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Performance of the VENTANA FOLR1 Assay for folate receptor alpha: Real-world evidence from 313 Chinese participants VENTANA FOLR1测定叶酸受体α的性能:来自313名中国参与者的真实证据
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-06 DOI: 10.1016/j.prp.2026.156359
Xiaoyan Chen , Li Jiang , Liangyan Ruan , Teng Yu , Weiwei Rui , Yue Fan , Huafeng Wang , He Jiang , Chaofu Wang
Folate receptor-α is an ideal precision therapy target of ovarian cancer. The standardization of FRα assay and interpretative criteria is essential for ensuring diagnostic consistency and enhancing clinical efficacy in therapeutic applications. This study aims to analytically verify and evaluate the clinical performance of the VENTANA FOLR1 Assay. This real-world study of Chinese patients analyzed FRα expression using the VENTANA FOLR1 RxDx assay in 313 samples from diverse anatomical sites. Inter- and intra-observer agreement in FRα scoring was evaluated, and correlations between FRα positivity and clinicopathological parameters were examined. Three pathologists demonstrated excellent inter- and intra-observer agreement (> 97 %) in FOLR1 interpretation. 40.9 % of cases showed high FRα expression, with a significantly higher positivity rate in high-grade serous carcinoma among the Chinese cohort. Primary tumors exhibited higher FRα positivity than metastatic lesions (44.2 % vs 32.2 %, p = 0.04). Chemotherapy exposure did not significantly alter FRα positivity across ovarian, fallopian tube, and primary peritoneal cancers, remained comparable to that of the overall cohort (41.2 % vs 40.9 %). Excision/resection samples were identified as optimal for FRα assessment. Our findings demonstrate the high reliability of the VENTANA FOLR1 Assay in Chinese clinical settings. Additionally, we conducted a systematic investigation into the associations between FRα expression and clinicopathological characteristics, highlighting its capacity to reflect FRα heterogeneity, maintain stability in post-chemotherapy FRα expression across various tumor types, and achieve robust performance in excision/resection samples. These findings underscore the value of standardizing FRα testing to improve patient selection for FRα-targeted MIRV therapies in China.
叶酸受体-α是卵巢癌理想的精准治疗靶点。FRα测定和解释标准的标准化对于确保诊断一致性和提高治疗应用的临床疗效至关重要。本研究旨在分析验证和评估VENTANA FOLR1检测的临床性能。这项真实世界的中国患者研究使用VENTANA FOLR1 RxDx分析了来自不同解剖部位的313个样本的FRα表达。评估了观察者之间和观察者内部对FRα评分的一致性,并检查了FRα阳性与临床病理参数之间的相关性。三名病理学家在解释FOLR1时表现出出色的观察者之间和观察者内部的一致性(> 97% %)。40.9 %的病例显示高FRα表达,在中国队列中,高级别浆液性癌的阳性率明显更高。原发肿瘤比转移性病变表现出更高的FRα阳性(44.2% % vs 32.2% %,p = 0.04)。化疗暴露并没有显著改变卵巢癌、输卵管癌和原发性腹膜癌的FRα阳性,与整体队列相当(41.2 % vs 40.9 %)。切除/切除样本被认为是评估FRα的最佳方法。我们的研究结果证明了VENTANA FOLR1检测在中国临床环境中的高可靠性。此外,我们对FRα表达与临床病理特征之间的关系进行了系统调查,强调了其反映FRα异质性的能力,在各种肿瘤类型中保持化疗后FRα表达的稳定性,并在切除/切除样本中取得了良好的表现。这些发现强调了标准化FRα检测的价值,以改善中国患者对FRα靶向MIRV治疗的选择。
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引用次数: 0
DDB2 promotes epithelial-mesenchymal transition through activating NF-κB pathway in glioma DDB2通过激活NF-κB通路促进胶质瘤上皮-间质转化
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.prp.2026.156368
Jiuru Guo , Wenjian Zhao , Yaqin Hu , Chenchen Zhou , Haiyan Cao , Guolian Xue , Yueyang Mou , Zhicheng Fan , Yunpeng Kou , Peigang Ji , Min Chao , Liang Wang
Glioblastoma (GBM), the most prevalent primary brain tumor, is characterized by rapid proliferation, invasive growth patterns, and poor clinical outcomes. This study investigates the expression and clinical significance of DNA damage-binding protein 2(DDB2) in GBM, aiming to identify potential prognostic biomarkers and therapeutic targets. In this study, we demonstrated that DDB2 expression was negatively associated with patient prognosis in GBM patients. DDB2 knockdown inhibited the proliferation, invasion, and migration capacity of U87 and LN229 cells. In vivo, DDB2 knockdown inhibited the growth of xenograft tumors derived from inoculated GBM cells. DDB2 knockdown inhibited epithelial-mesenchymal transition (EMT) in U87 and LN229 cells. Mechanistically, DDB2 down-regulation led to the inhibition of nuclear translocation of P65 subunit, which inhibited the activation of nuclear factor kappa-light-chain-enhancer of activated B cells (NF-κB) signaling pathway and resulted in the reduced expression of EMT-related transcription factors. Taken together, the present study demonstrates that DDB2 promotes EMT by activating the NF-κB pathway in GBM. These findings provide new insights into the role of DDB2 in GBM, suggesting that DDB2 could serve as a potential therapeutic target and prognostic marker for this malignancy.
胶质母细胞瘤(GBM)是最常见的原发性脑肿瘤,其特点是快速增殖、侵袭性生长模式和临床预后差。本研究探讨DNA损伤结合蛋白2(DNA damage-binding protein 2, DDB2)在GBM中的表达及其临床意义,旨在寻找潜在的预后生物标志物和治疗靶点。在本研究中,我们证明了DDB2的表达与GBM患者的预后呈负相关。DDB2敲低抑制了U87和LN229细胞的增殖、侵袭和迁移能力。在体内,DDB2敲低抑制了由接种的GBM细胞衍生的异种移植肿瘤的生长。DDB2敲低抑制了U87和LN229细胞的上皮-间质转化(EMT)。机制上,DDB2下调导致P65亚基核易位抑制,从而抑制活化B细胞核因子κB轻链增强子(NF-κB)信号通路的激活,导致emt相关转录因子的表达减少。综上所述,本研究表明DDB2通过激活GBM中的NF-κB通路来促进EMT。这些发现为DDB2在GBM中的作用提供了新的见解,表明DDB2可以作为这种恶性肿瘤的潜在治疗靶点和预后标志物。
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引用次数: 0
H3K18 lactylation promotes POM121 transcription and accelerates gastric cancer progression via the PI3K/AKT pathway. H3K18乳酸化通过PI3K/AKT通路促进POM121转录并加速胃癌进展。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 DOI: 10.1016/j.prp.2026.156427
Erli Wang, Yi Jia, Lan Shen, Kaiqing Guo, Zongliang Guo, Haoruo Zhang

