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Dual CDK4/6–PI3K/mTOR inhibition reinforces cytostatic programs and tumor control in preclinical models of primary and metastatic osteosarcoma 双重CDK4/6-PI3K /mTOR抑制增强原发性和转移性骨肉瘤临床前模型的细胞抑制程序和肿瘤控制
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-15 DOI: 10.1016/j.neo.2025.101266
Farinaz Barghi , M. Reza Saadatzadeh , Erika A. Dobrota , Harlan E. Shannon , Barbara J. Bailey , Courtney Young , Rada Malko , Ryli Justice , Niknam Riyahi , Christopher Davis , Khadijeh Bijangi-Vishehsaraei , Keiko Kreklau , Lauren K. Stevens , Jenna Koenig , Shirzat Sulayman , Sheng Liu , Jun Wan , Melissa A. Trowbridge , Kathy Coy , Felicia M. Kennedy , Karen E. Pollok
Osteosarcoma (OS) in pediatric, adolescent, and young adult (AYA) patients is an aggressive bone cancer with limited treatment options. Dysregulation of the CDK4/6–cyclin D axis and the PI3K/mTOR pathway contributes to OS pathogenesis, providing a biological rationale for co-targeting these signaling nodes. However, pharmacologic CDK4/6 inhibition can trigger compensatory activation of the PI3K/mTOR pathway, restoring D-type cyclin expression and partially reactivating CDK4/6 signaling. Thus, dual inhibition of the CDK4/6 and PI3K/mTOR pathways not only addresses two parallel oncogenic drivers but may also prevent potential CDK4/6 inhibitor resistance mediated by feedback activation of PI3K/mTOR. In this study, we tested the hypothesis that coordinated targeting of these pathways would improve tumor control in preclinical OS models. In vitro sensitivity analyses using palbociclib and voxtalisib demonstrated additive to synergistic OS growth suppression, with palbociclib inducing G1 arrest and senescence, and the combination enhancing autophagy. Furthermore, the efficacy, tolerability, and mechanisms of palbociclib and voxtalisib, alone or in combination, were evaluated in molecularly defined primary treatment-naïve, and relapsed/metastatic OS models. In the relapsed/metastatic PDX77-TT2 model, short-term palbociclib exposure activated PI3K/mTOR signaling, whereas the combination of palbociclib and voxtalisib in long-term studies produced marked tumor suppression and extended survival. In the primary treatment-naïve PDX96 model, long-term palbociclib exposure generated a robust CDK4/6 pharmacodynamic response. The addition of voxtalisib reinforced autophagy, sustained CDK pathway inhibition, and improved overall tumor control. In an OS lung-colonization model, CDK4/6 inhibition alone markedly reduced OS lung nodules, with combination therapy providing comparable suppression. Dual CDK4/6–PI3K/mTOR inhibition achieves tumor control across various OS models, supporting the use of genomically guided, pathway-targeted strategies for pediatric and AYA OS.
骨肉瘤(OS)在儿童、青少年和年轻人(AYA)患者中是一种侵袭性骨癌,治疗选择有限。CDK4/6-cyclin D轴和PI3K/mTOR通路的失调有助于OS的发病机制,为共同靶向这些信号节点提供了生物学依据。然而,药物抑制CDK4/6可以触发PI3K/mTOR通路的代偿激活,恢复d型细胞周期蛋白的表达,部分重新激活CDK4/6信号。因此,双重抑制CDK4/6和PI3K/mTOR通路不仅解决了两个平行的致癌驱动因素,还可能阻止由PI3K/mTOR反馈激活介导的潜在CDK4/6抑制剂耐药性。在本研究中,我们在临床前OS模型中验证了协同靶向这些途径可以改善肿瘤控制的假设。palbociclib和voxtalisib的体外敏感性分析显示,palbociclib和voxtalisib可协同抑制OS生长,palbociclib可诱导G1阻滞和衰老,联合使用可增强自噬。此外,在分子定义的原发性treatment-naïve和复发/转移性OS模型中,评估了palbociclib和voxtalisib单独或联合使用的疗效、耐受性和机制。在复发/转移性PDX77-TT2模型中,短期暴露于帕博西尼可激活PI3K/mTOR信号,而长期研究中帕博西尼和沃特利西联合使用可显著抑制肿瘤并延长生存期。在初级treatment-naïve PDX96模型中,长期帕博西尼暴露产生了强大的CDK4/6药效学反应。voxtalisib的加入增强了自噬,持续抑制CDK通路,并改善了整体肿瘤控制。在OS肺定殖模型中,单独抑制CDK4/6可显著减少OS肺结节,联合治疗可提供类似的抑制作用。双CDK4/6-PI3K /mTOR抑制可实现多种OS模型的肿瘤控制,支持在儿科和AYA OS中使用基因组引导、通路靶向策略。
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引用次数: 0
Cell type composition in bulk prostate cancer tissue is a prognostic biomarker 前列腺癌组织中细胞类型组成是一种预后生物标志物
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-13 DOI: 10.1016/j.neo.2026.101272
Xiaokang Zhang , Bjarne Johannessen , Susanne G. Kidd , Mari Bogaard , Ane Stranger , Ulrika Axcrona , Karol Axcrona , Rolf I. Skotheim
