerabilities that arise due to reduced levels of proteins encoded by a haploinsufficient essential gene. Briefly, the loss of one copy of a dosage-sensitive essential gene (gene X), in combination with the inhibition of itself or a related gene (gene Y), or an associated pathway results in lethal consequences for cells. The remarkable and selective clinical efficacy of lenalidomide for the treatment of del(5q) MDS has demonstrated how allelic haploinsufficiency underlies the sensitivity to this drug by synthetic lethality. Differential expression analysis of gene and protein expression in primary AML samples with monosomy 7 revealed significant downregulation of multiple proteasome pathway members at the protein level, but not at the RNA level. Primary AML samples with -7/del(7q) exhibited increased sensitivity (low IC50) to the proteasome inhibitor bortezomib, as evidenced by two independent ex vivo drug screening cohorts (the Beat AML and the FIMM study). Chromosome 7 harbors four proteasome subunits, PSMA2, PSMC2, PSMG3, and SEM1. We performed gene expression, protein expression, copy number analysis, and individual gene knockout experiments. The results have revealed PSMA2 to be a haploinsufficient essential gene on chromosome 7. PSMA2 knockout confers leukemia a growth disadvantage for multiple AML cell clines in both TP53 wild-type and knockout backgrounds. We generated PSMA2 isogenic hemizygous deletion and diploid single-cell clones. PSMA2 hemizygous deletion cells exhibited approximately half the protein expression compared to diploid controls, confirming that PSMA2 is a haploinsufficient gene. PSMA2hemizygous deletion single-cell clones showed significantly enhanced sensitivity to all three evaluated proteasome inhibitors (bortezomib, ixazomib, and carfilzomib), aligning with the sensitivity observed in primary -7/del(7q) leukemia samples. PSMA2 hemizygous deletion cell clones displayed increased p38 and decreased pERK levels upon treatment with proteasome inhibitors, potentially contributing to their increased sensitivity to proteasome inhibitors. Proteomics analysis and in vivo validation is ongoing. As such, we have identified haploinsufficient essential gene PSMA2 mediated proteasome pathway vulnerability in monosomy 7 associated leukemia and further showed that proteasome inhibitors as promising therapeutic approaches for treating hematological disorders associated with monosomy 7. Citation Format: Haijiao Zhang, Basil Allen, Daniel Bottomly, Peter Ryabinin, Schannon K.
单体 7 是血液病中最常见的细胞遗传学异常之一,与存活期短和耐药性有关。尽管单体 7 基因异常发病率高、影响恶劣,但与单体 7 基因异常相关的血液疾病的治疗漏洞在很大程度上仍然难以捉摸,阻碍了改善患者护理的进程。细胞对必需基因正常剂量的平衡性要求,为针对单倍体必需基因编码的蛋白质水平降低而产生的薄弱环节提供了机会。简而言之,剂量敏感的重要基因(X 基因)的一个拷贝缺失,再加上自身或相关基因(Y 基因)或相关途径受到抑制,就会给细胞带来致命的后果。来那度胺在治疗 del(5q) MDS 方面卓越的选择性临床疗效证明了等位基因单倍体缺乏症是如何通过合成致死性对这种药物产生敏感性的。对单体7型原发性急性髓细胞样本中基因和蛋白质表达的差异表达分析表明,蛋白酶体通路的多个成员在蛋白质水平上显著下调,但在RNA水平上没有下调。两个独立的体外药物筛选队列(Beat AML 和 FIMM 研究)证明,-7/del(7q)的原发性急性髓细胞样本对蛋白酶体抑制剂硼替佐米的敏感性增加(IC50 低)。染色体 7 上有四个蛋白酶体亚基:PSMA2、PSMC2、PSMG3 和 SEM1。我们进行了基因表达、蛋白表达、拷贝数分析和单个基因敲除实验。结果表明,PSMA2是7号染色体上的一个单倍体必需基因。在 TP53 野生型和基因敲除背景下,PSMA2 基因敲除会使多个急性髓性白血病细胞系处于生长劣势。我们生成了 PSMA2 同源基因半杂合子缺失和二倍体单细胞克隆。与二倍体对照组相比,PSMA2半杂合子缺失细胞的蛋白表达量约为对照组的一半,这证实了PSMA2是一个单倍体基因。PSMA2半杂合子缺失单细胞克隆对所评估的三种蛋白酶体抑制剂(硼替佐米、伊沙佐米和卡非佐米)的敏感性都明显增强,这与在原发性-7/del(7q)白血病样本中观察到的敏感性一致。PSMA2半杂合子缺失细胞克隆在接受蛋白酶体抑制剂治疗后,p38水平升高,pERK水平降低,这可能是它们对蛋白酶体抑制剂更敏感的原因。蛋白质组学分析和体内验证正在进行中。因此,我们发现了单倍体必需基因PSMA2介导的蛋白酶体通路在7号单体相关白血病中的脆弱性,并进一步表明蛋白酶体抑制剂是治疗7号单体相关血液病的有前景的治疗方法:Haijiao Zhang, Basil Allen, Daniel Bottomly, Peter Ryabinin, Schannon K. Targeting proteasome vulnerabilities for the treatment of monosomy 7 associated blood disorders [abstract].In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成漏洞;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A012.