Background: Gastric cancer (GC) is a common and lethal malignancy of the digestive system. Histone lactylation, a modification linked to metabolic stress, plays a critical role in tumor initiation and progression. However, the specific contribution of histone lactylation, particularly at the H3K18 site (H3K18la), to GC progression remains poorly understood.

Methods: Twenty paired GC and adjacent non-cancerous tissue samples were collected. The expression levels of pan lactylation (Kla) and H3K18la were detected in GC tissues and cells by Western blot. LDHA and LDHB were silenced to reduce H3K18la levels in GC cells. Cell proliferation, migration, invasion, and apoptosis were assessed using CCK-8, colony formation, wound healing, Transwell, and flow cytometry assays. Xenograft tumor models (n = 6 per group) were established to evaluate in vivo tumor growth. Chromatin immunoprecipitation (ChIP) and dual-luciferase reporter assays were performed to investigate the regulatory mechanism of H3K18la on POM121 transcription. KEGG pathway analysis and rescue experiments were conducted to explore downstream signaling pathways.

Results: Elevated levels of Kla and H3K18la were observed in GC tissues and cells. Decreased expression of H3K18la by silencing LDHA and LDHB suppressed cell proliferation and metastasis while promoting apoptosis both in vitro and in vivo. Mechanistically, H3K18la enrichment at the POM121 promoter region was associated with enhanced transcription. POM121 overexpression reversed the inhibitory effects of H3K18la reduction on GC cell malignant behaviors. Furthermore, POM121 activated the PI3K/AKT signaling pathway, and inhibition of this pathway by LY294002 attenuated the oncogenic effects of POM121 overexpression.

Conclusions: H3K18la enhances the malignant behavior of GC cells through activation of the POM121/PI3K/AKT pathway. These findings provide new insights into the role of histone lactylation in GC progression and suggest that targeting the H3K18la-POM121-PI3K/AKT axis may represent a potential therapeutic avenue worthy of further investigation.