Prostate cancer, among the most prevalent cancer types globally, exhibits marked heterogeneity and varying disease progression and clinical outcomes. Improved molecular subtyping is needed for patient stratification. Since prostate cancer has relatively few somatic point mutations, whole-transcriptome data instead offers a rich and relevant source of molecular data. We analyzed bulk tissue transcriptomes from four cohorts to characterize primary prostate cancer’s cell type composition. A deconvolution of cell types was performed based on gene expression profiles. Patients with available multi-sample regional data from different tumor foci were analyzed for intrapatient heterogeneity. Three cell type composition subtypes were defined: T cells enriched (TCE), epithelial cells enriched (EPCE), and tumor-associated stromal cells enriched (TASCE). A machine learning model was developed to classify these subtypes and validated in three independent cohorts. The subtyping demonstrated a high correlation with established clinicopathological parameters (e.g., Gleason score, p-value < 0.05), and the classifier showed a promising ability to predict biochemical recurrence. Moreover, our analysis revealed that interfocal heterogeneity in patients with multifocal cancer significantly surpassed intrafocal heterogeneity (p-value < 0.05). In conclusion, this study provides a novel prostate cancer subgrouping based on cell type composition, with the TASCE subtype significantly associated with high biochemical recurrence risk.
前列腺癌是全球最常见的癌症类型之一,表现出明显的异质性和不同的疾病进展和临床结果。患者分层需要改进分子分型。由于前列腺癌的体细胞点突变相对较少,因此全转录组数据提供了丰富而相关的分子数据来源。我们分析了来自四个队列的大量组织转录组来表征原发性前列腺癌的细胞类型组成。基于基因表达谱进行细胞类型的反褶积。对来自不同肿瘤病灶的患者进行多样本区域数据分析,以确定患者的异质性。定义了三种细胞类型组成亚型:T细胞富集(TCE)、上皮细胞富集(EPCE)和肿瘤相关基质细胞富集(TASCE)。开发了一个机器学习模型来对这些亚型进行分类,并在三个独立的队列中进行了验证。亚型显示与已建立的临床病理参数(如Gleason评分,p值<; 0.05)高度相关,分类器显示有希望预测生化复发的能力。此外,我们的分析显示,多灶性癌症患者的局灶间异质性显著超过局灶内异质性(p值<; 0.05)。总之,本研究提供了一个新的基于细胞类型组成的前列腺癌亚群,TASCE亚型与高生化复发风险显著相关。
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引用次数: 0
THOC1 complexes with SIN3A to regulate R-loops and promote glioblastoma progression THOC1与SIN3A复合物调控r -环,促进胶质母细胞瘤进展。
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-06 DOI: 10.1016/j.neo.2025.101271
Shreya Budhiraja , Umme H. Faisal , Shivani Baisiwala , Rafal Chojak , Lara Koutah , Noah B. Drewes , Sia Cho , Hasaan A Kazi , Rebecca Chen , Ella N Perrault , Li Chen , Cheol H. Park , Maeve C. O’Shea , Khizar Nandoliya , Joseph T. Duffy , Peiyu Lin , Adam M Sonabend , Crismita C. Dmello , Atique U. Ahmed
Glioblastoma (GBM), the most common and aggressive primary malignant brain tumor in adults, has a median survival of 14.6 months. To identify drivers of GBM pathogenesis, we conducted a CRISPR-knockout screen, which revealed THO Complex 1 (THOC1) as a key driver. Knocking down THOC1 significantly reduced GBM cell viability across patient-derived xenograft (PDX) lines, enhancing survival (p<0.01) in primary PDX models. Conversely, overexpressing THOC1 in non-cancerous neural stem cells bolstered transformation capacity, decreasing survival and causing tumor engraftment in vivo (p<0.01). Further investigation revealed THOC1′s interaction with SIN3A, a histone deacetylase complex. Histone deacetylation has been previously shown to prevent the buildup of R-loops, structures that form normally during transcription but can be lethal in excess. We found that THOC1-knockdown leads to elevated R-loop levels and reduced histone deacetylation levels. RNA-sequencing analysis revealed that THOC1’s role in R-loop prevention primarily affects telomeres, critical regions for cell replication. We further show that THOC1-knockdown results in significantly increased telomeric R-loop levels and shortened telomeres. Ultimately, this study suggests that targeting THOC1 is a promising therapeutic strategy to disrupt the delicate R-loop landscape and undermine GBM's replicative potential.

