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HER2 immunoreactivity in advanced non-p53abn endometrial carcinoma: Association with clinical features, prognosis, and molecular characteristics 晚期非p53abn子宫内膜癌的HER2免疫反应性:与临床特征、预后和分子特征的关系
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-23 DOI: 10.1016/j.prp.2025.156304
Yining Zhen, Yinbo Xiao, Yang Zhou, Longyun Chen, Junyi Pang, Xiaohua Shi, Zhiyong Liang

Background

Human epidermal growth factor receptor 2 (HER2) is an emerging therapeutic target in endometrial carcinoma (EC). Current guidelines recommend routine HER2 testing for p53 abnormal (p53abn) tumors, potentially underestimating its value in non-p53abn cases. This study aimed to assess the incidence and clinical relevance of HER2 immunoreactivity in advanced non-p53abn EC.

Methods

HER2 immunohistochemistry and next-generation sequencing were performed in 128 advanced EC patients. Clinicopathological features, survival, and molecular alterations were compared according to HER2 immunoreactivity.

Results

Of all patients, 18.8 % were HER2 2 + /3 + , 28.9 % were HER2 1 + , and 52.3 % were HER2 0. Molecular classification included 1.6 % POLE mutant, 35.2 % mismatch repair-deficient/ microsatellite instability-high, 29.7 % p53abn, and 33.6 % no specific molecular profile (NSMP). In the non-p53abn group, HER2 3 + was less frequent than in the p53abn group, whereas the frequencies of HER2 2 + and 1 + did not differ significantly between the two groups. In non-p53abn patients, HER2 2 + /3 + occurred most frequently in clear cell carcinoma (CCC, 6/11, 54.5 %) and was associated with adnexal metastasis (2 +/3 + vs. 1 +, 66.7 % vs. 15.4 %, P < 0.05). No survival differences were observed among non-p53abn patients by HER2 immunoreactivity, however, within the NSMP subgroup, both overall and progression-free survival were worse in HER2 2 + /3 + compared with 1 + (log-rank P < 0.05). In non-p53abn ECs, KRAS mutations were significantly less frequent in HER2 2 + /3 + group (2 +/3 + vs. 1 +, 6.7 % vs. 46.2 %, P < 0.05).

