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Systemic structural analysis of alterations reveals a common structural basis of driver mutations in cancer. 对改变的系统结构分析揭示了癌症驱动突变的共同结构基础。
Pub Date : 2023-01-18 eCollection Date: 2023-03-01 DOI: 10.1093/narcan/zcac040
Tomer Meirson, David Bomze, Ora Schueler-Furman, Salomon M Stemmer, Gal Markel

A major effort in cancer research is to organize the complexities of the disease into fundamental traits. Despite conceptual progress in the last decades and the synthesis of hallmark features, no organizing principles governing cancer beyond cellular features exist. We analyzed experimentally determined structures harboring the most significant and prevalent driver missense mutations in human cancer, covering 73% (n = 168178) of the Catalog of Somatic Mutation in Cancer tumor samples (COSMIC). The results reveal that a single structural element-κ-helix (polyproline II helix)-lies at the core of driver point mutations, with significant enrichment in all major anatomical sites, suggesting that a small number of molecular traits are shared by most and perhaps all types of cancer. Thus, we uncovered the lowest possible level of organization at which carcinogenesis takes place at the protein level. This framework provides an initial scheme for a mechanistic understanding underlying the development of tumors and pinpoints key vulnerabilities.

癌症研究的一项主要工作是将复杂的疾病组织成基本特征。尽管过去几十年在概念上取得了进展,并总结出了一些标志性特征,但除了细胞特征之外,还不存在任何管理癌症的组织原则。我们分析了人类癌症中最重要、最普遍的驱动性错义突变的实验测定结构,涵盖了《癌症中的体细胞突变目录》(COSMIC)中 73% 的肿瘤样本(n = 168178)。结果显示,单一结构元素--κ-螺旋(多脯氨酸 II 螺旋)--是驱动点突变的核心,在所有主要解剖部位都有显著的富集,这表明大多数甚至所有类型的癌症都具有少量的分子特征。因此,我们发现了在蛋白质水平上发生癌变的最低可能组织水平。这一框架为从机理上理解肿瘤的发展提供了一个初步方案,并指出了关键的薄弱环节。
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引用次数: 0
Targeted zinc-finger repressors to the oncogenic HBZ gene inhibit adult T-cell leukemia (ATL) proliferation. 致癌基因 HBZ 的靶向锌指抑制因子可抑制成人 T 细胞白血病(ATL)的增殖。
Pub Date : 2023-01-11 eCollection Date: 2023-03-01 DOI: 10.1093/narcan/zcac046
Tristan A Scott, Citradewi Soemardy, Roslyn M Ray, Kevin V Morris

Human T-lymphotropic virus type I (HTLV-I) infects CD4+ T-cells resulting in a latent, life-long infection in patients. Crosstalk between oncogenic viral factors results in the transformation of the host cell into an aggressive cancer, adult T-cell leukemia/lymphoma (ATL). ATL has a poor prognosis with no currently available effective treatments, urging the development of novel therapeutic strategies. Recent evidence exploring those mechanisms contributing to ATL highlights the viral anti-sense gene HTLV-I bZIP factor (HBZ) as a tumor driver and a potential therapeutic target. In this work, a series of zinc-finger protein (ZFP) repressors were designed to target within the HTLV-I promoter that drives HBZ expression at highly conserved sites covering a wide range of HTLV-I genotypes. ZFPs were identified that potently suppressed HBZ expression and resulted in a significant reduction in the proliferation and viability of a patient-derived ATL cell line with the induction of cell cycle arrest and apoptosis. These data encourage the development of this novel ZFP strategy as a targeted modality to inhibit the molecular driver of ATL, a possible next-generation therapeutic for aggressive HTLV-I associated malignancies.

