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From concept to clinic: a roadmap for DNA methylation biomarkers in liquid biopsies 从概念到临床:液体活检中DNA甲基化生物标志物的路线图。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-20 DOI: 10.1038/s41388-025-03624-5
Heidi Pharo, Hege Marie Vedeld, Ingrid Vikan Sjurgard, Rita Pinto, Guro Elisabeth Lind
Global cancer incidence continues to rise, emphasizing the urgent need for improved diagnostics and management strategies. DNA methylation biomarkers in liquid biopsies offer a promising, minimally invasive solution. Despite their potential, only a few tests have successfully transitioned from research to clinical practice. This review addresses key aspects influencing successful biomarker development and clinical implementation—including liquid biopsy source selection, biomarker discovery workflow and targeted validation in clinical sample series—and provide strategies to improve accuracy, reproducibility and clinical utility. Altogether, these considerations could aid in bridging the translational gap from research to clinical application, and to increase the number of clinically implemented liquid biopsy tests.
全球癌症发病率继续上升,强调迫切需要改进诊断和管理战略。液体活检中的DNA甲基化生物标志物提供了一种有前途的微创解决方案。尽管它们具有潜力,但只有少数测试成功地从研究过渡到临床实践。本文综述了影响生物标志物成功开发和临床应用的关键因素,包括液体活检源选择、生物标志物发现工作流程和临床样品系列的靶向验证,并提供了提高准确性、可重复性和临床实用性的策略。总之,这些考虑有助于弥合从研究到临床应用的转化差距,并增加临床实施的液体活检检查的数量。
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引用次数: 0
SQLE drives bladder cancer progression by boosting mitochondrial oxidative phosphorylation SQLE通过促进线粒体氧化磷酸化驱动膀胱癌进展。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-18 DOI: 10.1038/s41388-025-03626-3
Yihong Dong, Xinjian Jiang, Xinxin Yang, Jinfeng Zhang, Qiang Fu, Yunfei Zhou, Xun Yang, Yin Fu, Yunjing Hou, Mujiao Li, Jun Yan, Jianwen Xu, Yujuan Yi, Meijuan Liu, Xiaorui Huo, Jiang Han, Yumeng Wang, Chenxu Guo, Qingxin Zhang, Aodi Wu, Xiaoqing Li, Xiaohan Zhang, Shuyuan Chang, Ayaka Tomii, Lin Jia, Yu Xiao, Xiaoyang Hu, Hongxue Meng, Dabin Liu, Shuijie Li
Bladder cancer (BCa) remains a prevalent malignancy with limited therapeutic options. Although cholesterol elevation links to BCa progression, the specific role of cholesterol metabolism remains unclear. Here, we demonstrate that squalene epoxidase (SQLE), a key cholesterol biosynthesis enzyme, drives BCa oncogenesis. SQLE is upregulated in BCa patients and correlates with poor survival. Functionally, bladder-specific Sqle transgenic (tg) mice showed accelerated tumorigenesis, while Sqle knockout (ko) demonstrated opposite effects in vivo. Mechanistically, SQLE localizes to mitochondria and directly interacts with Lon peptidase 1 (LONP1) to stabilize mitochondrial transcription factor A (TFAM) by preventing its proteolysis, leading to elevated oxidative phosphorylation (OXPHOS) and mitochondrial reactive oxygen species (mtROS). Pharmacological clearance of mtROS via Mito-TEMPO suppressed tumor growth in Sqle-overexpressing models. Importantly, the FDA-approved SQLE inhibitor terbinafine significantly suppressed BCa progression in preclinical models. Our findings establish SQLE as a critical regulator of mitochondrial metabolism in BCa, supporting SQLE inhibitors as potential therapeutics.