Conclusions

HER2 2 + /3 + immunoreactivity was detected in 16.7 % of advanced non-p53abn EC, particularly enriched in CCC. These findings highlight the potential clinical significance of HER2 testing in non-p53abn patients.
人表皮生长因子受体2 (HER2)是子宫内膜癌(EC)中一个新兴的治疗靶点。目前的指南建议对p53异常(p53abn)肿瘤进行常规HER2检测,可能低估了其在非p53abn病例中的价值。本研究旨在评估晚期非p53abn EC中HER2免疫反应性的发生率和临床相关性。方法对128例晚期EC患者进行sher2免疫组化和新一代测序。根据HER2免疫反应性比较临床病理特征、生存率和分子改变。ResultsOf所有病人,18.8 % HER2 2 + / 3 + ,28.9 % HER2 1 + ,和52.3 %是HER2 0。分子分类包括1.6 % POLE突变,35.2% %错配修复缺陷/微卫星不稳定性高,29.7% % p53abn和33.6% %无特异性分子谱(NSMP)。在非p53abn组中,HER2 3 + 的频率低于p53abn组,而HER2 2 + 和1 + 的频率在两组之间没有显着差异。在non-p53abn患者中,HER2 2 + / 3 + 最常发生在透明细胞癌(CCC 6/11 54.5 %)和相关附件的转移(2 + / 3 +与1 + 66.7 % 15.4 vs %,P & lt; 0.05)。在非p53abn患者中,HER2免疫反应性没有观察到生存差异,然而,在NSMP亚组中,HER2 2 + /3 + 与1 + 相比,总生存和无进展生存更差(log-rank P <; 0.05)。non-p53abn ECs, KRAS突变明显少HER2 2 + / 3 + 组(2 + / 3 +与1 + 6.7 % 46.2 vs %,P & lt; 0.05)。结论在16.7% %的晚期非p53abn EC中检测到sher2 2 + /3 + 免疫反应性,特别是在CCC中富集。这些发现强调了HER2检测在非p53abn患者中的潜在临床意义。
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引用次数: 0
Pitfalls in MLH1 promoter methylation assessment, including POLEmut/MLH1meth endometrial adenocarcinoma MLH1启动子甲基化评估的陷阱,包括POLEmut/ mlh1甲基子宫内膜腺癌
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-22 DOI: 10.1016/j.prp.2025.156303
Amelia Flaus , Zhi Cui , Mirko Miladinovic , Ju-Yoon Yoon
MLH1 promoter methylation status may serve as an important diagnostic, prognostic, and predictive biomarker in management of mismatch repair (MMR)-deficient cancers. A new commercial assay for detection of MLH1 promoter hyper-methylation (EntroGen), which interrogates regions C and D, was assessed for its performance characteristics. False positive results were obtained in 5/21 non-lesional cases, with signals limited to region C. Three were explained by overloaded reactions. Two unexplained cases were both muscle samples (2/6 muscle samples, one each of skeletal and smooth). The assay was 100 % concordant (52/52) for lesional samples with expected MLH1 promoter methylation status. These included two exceptional cases—one Lynch-associated, and one POLE-mutated endometrial carcinoma; thus expanding the spectrum of extreme cases, and demonstrate neither germline or somatic NGS results completely rule out MLH1 promoter methylation, and vice versa. The POLEmut/MLH1meth carcinoma was notable for molecular features in keeping with POLE dysfunction, accompanied by multiple, additional genetic lesions in the MMR pathway. Exploring the TCGA dataset, 1/8 cases of POLE (ultramutated) endometrial carcinoma was notable for MLH1 silencing. Comprehensive genomic profiling assay was informative, allowing for correlation of MLH1 methylation and POLE genotype results with tumor mutation burden and mutational signature. Taken together, our data highlight the need for integrated approach in endometrial carcinoma biomarker testing, integrating NGS and MLH1 promoter methylation status, the latter of which benefits from assessing both regions C and D. Finding of MLH1 promoter methylation does not rule out either Lynch syndrome or ultramutated (POLE) carcinoma.
MLH1启动子甲基化状态可以作为错配修复(MMR)缺陷癌症管理中重要的诊断、预后和预测性生物标志物。一种新的用于检测MLH1启动子超甲基化(EntroGen)的商业检测方法,该方法询问C区和D区,评估了其性能特征。5/21的非病变病例出现假阳性结果,信号局限于c区。3例由超载反应解释。2例原因不明均为肌肉样本(2/6肌肉样本,骨骼肌和平滑肌各1例)。对于具有预期MLH1启动子甲基化状态的病变样本,该检测结果的一致性为100 %(52/52)。其中包括两例例外病例——一例lynch相关,一例pole突变子宫内膜癌;从而扩大了极端病例的范围,并证明生殖系或体细胞NGS结果都不能完全排除MLH1启动子甲基化,反之亦然。POLEmut/MLH1meth癌的分子特征与POLE功能障碍保持一致,并伴有MMR通路中的多个额外遗传病变。在TCGA数据集中,1/8的POLE(超突变)子宫内膜癌患者存在MLH1沉默。全面的基因组分析分析提供了信息,允许MLH1甲基化和POLE基因型结果与肿瘤突变负担和突变特征相关。综上所述,我们的数据强调了在子宫内膜癌生物标志物检测中需要采用综合方法,整合NGS和MLH1启动子甲基化状态,后者受益于评估C区和d区。MLH1启动子甲基化的发现并不排除Lynch综合征或超突变(POLE)癌。
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引用次数: 0
Targeting the NR4A3-RNF139-ATF6 pathway as a therapeutic and diagnostic strategy in bladder cancer 靶向NR4A3-RNF139-ATF6通路作为膀胱癌的治疗和诊断策略
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-21 DOI: 10.1016/j.prp.2025.156301
Haiyang Cui , Xuejiao Fan