人类嗜 T 淋巴细胞病毒 I 型(HTLV-I)感染 CD4+ T 细胞,导致患者终身潜伏感染。致癌病毒因子之间的相互作用导致宿主细胞转变为一种侵袭性癌症--成人 T 细胞白血病/淋巴瘤(ATL)。ATL 的预后很差,目前还没有有效的治疗方法,因此需要开发新的治疗策略。最近有证据表明,病毒反义基因 HTLV-I bZIP 因子(HBZ)是导致 ATL 的机制之一,也是潜在的治疗靶点。在这项研究中,我们设计了一系列锌指蛋白(ZFP)抑制因子,靶向HTLV-I启动子中驱动HBZ表达的高度保守位点,这些位点涵盖了多种HTLV-I基因型。研究发现,ZFPs 能有效抑制 HBZ 的表达,并显著降低源自患者的 ATL 细胞系的增殖和存活率,诱导细胞周期停滞和凋亡。这些数据鼓励开发这种新型 ZFP 策略,作为抑制 ATL 分子驱动因素的靶向方法,这可能是治疗侵袭性 HTLV-I 相关恶性肿瘤的下一代疗法。
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引用次数: 0
ATR inhibition overcomes platinum tolerance associated with ERCC1- and p53-deficiency by inducing replication catastrophe. 通过诱导复制灾难,ATR抑制克服了与ERCC1和p53缺陷相关的铂耐受性。
Pub Date : 2023-01-11 eCollection Date: 2023-03-01 DOI: 10.1093/narcan/zcac045
Joshua R Heyza, Elmira Ekinci, Jacob Lindquist, Wen Lei, Christopher Yunker, Vilvanathan Vinothkumar, Rachelle Rowbotham, Lisa Polin, Natalie G Snider, Eric Van Buren, Donovan Watza, Jessica B Back, Wei Chen, Hirva Mamdani, Ann G Schwartz, John J Turchi, Gerold Bepler, Steve M Patrick

ERCC1/XPF is a heterodimeric DNA endonuclease critical for repair of certain chemotherapeutic agents. We recently identified that ERCC1- and p53-deficient lung cancer cells are tolerant to platinum-based chemotherapy. ATR inhibition synergistically re-stored platinum sensitivity to platinum tolerant ERCC1-deficient cells. Mechanistically we show this effect is reliant upon several functions of ATR including replication fork protection and altered cell cycle checkpoints. Utilizing an inhibitor of replication protein A (RPA), we further demonstrate that replication fork protection and RPA availability are critical for platinum-based drug tolerance. Dual treatment led to increased formation of DNA double strand breaks and was associated with chromosome pulverization. Combination treatment was also associated with increased micronuclei formation which were capable of being bound by the innate immunomodulatory factor, cGAS, suggesting that combination platinum and ATR inhibition may also enhance response to immunotherapy in ERCC1-deficient tumors. In vivo studies demonstrate a significant effect on tumor growth delay with combination therapy compared with single agent treatment. Results of this study have led to the identification of a feasible therapeutic strategy combining ATR inhibition with platinum and potentially immune checkpoint blockade inhibitors to overcome platinum tolerance in ERCC1-deficient, p53-mutant lung cancers.