膀胱癌(BCa)仍然是一种普遍的恶性肿瘤,治疗选择有限。尽管胆固醇升高与BCa进展有关,但胆固醇代谢的具体作用尚不清楚。在这里,我们证明角鲨烯环氧化酶(SQLE),一个关键的胆固醇生物合成酶,驱动BCa的肿瘤发生。在BCa患者中,SQLE表达上调,与较差的生存率相关。功能上,膀胱特异性Sqle转基因(tg)小鼠表现出加速肿瘤发生,而Sqle基因敲除(ko)小鼠在体内表现出相反的作用。机制上,SQLE定位于线粒体,并直接与LONP1相互作用,通过阻止线粒体转录因子A (TFAM)的蛋白水解来稳定线粒体转录因子A (TFAM),导致氧化磷酸化(OXPHOS)和线粒体活性氧(mtROS)升高。通过Mito-TEMPO清除mtROS抑制sqle过表达模型的肿瘤生长。重要的是,fda批准的SQLE抑制剂terbinafine在临床前模型中显著抑制了BCa的进展。我们的研究结果表明,SQLE是BCa线粒体代谢的关键调节因子,支持SQLE抑制剂作为潜在的治疗药物。在膀胱癌中,SQLE过表达通过与LONP1直接相互作用,损害LONP1介导的TFAM降解,从而导致线粒体OXPHOS增加,mtROS积累,最终促进肿瘤生长。使用SQLE抑制剂特比萘芬治疗可有效阻断这一过程,为抑制肿瘤进展提供了一种潜在的治疗策略。图形摘要是使用Smart创建的。服务(https://smart.servier.com/citation-sharing/)。
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引用次数: 0
Circular RNA CLASP1 modulates the GLI1/SNAIL axis and enhances macrophage polarization in breast cancer 环状RNA CLASP1调节GLI1/SNAIL轴增强乳腺癌巨噬细胞极化。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-17 DOI: 10.1038/s41388-025-03627-2
Lijun Zhou, Mei Liu, Fujun Liu, Zhengkun Wang, Xinyu Li, Xiaoyu Peng, Wenqiang Ma, Peilan Guo, Lifang Yuan, Slawomir Wolczynski, Nafis Ahmed Rahman, Wei Song, Xiangdong Li
Breast cancer (BC) is the most prevalent malignancy among women worldwide. Growing evidence highlights the crucial role of circular RNAs (circRNAs) in BC carcinogenesis; however, their underlying mechanisms remain largely unknown. In this study, we identify circCLASP1, which is significantly upregulated in BC tissues (n = 65) and serum samples (n = 61). Its expression correlates with lymph node metastasis, ki67 expression, and tumor size. Receiver operation characteristic (ROC) curve analysis reveals area under the curve (AUC) values of 0.8196 (BC tissues) and 0.8902 (BC serum), respectively. Functionally, circCLASP1 knockdown significantly suppresses BC cell proliferation, migration, and invasion. Mechanistically, circCLASP1 prevents the ubiquitin-mediated degradation of GLI1 protein by facilitating its interaction with CCT2, thereby stabilizing GLI1. Moreover, circCLASP1 enhances the nuclear accumulation of GLI1, leading to increased SNAIL expression and thereby upregulating the expression of CCL2 and CCL5, which in turn promotes macrophage M2 polarization, ultimately resulting in BC progression and subsequent lung metastasis. Further analysis reveals that U2AF2 regulates circCLASP1 biogenesis. Collectively, these findings demonstrate that circCLASP1 promotes BC progression and an immunosuppressive microenvironment via the CCT2/GLI1/SNAIL axis, highlighting its potential as a prognostic biomarker and therapeutic target for BC.