Background

Bladder cancer (BCa) is a prevalent malignancy with high recurrence and metastasis rates. Nuclear receptor subfamily 4 group A member 3 (NR4A3), a member of the orphan nuclear receptor superfamily, is implicated in various cancers, but its functional role and mechanisms in BCa have not been well understood. This study aimed to explore the functional significance and diagnostic value of NR4A3 in BCa, with a focus on its regulation of endoplasmic reticulum (ER) stress and anoikis sensitivity via ATF6 and RNF139.

Methods

NR4A3 expression in BCa cell lines was assessed by qRT-PCR and Western blot. Gain-of-function assays were performed to evaluate cell proliferation, apoptosis, and anoikis sensitivity in vitro. ER stress markers and ATF6 degradation were examined by immunoblotting, cycloheximide chase, and ubiquitination assays. The role of RNF139 and its regulation by NR4A3 via KLF2 and KLF4 were determined via various biological assays. In vivo tumorigenesis was assessed using a xenograft mouse model. Additionally, the diagnostic performance of NR4A3 was evaluated in 100 clinical patients using serum ELISA and color Doppler ultrasound.

Results

NR4A3 was downregulated in BCa cells, and its overexpression suppressed cell proliferation, colony formation and promoted apoptosis and anoikis sensitivity. Mechanistically, NR4A3 inhibited ER stress by promoting ATF6 ubiquitination and degradation via transcriptional activation of RNF139 through KLF2 and KLF4. RNF139 directly interacted with ATF6 and mediated its ubiquitination at lysine 152. In vivo, NR4A3 overexpression inhibited tumor growth. Clinically, combining color Doppler ultrasound with serum NR4A3 levels significantly improved diagnostic accuracy for BCa (AUC = 0.986).