ERCC1/XPF 是一种异源 DNA 内切酶,对某些化疗药物的修复至关重要。我们最近发现,ERCC1 和 p53 缺失的肺癌细胞对铂类化疗具有耐受性。抑制 ATR 可协同恢复铂耐受性 ERCC1 缺失细胞对铂的敏感性。从机理上讲,我们发现这种效应依赖于 ATR 的多种功能,包括复制叉保护和细胞周期检查点的改变。利用复制蛋白 A(RPA)抑制剂,我们进一步证明了复制叉保护和 RPA 的可用性对于铂类药物耐受性至关重要。双重治疗导致 DNA 双股断裂的形成增加,并与染色体粉碎有关。联合治疗还与微核形成增加有关,微核能够被先天免疫调节因子cGAS结合,这表明铂和ATR联合抑制还可能增强ERCC1缺陷肿瘤对免疫疗法的反应。体内研究表明,与单药治疗相比,联合疗法对延缓肿瘤生长有显著效果。这项研究的结果使我们找到了一种可行的治疗策略,将ATR抑制与铂类药物和潜在的免疫检查点阻断抑制剂结合起来,以克服ERCC1缺陷型p53突变肺癌的铂耐受性。
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引用次数: 0
Heterogeneous nuclear ribonucleoprotein K is overexpressed in acute myeloid leukemia and causes myeloproliferation in mice via altered Runx1 splicing. 异质核核糖核蛋白K在急性髓性白血病中过度表达,并通过改变Runx1剪接引起小鼠骨髓增殖。
Pub Date : 2022-12-09 eCollection Date: 2022-12-01 DOI: 10.1093/narcan/zcac039
Marisa J L Aitken, Prerna Malaney, Xiaorui Zhang, Shelley M Herbrich, Lauren Chan, Oscar Benitez, Ashley G Rodriguez, Huaxian Ma, Rodrigo Jacamo, Ruizhi Duan, Todd M Link, Steven M Kornblau, Rashmi Kanagal-Shamanna, Carlos E Bueso-Ramos, Sean M Post

Acute myeloid leukemia (AML) is driven by numerous molecular events that contribute to disease progression. Herein, we identify hnRNP K overexpression as a recurrent abnormality in AML that negatively correlates with patient survival. Overexpression of hnRNP K in murine fetal liver cells results in altered self-renewal and differentiation potential. Further, murine transplantation models reveal that hnRNP K overexpression results in myeloproliferation in vivo. Mechanistic studies expose a direct functional relationship between hnRNP K and RUNX1-a master transcriptional regulator of hematopoiesis often dysregulated in leukemia. Molecular analyses show that overexpression of hnRNP K results in an enrichment of an alternatively spliced isoform of RUNX1 lacking exon 4. Our work establishes hnRNP K's oncogenic potential in influencing myelogenesis through its regulation of RUNX1 splicing and subsequent transcriptional activity.

急性髓性白血病(AML)是由许多促进疾病进展的分子事件驱动的。在此,我们确定hnRNP K过表达是AML中一种复发性异常,与患者生存率呈负相关。hnRNP K在小鼠胎儿肝细胞中的过度表达导致自我更新和分化潜能的改变。此外,小鼠移植模型显示,hnRNP K过表达导致体内骨髓增生。机制研究揭示了hnRNP K和runx1之间的直接功能关系,runx1是造血功能的主要转录调节因子,在白血病中经常失调。分子分析表明,hnRNP K的过表达导致RUNX1缺乏外显子4的选择性剪接异构体的富集。我们的工作确定了hnRNP K通过调控RUNX1剪接和随后的转录活性来影响骨髓发生的致癌潜力。
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引用次数: 0
Single-cell CRISPR immune screens reveal immunological roles of tumor intrinsic factors. 单细胞 CRISPR 免疫筛选揭示了肿瘤内在因子的免疫学作用。
Pub Date : 2022-12-09 eCollection Date: 2022-12-01 DOI: 10.1093/narcan/zcac038
Jiakai Hou, Shaoheng Liang, Chunyu Xu, Yanjun Wei, Yunfei Wang, Yukun Tan, Nidhi Sahni, Daniel J McGrail, Chantale Bernatchez, Michael Davies, Yumei Li, Rui Chen, S Stephen Yi, Yiwen Chen, Cassian Yee, Ken Chen, Weiyi Peng