STATEMENT OF SIGNIFICANCE

Glioblastoma, the most aggressive malignant brain tumor in adults, relies on a delicate R-loop landscape to promote cell replication while avoiding DNA damage. Targeting THOC1 represents a promising therapeutic strategy to disrupt the delicate R-loop landscape and undermine GBM's replicative potential.
胶质母细胞瘤(GBM)是成人中最常见和侵袭性的原发性恶性脑肿瘤,中位生存期为14.6个月。为了确定GBM发病机制的驱动因素,我们进行了crispr敲除筛选,发现THO复合物1 (THOC1)是一个关键驱动因素。敲除THOC1可显著降低患者来源的异种移植细胞系(PDX)中GBM细胞的活力,提高存活率(p
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引用次数: 0
Visceral adiposity as a metabolic risk factor for bone tumors: Insights from the NHANES population-based study 内脏脂肪作为骨肿瘤的代谢危险因素:来自NHANES基于人群的研究的见解
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-06 DOI: 10.1016/j.neo.2025.101265
Xianliang Wang , Rengcheng Qian , Zhenlang Lin , Yiying Wang

Background

Bone tumors are rare but highly aggressive malignancies associated with considerable mortality. Emerging evidence identifies obesity as a contributor to multiple malignancies, including those of osseous origin, primarily through mechanisms involving endocrine imbalance and chronic inflammation. Conventional obesity metrics, like body mass index (BMI), cannot reflect the full spectrum of obesity-related risks. In contrast, the age-adjusted visceral adiposity index (AVAI) offers a more holistic evaluation of obesity-associated hazards.

Methods

This cross-sectional analysis utilized National Health and Nutrition Examination Survey (NHANES) data collected between 2011 and 2018. After excluding participants younger than 18 years and those lacking complete information on bone tumors or AVAI, the final analytic cohort comprised 3,731 adults. The AVAI was calculated using BMI, waist circumference, age, high-density lipoprotein levels, and triglyceride levels. The presence of a bone tumor was ascertained through medical questionnaires. Logistic regression analyses were applied to evaluate the association between AVAI levels and the occurrence of bone neoplasms, after adjusting for potential confounders such as hypertension, diabetes, and other metabolic variables.

Results

The prevalence of bone tumors increased with higher AVAI quartiles, reaching 4.07 % in the highest quartile (Q4). Univariate logistic regression demonstrated a significant positive association between AVAI and bone tumors (OR = 1.19, 95 % CI: 1.02–1.31, P < 0.0001). After accounting for all demographic, metabolic, and clinical covariates, higher AVAI quartiles remained strongly associated with elevated bone tumor risk, with adjusted odds ratios of 1.64 (Q2), 2.15 (Q3), and 2.81 (Q4) compared to the reference quartile (Q1).