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引用次数: 0
Abstract IA005: Therapeutic vulnerabilities of cohesin-mutant myeloid malignancies 摘要 IA005:粘合素突变型髓系恶性肿瘤的治疗弱点
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-ia005
Zuzana Tothova
Splicing modulation is a promising treatment strategy pursued to date only in splicing-factor mutant cancers; however, its therapeutic potential is poorly understood outside of this context. Like splicing factors, genes encoding components of the cohesin complex are frequently mutated in myeloid malignancies, including 15-20% of myelodysplastic syndromes (MDS) and secondary acute myeloid leukemia (AML), where they are associated with poor outcomes. I will discuss our recent findings identifying cohesin mutations as biomarkers of sensitivity to drugs targeting splicing-factor SF3B1 (H3B-8800 and E-7107) and describe the mechanism by which drug-induced alterations in splicing of DNA repair genes, such as BRCA1 and BRCA2, underlie this sensitivity. We have demonstrated that treatment of cohesin-mutant cells with SF3B1 modulators results in impaired DNA damage response, accumulation of DNA damage, and increased sensitivity to PARP inhibitors and a panel of chemotherapeutic agents in vitro and in vivo, using AML cell lines and patient-derived xenograft models. Furthermore, we identified RAD51 foci formation as a predictive biomarker of sensitivity to SF3B1 splicing modulation alone or followed by sequential treatment with PARP inhibition and chemotherapy, and have identified additional non-cohesin mutant subtypes of MDS/AML and ovarian and breast cancer which are sensitive to this therapeutic approach. Our findings expand the potential therapeutic benefits of SF3B1 splicing modulators to include cohesin-mutant MDS/AML and we propose this as broader strategy for therapeutic targeting of other DNA damage-repair deficient cancers. Citation Format: Zuzana Tothova. Therapeutic vulnerabilities of cohesin-mutant myeloid malignancies [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Expanding and Translating Cancer Synthetic Vulnerabilities; 2024 Jun 10-13; Montreal, Quebec, Canada. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr IA005.
剪接调节是一种很有前景的治疗策略,迄今为止只在剪接因子突变的癌症中使用;然而,在这种情况之外,人们对其治疗潜力还知之甚少。与剪接因子一样,编码凝聚素复合物成分的基因也经常在髓系恶性肿瘤中发生突变,包括15-20%的骨髓增生异常综合征(MDS)和继发性急性髓系白血病(AML),它们与不良预后有关。我将讨论我们最近的研究发现,凝聚素突变是靶向剪接因子 SF3B1(H3B-8800 和 E-7107)的药物敏感性的生物标志物,并描述药物诱导的 DNA 修复基因(如 BRCA1 和 BRCA2)剪接改变是这种敏感性的基础机制。我们利用急性髓细胞性白血病细胞系和患者衍生的异种移植模型证明,用 SF3B1 调节剂处理凝聚素突变细胞会导致 DNA 损伤反应受损、DNA 损伤积累以及对 PARP 抑制剂和一系列化疗药物的体外和体内敏感性增加。此外,我们还发现 RAD51 病灶的形成是对单独使用 SF3B1 剪接调节或随后使用 PARP 抑制剂和化疗进行连续治疗的敏感性的预测性生物标志物,并发现了对这种治疗方法敏感的其他非内聚酶突变亚型 MDS/AML、卵巢癌和乳腺癌。我们的研究结果扩大了 SF3B1 剪接调节剂的潜在治疗效果,将粘连蛋白突变的 MDS/AML 包括在内,并建议将其作为针对其他 DNA 损伤修复缺陷癌症的更广泛的治疗策略。引用格式:Zuzana Tothova.粘合素突变型髓系恶性肿瘤的治疗弱点[摘要]。In:AACR 癌症研究特别会议论文集:癌症合成脆弱性的扩展与转化》,2024 年 6 月 10-13 日,加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr IA005.
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引用次数: 0
Abstract A023: Determining genetic interaction from double knockout CRISPR screening 摘要 A023:从双基因敲除CRISPR筛选中确定基因相互作用
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a023
J. P. Shen, Yue Gu, S. Chowdhury
Background For decades double knockout (KO) perturbation screens were limited to model organisms such as S. pombe and S. cerevisiae. CRISPR technology has revolutionized genetic interaction discovery by allowing large scale screening in human cell lines, organoids, and mouse models. However, there remains much uncertainty regarding the optimal way to determine the presence of genetic interaction from the raw data generated from these large scale double perturbation experiments. Here we compare two different analysis methods run on the same normalized dataset to determine to what degree does the analysis method influence the determination of genetic interaction. Methods A publicly available genetic interaction dataset containing 24,908 double knock-out constructs across three cell lines (Hela, A549, 293T) in four time points (day 3, 14, 21, 28) and two replicates generated from a pair-wise CRISPR-Cas9 KO screen was used for analysis (Shen et al, Nature Methods, 2017). These data were used to measure single gene fitness