背景:胃癌是一种常见的、致死性的消化系统恶性肿瘤。组蛋白乳酸化是一种与代谢应激相关的修饰,在肿瘤的发生和发展中起着关键作用。然而,组蛋白乳酸化的具体作用,特别是在H3K18位点(H3K18la),对GC的进展仍然知之甚少。方法:采集20例配对的胃癌及癌旁非癌组织标本。Western blot检测GC组织和细胞中泛乳酸化(pan - lactyylation, Kla)和H3K18la的表达水平。LDHA和LDHB被沉默以降低GC细胞中的H3K18la水平。使用CCK-8、菌落形成、伤口愈合、Transwell和流式细胞术检测评估细胞增殖、迁移、侵袭和凋亡。建立异种移植肿瘤模型(n = /组),评估肿瘤在体内的生长情况。采用染色质免疫沉淀(ChIP)和双荧光素酶报告基因法研究H3K18la对POM121转录的调控机制。通过KEGG通路分析和救援实验探索下游信号通路。结果:GC组织和细胞中Kla和H3K18la水平升高。通过沉默LDHA和LDHB来降低H3K18la的表达,在体外和体内均可抑制细胞增殖和转移,促进细胞凋亡。从机制上讲,POM121启动子区域的H3K18la富集与转录增强有关。POM121过表达逆转了H3K18la减少对GC细胞恶性行为的抑制作用。此外,POM121激活了PI3K/AKT信号通路,LY294002抑制该通路可减弱POM121过表达的致癌作用。结论:H3K18la通过激活POM121/PI3K/AKT通路增强GC细胞的恶性行为。这些发现为组蛋白乳酸化在GC进展中的作用提供了新的见解,并表明靶向H3K18la-POM121-PI3K/AKT轴可能是一种值得进一步研究的潜在治疗途径。
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引用次数: 0
Indomethacin alleviates acute pancreatitis by restoring autophagic flux via the AMPK signaling pathway 吲哚美辛通过AMPK信号通路恢复自噬通量减轻急性胰腺炎
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.prp.2026.156377
Lijun Lou , Jing Li , Yan Li , Jiaming Feng , Jun Yu , Zeyu Wang , Chao Zhang , Liyu Chen , Yuanhang Zhao , Yongzhan Nie , Liyan Li , Yanglin Pan
Acute pancreatitis (AP) remains a significant clinical challenge lacking early, targeted pharmacological interventions to prevent disease progression. Dysfunctional autophagy is a central pathogenic mechanism in AP. While indomethacin (IND), a nonsteroidal anti-inflammatory drug, is known to prevent post-ERCP pancreatitis, its broader therapeutic potential and underlying mechanisms in other forms of AP are unclear. Emerging evidence suggests that IND has the potential to activate autophagy. This study aimed to investigate whether IND protects against AP by regulating autophagy. We established cerulein (CER)-induced AP models both in vivo and in AR42J cells to evaluate the protective effects of IND. Transcriptomic and pathway analyses were conducted to identify underlying signaling mechanisms. Our results demonstrate that IND alleviated CER-induced pancreatic injury, as indicated by improved histopathological scores, reduced serum amylase and lipase levels, diminished inflammatory cell infiltration, and attenuated acinar cell cytotoxicity. Mechanistically, transcriptomic and experimental data revealed that IND restored autophagy via activation of the AMP-activated protein kinase (AMPK) signaling pathway. Critically, the protective effects of IND were abolished by either the autophagy inhibitor chloroquine or the AMPK inhibitor Compound C (CC). In conclusion, our findings suggest that IND may serve as a promising therapeutic candidate for the treatment of AP.
急性胰腺炎(AP)仍然是一个重大的临床挑战,缺乏早期,有针对性的药物干预来预防疾病进展。功能失调的自噬是AP的主要致病机制。虽然吲哚美辛(IND)是一种非甾体抗炎药,已知可预防ercp后胰腺炎,但其在其他形式AP中更广泛的治疗潜力和潜在机制尚不清楚。新出现的证据表明IND具有激活自噬的潜力。本研究旨在探讨IND是否通过调节自噬来保护AP。我们在体内和AR42J细胞中建立了cerulein (CER)诱导的AP模型,以评估IND的保护作用,并进行转录组学和途径分析以确定潜在的信号机制。我们的研究结果表明,IND减轻了er诱导的胰腺损伤,如改善组织病理学评分、降低血清淀粉酶和脂肪酶水平、减少炎症细胞浸润和减弱腺泡细胞毒性。从机制上讲,转录组学和实验数据显示,IND通过激活amp激活的蛋白激酶(AMPK)信号通路来恢复自噬。关键是,IND的保护作用被自噬抑制剂氯喹或AMPK抑制剂化合物C (CC)所消除。总之,我们的研究结果表明IND可能是治疗AP的一种有希望的治疗候选药物。
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引用次数: 0
Renal cell carcinoma with biphasic morphology: A cohort showing similar morphology but distinct clinicopathological and molecular features 肾细胞癌双相形态:一组表现出相似形态但不同临床病理和分子特征的患者
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-11 DOI: 10.1016/j.prp.2026.156360
Ye Liao , Xin Wang , Zhenhua Zhang , Xinyi Shen , Peng Su , Daochen Chong , Yanxia Jiang , Yujun Li , Wei Zhang , Wenjuan Yu
<div><div>Biphasic morphology, characterized by small cells clustered around basement membrane material, is a distinctive feature of <em>TFEB</em>-rearranged renal cell carcinoma (RCC). However, other RCC subtypes may exhibit similar histological characteristics. Clinicopathological data from 12 cases of RCC with biphasic morphology—including four cases of <em>TFEB</em>-rearranged RCC, four cases of <em>TFE3</em>-rearranged RCC, and four cases of chromophobe RCC (ChRCC)—were collected. Most of the 12 patients survived without complications, except for one patient with ChRCC who died accidentally 25 months after surgery. Microscopically, all 12 tumors showed varying proportions of biphasic morphology, comprising clear or eosinophilic large cells arranged in nests, glandular, or papillary structures, and clustered small cells forming pseudorosette structures around basement membrane-like deposits. Large pale cells with clear to foamy cytoplasm were observed in the four ChRCC tumors. IHC revealed consistent nuclear and cytoplasmic expression of TFEB in all four cases of <em>TFEB</em>-rearranged RCC and diffuse nuclear positivity of TFE3 in <em>TFE3</em>-rearranged RCC. Cathepsin K and GPNMB were expressed in most <em>TFEB</em>- and <em>TFE3</em>-rearranged RCCs, whereas the melanocytic markers Melan A and HMB45 were expressed to varying degrees. Additionally, PD-L1 (22C3) was expressed with a high CPS of approximately 90 in two cases of <em>TFEB</em>-rearranged RCC. CK7, CD117, and Ksp-cad were expressed in both large and small cells in the four cases of ChRCC. FISH identified TFEB rearrangement in all four cases of <em>TFEB</em>-rearranged RCC and TFE3 rearrangement in all four cases of <em>TFE3</em>-rearranged RCC. RNA sequencing and whole-exome sequencing revealed <em>TFEB</em>–<em>MALAT1</em> fusion in all four cases of <em>TFEB</em>-rearranged RCC. <em>TFE3</em>–<em>SFPQ</em> fusion was detected in two cases, and <em>TFE3</em>–<em>MED15</em> fusion in the other two <em>TFE3</em>-rearranged RCC cases. PD-L1 (22C3) expression was detected in three cases of <em>TFE3</em>-rearranged RCC, two <em>TFE3</em>-<em>MED15</em> fusion subtype showed a CPS of approximately 30 and 20, whereas one <em>TFE3</em>-<em>SFPQ</em> fusion subtype showed a CPS of approximately 5. Additionally, in the four ChRCC cases, multiple segments of chromosomes 1, 2, 6, 8, 9, 10, and 17 were either lost or amplified. The biphasic structure with small cell components in RCC is observed in <em>TFEB</em>-rearranged RCC and in <em>TFE3</em>-rearranged RCC and ChRCC, which may be prone to misdiagnosis based solely on morphology. Patients with <em>TFEB</em>- and <em>TFE3</em>-rearranged RCCs exhibiting small cell components tend to be younger and have more favorable prognoses. The <em>TFE3</em>–<em>MED15</em> gene fusion in RCC with a biphasic structure containing small cell components has been reported here for the first time. Genetic alterations in ChRCC with small cell components