Conclusion

The findings indicate a significant association between AVAI and the likelihood of bone tumor development, thus emphasizing the necessity of incorporating visceral adiposity into the assessment of skeletal neoplasm incidence. Future studies should focus on the underlying mechanisms and investigate potential interventions targeting obesity-related factors to mitigate the risk of bone tumors.
背景:骨肿瘤是一种罕见但具有高度侵袭性的恶性肿瘤,死亡率高。越来越多的证据表明,肥胖是多种恶性肿瘤(包括骨源性肿瘤)的一个因素,主要通过涉及内分泌失衡和慢性炎症的机制。传统的肥胖指标,如身体质量指数(BMI),不能全面反映与肥胖相关的风险。相比之下,年龄调整内脏脂肪指数(AVAI)提供了更全面的肥胖相关危害评估。方法:该横断面分析利用了2011年至2018年收集的国家健康与营养检查调查(NHANES)数据。在排除了年龄小于18岁和缺乏完整骨肿瘤或AVAI信息的参与者后,最终的分析队列包括3,731名成年人。AVAI通过BMI、腰围、年龄、高密度脂蛋白水平和甘油三酯水平计算。骨肿瘤的存在是通过医学问卷来确定的。在对高血压、糖尿病和其他代谢变量等潜在混杂因素进行校正后,应用Logistic回归分析评估AVAI水平与骨肿瘤发生之间的关系。结果:骨肿瘤的患病率随着AVAI四分位数的增加而增加,最高四分位数(Q4)达到4.07%。单因素logistic回归显示AVAI与骨肿瘤呈显著正相关(OR = 1.19, 95% CI: 1.02-1.31, P < 0.0001)。在考虑了所有人口统计学、代谢和临床协变量后,与参考四分位数(Q1)相比,较高的AVAI四分位数仍与骨肿瘤风险升高密切相关,调整后的比值比为1.64 (Q2)、2.15 (Q3)和2.81 (Q4)。结论:研究结果表明,AVAI与骨肿瘤发生的可能性存在显著相关性,因此强调了将内脏脂肪纳入骨骼肿瘤发病率评估的必要性。未来的研究应关注潜在的机制,并研究针对肥胖相关因素的潜在干预措施,以减轻骨肿瘤的风险。
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引用次数: 0
Histone 3 lysine 56 acetylation (H3K56ac) regulates extrachromosomal DNA (ecDNA) hub maintenance 组蛋白3赖氨酸56乙酰化(H3K56ac)调控染色体外DNA (ecDNA)枢纽的维持。
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-06 DOI: 10.1016/j.neo.2025.101269
Li-Zhu Liao , Chang-Jiun Wu , Yu-An Chen , Tzu-Chin Lin , Po-Hung Lin , Chia-Lin Wei , Kou-Juey Wu
Extrachromosomal DNAs (ecDNAs) play an important role in tumor progression. ecDNA hubs have been shown to be anchored by BRD4, a chromatin reader. However, the chromatin organization of ecDNA hub remains unknown. Here we show that histone 3 lysine 56 acetylation (H3K56ac) mark binds to BRD4 specifically. Knockdown of BRD4 decreased the ecDNA hub signals by the ecTag method. Knockdown of an epigenetic player (USP7), histone acetyltransferase (CBP), or histone chaperone (Asf1a) that regulates H3K56ac mark also decreased ecDNA hub signals and H3K56ac levels, supporting the role of H3K56ac in regulating ecDNA hub maintenance. Co-immunoprecipitation experiments showed the interactions of BRD4, USP7, Asf1a, and CBP. Analysis of ChIP-seq datasets showed that both H3K56ac and H3K27ac converged with BRD4 binding at the ecDNA-chromosome interaction sites and ecDNA itself. However, H3K56ac had a widespread enrichment with most BRD4-occupied sites compared with H3K27ac that occupied a limited subset of BRD4 peaks. These results present a framework of ecDNA hub chromatin organization that maintains ecDNA hub integrity, further providing therapeutic options that could be used to target ecDNA hubs.