scores for 73 known cancer driver genes and all 2628 pair-wise interactions using (1) the numerical Bayesian method from Shen et al, called CTG (Compositional and Time-course-aware Genetic analysis), and (2) the variational Bayesian method GEMINI (Zamanighomi et al, Genome Biology, 2019). Results Single gene KO fitness measurements from CTG and GEMINI were highly correlated for all three cell lines (pearson r 0.678, 0.604, 0.784 for HeLa, A549, and 293T, respectively; p< 0.1 x10-8 for each). In contrast, correlation of genetic interaction scores between the two methods was essentially random: HeLa r= -0.0143, p= 0.47, A549; A549 r= -0.0476, p=0.015; 293T r= -0.0135, p= 0.49. Of 52 synthetic lethal interactions identified by CTG in HeLa at z-score cut off -3, none were identified by GEMINI at same Z cutoff. Conversely of 4 interactions identified by GEMINI, none were identified by CTG. Similarly in A549, of 57 interactions identified by CTG none were identified by GEMINI, of 3 interactions identified by GEMINI none were identified by CTG. Restricting to genetic interactions that were validated in low-throughput drug-drug assays, of 5 synthetic lethal interactions found in HeLa by CTG (CHEK1-MAP2K1, CHEK1-TYMS, ADA-CHEK1, ATM-CHEK1, CDK9-CHEK1) all but CHEK1-TYMS were validated in low-throughput assays. However none of the 5 were scored as hits by GEMINI. Of 3 interactions scored as synthetic lethal in A549 (PRKDC-RRM2, CDK9-PRKDC, CDK4-PRKDC) all but PRKDC-RRM2 were validated, none of the 3 were scored as hits by GEMINI. Conclusions This study highlights dramatic differences in calculated genetic interaction scores from two different computational algorithms applied to the same experimental data. With only 8 of 2628 (0.3%) interactions tested in validation experiments it is not currently possible to know the ground truth in order to assess which method is most accurate. The generation of synthetic genetic interaction data will be a
背景 几十年来,双基因敲除(KO)扰乱筛选仅限于模式生物,如鼠李属(S. pombe)和酿酒鼠李属(S. cerevisiae)。CRISPR 技术允许在人类细胞系、器官组织和小鼠模型中进行大规模筛选,从而彻底改变了遗传相互作用的发现。然而,从这些大规模双扰动实验产生的原始数据中确定遗传相互作用是否存在的最佳方法仍存在很多不确定性。在此,我们比较了在同一归一化数据集上运行的两种不同分析方法,以确定分析方法在多大程度上影响遗传相互作用的判定。方法 我们使用了一个公开可用的遗传相互作用数据集进行分析,该数据集包含三个细胞系(Hela、A549、293T)在四个时间点(第3、14、21、28天)的24908个双基因敲除构建体,以及由成对CRISPR-Cas9 KO筛选产生的两个重复数据(Shen等人,Nature Methods, 2017)。这些数据被用来测量73个已知癌症驱动基因的单基因适合度得分,以及所有2628个配对交互作用,使用的方法包括:(1)Shen等人的数字贝叶斯方法,称为CTG(组成和时间历程感知遗传分析);(2)变异贝叶斯方法GEMINI(Zamanighomi等人,《基因组生物学》,2019年)。结果 CTG 和 GEMINI 的单基因 KO 适合度测量结果在所有三个细胞系中都高度相关(HeLa、A549 和 293T 的 pearson r 分别为 0.678、0.604、0.784;p< 0.1 x10-8)。相比之下,两种方法的遗传交互作用得分之间的相关性基本上是随机的:HeLa r=-0.0143,p= 0.47,A549;A549 r=-0.0476,p=0.015;293T r=-0.0135,p= 0.49。CTG 在 HeLa 中发现的 52 个合成致死相互作用(z-score 临界值-3)中,没有一个是 GEMINI 在相同的 Z 临界值下发现的。相反,在 GEMINI 发现的 4 种相互作用中,CTG 没有发现任何一种。同样,在 A549 中,CTG 发现的 57 个相互作用中没有一个被 GEMINI 发现,GEMINI 发现的 3 个相互作用中没有一个被 CTG 发现。仅限于在低通量药物检测中得到验证的基因相互作用,CTG 在 HeLa 中发现的 5 种合成致死相互作用(CHEK1-MAP2K1、CHEK1-TYMS、ADA-CHEK1、ATM-CHEK1、CDK9-CHEK1)中,除 CHEK1-TYMS 外,其余均在低通量检测中得到验证。然而,GEMINI 没有对这 5 个相互作用进行命中评分。在 A549 中被评为合成致死的 3 种相互作用(PRKDC-RRM2、CDK9-PRKDC、CDK4-PRKDC)中,除 PRKDC-RRM2 外,其他所有相互作用都得到了验证,但这 3 种相互作用均未被 GEMINI 评为命中。结论 本研究凸显了两种不同计算算法对相同实验数据所计算出的基因相互作用得分的巨大差异。在 2628 个相互作用中,只有 8 个(0.3%)在验证实验中进行了测试,因此目前无法了解基本真相,从而评估哪种方法最准确。合成遗传相互作用数据的生成将是进一步优化遗传相互作用检测算法的重要一步。引用格式:John Paul Shen, Yue Gu, Saikat Chowdhury.从双基因敲除 CRISPR 筛选中确定遗传相互作用 [摘要]。In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成漏洞;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A023.
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引用次数: 0
Abstract A013: NF1 loss is syntetic lethal with Trastuzumab emtansine 摘要 A013:NF1缺失与曲妥珠单抗埃坦新(Trastuzumab emtansine)的合成致死作用
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a013
Eleonora Messuti, B. Duso, Alessia Castiglioni, G. Tini, Emanuele Bonetti, Giuseppe Ciossani, Silvia Monzani, Daria Khuntsariya, Marcus Braun, Zdeněk Lánský, Luigi Scietti, Luca Mazzarella