Genetic screens are widely exploited to develop novel therapeutic approaches for cancer treatment. With recent advances in single-cell technology, single-cell CRISPR screen (scCRISPR) platforms provide opportunities for target validation and mechanistic studies in a high-throughput manner. Here, we aim to establish scCRISPR platforms which are suitable for immune-related screens involving multiple cell types. We integrated two scCRISPR platforms, namely Perturb-seq and CROP-seq, with both in vitro and in vivo immune screens. By leveraging previously generated resources, we optimized experimental conditions and data analysis pipelines to achieve better consistency between results from high-throughput and individual validations. Furthermore, we evaluated the performance of scCRISPR immune screens in determining underlying mechanisms of tumor intrinsic immune regulation. Our results showed that scCRISPR platforms can simultaneously characterize gene expression profiles and perturbation effects present in individual cells in different immune screen conditions. Results from scCRISPR immune screens also predict transcriptional phenotype associated with clinical responses to cancer immunotherapy. More importantly, scCRISPR screen platforms reveal the interactive relationship between targeting tumor intrinsic factors and T cell-mediated antitumor immune response which cannot be easily assessed by bulk RNA-seq. Collectively, scCRISPR immune screens provide scalable and reliable platforms to elucidate molecular determinants of tumor immune resistance.

基因筛选被广泛用于开发新型癌症治疗方法。随着单细胞技术的最新进展,单细胞CRISPR筛选(scCRISPR)平台为高通量的靶点验证和机理研究提供了机会。在这里,我们旨在建立适用于涉及多种细胞类型的免疫相关筛选的 scCRISPR 平台。我们将两个 scCRISPR 平台,即 Perturb-seq 和 CROP-seq 与体外和体内免疫筛选相结合。通过利用以前生成的资源,我们优化了实验条件和数据分析管道,使高通量和单个验证的结果更加一致。此外,我们还评估了 scCRISPR 免疫筛选在确定肿瘤内在免疫调节潜在机制方面的性能。我们的结果表明,scCRISPR 平台可以同时描述不同免疫筛选条件下单个细胞的基因表达谱和扰动效应。scCRISPR 免疫筛选的结果还能预测与癌症免疫疗法临床反应相关的转录表型。更重要的是,scriskPR 筛选平台揭示了靶向肿瘤内在因子与 T 细胞介导的抗肿瘤免疫反应之间的互动关系,而这种关系不容易通过大量 RNA-seq 进行评估。总之,scrISPR 免疫筛选为阐明肿瘤免疫抗性的分子决定因素提供了可扩展的可靠平台。
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引用次数: 0
The DNA repair function of BCL11A suppresses senescence and promotes continued proliferation of triple-negative breast cancer cells. BCL11A的DNA修复功能抑制衰老,促进三阴性乳腺癌细胞的持续增殖。
Pub Date : 2022-12-01 DOI: 10.1093/narcan/zcac028
Elise Vickridge, Camila C F Faraco, Payman S Tehrani, Zubaidah M Ramdzan, Hedyeh Rahimian, Lam Leduy, Anne-Claude Gingras, Alain Nepveu

We identified the BCL11A protein in a proximity-dependent biotinylation screen performed with the DNA glycosylase NTHL1. In vitro, DNA repair assays demonstrate that both BCL11A and a small recombinant BCL11A160-520 protein that is devoid of DNA binding and transcription regulatory domains can stimulate the enzymatic activities of two base excision repair enzymes: NTHL1 and DNA Pol β. Increased DNA repair efficiency, in particular of the base excision repair pathway, is essential for many cancer cells to proliferate in the presence of elevated reactive oxygen species (ROS) produced by cancer-associated metabolic changes. BCL11A is highly expressed in triple-negative breast cancers (TNBC) where its knockdown was reported to reduce clonogenicity and cause tumour regression. We show that BCL11A knockdown in TNBC cells delays repair of oxidative DNA damage, increases the number of oxidized bases and abasic sites in genomic DNA, slows down proliferation and induces cellular senescence. These phenotypes are rescued by ectopic expression of the short BCL11A160-520 protein. We further show that the BCL11A160-520 protein accelerates the repair of oxidative DNA damage and cooperates with RAS in cell transformation assays, thereby enabling cells to avoid senescence and continue to proliferate in the presence of high ROS levels.