染色体外dna (ecDNAs)在肿瘤进展中起重要作用。ecDNA中心被证明是由BRD4锚定的,BRD4是一种染色质解读器。然而,ecDNA中心的染色质组织结构尚不清楚。在这里,我们发现组蛋白3赖氨酸56乙酰化(H3K56ac)标记特异性地与BRD4结合。通过ecTag的方法,BRD4的敲除降低了ecDNA枢纽信号。敲低调控H3K56ac标记的表观遗传因子(USP7)、组蛋白乙酰转移酶(CBP)或组蛋白伴侣(Asf1a)也会降低ecDNA枢纽信号和H3K56ac水平,支持H3K56ac在调节ecDNA枢纽维持中的作用。共免疫沉淀实验显示BRD4、USP7、Asf1a和CBP相互作用。ChIP-seq数据集分析显示,H3K56ac和H3K27ac在ecDNA-染色体相互作用位点和ecDNA本身与BRD4结合融合。然而,H3K56ac广泛富集了大多数BRD4占据的位点,而H3K27ac占据了有限的BRD4峰子集。这些结果提出了一个维持ecDNA枢纽完整性的ecDNA枢纽染色质组织框架,进一步提供了可用于靶向ecDNA枢纽的治疗选择。
{"title":"Histone 3 lysine 56 acetylation (H3K56ac) regulates extrachromosomal DNA (ecDNA) hub maintenance","authors":"Li-Zhu Liao ,&nbsp;Chang-Jiun Wu ,&nbsp;Yu-An Chen ,&nbsp;Tzu-Chin Lin ,&nbsp;Po-Hung Lin ,&nbsp;Chia-Lin Wei ,&nbsp;Kou-Juey Wu","doi":"10.1016/j.neo.2025.101269","DOIUrl":"10.1016/j.neo.2025.101269","url":null,"abstract":"<div><div>Extrachromosomal DNAs (ecDNAs) play an important role in tumor progression. ecDNA hubs have been shown to be anchored by BRD4, a chromatin reader. However, the chromatin organization of ecDNA hub remains unknown. Here we show that histone 3 lysine 56 acetylation (H3K56ac) mark binds to BRD4 specifically. Knockdown of BRD4 decreased the ecDNA hub signals by the ecTag method. Knockdown of an epigenetic player (USP7), histone acetyltransferase (CBP), or histone chaperone (Asf1a) that regulates H3K56ac mark also decreased ecDNA hub signals and H3K56ac levels, supporting the role of H3K56ac in regulating ecDNA hub maintenance. Co-immunoprecipitation experiments showed the interactions of BRD4, USP7, Asf1a, and CBP. Analysis of ChIP-seq datasets showed that both H3K56ac and H3K27ac converged with BRD4 binding at the ecDNA-chromosome interaction sites and ecDNA itself. However, H3K56ac had a widespread enrichment with most BRD4-occupied sites compared with H3K27ac that occupied a limited subset of BRD4 peaks. These results present a framework of ecDNA hub chromatin organization that maintains ecDNA hub integrity, further providing therapeutic options that could be used to target ecDNA hubs.</div></div>","PeriodicalId":18917,"journal":{"name":"Neoplasia","volume":"72 ","pages":"Article 101269"},"PeriodicalIF":7.7,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145913766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
LOXL2⁺ cancer-associated fibroblasts shape WNT signaling to drive chemoresistance and poor outcomes in colorectal cancer: Insights from multi-omics and epidemiological analyses LOXL2 +与癌症相关的成纤维细胞塑造WNT信号,驱动结直肠癌的化疗耐药和不良预后:来自多组学和流行病学分析的见解。
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2026-01-06 DOI: 10.1016/j.neo.2025.101267
Chengyuan Xu , Tengfei Li , Lin Zhang , Qin Zhang , Shanshan Cai , Qiangqiang Fu , Siqi Zhang