乳腺癌(BC)是世界范围内女性中最常见的恶性肿瘤。越来越多的证据强调环状rna (circRNAs)在BC癌发生中的关键作用;然而,它们的潜在机制在很大程度上仍然未知。在这项研究中,我们发现circlasp1在BC组织(n = 65)和血清样本(n = 61)中显著上调。其表达与淋巴结转移、ki67表达和肿瘤大小有关。受试者工作特征(ROC)曲线分析显示曲线下面积(AUC)值分别为0.8196 (BC组织)和0.8902 (BC血清)。在功能上,circlasp1敲低可显著抑制BC细胞的增殖、迁移和侵袭。在机制上,circlasp1通过促进其与CCT2的相互作用来阻止泛素介导的GLI1蛋白降解,从而稳定GLI1。此外,circlasp1增强GLI1的核聚集,导致SNAIL表达增加,从而上调CCL2和CCL5的表达,进而促进巨噬细胞M2极化,最终导致BC进展和随后的肺转移。进一步分析表明,U2AF2调控circlasp1的生物发生。总的来说,这些发现表明circlasp1通过CCT2/GLI1/SNAIL轴促进BC进展和免疫抑制微环境,突出了其作为BC预后生物标志物和治疗靶点的潜力。
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引用次数: 0
Pharmacological inhibition of myostatin effectively ameliorates osteolytic lesions in syngeneic and xenograft breast cancer mouse models 肌生长抑制素的药理抑制有效地改善了同基因和异种移植乳腺癌小鼠模型的溶骨性病变。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-17 DOI: 10.1038/s41388-025-03622-7
Julia Reinhardt, Berno Dankbar, Fabienne Geers, Eugenie Werbenko, Christiane Geyer, Annalen Bleckmann, Kerstin Menck, Anne Grözinger, Wolfgang Hartmann, Joke Tio, Carsten Höltke, Anne Helfen, Andreas Lodberg, Rosa Al-Qasemi, Denise Beckmann, Sarah Bödecker, Simon Kleimann, Linda Wessendorf, Deniz Wawersig, Thomas Pap, Corinna Wehmeyer
Breast cancer (BC)-derived bone metastases colonize bone and drive severe bone degradation through complex interactions with bone-resorbing osteoclasts (OCs). Subsequent bone resorption liberates matrix-stored factors, such as TGF-β and calcium, which further stimulate tumor proliferation and exacerbate bone destruction. Myostatin (Mstn), a member of the TGF-β superfamily, is known to enhance OC differentiation and bone resorption in models of musculoskeletal disease; however, its role in BC-associated bone lesions and metastases remains unknown. Here, we demonstrate that bone metastases from BC patients express Mstn, predominantly localized at the osteoclast-rich bone–tumor interface. In vitro, both direct and indirect interactions between BC cells and OC precursors significantly increased OC formation and resorptive activity. Antibody-mediated blockade of Mstn attenuated these effects by inhibiting SMAD2 phosphorylation. In vivo, targeting Mstn in 4T1 and MDA-MB-231 murine models of BC-induced bone destruction resulted in elevated bone density, increased muscle mass, and reduced OC numbers compared to controls. Furthermore, anti-Mstn treatment decreased the burden of bone metastases in MDA-MB-231-bearing mice. Collectively, these findings identify Mstn as a previously unrecognized driver of BC-induced osteolysis and metastases, highlighting its potential as a therapeutic target in metastatic BC.