双相形态,以小细胞聚集在基底膜材料周围为特征,是tfeb重排肾细胞癌(RCC)的一个显著特征。然而,其他RCC亚型可能表现出类似的组织学特征。收集了12例双相形态RCC的临床病理资料,包括4例tfe2重排RCC、4例tfe3重排RCC和4例ChRCC。除了一名ChRCC患者在手术后25个月意外死亡外,12名患者中大多数没有并发症。显微镜下,所有12个肿瘤均呈现不同比例的双相形态,包括透明或嗜酸性大细胞排列成巢状、腺状或乳头状结构,以及聚集的小细胞在基底膜样沉积物周围形成假簇状结构。在4例ChRCC肿瘤中可见大而苍白的细胞,胞浆透明至泡沫状。免疫组化结果显示,4例TFE3重排RCC中TFEB的核表达和细胞质表达一致,TFE3重排RCC中TFE3弥漫性核阳性。在大多数TFEB-和tfe3重排的rcc中表达了Cathepsin K和GPNMB,而黑色素细胞标记物Melan A和HMB45则不同程度地表达。此外,PD-L1 (22C3)在2例tfeb重排的RCC中表达,CPS约为90。在4例ChRCC中,CK7、CD117和Ksp-cad在大细胞和小细胞中均有表达。FISH在所有4例TFE3重排的RCC中发现TFEB重排,在所有4例TFE3重排的RCC中发现TFE3重排。RNA测序和全外显子组测序显示,在所有4例tfeb重排的RCC中,TFEB-MALAT1融合。2例检测到TFE3-SFPQ融合,另外2例tfe3重排RCC病例检测到TFE3-MED15融合。在3例tfe3重排RCC中检测到PD-L1 (22C3)表达,两种TFE3-MED15融合亚型的CPS分别约为30和20,而一种TFE3-SFPQ融合亚型的CPS约为5。此外,在4例ChRCC病例中,染色体1、2、6、8、9、10和17的多个片段缺失或扩增。在tfe2重排的RCC和tfe3重排的RCC和ChRCC中观察到小细胞成分的双相结构,仅根据形态学容易误诊。TFEB-和tfe3重排的rcc表现出小细胞成分的患者往往更年轻,预后更好。本文首次报道了TFE3-MED15基因在含有小细胞成分的双相结构的RCC中的融合。具有小细胞成分的ChRCC的遗传改变与经典ChRCC相似,表明小细胞成分仅代表组织学变异而不具有预后意义。一部分tfeb重排的RCC可能表现出较高的PD-L1表达水平和对免疫治疗的良好反应。在tfe3重排的RCC中,融合基因可能影响形态或PD-L1的表达,从而可能影响免疫治疗的效果。结合组织形态、免疫表型和基因改变的评估可以促进RCC的精确病理诊断,支持个性化的靶向治疗和预后评估。
{"title":"Renal cell carcinoma with biphasic morphology: A cohort showing similar morphology but distinct clinicopathological and molecular features","authors":"Ye Liao ,&nbsp;Xin Wang ,&nbsp;Zhenhua Zhang ,&nbsp;Xinyi Shen ,&nbsp;Peng Su ,&nbsp;Daochen Chong ,&nbsp;Yanxia Jiang ,&nbsp;Yujun Li ,&nbsp;Wei Zhang ,&nbsp;Wenjuan Yu","doi":"10.1016/j.prp.2026.156360","DOIUrl":"10.1016/j.prp.2026.156360","url":null,"abstract":"&lt;div&gt;&lt;div&gt;Biphasic morphology, characterized by small cells clustered around basement membrane material, is a distinctive feature of &lt;em&gt;TFEB&lt;/em&gt;-rearranged renal cell carcinoma (RCC). However, other RCC subtypes may exhibit similar histological characteristics. Clinicopathological data from 12 cases of RCC with biphasic morphology—including four cases of &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC, four cases of &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC, and four cases of chromophobe RCC (ChRCC)—were collected. Most of the 12 patients survived without complications, except for one patient with ChRCC who died accidentally 25 months after surgery. Microscopically, all 12 tumors showed varying proportions of biphasic morphology, comprising clear or eosinophilic large cells arranged in nests, glandular, or papillary structures, and clustered small cells forming pseudorosette structures around basement membrane-like deposits. Large pale cells with clear to foamy cytoplasm were observed in the four ChRCC tumors. IHC revealed consistent nuclear and cytoplasmic expression of TFEB in all four cases of &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC and diffuse nuclear positivity of TFE3 in &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC. Cathepsin K and GPNMB were expressed in most &lt;em&gt;TFEB&lt;/em&gt;- and &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCCs, whereas the melanocytic markers Melan A and HMB45 were expressed to varying degrees. Additionally, PD-L1 (22C3) was expressed with a high CPS of approximately 90 in two cases of &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC. CK7, CD117, and Ksp-cad were expressed in both large and small cells in the four cases of ChRCC. FISH identified TFEB rearrangement in all four cases of &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC and TFE3 rearrangement in all four cases of &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC. RNA sequencing and whole-exome sequencing revealed &lt;em&gt;TFEB&lt;/em&gt;–&lt;em&gt;MALAT1&lt;/em&gt; fusion in all four cases of &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC. &lt;em&gt;TFE3&lt;/em&gt;–&lt;em&gt;SFPQ&lt;/em&gt; fusion was detected in two cases, and &lt;em&gt;TFE3&lt;/em&gt;–&lt;em&gt;MED15&lt;/em&gt; fusion in the other two &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC cases. PD-L1 (22C3) expression was detected in three cases of &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC, two &lt;em&gt;TFE3&lt;/em&gt;-&lt;em&gt;MED15&lt;/em&gt; fusion subtype showed a CPS of approximately 30 and 20, whereas one &lt;em&gt;TFE3&lt;/em&gt;-&lt;em&gt;SFPQ&lt;/em&gt; fusion subtype showed a CPS of approximately 5. Additionally, in the four ChRCC cases, multiple segments of chromosomes 1, 2, 6, 8, 9, 10, and 17 were either lost or amplified. The biphasic structure with small cell components in RCC is observed in &lt;em&gt;TFEB&lt;/em&gt;-rearranged RCC and in &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCC and ChRCC, which may be prone to misdiagnosis based solely on morphology. Patients with &lt;em&gt;TFEB&lt;/em&gt;- and &lt;em&gt;TFE3&lt;/em&gt;-rearranged RCCs exhibiting small cell components tend to be younger and have more favorable prognoses. The &lt;em&gt;TFE3&lt;/em&gt;–&lt;em&gt;MED15&lt;/em&gt; gene fusion in RCC with a biphasic structure containing small cell components has been reported here for the first time. Genetic alterations in ChRCC with small cell components ","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"279 ","pages":"Article 156360"},"PeriodicalIF":3.2,"publicationDate":"2026-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145980040","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
UBR5, a potential diagnostic and prognostic biomarker induces osteosarcoma progression UBR5是一种潜在的诊断和预后生物标志物,可诱导骨肉瘤进展
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-12 DOI: 10.1016/j.prp.2026.156361
Mufan Li , Jie Liang , Xia Jiang , Meiling Zheng , Yao Liu , Hua Jiang , Hanan Long , Vincent Kam Wai Wong , Junjiang Fu