There is great interest in the identification of biomarkers to guide development of antibody-drug conjugates (ADC). Most research has focused on target expression, but key predictors of payload efficacy have not been indeitifed. NF1 is a tumor suppressor classically considered as an inhibitor of RAS signaling, and often mutated in metastatic HER2+ breast cancer (BC). We screened multiple approved drugs for differential sensitivityin CRISPR-engineeredf NF1 KO cells. HER2-targeted agents (small molecules or antibodies) were found to be less effective upon NF1 loss; surprisingly, we identified increased sensitivity to the approved ADC T-DM1, but not to Trastuzumab Deruxtecan (T-Dxd). We then elucidated the underlying molecular cause employing in vivo, in vitro and in vitro reductionist systems. To measure in vivo MT dynamics, we transiently transfected the MT end-binding protein EB3- GFP and reconstructed MT trajectories by live-cell imaging. Upon DM1 treatment, KO cells showed a highly significant reduction in MT speed, demonstrating a direct role for NF1 on MT dynamics in cells. In tubulin polymerization assays, recombinant NF1 greatly accelerated polymerization and completely rescued DM1-induced inhibition. NF1 induced significant MT bundling, a defining feature of many MT-associated proteins, which generates signal indistinguishable from true MT polymerization in turbidity assays. To follow the dynamics of individual microtubules, we applied Total Internal Reflection (TIRF) microscopy on glass-immobilized MTs. As expected, polymerization in the presence of NF1 led to a dose-dependent significant increase in MT dynamics (fraction of elongating MTs, elongation speed, catastrophe rate). Expectedly, DM1 led to significant reduction in the fraction of elongating MTs and speed, but these defects were completely or partially rescued by NF1. Importantly, DM1 did not only lead to MT shortening (as proposed by the current model), but also to clear and frequent MT fracturing, indicating that the drug is not only engaging MT ends but also intra-tubular binding sites. This is consistent with recent models of MT formation which incorporate the frequent presence of areas of discontinuity or damage induced by mechanical stress, exposing intratubular DM1 binding sites. Interestingly, adding NF1 to DM1-treated MTs generated areas of de novo intra-tubular tubulin insertion, coincident with damaged sites, suggesting an entirely novel role for NF1 in MT repair. In conclusion, we provide evidence for a model in which maytansinoids bind not only to soluble tubulin dimers and MT ends, but also to intratubular damaged sites. Thus, the number of binding sites in cells would be proportional to MT damage, suggesting a mechanism for differential efficacy across tumor types and a potential avenue for combinatorial drug development. These results prompt the use of NF1 as a biomarker to select patients for ADC treatment. Funding: FIEO fellowship 2023, AIRC (n25791), Italian
人们对确定生物标记物以指导抗体药物结合体(ADC)的开发非常感兴趣。大多数研究都集中在靶点表达上,但有效载荷疗效的关键预测指标尚未确定。NF1 是一种肿瘤抑制因子,通常被认为是 RAS 信号转导的抑制因子,在转移性 HER2+ 乳腺癌(BC)中经常发生突变。我们筛选了多种已获批准的药物,以确定它们在 CRISPR-engineeredf NF1 KO 细胞中的不同敏感性。结果发现,HER2靶向药物(小分子或抗体)在NF1缺失后效果较差;令人惊讶的是,我们发现对已获批准的ADC T-DM1的敏感性增加了,但对曲妥珠单抗德鲁司坦(T-Dxd)的敏感性没有增加。随后,我们利用体内、体外和体外还原系统阐明了潜在的分子原因。为了测量体内MT动态,我们瞬时转染了MT末端结合蛋白EB3- GFP,并通过活细胞成像重建了MT轨迹。经 DM1 处理后,KO 细胞的 MT 速度显著降低,这表明 NF1 对细胞中的 MT 动态起着直接作用。在微管蛋白聚合试验中,重组 NF1 大大加速了聚合,并完全缓解了 DM1 诱导的抑制作用。NF1 能诱导明显的 MT 成束,这是许多 MT 相关蛋白的显著特征,在浑浊度试验中产生的信号与真正的 MT 聚合无异。为了跟踪单个微管的动态,我们在玻璃固定的 MT 上应用了全内反射(TIRF)显微镜。不出所料,在 NF1 存在下的聚合会导致 MT 动态(伸长 MT 的比例、伸长速度、灾难发生率)的剂量依赖性显著增加。DM1可望导致伸长MT的比例和速度显著降低,但这些缺陷可被NF1完全或部分修复。重要的是,DM1 不仅导致 MT 缩短(如当前模型所提出的那样),还导致 MT 明显而频繁地断裂,这表明该药物不仅作用于 MT 的末端,还作用于管内结合位点。这与最近的 MT 形成模型是一致的,这些模型包含了机械应力引起的不连续或损伤区域的频繁存在,从而暴露了管内 DM1 结合位点。有趣的是,将 NF1 添加到 DM1 处理过的 MT 中会产生管内管蛋白的新插入区域,这些区域与受损部位重合,这表明 NF1 在 MT 修复中扮演着全新的角色。总之,我们为一个模型提供了证据,在该模型中,maytansinoids不仅与可溶性微管蛋白二聚体和MT末端结合,而且还与管内受损位点结合。因此,细胞中结合位点的数量将与MT损伤成正比,这表明了不同肿瘤类型具有不同疗效的机制,并为组合药物开发提供了潜在途径。这些结果促使人们使用 NF1 作为生物标记物来选择接受 ADC 治疗的患者。资助:FIEO 研究金 2023、AIRC (n25791)、意大利卫生部-Ricerca Corrente di Rete (ACCORD) 2022、下一代欧盟 - PNRR M6C2 - PNRR-MAD-2022-12376934 引用格式:Eleonora Messuti, Bruno Achutti Duso, Alessia Castiglioni, Giulia Tini, Emanuele Bonetti, Giuseppe Ciossani, Silvia Monzani, Daria Khuntsariya, Marcus Braun, Zdenek Lansky, Luigi Scietti, Luca Mazzarella.NF1缺失与曲妥珠单抗埃坦新(Trastuzumab emtansine)的合成致死性[摘要]。In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成脆弱性;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A013.