我们用DNA糖基化酶NTHL1在邻近依赖的生物素化筛选中鉴定了BCL11A蛋白。体外DNA修复实验表明,BCL11A和缺乏DNA结合和转录调控结构域的小重组BCL11A160-520蛋白都能刺激NTHL1和DNA Pol β两种碱基切除修复酶的酶活性。DNA修复效率的提高,特别是碱基切除修复途径的提高,对于许多癌细胞在癌症相关代谢变化产生的活性氧(ROS)升高的情况下增殖是必不可少的。BCL11A在三阴性乳腺癌(TNBC)中高度表达,据报道其敲低可降低克隆原性并导致肿瘤消退。我们发现,在TNBC细胞中,BCL11A敲低会延迟氧化DNA损伤的修复,增加基因组DNA中氧化碱基和基本位点的数量,减缓增殖并诱导细胞衰老。这些表型通过短BCL11A160-520蛋白的异位表达得以挽救。我们进一步证明BCL11A160-520蛋白加速氧化DNA损伤的修复,并在细胞转化实验中与RAS合作,从而使细胞在高ROS水平下避免衰老并继续增殖。
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引用次数: 4
A convergent malignant phenotype in B-cell acute lymphoblastic leukemia involving the splicing factor SRRM1. 涉及剪接因子SRRM1的b细胞急性淋巴细胞白血病的会聚性恶性表型。
Pub Date : 2022-12-01 DOI: 10.1093/narcan/zcac041
Adria Closa, Marina Reixachs-Solé, Antonio C Fuentes-Fayos, Katharina E Hayer, Juan L Melero, Fabienne R S Adriaanse, Romy S Bos, Manuel Torres-Diz, Stephen P Hunger, Kathryn G Roberts, Charles G Mullighan, Ronald W Stam, Andrei Thomas-Tikhonenko, Justo P Castaño, Raúl M Luque, Eduardo Eyras

A significant proportion of infant B-cell acute lymphoblastic leukemia (B-ALL) patients remains with a dismal prognosis due to yet undetermined mechanisms. We performed a comprehensive multicohort analysis of gene expression, gene fusions, and RNA splicing alterations to uncover molecular signatures potentially linked to the observed poor outcome. We identified 87 fusions with significant allele frequency across patients and shared functional impacts, suggesting common mechanisms across fusions. We further identified a gene expression signature that predicts high risk independently of the gene fusion background and includes the upregulation of the splicing factor SRRM1. Experiments in B-ALL cell lines provided further evidence for the role of SRRM1 on cell survival, proliferation, and invasion. Supplementary analysis revealed that SRRM1 potentially modulates splicing events associated with poor outcomes through protein-protein interactions with other splicing factors. Our findings reveal a potential convergent mechanism of aberrant RNA processing that sustains a malignant phenotype independently of the underlying gene fusion and that could potentially complement current clinical strategies in infant B-ALL.

由于尚未确定的机制,相当大比例的婴儿b细胞急性淋巴细胞白血病(B-ALL)患者仍然预后不佳。我们对基因表达、基因融合和RNA剪接改变进行了全面的多队列分析,以揭示可能与观察到的不良结果相关的分子特征。我们确定了87种融合,这些融合在患者中具有显著的等位基因频率,并具有共同的功能影响,表明融合的共同机制。我们进一步确定了一个独立于基因融合背景预测高风险的基因表达特征,包括剪接因子SRRM1的上调。在B-ALL细胞系中的实验进一步证明了SRRM1在细胞存活、增殖和侵袭中的作用。补充分析显示,SRRM1可能通过与其他剪接因子的蛋白质相互作用来调节与不良预后相关的剪接事件。我们的研究结果揭示了异常RNA加工的潜在趋同机制,该机制独立于潜在的基因融合维持恶性表型,并且可能潜在地补充当前婴儿B-ALL的临床策略。
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引用次数: 0
Pancan-MNVQTLdb: systematic identification of multi-nucleotide variant quantitative trait loci in 33 cancer types. panan - mnvqtldb: 33种癌症多核苷酸变异数量性状位点的系统鉴定。
Pub Date : 2022-12-01 DOI: 10.1093/narcan/zcac043
Dongyang Wang, Wen Cao, Wenqian Yang, Weiwei Jin, Haohui Luo, Xiaohui Niu, Jing Gong