Background

Ubiquitin protein ligase E3 component n-recognin 5 (UBR5) locates on chromosome 8q22, a region that commonly disrupted in a variety of cancers. Emerging evidence suggests UBR5 is involved in cancer progression, yet its oncogenic and prognostic roles, especially in osteosarcoma, remain poorly defined.

Methods

TCGA, GTEx, and GEO databases were integrated to analyze the expression level, and prognostic and diagnostic value of UBR5 across cancers. UBR5 genetic alterations and protein interactions were assessed using cBioPortal and GeneMANIA. UBR5 expression in osteosarcoma samples was validated by immunohistochemistry, Western blotting, and immunofluorescence staining. Functional assays, including gain- and loss-of-function experiments, CCK-8, colony formation, and transwell assays were used to evaluate the role of UBR5 in osteosarcoma cell lines. Additionally, the impact of Ubr5 knockdown on tumor growth was assessed in a mouse syngeneic transplant model.

Results

UBR5 expression was significantly elevated in osteosarcoma and various cancers, and its upregulation was strongly associated with poor prognosis. Furthermore, UBR5 exhibited high diagnostic accuracy in distinguishing cancer from normal tissues. Genomic analysis revealed frequent UBR5 alterations correlated with poor overall survival (OS). Protein interaction analysis showed UBR5’s association with chromatin assembly and histone modification. Knockdown of UBR5 inhibited proliferation, migration, invasion of osteosarcoma cell lines, while its overexpression promoted these malignant phenotypes in vitro. Moreover, knockdown of Ubr5 suppressed tumor growth in vivo.