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引用次数: 0
Abstract A020: TP53 mutation and prediction of platinum response in BRCA-mutated ovarian cancer: A prospective case-series analysis 摘要 A020:TP53突变与BRCA突变卵巢癌的铂反应预测:前瞻性病例系列分析
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a020
E. Lai, Manuela Neri, E. Sanna, Sonia Nemolato, F. Bardanzellu, M. Scartozzi, Sabrina Giglio, A. Macciò, C. Madeddu
Background and aim of the study: Currently, platinum sensitivity (PS) is a prerequisite for first-line PARP inhibitors (PARPi) in locally advanced and relapsed high grade serous ovarian cancer (HGS-OC). BRCA mutations are recognized as predictive of PS and, therefore, of response to PARPi . Notably, platinum and PARPi cytotoxic action is mainly related by their ability of inducing p53-mediated apoptosis. Therefore, the integrity of p53 machinery is crucial for platinum-related activity whereas the presence of p53 mutation is a fairly frequent event in ovarian cancer, particularly in HGS-OC and in BRCA mutated ones. Patients and methods: We prospectively analyzed 208 women with primary ovarian cancer undergoing surgery at the Department of Gynecologic Oncology, ARNAS G. Brotzu, Cagliari, Italy, between 2019 and 2023. Somatic NGS analysis was performed to detect BRCA and HRD mutations. TP53 mutations were classified according to according to hotspot, structural (missense or nonsense) and functional classification as “gain of function” (GOF) or “loss of function” (LOF), based on the IARC TP53 database. Comparative testing with Fisher's exact test was used to examine TP53 mutation distribution and associations with clinicopathologic factors and PS. The BRCA mutation status was further used to stratify the analysis. Results: Globally, we included 127 adult HGS-OC pts. 84.2% had stage III-IV disease. TP53 mutation was found in 83.4 % of the entire cohort. Somatic BRCA mutations were found in 28.3% pts. Overall, HGS-OC with somatic BRCA mutations had higher TP53 mutation frequency (88.8%) when compared to BRCA WT (81.3%, p=0.1510). Employing the structural classification scheme, most cancers harbored a missense TP53 mutation (76.5%). LOF TP53 mutations were found in 59.4% while GOF in 31.2%. No significant disparity was observed in the distribution of specific TP53 mutations within each classification scheme between cases with BRCA mutations and those without. As for BRCA mutated pts, TP53 WT were all PS. Among those p53 mutated, GOF mutations were associated with PS in 7 pts and platinum resistance in 3 pts; LOF mutations were associated with PS in 7 pts and platinum resistance in 12 pts. The difference in distribution of PS between functional categories of p53 mutations was significant (p=0.0291). As for BRCA WT pts, TP53 WT were all PS. Among TP53 mutated, GOF mutations were associated with PS in 14 pts and platinum resistance in 10 pts; viceversa, LOF mutations were associated with PS in 19 pts and platinum resistance in 25 pts, even if these findings were not statistically significant (p=0.2357). Of relevance, in 5 cases where LOF mutations of p53 was associated with null expression of HIC p53, patients were refractory to platinum-based chemotherapy. Conclusions: Even if preliminary, our data show that HGS-OC harboring p53 null mutations are the poorest prognostic subgroup, especially in terms of PS. Further studies are needed to confirm our find
研究背景和目的:目前,铂敏感性(PS)是局部晚期和复发高级别浆液性卵巢癌(HGS-OC)一线使用 PARP 抑制剂(PARPi)的先决条件。BRCA 基因突变被认为是 PS 的预测因素,因此也是 PARPi 反应的预测因素。值得注意的是,铂类和 PARPi 的细胞毒性作用主要与它们诱导 p53 介导的细胞凋亡的能力有关。因此,p53机制的完整性对铂类相关活性至关重要,而p53突变在卵巢癌中相当常见,尤其是在HGS-OC和BRCA突变的卵巢癌中。患者和方法我们对 2019 年至 2023 年期间在意大利卡利亚里 ARNAS G. Brotzu 妇科肿瘤部接受手术的 208 名原发性卵巢癌妇女进行了前瞻性分析。进行了体细胞 NGS 分析,以检测 BRCA 和 HRD 突变。根据 IARC TP53 数据库,TP53 突变按热点、结构(错义或无义)和功能分类为 "功能增益"(GOF)或 "功能缺失"(LOF)。采用费雪精确检验进行比较测试,以检查 TP53 突变的分布以及与临床病理因素和 PS 的关系。BRCA 基因突变状态进一步用于分层分析。结果在全球范围内,我们共纳入了 127 例成人 HGS-OC 患者。84.2%的患者处于III-IV期。整个群体中有 83.4% 发现了 TP53 突变。28.3%的患者发现了体细胞BRCA突变。总体而言,与 BRCA WT(81.3%,P=0.1510)相比,体细胞 BRCA 突变的 HGS-OC 具有更高的 TP53 突变频率(88.8%)。根据结构分类方案,大多数癌症都存在错义 TP53 突变(76.5%)。在59.4%的癌症中发现了LOF TP53突变,而在31.2%的癌症中发现了GOF突变。在每种分类方案中,有 BRCA 基因突变的病例和没有 BRCA 基因突变的病例在特异性 TP53 突变的分布上没有明显差异。在 BRCA 基因突变的病例中,TP53 WT 均为 PS。在P53突变的病例中,GOF突变与PS相关的有7例,与铂耐药相关的有3例;LOF突变与PS相关的有7例,与铂耐药相关的有12例。不同功能类别的 p53 突变与 PS 的分布差异显著(p=0.0291)。至于 BRCA WT 患者,TP53 WT 均为 PS。在TP53突变者中,GOF突变与14例PS相关,与10例铂金耐药相关;反之亦然,LOF突变与19例PS相关,与25例铂金耐药相关,尽管这些结果没有统计学意义(P=0.2357)。值得注意的是,在5例p53的LOF突变与HIC p53的无效表达相关的病例中,患者对铂类化疗产生了耐药性。结论:即使是初步研究,我们的数据也表明,携带 p53 空突变的 HGS-OC 是预后最差的亚组,尤其是在 PS 方面。还需要进一步的研究来证实我们的发现以及 TP53 突变作为固有或获得性铂类耐药生物标志物的作用。引用格式:Eleonora Lai, Manuela Neri, Elisabetta Sanna, Sonia Nemolato, Fabio Bardanzellu, Mario Scartozzi, Sabrina Giglio, Antonio Macciò, Clelia Madeddu.TP53突变与BRCA突变卵巢癌的铂反应预测:前瞻性病例系列分析[摘要]。In:AACR癌症研究特别会议论文集:扩展和转化癌症合成漏洞;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A020.