Multi-nucleotide variants (MNVs) are defined as clusters of two or more nearby variants existing on the same haplotype in an individual. Recent studies have identified millions of MNVs in human populations, but their functions remain largely unknown. Numerous studies have demonstrated that single-nucleotide variants could serve as quantitative trait loci (QTLs) by affecting molecular phenotypes. Therefore, we propose that MNVs can also affect molecular phenotypes by influencing regulatory elements. Using the genotype data from The Cancer Genome Atlas (TCGA), we first identified 223 759 unique MNVs in 33 cancer types. Then, to decipher the functions of these MNVs, we investigated the associations between MNVs and six molecular phenotypes, including coding gene expression, miRNA expression, lncRNA expression, alternative splicing, DNA methylation and alternative polyadenylation. As a result, we identified 1 397 821 cis-MNVQTLs and 402 381 trans-MNVQTLs. We further performed survival analysis and identified 46 173 MNVQTLs associated with patient overall survival. We also linked the MNVQTLs to genome-wide association studies (GWAS) data and identified 119 762 MNVQTLs that overlap with existing GWAS loci. Finally, we developed Pancan-MNVQTLdb (http://gong_lab.hzau.edu.cn/mnvQTLdb/) for data retrieval and download. Pancan-MNVQTLdb will help decipher the functions of MNVs in different cancer types and be an important resource for genetic and cancer research.

多核苷酸变异(Multi-nucleotide variant, mnv)是指个体中存在于同一单倍型上的两个或多个邻近变异的集群。最近的研究已经在人群中发现了数以百万计的mnv,但它们的功能在很大程度上仍然未知。大量研究表明,单核苷酸变异可以通过影响分子表型作为数量性状位点(qtl)。因此,我们提出mnv也可以通过影响调控元件来影响分子表型。利用来自癌症基因组图谱(TCGA)的基因型数据,我们首先在33种癌症类型中鉴定出223 759个独特的mnv。然后,为了破译这些mnv的功能,我们研究了mnv与六种分子表型之间的关系,包括编码基因表达、miRNA表达、lncRNA表达、选择性剪接、DNA甲基化和选择性聚腺苷化。结果,我们鉴定出1 397 821个顺式mnvqtl和402 381个反式mnvqtl。我们进一步进行了生存分析,确定了46 173个与患者总生存相关的mnvqtl。我们还将mnvqtl与全基因组关联研究(GWAS)数据联系起来,鉴定出119762个mnvqtl与现有的GWAS位点重叠。最后,我们开发了Pancan-MNVQTLdb (http://gong_lab.hzau.edu.cn/mnvQTLdb/),用于数据检索和下载。panan - mnvqtldb将有助于破译mnv在不同癌症类型中的功能,并成为遗传和癌症研究的重要资源。
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引用次数: 0
UBE2T promotes breast cancer tumor growth by suppressing DNA replication stress. UBE2T通过抑制DNA复制应激促进乳腺癌肿瘤生长。
Pub Date : 2022-12-01 DOI: 10.1093/narcan/zcac035
Roshan Dutta, Praveen Guruvaiah, Kiran Kumar Reddi, Suresh Bugide, Dhana Sekhar Reddy Bandi, Yvonne J K Edwards, Kamaljeet Singh, Romi Gupta