Conclusion

This study identifies UBR5 as a key driver of osteosarcoma progression and a promising diagnostic and prognostic biomarker across cancers, highlighting its potential as a biomarker and therapeutic target.
dubiquitin蛋白连接酶E3组分n-识别蛋白5 (UBR5)位于染色体8q22上,该区域在各种癌症中通常被破坏。新出现的证据表明,UBR5参与了癌症的进展,但其致癌和预后作用,特别是在骨肉瘤中的作用仍不明确。方法整合stcga、GTEx和GEO数据库,分析UBR5在肿瘤中的表达水平、预后和诊断价值。使用cbiopportal和GeneMANIA评估UBR5基因改变和蛋白相互作用。通过免疫组织化学、Western blotting和免疫荧光染色验证UBR5在骨肉瘤样品中的表达。功能测定,包括功能获得和功能丧失实验、CCK-8、菌落形成和transwell测定,用于评估UBR5在骨肉瘤细胞系中的作用。此外,在小鼠同基因移植模型中评估了Ubr5敲低对肿瘤生长的影响。结果在骨肉瘤和各种癌症中,tsubr5的表达均显著升高,且其表达上调与预后不良密切相关。此外,UBR5在区分癌症和正常组织方面表现出很高的诊断准确性。基因组分析显示,频繁的UBR5改变与较差的总生存期(OS)相关。蛋白相互作用分析显示UBR5与染色质组装和组蛋白修饰有关。UBR5敲低可抑制骨肉瘤细胞系的增殖、迁移和侵袭,而其过表达可促进骨肉瘤细胞系的恶性表型。此外,在体内,敲低Ubr5抑制肿瘤生长。本研究确定UBR5是骨肉瘤进展的关键驱动因素,也是一种有前景的癌症诊断和预后生物标志物,突出了其作为生物标志物和治疗靶点的潜力。
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引用次数: 0
TCN1 knockdown inhibits the progression and glycolysis of non-small cell lung cancer via regulating B3GNT3 TCN1敲低通过调节B3GNT3抑制非小细胞肺癌的进展和糖酵解
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-20 DOI: 10.1016/j.prp.2026.156376
Hui Zhou , Yayun Cui , Lailing Li
Non-small cell lung cancer (NSCLC) is the leading cause of cancer-related mortality globally. Transcobalamin 1 (TCN1) is a driver associated with the progression of various cancers. However, the role of TCN1 in NSCLC remains elusive. The current research aimed to disclose the biological function and regulatory mechanisms of TCN1 in NSCLC. The expression pattern of TCN1 in NSCLC was first identified via qRT-PCR and western blotting. Functional assays including CCK-8, Transwell, Epithelial-mesenchymal transition (EMT), and glycolysis detection were performed to evaluate the effects of TCN1 on the malignant phenotype of NSCLC cells. Then LinkedOmics database and KEGG pathway analysis were employed to explore TCN1-mediated molecular pathways. Finally, the rescue tests were conducted to validated the underlying molecular mechanisms. Here, we observed that TCN1 was apparently overexpressed in NSCLC and predicted poor prognosis. TCN1 knockdown restrained the proliferation, metastasis, EMT, and glycolysis of NSCLC cells. Mechanism studies demonstrated that TCN1 positively regulated B3GNT3 level via activating the EGFR pathway. Knockdown of B3GNT3 also suppressed the malignant progression and glycolysis of NSCLC cells, and its overexpression partially rescued the effects of TCN1 knockdown. In vivo experiments presented that TCN1 knockdown attenuated tumor growth in the xenograft mouse model and downregulated B3GNT3 expression. Collectively, TCN1 overexpression aggravated NSCLC progression by regulating the expression of B3GNT3. The TCN1-B3GNT3 axis served a key part in the growth, migration, invasion, and glycolysis of NSCLC cells, making it a potential therapeutic target for NSCLC treatment.
非小细胞肺癌(NSCLC)是全球癌症相关死亡的主要原因。转钴胺素1 (TCN1)是多种癌症进展相关的驱动因子。然而,TCN1在非小细胞肺癌中的作用尚不明确。本研究旨在揭示TCN1在非小细胞肺癌中的生物学功能和调控机制。首先通过qRT-PCR和western blotting鉴定TCN1在NSCLC中的表达模式。通过CCK-8、Transwell、上皮-间质转化(Epithelial-mesenchymal transition, EMT)和糖酵解检测等功能检测来评估TCN1对NSCLC细胞恶性表型的影响。然后利用LinkedOmics数据库和KEGG通路分析探索tcn1介导的分子通路。最后,进行了救援试验,以验证潜在的分子机制。在这里,我们观察到TCN1在NSCLC中明显过表达,并预示着不良预后。TCN1敲低抑制NSCLC细胞的增殖、转移、EMT和糖酵解。机制研究表明,TCN1通过激活EGFR通路正向调节B3GNT3水平。B3GNT3的下调也抑制了NSCLC细胞的恶性进展和糖酵解,其过表达部分地挽救了TCN1下调的作用。体内实验表明,TCN1敲低可减弱异种移植小鼠模型中的肿瘤生长,并下调B3GNT3的表达。总的来说,TCN1过表达通过调节B3GNT3的表达而加剧了NSCLC的进展。TCN1-B3GNT3轴在非小细胞肺癌细胞的生长、迁移、侵袭和糖酵解过程中起关键作用,是治疗非小细胞肺癌的潜在靶点。
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引用次数: 0
Anisodine hydrobromide inhibits inflammation and metabolic reprogramming to alleviate the inflammatory response in an acute cerebral infarction model 氢溴化山莨菪抑制炎症和代谢重编程以减轻急性脑梗死模型中的炎症反应
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-22 DOI: 10.1016/j.prp.2026.156374
Chenyan Sui , Zhixuan Zhang , Xin Huang , Likun Han , Changyan Fan , Su Peng , Jun Zhu , Jialong Sun , Jianwei Li , Wang Xiao , Xiaoyan Wang , Xiaodong Zhang , Lingling Hu , Xin Gu
Acute ischemic stroke (AIS), a primary cause of global mortality and disability, involves the sudden interruption of cerebral blood flow, leading to significant neurological impairment. Inflammation plays a critical role in exacerbating brain damage following stroke, making effective anti-inflammatory treatments essential. This study explored the therapeutic potential of anisodine hydrobromide (Ani), a traditional Chinese medicine, in modulating inflammatory responses and glycolysis in the lymphocytes of AIS patients. We evaluated the impact of Ani on peripheral blood mononuclear cells (PBMCs) and purified Treg cells from these patients. Our findings indicated that Ani significantly increased the proportion of Treg cells and upregulated Foxp3 expression, suggesting enhanced anti-inflammatory effects. Ani also reduced the levels of proinflammatory cytokines and inhibited NLRP3 inflammasome activation in T cells. Additionally, Ani influenced glycolysis by downregulating the expression of key glycolytic enzymes, PKM2 and LDHA, through its effects on DNA methylation. Chromatin immunoprecipitation and molecular docking studies revealed that Ani interacts with DNMT1, modifying DNA methylation patterns and increasing 5hmC levels at the promoters of PKM2 and LDHA. These results indicate that Ani exerts neuroprotective effects by modulating both inflammatory and metabolic pathways, suggesting a promising avenue for AIS therapy. Further clinical validation and exploration of the therapeutic efficacy of Ani are warranted to confirm its potential as a treatment for AIS.
急性缺血性中风(AIS)是全球死亡和残疾的主要原因,涉及脑血流的突然中断,导致严重的神经损伤。炎症在中风后加剧脑损伤中起着关键作用,因此有效的抗炎治疗至关重要。本研究探讨了中药氢溴化山莨菪碱(Ani)在调节AIS患者淋巴细胞炎症反应和糖酵解方面的治疗潜力。我们评估了Ani对外周血单个核细胞(PBMCs)的影响,并从这些患者中纯化了Treg细胞。我们的研究结果表明,Ani显著增加Treg细胞的比例,上调Foxp3的表达,表明抗炎作用增强。Ani还降低了促炎细胞因子的水平,抑制了T细胞中NLRP3炎性体的激活。此外,Ani通过对DNA甲基化的影响,下调关键糖酵解酶PKM2和LDHA的表达,从而影响糖酵解。染色质免疫沉淀和分子对接研究表明,Ani与DNMT1相互作用,改变DNA甲基化模式,增加PKM2和LDHA启动子上的5hmC水平。这些结果表明,Ani通过调节炎症和代谢途径发挥神经保护作用,为AIS治疗提供了一条有希望的途径。进一步的临床验证和探索Ani的治疗效果是必要的,以确认其治疗AIS的潜力。
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引用次数: 0
HOXC8 derived from cancer-associated fibroblasts regulates lung cancer cell malignant metastasis and ferroptosis by mediating the transcription of GCH1 源自癌症相关成纤维细胞的HOXC8通过介导GCH1的转录调控肺癌细胞恶性转移和铁凋亡
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2025-12-24 DOI: 10.1016/j.prp.2025.156345
Chao Qin , Xiaolei Shu , Wei Wang , Xin Wang , Yi Li , Xiaolong Li , Shu Lai , Yongpeng He