Background

Cancer-associated fibroblasts (CAFs) critically influence colorectal cancer (CRC) progression and therapy response, yet their epidemiological and molecular heterogeneity remains underexplored.

Methods

We integrated bulk, single-cell, and spatial transcriptomic datasets from multiple CRC cohorts, together with patient-derived tissues and functional assays, to delineate CAF subtypes and their clinical significance. Epidemiological analyses were performed across independent cohorts to evaluate the association between CAF markers and patient outcomes.

Results

A myofibroblastic CAF (myCAF) subset characterized by high LOXL2 expression was consistently enriched in advanced and chemoresistant CRC samples. Multi-omics correlation analyses revealed that LOXL2⁺ CAFs activated WNT signaling in adjacent tumor cells, promoting stemness and drug resistance. Across population-based cohorts, elevated LOXL2 expression was independently associated with poor overall and disease-free survival, as confirmed by multivariate Cox regression. Spatial transcriptomics and immunofluorescence demonstrated close physical interaction between LOXL2⁺ CAFs and WNT5A-positive cancer cells. Functional inhibition or genetic silencing of LOXL2 and wnt5a in CAFs restored chemosensitivity in vitro and suppressed tumor growth in vivo.

Conclusions

Our integrative epidemiological and experimental analyses identify LOXL2⁺ CAFs as a key stromal determinant of chemoresistance and poor prognosis in CRC. These findings highlight a clinically relevant stromal biomarker with potential for risk stratification and therapeutic targeting in colorectal cancer.
背景:癌症相关成纤维细胞(CAFs)对结直肠癌(CRC)的进展和治疗反应有重要影响,但其流行病学和分子异质性仍未得到充分研究。方法:我们整合了来自多个CRC队列的大量、单细胞和空间转录组数据集,以及患者来源的组织和功能分析,以描绘CAF亚型及其临床意义。在独立队列中进行流行病学分析,以评估CAF标志物与患者预后之间的关系。结果:以高LOXL2表达为特征的肌成纤维细胞CAF (myCAF)亚群在晚期和化疗耐药的CRC样本中持续富集。多组学相关分析显示,LOXL2 + CAFs激活了邻近肿瘤细胞中的WNT信号,促进了肿瘤细胞的干性和耐药性。多变量Cox回归证实,在基于人群的队列中,LOXL2表达升高与较差的总生存率和无病生存率独立相关。空间转录组学和免疫荧光学证明LOXL2 + CAFs与wnt5a阳性癌细胞之间存在密切的物理相互作用。功能抑制或基因沉默在cas中LOXL2和wnt5a在体外恢复化学敏感性,在体内抑制肿瘤生长。结论:我们的综合流行病学和实验分析发现LOXL2 + CAFs是结直肠癌化疗耐药和预后不良的关键基质决定因素。这些发现强调了一种具有临床相关性的基质生物标志物,在结直肠癌的风险分层和治疗靶向方面具有潜力。
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引用次数: 0
Clonal architecture of FLT3-ITD and acquired 13q uniparental disomy define prognostic heterogeneity and therapeutic vulnerabilities in acute myeloid leukemia FLT3-ITD的克隆结构和获得性13q单系二体定义了急性髓系白血病的预后异质性和治疗脆弱性。
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-12-17 DOI: 10.1016/j.neo.2025.101264
Anli Lai , Wenbing Liu , Yihan Mei, Qimin Zhang, Junping Zhang, Kejing Tang, Qing Rao, Runxia Gu, Sizhou Feng, Ying Wang, Min Wang, Hui Wei, Yingchang Mi, Shaowei Qiu, Jianxiang Wang
Acute myeloid leukemia (AML) is characterized by the sequential accumulation of genetic mutations in hematopoietic stem/progenitor cells (HSPCs). The FLT3-ITD mutation, occurring in 20-30 % of AML cases, typically emerges as a late event. Despite its established association with adverse prognosis, significant outcome heterogeneity persists in FLT3-ITD AML. The clonal origin of FLT3-ITD may serve as a critical determinant of phenotypic and prognostic variability, though the underlying mechanisms remain poorly understood. This study enrolled 149 FLT3-ITD AML patients. Genomic and transcriptomic profiling defined four prognostic origin subtypes (DNMT3A/NPM1-mutation, IDH/NPM1-mutation, transcription factor [TF]-related lesion and other genetic lesion origin). Within the high risk DNMT3A/NPM1-origin subgroup, stratification by differentiation state showed hematopoietic stem cell arrest conferred an inferior event-free survival compared with arrest at the monocyte stage. Analysis of refractory/relapsed (R/R) cases revealed the prevalence of baseline 13q uniparental dismoy (UPD) in DNMT3A/NPM1-origin subgroup. All DNMT3A/NPM1-origin patients acquired 13q UPD at the R/R stage, arising from either expansion of pre-existing UPD subclones or de novo UPD acquisition under therapeutic pressure. Single-cell analysis further revealed aberrant activation of the DNA homologous recombination repair in DNMT3A/NPM1-origin patient blasts and triple-mutant mouse HSPCs. In conclusion, FLT3-ITD clonal origin demonstrated significant impact on the outcome of AML. Acquired 13q UPD drives clonal evolution and disease progression in the DNMT3A/NPM1-origin subgroup, highlighting its potential as a therapeutic target.