乳腺癌(BC)衍生的骨转移瘤定殖于骨,并通过与骨吸收破骨细胞(OCs)的复杂相互作用驱动严重的骨降解。随后的骨吸收释放基质储存因子,如TGF-β和钙,进一步刺激肿瘤增殖,加剧骨破坏。肌生长抑制素(Mstn)是TGF-β超家族的一员,已知在肌肉骨骼疾病模型中可增强OC分化和骨吸收;然而,其在bc相关骨病变和转移中的作用尚不清楚。在这里,我们证明来自BC患者的骨转移表达Mstn,主要定位于富含破骨细胞的骨肿瘤界面。在体外,BC细胞和OC前体之间的直接和间接相互作用都显著增加了OC的形成和吸收活性。抗体介导的Mstn阻断通过抑制SMAD2磷酸化减弱了这些作用。在体内,与对照组相比,在4T1和MDA-MB-231 bc诱导骨破坏的小鼠模型中靶向Mstn可导致骨密度升高,肌肉质量增加,OC数量减少。此外,抗mstn治疗降低了mda - mb -231小鼠骨转移负担。总的来说,这些发现确定了Mstn是一个以前未被认识的BC诱导的骨溶解和转移的驱动因素,突出了它作为转移性BC的治疗靶点的潜力。
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引用次数: 0
Hepatitis B virus X protein promotes the progression and immune escape of hepatocellular carcinoma by activating KLF16-C12orf49-PD-L1 axis 乙型肝炎病毒X蛋白通过激活KLF16-C12orf49-PD-L1轴促进肝细胞癌的进展和免疫逃逸。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-14 DOI: 10.1038/s41388-025-03625-4
Wenbiao Chen, Chenhong Lin, Luolin Wang, Zhichao Yu, Yuxiuxiu Xu, Minhai Zhang, Lisheng Wang, Jun Yao
Hepatocellular carcinoma (HCC) is a common and serious type of malignant tumor with an unfavorable prognosis, partly attributed to the prevalence of hepatitis B virus (HBV) infection. However, the molecular mechanism underlying HBV-HCC are not yet fully understood. Here, we found that Kruppel-like factor 16 (KLF16) was significantly upregulated in HBV-HCC and KLF16 knockdown suppressed the growth and metastasis of HBV-infected HCC cells. Hepatitis B virus X protein (HBx)-mediated N6-methyladenosine (m6A) modification of KLF16 mRNA promoted the binding of insulin-like growth factor 2 mRNA-binding protein 2 (IGF2BP2) and IGF2BP3, thereby enhancing the stability of KLF16 mRNA. Furthermore, KLF16 was found to promote the transcription of chromosome 12 open reading frame 49 (C12orf49), which in turn increased programmed death-ligand 1 (PD-L1) expression by competitively binding to speckle-type POZ protein (SPOP) and blocking SPOP-mediated ubiquitination and degradation of PD-L1. HBx contributed to immune escape in HBV-HCC through the KLF16-C12orf49-PD-L1 axis. Importantly, inhibiting KLF16 significantly improved the efficacy of anti-PD-L1 therapy in HBV-HCC. Collectively, our study reveals the newly identified HBx-KLF16-C12orf49-PD-L1 axis and its role in promoting growth and immune evasion in HBV-HCC, offering a promising target for clinical interventions in HBV-HCC treatment.
肝细胞癌(HCC)是一种常见且严重的恶性肿瘤,预后不良,部分归因于乙型肝炎病毒(HBV)感染的流行。然而,HBV-HCC的分子机制尚不完全清楚。本研究发现,Kruppel-like factor 16 (KLF16)在HBV-HCC中显著上调,敲低KLF16可抑制hbv感染的HCC细胞的生长和转移。乙型肝炎病毒X蛋白(HBx)介导的n6 -甲基腺苷(m6A)修饰KLF16 mRNA可促进胰岛素样生长因子2 mRNA结合蛋白2 (IGF2BP2)和IGF2BP3的结合,从而增强KLF16 mRNA的稳定性。此外,KLF16被发现促进12号染色体开放阅读框49 (C12orf49)的转录,进而通过竞争性结合斑点型POZ蛋白(SPOP)并阻断SPOP介导的泛素化和PD-L1降解,增加程序性死亡配体1 (PD-L1)的表达。HBx通过KLF16-C12orf49-PD-L1轴参与HBV-HCC的免疫逃逸。重要的是,抑制KLF16可显著提高抗pd - l1治疗HBV-HCC的疗效。总之,我们的研究揭示了新发现的HBx-KLF16-C12orf49-PD-L1轴及其在促进HBV-HCC生长和免疫逃避中的作用,为HBV-HCC治疗的临床干预提供了一个有希望的靶点。
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引用次数: 0
Chaperone-mediated autophagy controlling VEGFR1 degradation contributes cross talk between breast cancer cells and endothelial cells triggering tumorigenesis via the VEGF-VEGFR2 axis 伴侣介导的自噬控制VEGFR1降解,通过VEGF-VEGFR2轴促进乳腺癌细胞和内皮细胞之间的串扰,触发肿瘤发生。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-13 DOI: 10.1038/s41388-025-03619-2
Sha Chen, Li Xiang, Meng He, Qi Han, Yang Zhang, Mingzhen Yang, An Chen, Jiqin Lian, Shuhui Li