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引用次数: 0
Abstract B013: Deep learning-based prediction of synthetic essentialities in CTNNB1-mutated hepatocellular carcinoma 摘要 B013:基于深度学习预测CTNNB1突变肝细胞癌的合成本质
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-b013
Tyler M. Yasaka, Michael J. Kasper, Li-Ju Wang, Michael Ning, Yufei Huang, S. Monga, Yu-Chiao Chiu
Background: Synthetic essentiality represents a promising therapeutic approach by identifying genes that are necessary for the proliferation and survival of tumors harboring hard-to-target gene alterations. Understanding and accurately predicting synthetic essential genes, through genetic dependencies, may reveal therapeutically effective drug targets in a specific molecular context. Deep learning, as exemplified by our published DeepDEP model, has the potential to capture intricate multi-omic profiles for such prediction tasks. However, the validity of such tools in specific biological contexts remains to be fully examined and presents a major obstacle to adoption by researchers. Materials and Methods: To address this gap, we conducted a case study in which we screened for synthetic essential genes for one of the most frequently mutated and yet undruggable genes, CTNNB1, in hepatocellular carcinoma (HCC). Specifically, we predicted the genetic dependencies of each HCC patient in The Cancer Genome Atlas (TCGA; n=346) by DeepDEP and identified potential dependencies that were intensified with the presence of CTNNB1 mutations. The top 10 genes, ranked by p-value of differential gene-effect scores for CTNNB1-mutated (n=92) versus CTNNB1-WT HCC (n=254), were reviewed in the literature to validate their essentiality in CTNNB1-mutated HCC as well as their potential for pharmacologic inhibition. Survival analysis was performed using published data from the IMBrave150 trial to validate one of the findings. Results: Experimental evidence in the literature supported the essentiality of many of the top 10 predicted genes for CTNNB1-mutated HCC, including one gene with mechanistic evidence of being a transcriptional co-activator of β-catenin target genes. Furthermore, several of these genes have known pharmacologic inhibitors which are either natural compounds or FDA-approved drugs. One example was PDGFB, which encodes a ligand activating the PDGF signaling pathway. PDGF signaling is targeted by sorafenib, an FDA-approved first line drug for HCC. Survival analysis of the sorafenib-treated arm of the IMBrave150 trial showed that patients with mutated CTNNB1 had improved progression-free survival compared to those with wild-type CTNNB1 (p = 0.044). Conclusions: Our study illustrates a potential application of deep learning to identify synthetic essential genes, including genes with readily available pharmacologic inhibitors, for targeting challenging gene alterations. Remarkably, our tool demonstrates the ability to predict cancer dependencies with molecular subtype specificity, suggesting a potential for in silico screening of gene dependencies to facilitate drug discovery and personalized medicine approaches. Our current efforts are focused on optimizing this computational pipeline and making it publicly available for cancer researchers. Citation Format: Tyler M. Yasaka, Michael Kasper, Li-Ju Wang, Michael Ning, Yufei Huang, Satdarshan P Monga, Yu-Chiao C
背景:合成必需基因是一种很有前景的治疗方法,它能确定肿瘤增殖和存活所必需的基因,而这些基因存在难以瞄准的基因改变。通过基因依赖关系了解并准确预测合成必需基因,可以揭示特定分子环境中具有治疗效果的药物靶点。深度学习,如我们已发表的 DeepDEP 模型,有可能捕捉复杂的多基因组图谱来完成此类预测任务。然而,此类工具在特定生物环境中的有效性仍有待充分研究,这也是研究人员采用此类工具的一大障碍。材料与方法:为了填补这一空白,我们进行了一项案例研究,针对肝细胞癌(HCC)中最常见的突变基因之一 CTNNB1 筛选出了合成的重要基因,而 CTNNB1 是最常见的突变基因之一。具体来说,我们通过 DeepDEP 预测了《癌症基因组图谱》(TCGA;n=346)中每位 HCC 患者的基因依赖关系,并确定了 CTNNB1 基因突变会强化的潜在依赖关系。根据 CTNNB1 突变 HCC(n=92)与 CTNNB1-WT HCC(n=254)的差异基因效应得分的 p 值,对排名前 10 位的基因进行了文献回顾,以验证它们在 CTNNB1 突变 HCC 中的重要性以及药物抑制的潜力。利用 IMBrave150 试验的已发表数据进行了生存期分析,以验证其中一项发现。结果:文献中的实验证据支持 CTNNB1 基因突变 HCC 的前 10 个预测基因中的许多基因具有重要意义,其中一个基因的机制证据表明它是β-catenin 靶基因的转录共激活剂。此外,这些基因中还有一些已知的药理抑制剂,它们或是天然化合物,或是美国食品与药物管理局批准的药物。其中一个例子是 PDGFB,它编码一种激活 PDGF 信号通路的配体。索拉非尼是 PDGF 信号通路的靶向药物,索拉非尼是 FDA 批准的治疗 HCC 的一线药物。IMBrave150试验中索拉非尼治疗组的生存期分析表明,与野生型CTNNB1患者相比,突变CTNNB1患者的无进展生存期有所改善(p = 0.044)。结论我们的研究说明了深度学习在识别合成重要基因(包括具有现成药理抑制剂的基因)方面的潜在应用,可用于靶向具有挑战性的基因改变。值得注意的是,我们的工具能够预测具有分子亚型特异性的癌症依赖性,这表明我们有潜力对基因依赖性进行硅学筛选,以促进药物发现和个性化医疗方法。我们目前的工作重点是优化这一计算管道,并将其公开提供给癌症研究人员。引用格式:Tyler M. Yasaka, Michael Kasper, Lii-Ju Wang, Michael Ning, Yufei Huang, Satdarshan P Monga, Yu-Chiao Chiu.基于深度学习的 CTNNB1 突变肝细胞癌合成本质预测 [摘要].In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成脆弱性;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr B013.
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引用次数: 0
Abstract B015: Combinatorial genetic screens to map synthetic lethal interactions and identify new cancer drug targets in KRAS mutant cancers 摘要 B015:通过组合遗传筛选绘制合成致死相互作用图并确定 KRAS 突变癌症的新抗癌药物靶点
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-b015
Rand Arafeh, Laura Chang, Lydia Sawyer, Helen Wang, James McFarland, Joshua Dempster, Peter C. DeWeirdt, John G Doench, William C Hahn
This abstract is being presented as a short talk in the scientific program. A full abstract is printed in the Proffered Abstracts section (PR014) of the Conference Program/Proceedings. Citation Format: Rand Arafeh, Laura Chang, Lydia Sawyer, Helen Wang, James McFarland, Joshua Dempster, Peter DeWeirdt, John Doench, William C Hahn. Combinatorial genetic screens to map synthetic lethal interactions and identify new cancer drug targets in KRAS mutant cancers [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Expanding and Translating Cancer Synthetic Vulnerabilities; 2024 Jun 10-13; Montreal, Quebec, Canada. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr B015.