Breast cancer is a leading cause of cancer-related deaths among women, and current therapies benefit only a subset of these patients. Here, we show that ubiquitin-conjugating enzyme E2T (UBE2T) is overexpressed in patient-derived breast cancer samples, and UBE2T overexpression predicts poor prognosis. We demonstrate that the transcription factor AP-2 alpha (TFAP2A) is necessary for the overexpression of UBE2T in breast cancer cells, and UBE2T inhibition suppresses breast cancer tumor growth in cell culture and in mice. RNA sequencing analysis identified interferon alpha-inducible protein 6 (IFI6) as a key downstream mediator of UBE2T function in breast cancer cells. Consistently, UBE2T inhibition downregulated IFI6 expression, promoting DNA replication stress, cell cycle arrest, and apoptosis and suppressing breast cancer cell growth. Breast cancer cells with IFI6 inhibition displayed similar phenotypes as those with UBE2T inhibition, and ectopic IFI6 expression in UBE2T-knockdown breast cancer cells prevented DNA replication stress and apoptosis and partly restored breast cancer cell growth. Furthermore, UBE2T inhibition enhanced the growth-suppressive effects of DNA replication stress inducers. Taken together, our study identifies UBE2T as a facilitator of breast cancer tumor growth and provide a rationale for targeting UBE2T for breast cancer therapies.

乳腺癌是女性癌症相关死亡的主要原因,目前的治疗方法仅使这些患者中的一小部分受益。在这里,我们发现泛素偶联酶E2T (UBE2T)在患者来源的乳腺癌样本中过表达,UBE2T过表达预示着不良预后。我们证明了转录因子AP-2 α (TFAP2A)是乳腺癌细胞中UBE2T过表达所必需的,并且在细胞培养和小鼠实验中,UBE2T的抑制抑制了乳腺癌肿瘤的生长。RNA测序分析发现干扰素α诱导蛋白6 (IFI6)是乳腺癌细胞UBE2T功能的关键下游介质。同样,UBE2T抑制下调IFI6表达,促进DNA复制应激、细胞周期阻滞和细胞凋亡,抑制乳腺癌细胞生长。IFI6抑制的乳腺癌细胞与UBE2T抑制的乳腺癌细胞表现出相似的表型,UBE2T抑制的乳腺癌细胞中异位表达IFI6可以防止DNA复制应激和凋亡,部分恢复乳腺癌细胞的生长。此外,抑制UBE2T增强了DNA复制胁迫诱导剂的生长抑制作用。综上所述,我们的研究确定了UBE2T是乳腺癌肿瘤生长的促进剂,并为靶向UBE2T治疗乳腺癌提供了理论依据。
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引用次数: 2
Mechanisms of PARP1 inhibitor resistance and their implications for cancer treatment. PARP1抑制剂耐药机制及其对癌症治疗的意义。
Pub Date : 2022-12-01 DOI: 10.1093/narcan/zcac042
Lindsey M Jackson, George-Lucian Moldovan

The discovery of synthetic lethality as a result of the combined loss of PARP1 and BRCA has revolutionized the treatment of DNA repair-deficient cancers. With the development of PARP inhibitors, patients displaying germline or somatic mutations in BRCA1 or BRCA2 were presented with a novel therapeutic strategy. However, a large subset of patients do not respond to PARP inhibitors. Furthermore, many of those who do respond eventually acquire resistance. As such, combating de novo and acquired resistance to PARP inhibitors remains an obstacle in achieving durable responses in patients. In this review, we touch on some of the key mechanisms of PARP inhibitor resistance, including restoration of homologous recombination, replication fork stabilization and suppression of single-stranded DNA gap accumulation, as well as address novel approaches for overcoming PARP inhibitor resistance.

PARP1和BRCA联合缺失导致的合成致死率的发现彻底改变了DNA修复缺陷癌症的治疗。随着PARP抑制剂的开发,显示BRCA1或BRCA2种系或体细胞突变的患者获得了一种新的治疗策略。然而,很大一部分患者对PARP抑制剂没有反应。此外,许多有反应的人最终会产生抗药性。因此,对抗PARP抑制剂的新生和获得性耐药仍然是实现患者持久反应的障碍。本文综述了PARP抑制剂耐药的一些关键机制,包括同源重组的恢复、复制叉的稳定和单链DNA间隙积累的抑制,以及克服PARP抑制剂耐药的新方法。
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引用次数: 7
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