The reciprocal cross talk between breast cancer cells and the endothelial cells, through the secretion of growth factors, plays a vital role in angiogenesis and tumorigenesis. We previously demonstrated that chaperone-mediated autophagy (CMA) promotes breast cancer tumorigenesis. However, whether the cross talk between cancer cells with endothelial cells plays a role in CMA-mediated breast tumor tumorigenesis is unknown. We discovered that the conditioned medium (CM) from breast cancer cells with high CMA activity promoted tube formation of endothelial cells (ECs) via the VEGF-VEGFR2 axis. High CMA activity directly promoted angiogenesis of endothelial cells via the VEGF-VEGFR2 axis. The CM from ECs with high level CMA activity accelerated survival and migration of breast cancer cells in vitro via the VEGF-VEGFR2 axis. Co-injection of breast cancer cells mixed with ECs with high level CMA activity trigged angiogenesis and accelerated tumorigenesis in vivo. CMA activity and microvessel numbers were positively correlated with VEGF-VEGFR2 axis between paired breast tumor and normal adjacent tissue. CMA, a highly selective lysosome-dependent degradation process directly degrades VEGFR1 which can serve as a competitively regulatory factor for VEGFR2 regulating its signaling. Our study showed that the cross talk between breast cancer cells and endothelial cells induced by CMA -mediated degradation of VEGFR1 triggers angiogenesis and tumorigenesis via the VEGF-VEGFR2 axis.
乳腺癌细胞与内皮细胞通过分泌生长因子相互串扰,在血管生成和肿瘤发生中起着至关重要的作用。我们之前证明了伴侣介导的自噬(CMA)促进乳腺癌的肿瘤发生。然而,癌细胞与内皮细胞之间的串扰是否在cma介导的乳腺肿瘤发生中起作用尚不清楚。我们发现,来自具有高CMA活性的乳腺癌细胞的条件培养基(CM)通过VEGF-VEGFR2轴促进内皮细胞(ECs)的管状形成。高CMA活性通过VEGF-VEGFR2轴直接促进内皮细胞的血管生成。具有高水平CMA活性的ECs的CM通过VEGF-VEGFR2轴加速乳腺癌细胞的体外存活和迁移。将乳腺癌细胞与具有高水平CMA活性的ECs混合,在体内触发血管生成,加速肿瘤发生。配对乳腺肿瘤与正常邻近组织间CMA活性、微血管数量与VEGF-VEGFR2轴呈正相关。CMA是一种高度选择性的依赖溶酶体的降解过程,直接降解VEGFR1,可以作为VEGFR2调控其信号传导的竞争性调节因子。我们的研究表明,CMA介导的VEGFR1降解诱导乳腺癌细胞与内皮细胞之间的串扰通过VEGF-VEGFR2轴触发血管生成和肿瘤发生。
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引用次数: 0
Correction: Identification of a novel switch in the dominant forms of cell adhesion-mediated drug resistance in glioblastoma cells 更正:在胶质母细胞瘤细胞粘附介导的耐药的主要形式中发现了一种新的开关。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-12 DOI: 10.1038/s41388-025-03628-1
M. A. Westhoff, S. Zhou, M. G. Bachem, K. M. Debatin, S. Fulda
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引用次数: 0
BET proteins mediate survival mechanisms in human schwannoma model cells challenged with trametinib but not brigatinib BET蛋白介导舒美替尼而非布加替尼刺激的人神经鞘瘤模型细胞的存活机制。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-08 DOI: 10.1038/s41388-025-03617-4
Haley M. Hardin, Ethan W. Hass, Robert Allaway, Helen Morrison, Cristina Fernandez-Valle
NF2-related schwannomatosis (NF2-SWN) is a genetic predisposition to develop multiple schwannomas that cause serious neurological disabilities for which there are no approved drug therapies. We previously reported that the MEK inhibitor trametinib slowed schwannoma growth in two mouse models, however, ERK reactivation was observed. Pathway analysis of the proteome of trametinib-treated mouse schwannoma model cells predicted activation of BRD4. To elucidate the adaptive mechanisms contributing