急性髓系白血病(AML)的特点是造血干细胞/祖细胞(HSPCs)基因突变的顺序积累。FLT3-ITD突变发生在20- 30%的AML病例中,通常作为晚期事件出现。尽管FLT3-ITD AML与不良预后存在关联,但其结果仍存在显著异质性。FLT3-ITD的克隆起源可能是表型和预后变异性的关键决定因素,尽管其潜在机制尚不清楚。这项研究招募了149名FLT3-ITD AML患者。基因组和转录组学分析定义了四种预后起源亚型(DNMT3A/ npm1突变、IDH/ npm1突变、转录因子[TF]相关病变和其他遗传性病变起源)。在高风险的DNMT3A/ npm1起源亚组中,分化状态的分层显示,与单核细胞阶段的停滞相比,造血干细胞停滞的无事件生存期较低。对难治性/复发(R/R)病例的分析显示,在DNMT3A/ npm1起源亚组中,基线13q单代紊乱(UPD)的患病率。所有DNMT3A/ npm1来源的患者在R/R阶段获得13q UPD,由已有的UPD亚克隆扩增或在治疗压力下重新获得UPD引起。单细胞分析进一步揭示了DNMT3A/ npm1来源的患者胚和三突变小鼠HSPCs中DNA同源重组修复的异常激活。总之,FLT3-ITD克隆来源对AML的预后有显著影响。获得的13q UPD驱动DNMT3A/ npm1起源亚群的克隆进化和疾病进展,突出了其作为治疗靶点的潜力。
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引用次数: 0
Differential chromatin accessibility response to retinoic acid in neuroblastoma with ATRX in-frame-deletions versus ATRX loss-of-function ATRX框架内缺失与ATRX功能丧失的神经母细胞瘤对视黄酸的差异染色质可及性反应
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-12-11 DOI: 10.1016/j.neo.2025.101263
Federica Lorenzi , Matthew Shipley , Luke Deane , Robert Goldstone , Vidur Tandon , Barbara Martins da Costa , Kevin Greenslade , Karen Barker , Fariba Nemati , Angela Bellini , Gudrun Schleiermacher , Louis Chesler , Francois Guillemot , Sally L George
Neuroblastoma is a childhood cancer, arising in the developing sympathetic nervous system. Differentiation therapy with 13-cis-retinoic acid (RA) is given to children with neuroblastoma to prevent relapse, however there is little understanding of which patients benefit. ATRX alterations are identified in 10 % of high-risk neuroblastomas and associated with poor outcomes. The commonest type of ATRX alterations in neuroblastoma are in-frame multi-exon deletions, followed by nonsense mutations predicted to result in loss-of-function (ATRX LoF).
We treated paired ATRX wild-type and LoF neuroblastoma cell-lines with RA: cells with ATRX LoF fail to upregulate direct RA target genes and show reduced chromatin accessibility differentiation and development related genes following RA treatment. Conversely, neuroblastoma models with in-frame deletions mount an appropriate epigenetic response to RA. Taken together this shows that the mechanism of differentiation in ATRX-altered neuroblastoma depends on the type of ATRX alteration, with implications relating to both oncogenesis and therapeutic response.
神经母细胞瘤是一种儿童期癌症,起源于交感神经系统的发育。13-顺式维甲酸(RA)分化治疗用于神经母细胞瘤儿童预防复发,但对哪些患者受益知之甚少。在10%的高危神经母细胞瘤中发现了ATRX改变,并与不良预后相关。神经母细胞瘤中最常见的ATRX改变类型是框架内多外显子缺失,其次是无义突变,预计会导致功能丧失(ATRX LoF)。我们对患有RA的配对ATRX野生型和LoF神经母细胞瘤细胞系进行了处理:具有ATRX LoF的细胞不能上调RA的直接靶基因,并且在RA治疗后表现出染色质可及性、分化和发育相关基因的减少。相反,具有框架内缺失的神经母细胞瘤模型对RA产生适当的表观遗传反应。综上所述,这表明ATRX改变的神经母细胞瘤的分化机制取决于ATRX改变的类型,与肿瘤发生和治疗反应有关。
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引用次数: 0
Post-transcriptional control of HIF-1α by MBNL1 restrains hypoxia-driven stemness in GBM MBNL1转录后调控HIF-1α抑制缺氧驱动的GBM干性
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-12-08 DOI: 10.1016/j.neo.2025.101262
Blair P. Rendina , Fahim Ahmad , Luka Akerman , Ian Mills , Nina C. Lee , Chixiang Chen , Haoyu Ren , Xiaoxuan Fan , Jeffrey A. Winkles , Graeme F. Woodworth , Gerald M. Wilson , Eli E. Bar
MBNL1 binds the HIF-1α 3′UTR to promote rapid mRNA decay, thereby limiting HIF-1 activity and hypoxia-induced stemness in glioblastoma. Using patient-derived glioma stem cells, we show that MBNL1 loss stabilizes HIF-1α mRNA and increases HIF-1α protein, HRE reporter activity, and target gene expression under hypoxia; MBNL1 knockout also prolongs target gene expression after reoxygenation, indicating enhanced hypoxia “memory.” MBNL1 depletion markedly elevates stemness markers (KLF4, SOX2, GLI1) and clonogenic growth, and re-expression of MBNL1 reverses these effects. These results identify a post-transcriptional MBNL1–HIF1α axis that controls hypoxia signaling and stemness, with implications for GBM therapy.
MBNL1结合HIF-1α 3'UTR促进mRNA快速衰减,从而限制HIF-1活性和缺氧诱导的胶质母细胞瘤干性。利用患者来源的胶质瘤干细胞,我们发现MBNL1缺失稳定了HIF-1α mRNA,增加了缺氧条件下HIF-1α蛋白、HRE报告基因活性和靶基因的表达;敲除MBNL1也延长了再氧化后靶基因的表达,表明缺氧“记忆”增强。MBNL1缺失可显著提高干性标志物(KLF4, SOX2, GLI1)和克隆生长,而MBNL1的重新表达可逆转这些作用。这些结果确定了一个控制缺氧信号和干性的转录后MBNL1-HIF1α轴,这对GBM治疗具有重要意义。
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引用次数: 0
Multi-omics analysis unveils tumor heterogeneity and immunotherapy predictive model in breast cancer for precision medicine and early detection 多组学分析揭示乳腺癌肿瘤异质性和免疫治疗预测模型,用于精准医学和早期检测。
IF 7.7 2区 医学 Q1 Biochemistry, Genetics and Molecular Biology Pub Date : 2025-12-03 DOI: 10.1016/j.neo.2025.101260
Zhenxiong Zhao , Zhencang Zheng , Shenglu Jiang , Lingling Zhang , Xiufeng Tang