Background

In the tumor microenvironment (TME), cancer-associated fibroblasts (CAFs) play a role in aggravating the tumor progression. However, research on its specific mechanisms of action remains insufficient. The aim of this study was to clarify the role of the transcription factor homeobox C8 (HOXC8) in CAFs and GTP cyclohydrolase I (GCH1) in the lung cancer.

Methods

MTT, EdU, Transwell, and stemness assays were employed to measure the biological behaviors of lung cancer cells. The ferroptosis-related indicators were determined by corresponding kits. The GEO database and TGCA samples were used to analyze the differentially expressed genes of CAFs after co-culture with lung cancer cells and the expression of HOXC8 in lung adenocarcinoma. Bioinformatics analysis and dual luciferase reporter system were used to detect the interaction between HOXC8 and GCH1. A xenograft tumor model and IHC staining were used to determine the effect of CAFs on tumor growth and GCH1 expression in vivo.

Results

CAFs accelerated lung cancer cell viability, proliferation, metastasis, sphere formation efficiency, and blocked ferroptosis-related indicators, but upregulated the HOXC8 level. The si-HOXC8-CAFs restrained the malignant progression of lung cancer cells. Interestingly, it was proved that HOXC8 bound to the promoter of GCH1 and induced its expression. Besides, overexpression of GCH1 rescued the effect of CAFs with knockdown of HOXC8 on lung cancer cells. CAFs with silenced HOXC8 inhibited tumor growth and GCH1 expression in vivo.