to cell survival, we studied the trametinib response in novel immortalized and non-immortalized human schwannoma model cells (MD-HSCs). MD-HSCs exposed to trametinib avoid cell death by upregulating expression of ECM and cell adhesion proteins resulting in an increase in cell size, stress fiber formation, and a switch from c-Jun to Krox20/Egr2 nuclear expression. We demonstrate that BET proteins mediate the survival response to trametinib in MD-HSCs. Preventing this epigenetic adaptation to trametinib with BET inhibitors induces schwannoma cell death. However, this response is not observed when BET inhibitors are combined with brigatinib, a multi-kinase inhibitor in clinical use. These findings highlight the complex cellular adaptations in schwannomas and suggest that targeting BET alongside MEK inhibition prevents resistance mechanisms and promotes cell death.
nf2相关神经鞘瘤病(NF2-SWN)是一种发生多发性神经鞘瘤的遗传易感性,可导致严重的神经功能障碍,目前尚无批准的药物治疗。我们之前报道了MEK抑制剂曲美替尼在两种小鼠模型中减缓了神经鞘瘤的生长,然而,观察到ERK再激活。曲美替尼处理的小鼠神经鞘瘤模型细胞的蛋白质组通路分析预测BRD4的激活。为了阐明促进细胞存活的适应性机制,我们研究了曲美替尼在新型永生化和非永生化人神经鞘瘤模型细胞(md - hsc)中的反应。暴露于曲美替尼的md - hsc通过上调ECM和细胞粘附蛋白的表达,从而避免细胞死亡,从而增加细胞大小,形成应激纤维,并从c-Jun转换为Krox20/Egr2核表达。我们证明BET蛋白介导了md - hsc对曲美替尼的生存反应。用BET抑制剂阻止这种对曲美替尼的表观遗传适应可诱导神经鞘瘤细胞死亡。然而,当BET抑制剂与临床使用的多激酶抑制剂布加替尼联合使用时,没有观察到这种反应。这些发现强调了神经鞘瘤中复杂的细胞适应性,并表明靶向BET和MEK抑制可以阻止耐药机制并促进细胞死亡。
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引用次数: 0
Regulation of ribosomal gene expression and senescence by a PML-mTOR-RONIN nuclear complex in triple-negative breast cancer 三阴性乳腺癌中PML-mTOR-RONIN核复合体对核糖体基因表达和衰老的调控。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-08 DOI: 10.1038/s41388-025-03623-6
Younes Medkour, Catherine Rosa Dufour, Lingwei Han, Phillipe Hutton, Mirna Farhat, Anthony Alfonso, Amandine Rambur, Mathieu Vernier, Vincent Giguère
Triple-negative breast cancer (TNBC) is the most aggressive form of breast cancer that is associated with poor prognosis and a high risk of relapse, with limited treatment options. While the induction of senescence, a state of arrested cell growth, is generally achieved by available anticancer treatments, senescence can adversely promote tumorigenesis through an upheld augmented inflammatory state called senescence-associated secretory phenotype (SASP). Thus, the precise delineation of underlying regulatory mechanisms governing senescence is urgently needed. Herein, we investigated the beneficial anticancer senescence response elicited by silencing the expression of the promyelocytic leukemia protein (PML) in TNBC, where it exerts an oncogenic role. Functional genomics studies implicated the downregulation of a specific set of ribosomal protein (RP) genes tied to poor clinical outcome. Re-introduction of RPL38 or RPL39L alone, but not RPS14, a favorable outcome-associated RP, was sufficient to block the senescence phenotype induced by PML knockdown. RP gene regulation by PML was found to involve the assembly of a previously unrecognized PML-mTOR-RONIN transcriptional complex at their promoters. Furthermore, we show that RONIN levels are elevated in TNBC and that RONIN silencing can recapitulate the senescent phenotype of PML-deficient cells. This work offers new therapeutic insights for TNBC that involve senescence-inducing therapies or senolytics.