本摘要将作为科学会议日程中的简短发言。完整摘要刊载于大会日程/论文集的 "提供摘要 "部分 (PR014)。引用格式:Rand Arafeh, Laura Chang, Lydia Sawyer, Helen Wang, James McFarland, Joshua Dempster, Peter DeWeirdt, John Doench, William C Hahn.通过组合遗传筛选绘制合成致死相互作用图并确定 KRAS 突变癌症的新抗癌药物靶点 [摘要].In:AACR 癌症研究特别会议论文集:扩大和转化癌症合成弱点;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr B015.
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引用次数: 0
Abstract A011: Enhancing chaperone-mediated autophagy to impede glioblastoma growth 摘要 A011:增强伴侣介导的自噬作用以抑制胶质母细胞瘤的生长
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a011
Wanjun Tang, Karrie Mei Yee Kiang, Gilberto Ka Kit Leung
Chaperone-mediated autophagy (CMA) is a selective form of autophagy that targets proteins with the KFERQ-like motif for lysosomal degradation. This process involves the binding of substrate proteins to the chaperone HSC70 and their subsequent transport to the receptor LAMP2A on the lysosome membrane for degradation. Previous studies have shown a significant increase in the expression level of LAMP2A and the CMA activity in glioblastoma (GBM). However, the comprehensive role of CMA in GBM pathogenesis remains unclear. In this study, we observed a progressive elevation in LAMP2A expression with increasing GBM cell confluence. Notably, inhibition of CMA through LAMP2A knockdown markedly promoted GBM growth in orthotopic mouse models, accompanied by upregulation of positive cell cycle regulators. Conversely, overexpression of LAMP2A delayed GBM cell growth and increased sub-G1 cell percentages. Treatment with CMA activators induced cell death in GBM cells while preserving normal astrocyte viability at equivalent concentrations. Our results suggest that the upregulated expression of LAMP2A in GBM cells may be influenced by the tumor microenvironment rather than being a primary driver of GBM aggressiveness. Furthermore, activating CMA could serve as a potential therapeutic strategy to inhibit GBM growth while safeguarding normal cell viability. Citation Format: Wanjun Tang, Karrie Mei Yee Kiang, Gilberto Ka Kit Leung. Enhancing chaperone-mediated autophagy to impede glioblastoma growth [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Expanding and Translating Cancer Synthetic Vulnerabilities; 2024 Jun 10-13; Montreal, Quebec, Canada. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A011.
伴侣介导的自噬(CMA)是一种有选择性的自噬形式,它以具有 KFERQ 样基序的蛋白质为目标进行溶酶体降解。这一过程包括将底物蛋白与伴侣蛋白 HSC70 结合,然后将其转运至溶酶体膜上的受体 LAMP2A 进行降解。以往的研究表明,在胶质母细胞瘤(GBM)中,LAMP2A 的表达水平和 CMA 的活性显著增加。然而,CMA 在 GBM 发病机制中的综合作用仍不清楚。在本研究中,我们观察到 LAMP2A 的表达随着 GBM 细胞汇合度的增加而逐渐升高。值得注意的是,通过敲除 LAMP2A 来抑制 CMA,明显促进了正位小鼠模型中 GBM 的生长,并伴随着细胞周期正调控因子的上调。相反,过表达 LAMP2A 会延缓 GBM 细胞生长并增加亚 G1 细胞百分比。用 CMA 激活剂处理可诱导 GBM 细胞死亡,同时在同等浓度下保留正常星形胶质细胞的活力。我们的研究结果表明,GBM 细胞中 LAMP2A 的表达上调可能受到肿瘤微环境的影响,而不是 GBM 攻击性的主要驱动因素。此外,激活 CMA 可作为一种潜在的治疗策略,在抑制 GBM 生长的同时保护正常细胞的活力。引用格式:唐万钧,江美仪,梁家杰。增强伴侣介导的自噬以阻碍胶质母细胞瘤的生长 [摘要].In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成脆弱性;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A011.
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引用次数: 0
Abstract IA018: Vulnerabilities of TP53-mutated AML and therapeutic implications 摘要 IA018:TP53突变型急性髓细胞性白血病的脆弱性及其治疗意义
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-ia018
Shruti Bhatt
Acute myeloid leukemia (AML) is a complex and genetically diverse with an overall survival rate of less than 32%. Despite the remarkable success of targeted therapy in mediating remission, the emergence of acquired resistance remains a major clinical challenge to overcome. The prevailing understanding of acquired resistance identifies successive genetic changes as the primary cause.TP53 mutations are found in 70-80% of acute myeloid leukemia (AML) patients with complex karyotypes and associated with resistance towards both conventional chemotherapy and newly approved venetoclax plus azacytidine (VEN/AZA) combination. By using CRISPR-Cas9-edited isogenic AML cells harboring, mutation (6 missense mutations) or deletion (KO) of TP53, we found that TP53 mutant/KO cells are less sensitive to etoposide or VEN-AZA induced apoptosis compared to WT without defect in G1 arrest. Surprisingly, we found that TP53-mutant and TP53-wild-type (WT) isogenic AML cells and primary tumors (n=40) had comparable mitochondrial outer membrane permeabilization (MOMP) at baseline, despite the key role of TP53 in transcriptionally activating proapoptotic regulators of MOMP (such as BAX, PUMA, and NOXA). Based on these findings, we hypothesize that the targets downstream of mitochondrial permeabilization drive resistance to HMA/VEN combinations in TP53 mutant disease. By leveraging unbiased bulk RNA-seq and proteomics, and whole genome CRISPR-cas9 screen we identified IAPs as functional vulnerability. Collectively we reveal novel chemoresistance mechanisms in TP53 mutant/KO downstream of MOMP and provide a targeting strategy to improve existing therapy by targeting non-transcriptional function of TP53 in overcoming therapy resistance. Citation Format: Shruti Bhatt. Vulnerabilities of TP53-mutated AML and therapeutic implications [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Expanding and Translating Cancer Synthetic Vulnerabilities; 2024 Jun 10-13; Montreal, Quebec, Canada. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr IA018.