Background

Intratumoral heterogeneity contributes to therapy resistance and immune evasion in breast cancer, making treatment strategies more complex. This study integrates single-cell RNA sequencing (scRNA-seq), spatial transcriptomics, and bulk RNA-seq deconvolution to characterize tumor subpopulations and develop a robust prognostic model.

Methods

We employed a multi-omics approach combining scRNA-seq, spatial transcriptomics, and bulk RNA-seq data deconvolution to explore the molecular diversity within breast cancer tumors. Tumor subtypes were identified based on distinct gene expression profiles, and functional pathway analysis was conducted to evaluate associations with clinical outcomes, including therapy resistance and immune evasion. Data from TCGA and GEO cohorts were integrated to validate the prognostic and immune-related findings. A CoxBoost+GBM algorithm was used to develop a robust prognostic model for patient survival and immunotherapy response prediction.

Results

Five distinct tumor subtypes were identified, each with unique functional profiles, underscoring the complexity of breast cancer heterogeneity. Basal-like breast cancer (BLBC) cells were found to play a central role in immune evasion and poor immunotherapy response, with high basal-like cell infiltration correlating with worse survival outcomes. Spatial transcriptomics revealed the widespread presence of BLBC cells across clinical subtypes, including ER+ tumors, suggesting their involvement in therapy resistance. A prognostic model based on CoxBoost+GBM demonstrated strong predictive power for patient survival and immunotherapy efficacy.

Conclusions

This study provides a comprehensive view of the genetic and immune determinants of breast cancer heterogeneity, with a focus on BLBC’s role in immune escape and treatment resistance. These insights enhance the potential of multi-omics approaches in precision prevention, early detection, and personalized immunotherapy strategies.
背景:肿瘤内异质性有助于乳腺癌的治疗抵抗和免疫逃避,使治疗策略更加复杂。该研究整合了单细胞RNA测序(scRNA-seq)、空间转录组学和大量RNA-seq反褶积来表征肿瘤亚群,并建立了一个强大的预后模型。方法:我们采用多组学方法,结合scRNA-seq、空间转录组学和大量RNA-seq数据反卷积来探索乳腺癌肿瘤的分子多样性。根据不同的基因表达谱确定肿瘤亚型,并进行功能通路分析以评估其与临床结果(包括治疗耐药性和免疫逃避)的关联。整合来自TCGA和GEO队列的数据以验证预后和免疫相关发现。使用CoxBoost+GBM算法建立了一个可靠的预后模型,用于预测患者的生存和免疫治疗反应。结果:确定了五种不同的肿瘤亚型,每种亚型都具有独特的功能特征,强调了乳腺癌异质性的复杂性。发现基底样乳腺癌(BLBC)细胞在免疫逃避和免疫治疗反应差中起核心作用,高基底样细胞浸润与较差的生存结果相关。空间转录组学揭示了BLBC细胞在临床亚型(包括ER+肿瘤)中的广泛存在,表明它们参与了治疗耐药性。基于CoxBoost+GBM的预后模型显示出对患者生存和免疫治疗疗效的强大预测能力。结论:本研究提供了乳腺癌异质性的遗传和免疫决定因素的综合观点,重点关注BLBC在免疫逃逸和治疗抵抗中的作用。这些见解增强了多组学方法在精确预防、早期检测和个性化免疫治疗策略方面的潜力。
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引用次数: 0
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Neoplasia
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