三阴性乳腺癌(TNBC)是最具侵袭性的乳腺癌,预后差,复发风险高,治疗选择有限。虽然衰老(一种细胞生长停滞的状态)的诱导通常是通过现有的抗癌治疗来实现的,但衰老可以通过一种被称为衰老相关分泌表型(SASP)的持续增强炎症状态来不利地促进肿瘤的发生。因此,迫切需要精确描述控制衰老的潜在调节机制。在这里,我们研究了通过沉默TNBC中早幼粒细胞白血病蛋白(PML)的表达所引起的有益的抗癌衰老反应,PML在TNBC中发挥致癌作用。功能基因组学研究表明,一组特定核糖体蛋白(RP)基因的下调与临床预后不良有关。单独重新引入RPL38或RPL39L,而不是RPS14,一个有利的结果相关的RP,足以阻止PML敲低诱导的衰老表型。发现PML对RP基因的调控涉及先前未被识别的PML- mtor - ronin转录复合物在其启动子处的组装。此外,我们发现TNBC中RONIN水平升高,并且RONIN沉默可以重现pml缺陷细胞的衰老表型。这项工作为TNBC提供了新的治疗见解,包括衰老诱导疗法或抗衰老疗法。
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引用次数: 0
Clinical implications of whole genome sequencing in metastatic colorectal cancer 全基因组测序在转移性结直肠癌中的临床意义。
IF 7.3 1区 医学 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2025-11-07 DOI: 10.1038/s41388-025-03618-3
Lidwien P. Smabers, Hilde H. Nienhuis, Wendy W. J. de Leng, Paul Roepman, Ilcan Ö. A. Ciftcibasi, G. Emerens Wensink, Maarten A. Huismans, Liselot B. J. Valkenburg-van Iersel, Geert A. Cirkel, Elske C. Gootjes, Henk M. W. Verheul, Frank J. Jeurissen, Guus M. Bol, Onno Kranenburg, Miriam Koopman, Edwin Cuppen, Jeanine M. L. Roodhart
Whole genome sequencing (WGS) provides complete genetic information in one test, supporting the shift towards individualized metastatic colorectal cancer (mCRC) treatment. Although WGS is validated as a diagnostic test, the potential clinical implications for mCRC remain unknown. We evaluated the clinical consequences of WGS in 96 mCRC patients. Clinically actionable biomarkers were identified by a molecular biologist and medical oncologist, with added value defined as biomarkers undetected by standard diagnostics. We evaluated how these biomarkers informed treatment decisions. We used patient-derived organoids (PDOs) to test drug sensitivity to MET, MEK, and CDK4/6 inhibitors, translating genomic findings into functional evidence. WGS yields biomarkers with clinical implications in 81% of patients, with 49% (N = 47/96) identified by WGS that were not detected by guideline-based diagnostics, and 40% (N = 38/96) not detected by applied diagnostics. The proportion of patients receiving biomarker-based treatment has increased from 11% to at least 24% by WGS. PDOs with actionable biomarkers showed clear differential response to different biomarker-based treatments. WGS enables considerably more personalized therapeutic interventions and represents a promising approach in advancing precision oncology for mCRC patients. PDO pre-screening can refine therapy by identifying (in)effective treatments in a patient-specific context, to accelerate the development of personalized treatment.