Conclusion

Our results indicate that CAFs-derived exosomes are a key source of HOXC8 in lung cancer cells. HOXC8 directly binds to the GCH1 promoter to activate its transcription, which in turn suppresses ferroptosis and promotes lung cancer progression. These findings contribute to the new intervention and treatment options for combating the malignant progression of lung cancer.
在肿瘤微环境(TME)中,癌症相关成纤维细胞(CAFs)在加速肿瘤进展中起着重要作用。然而,对其具体作用机制的研究仍然不足。本研究的目的是阐明转录因子同源盒C8 (HOXC8)在cas和GTP环水解酶I (GCH1)在肺癌中的作用。方法采用smtt法、EdU法、Transwell法和stemness法检测肺癌细胞的生物学行为。采用相应的试剂盒检测吸铁相关指标。利用GEO数据库和TGCA样本分析cas与肺癌细胞共培养后的差异表达基因及HOXC8在肺腺癌中的表达情况。采用生物信息学分析和双荧光素酶报告系统检测HOXC8与GCH1的相互作用。采用异种移植瘤模型和免疫组化染色法检测CAFs对肿瘤生长和体内GCH1表达的影响。结果scafs可促进肺癌细胞活力、增殖、转移、成球效率,抑制铁中毒相关指标,上调HOXC8水平。si-HOXC8-CAFs抑制肺癌细胞的恶性进展。有趣的是,HOXC8被证明与GCH1的启动子结合并诱导其表达。此外,过表达GCH1可通过抑制HOXC8来挽救cas对肺癌细胞的作用。在体内,HOXC8沉默的CAFs抑制肿瘤生长和GCH1的表达。结论cafs来源的外泌体是肺癌细胞HOXC8的重要来源。HOXC8直接结合GCH1启动子激活其转录,进而抑制铁下垂,促进肺癌进展。这些发现有助于对抗肺癌恶性进展的新的干预和治疗选择。
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引用次数: 0
Serine/arginine-rich splicing factor 1 inhibits ferroptosis and promotes glycolysis in endometrial cancer via activating mTOR and β-catenin 富丝氨酸/精氨酸剪接因子1通过激活mTOR和β-catenin抑制子宫内膜癌中的铁下垂并促进糖酵解。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2026-03-01 Epub Date: 2026-01-15 DOI: 10.1016/j.prp.2026.156364
Qing Zhu , Ao Zhang , Yang Gao , Zhenzhong Feng , Nan Li , Qiang Wu
Serine/arginine-rich splicing factor 1 (SRSF1) is a pre-mRNA-splicing factor functioning as an oncogene in multiple cancers. However, the biological roles of SRSF1 in endometrial cancer (EC) have not been explored. Here we demonstrated its pivotal function and the regulatory mechanism in regulating ferroptosis and glycolysis in EC. Results showed that SRSF1 inhibited ferroptosis in EC cells, indicated by decreased cell death rate, lipid peroxidation and Fe2 + concentration. SRSF1 accelerated glycolysis in EC cells, evidenced by enhanced glucose uptake, lactate production and adenosine triphosphate production. Mechanistically, SRSF1 elevated the levels of phosphorylated mTOR and β-catenin in EC cells. Besides, the regulation of glycolytic enzyme proteins by SRSF1 in EC cells was dependent on mTOR and β-catenin. Furthermore, rescue assays unveiled that mTOR, β-catenin, and glycolysis involved in the regulatory function of SRSF1 on ferroptosis in EC cells. Finally, animal study proved that SRSF1 knockdown restrained in vivo tumor growth and potentiated the antitumor efficacy of ferroptosis inducer through glycolysis inhibition. In conclusion, the present study uncovered that SRSF1 acts as a tumor promoter in EC through activating mTOR and β-catenin to inhibit ferroptosis and facilitate glycolysis, proposing a therapeutic target for EC.
丝氨酸/精氨酸丰富剪接因子1 (SRSF1)是一种前mrna剪接因子,在多种癌症中作为致癌基因发挥作用。然而,SRSF1在子宫内膜癌(EC)中的生物学作用尚未探讨。在此,我们证明了其在EC中调节铁下垂和糖酵解的关键功能和调节机制。结果显示,SRSF1可抑制EC细胞铁凋亡,表现为降低细胞死亡率、脂质过氧化和Fe2 +浓度。SRSF1加速了EC细胞的糖酵解,通过增强葡萄糖摄取、乳酸生成和三磷酸腺苷生成来证明。在机制上,SRSF1提高了EC细胞中磷酸化mTOR和β-catenin的水平。此外,SRSF1在EC细胞中对糖酵解酶蛋白的调控依赖于mTOR和β-catenin。此外,救援实验揭示mTOR, β-catenin和糖酵解参与SRSF1对EC细胞铁凋亡的调节功能。最后,动物实验证明,敲低SRSF1可抑制体内肿瘤生长,并通过抑制糖酵解增强铁下垂诱导剂的抗肿瘤作用。综上所述,本研究发现SRSF1在EC中作为肿瘤启动子,通过激活mTOR和β-catenin抑制铁凋亡,促进糖酵解,为EC提供了一个治疗靶点。
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引用次数: 0
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Pathology, research and practice
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