急性髓性白血病(AML)是一种复杂的遗传多样性疾病,总存活率不到 32%。尽管靶向治疗在缓解病情方面取得了巨大成功,但获得性耐药性的出现仍是临床上需要克服的一大挑战。TP53突变在70%-80%的急性髓性白血病(AML)患者中发现,这些患者的核型复杂,对传统化疗和新批准的venetoclax加氮杂胞苷(VEN/AZA)联合疗法均有耐药性。通过使用CRISPR-Cas9编辑的TP53突变(6个错义突变)或缺失(KO)的同源AML细胞,我们发现TP53突变/KO细胞对依托泊苷或VEN-AZA诱导的细胞凋亡的敏感性低于无G1停滞缺陷的WT细胞。令人惊讶的是,我们发现尽管 TP53 在转录激活 MOMP 的促凋亡调控因子(如 BAX、PUMA 和 NOXA)方面起着关键作用,但 TP53 突变体和 TP53 野生型(WT)同源 AML 细胞和原发性肿瘤(n=40)在基线时的线粒体外膜通透性(MOMP)相当。基于这些发现,我们假设线粒体通透性的下游靶点驱动了 TP53 突变疾病对 HMA/VEN 组合的耐药性。通过利用无偏的大容量 RNA-seq 和蛋白质组学以及全基因组 CRISPR-cas9 筛选,我们确定了 IAPs 的功能脆弱性。总之,我们揭示了TP53突变/KO在MOMP下游的新型化疗耐药机制,并提供了一种靶向策略,通过靶向TP53在克服耐药性方面的非转录功能来改善现有疗法。引用格式:Shruti Bhatt.TP53突变急性髓细胞性白血病的脆弱性及治疗意义[摘要].In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成弱点;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr IA018.
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引用次数: 0
Abstract A026: Single-cell landscape deciphering cancer Single-cell landscape deciphering cancer cell-of-origin and cellular heterogeneity in malignant transformation of 13 major tissues 摘要 A026:单细胞图谱解密癌症 单细胞图谱解密 13 种主要组织恶性转化中的癌细胞起源和细胞异质性
IF 5.7 2区 医学 Q1 Medicine Pub Date : 2024-06-10 DOI: 10.1158/1538-8514.synthleth24-a026
Ruihan Luo
Deciphering disease progression and the sophisticated tumor ecosystems is imperative for exploring tumorigenesis mechanisms and developing novel prevention strategies. Here, we dissected heterogeneous tissue microenvironments during malignant transitions by leveraging data from 4,972,145 single cells in 1396 samples from 62 datasets spanning 13 major tissue types. Within transitional stem-like subpopulations highly enriched in precancerous lesions and cancers, we identified 30 recurring cellular states, including hypoxia and epithelial senescence, revealing a high degree of plasticity in epithelial stem cells. By characterizing the dynamics of stem-cell crosstalk with the microenvironment along the pseudotime axis, we uncovered distinct roles of ANXA1 at different stages of tumor development. ANXA1 expression levels in stem cells were decreased from the healthy to the precancerous stages, which promoted inflammatory responses by recruiting neutrophils and regulating monocyte differentiation towards M1 macrophages. In contrast, during malignant progression, upregulated ANXA1 fostered M2 macrophage polarization and cancer-associated fibroblast transformation. Our spatiotemporal analysis further provided insights into mechanisms responsible for immunosuppression. Collectively, this study provided a systematic view of cancer origins, and suggested that restoring and maintaining the balance of inflammation and their mediators (e.g., AnxA1/FPRs signaling) may represent a novel approach to control the evolution of precancerous lesions and mitigate the risk for cancer development. Citation Format: Ruihan Luo. Single-cell landscape deciphering cancer cell-of-origin and cellular heterogeneity in malignant transformation of 13 major tissues [abstract]. In: Proceedings of the AACR Special Conference in Cancer Research: Expanding and Translating Cancer Synthetic Vulnerabilities; 2024 Jun 10-13; Montreal, Quebec, Canada. Philadelphia (PA): AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A026.
破解疾病进展和复杂的肿瘤生态系统对于探索肿瘤发生机制和开发新型预防策略至关重要。在这里,我们利用来自 13 种主要组织类型的 62 个数据集的 1396 个样本中 4972145 个单细胞的数据,剖析了恶性转变过程中的异质组织微环境。在癌前病变和癌症中高度富集的过渡干样亚群中,我们发现了30种反复出现的细胞状态,包括缺氧和上皮衰老,揭示了上皮干细胞的高度可塑性。通过沿着伪时间轴描述干细胞与微环境串扰的动态,我们发现了ANXA1在肿瘤发展不同阶段的不同作用。干细胞中的ANXA1表达水平从健康阶段下降到癌前阶段,这通过招募中性粒细胞和调节单核细胞向M1巨噬细胞分化来促进炎症反应。相反,在恶性肿瘤发展过程中,ANXA1的上调促进了M2巨噬细胞的极化和癌症相关成纤维细胞的转化。我们的时空分析进一步揭示了免疫抑制的机制。总之,这项研究提供了癌症起源的系统性观点,并提出恢复和维持炎症及其介质(如 AnxA1/FPRs 信号)的平衡可能是控制癌前病变演变和降低癌症发展风险的一种新方法。引用格式:Ruihan Luo.单细胞图谱解密13种主要组织恶性转化中的癌细胞起源和细胞异质性[摘要].In:AACR 癌症研究特别会议论文集:扩展和转化癌症合成漏洞;2024 年 6 月 10-13 日;加拿大魁北克省蒙特利尔。费城(宾夕法尼亚州):AACR; Mol Cancer Ther 2024;23(6 Suppl):Abstract nr A026.
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引用次数: 0
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Molecular Cancer Therapeutics
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