全基因组测序(WGS)在一个测试中提供了完整的遗传信息,支持向个体化转移性结直肠癌(mCRC)治疗的转变。尽管WGS已被证实是一种诊断测试,但对mCRC的潜在临床意义尚不清楚。我们评估了96例mCRC患者WGS的临床结果。临床可操作的生物标志物由分子生物学家和医学肿瘤学家确定,附加价值定义为标准诊断无法检测到的生物标志物。我们评估了这些生物标志物如何为治疗决策提供信息。我们使用患者来源的类器官(PDOs)来测试对MET、MEK和CDK4/6抑制剂的药物敏感性,将基因组研究结果转化为功能证据。WGS在81%的患者中产生具有临床意义的生物标志物,其中49% (N = 47/96)被WGS确定为未被基于指南的诊断检测到,40% (N = 38/96)未被应用诊断检测到。通过WGS,接受基于生物标志物的治疗的患者比例从11%增加到至少24%。具有可操作生物标志物的pdo对不同的基于生物标志物的治疗表现出明显的差异反应。WGS能够实现更加个性化的治疗干预,代表了一种有前途的方法,可以推进mCRC患者的精确肿瘤学治疗。PDO预筛查可以通过在患者特定情况下确定有效的治疗方法来改进治疗,从而加速个性化治疗的发展。
{"title":"Clinical implications of whole genome sequencing in metastatic colorectal cancer","authors":"Lidwien P. Smabers, Hilde H. Nienhuis, Wendy W. J. de Leng, Paul Roepman, Ilcan Ö. A. Ciftcibasi, G. Emerens Wensink, Maarten A. Huismans, Liselot B. J. Valkenburg-van Iersel, Geert A. Cirkel, Elske C. Gootjes, Henk M. W. Verheul, Frank J. Jeurissen, Guus M. Bol, Onno Kranenburg, Miriam Koopman, Edwin Cuppen, Jeanine M. L. Roodhart","doi":"10.1038/s41388-025-03618-3","DOIUrl":"10.1038/s41388-025-03618-3","url":null,"abstract":"Whole genome sequencing (WGS) provides complete genetic information in one test, supporting the shift towards individualized metastatic colorectal cancer (mCRC) treatment. Although WGS is validated as a diagnostic test, the potential clinical implications for mCRC remain unknown. We evaluated the clinical consequences of WGS in 96 mCRC patients. Clinically actionable biomarkers were identified by a molecular biologist and medical oncologist, with added value defined as biomarkers undetected by standard diagnostics. We evaluated how these biomarkers informed treatment decisions. We used patient-derived organoids (PDOs) to test drug sensitivity to MET, MEK, and CDK4/6 inhibitors, translating genomic findings into functional evidence. WGS yields biomarkers with clinical implications in 81% of patients, with 49% (N = 47/96) identified by WGS that were not detected by guideline-based diagnostics, and 40% (N = 38/96) not detected by applied diagnostics. The proportion of patients receiving biomarker-based treatment has increased from 11% to at least 24% by WGS. PDOs with actionable biomarkers showed clear differential response to different biomarker-based treatments. WGS enables considerably more personalized therapeutic interventions and represents a promising approach in advancing precision oncology for mCRC patients. PDO pre-screening can refine therapy by identifying (in)effective treatments in a patient-specific context, to accelerate the development of personalized treatment.","PeriodicalId":19524,"journal":{"name":"Oncogene","volume":"44 48","pages":"4686-4698"},"PeriodicalIF":7.3,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145471758","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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