Conclusion

NR4A3 suppresses BCa progression via the KLF2/4-RNF139-ATF6 axis and enhances diagnostic efficacy when combined with ultrasound imaging.
背景:膀胱癌是一种常见的恶性肿瘤,具有较高的复发和转移率。核受体亚家族4组A成员3 (NR4A3)是孤儿核受体超家族的一员,与多种癌症有关,但其在BCa中的功能作用和机制尚不清楚。本研究旨在探讨NR4A3在BCa中的功能意义和诊断价值,重点研究其通过ATF6和RNF139调控内质网(ER)应激和anoikis敏感性。方法:采用qRT-PCR和Western blot检测NR4A3在BCa细胞株中的表达。在体外进行功能增益试验以评估细胞增殖、凋亡和anoikis敏感性。通过免疫印迹、环己亚胺追踪和泛素化检测内质网应激标志物和ATF6降解。RNF139的作用以及NR4A3通过KLF2和KLF4对RNF139的调控作用通过多种生物学试验确定。使用异种移植小鼠模型评估体内肿瘤发生情况。并对100例临床患者采用血清ELISA和彩色多普勒超声评价NR4A3的诊断效能。结果:NR4A3在BCa细胞中下调表达,其过表达抑制细胞增殖、集落形成,促进细胞凋亡和细胞敏感性。在机制上,NR4A3通过KLF2和KLF4转录激活RNF139,促进ATF6泛素化和降解,从而抑制内质网应激。RNF139直接与ATF6相互作用并介导其赖氨酸152处的泛素化。在体内,NR4A3过表达抑制肿瘤生长。临床上,彩色多普勒超声联合血清NR4A3水平可显著提高BCa的诊断准确率(AUC = 0.986)。结论:NR4A3通过KLF2/4-RNF139-ATF6轴抑制BCa进展,结合超声显像提高诊断效能。
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引用次数: 0
Molecular landscape and biomarker discovery in adrenocortical carcinoma: An integrative review of bioinformatics and translational insights 肾上腺皮质癌的分子景观和生物标志物发现:生物信息学和翻译见解的综合回顾
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-19 DOI: 10.1016/j.prp.2025.156295
Javad Omidi
Adrenocortical carcinoma (ACC) is a rare and aggressive endocrine malignancy with limited therapeutic options and poor prognosis. Recent advances in high-throughput sequencing and integrative bioinformatics have unraveled the complex molecular landscape of ACC, highlighting critical genomic, epigenomic, transcriptomic, and immune-related alterations. This review synthesizes current evidence to provide a comprehensive overview of the key molecular mechanisms driving ACC pathogenesis. The role of recurrent mutations (e.g., TP53, CTNNB1), dysregulated cell cycle genes (e.g., CDK1, CCNB1, AURKA), non-coding RNAs, and epigenetic modifications in shaping tumor behavior is discussed. Multi-omics integration and systems biology approaches have enabled the identification of robust prognostic gene signatures and protein biomarkers, offering novel tools for risk stratification. Furthermore, the tumor immune microenvironment is examined, with hypoxia, immune suppression, and checkpoint pathways highlighted as emerging targets. Finally, computational drug repositioning strategies that nominate repurposed agents such as IGF1R inhibitors and BCLAF1 modulators for therapeutic intervention are explored. Together, these insights pave the way for precision oncology in ACC, while emphasizing the need for rigorous multi-layered validation and standardized clinical integration to enable real-world translational impact.
肾上腺皮质癌(ACC)是一种罕见的侵袭性内分泌恶性肿瘤,治疗方法有限,预后差。高通量测序和综合生物信息学的最新进展揭示了ACC复杂的分子格局,强调了关键的基因组、表观基因组、转录组和免疫相关的改变。这篇综述综合了目前的证据,提供了驱动ACC发病机制的关键分子机制的全面概述。讨论了复发性突变(如TP53、CTNNB1)、细胞周期基因失调(如CDK1、CCNB1、AURKA)、非编码rna和表观遗传修饰在塑造肿瘤行为中的作用。多组学整合和系统生物学方法已经能够识别强大的预后基因特征和蛋白质生物标志物,为风险分层提供了新的工具。此外,肿瘤免疫微环境被检查,缺氧、免疫抑制和检查点途径被强调为新兴的靶点。最后,计算药物重新定位策略,提名重新用途的药物,如IGF1R抑制剂和BCLAF1调节剂进行治疗干预的探索。总之,这些见解为ACC的精确肿瘤学铺平了道路,同时强调需要严格的多层验证和标准化的临床整合,以实现现实世界的转化影响。
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引用次数: 0
The clinical pathological significance of TLSs in HER2-low breast cancer TLSs在低her2乳腺癌中的临床病理意义
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-19 DOI: 10.1016/j.prp.2025.156300
Zhixing Zhang , Wei Kang , Chunjun Li , Dongdong Zhang , Xiaoyu Chen , Dan Lu , Yuzhen Huang , Lixia Zeng

Purpose

To investigate the presence and clinical significance of tertiary lymphoid structures (TLSs) in HER2-low breast cancer, by focusing on their associations with clinicopathological features and prognosis.

Methods

Hematoxylin and eosin staining and immunohistochemical markers were used in combination with whole-slide imaging (WSI) to delineate invasive carcinoma and adjacent TLSs. WSI-based tools were subsequently utilized to annotate the location, density, and maturity of TLSs.

Results

Among 560 patients with HER2-low breast cancer, the median age was 53 years and the age range was 28–85 years; 34 % (189/560) had TLSs-positive tumors. TLSs were associated with high histological grade, high-grade DCIS, absence of lymphovascular invasion, ER-negative, PR-negative, HER2 2 + , high K-i67, and triple-negative breast cancer subtypes (all P < 0.05). In the low-age cohort, TLSs (+), TLSs density, TLSs maturity, and peritumoral TLSs were significantly associated with poorer DFS (all P < 0.05).Conversely, TLSs (+), TLSs density, TLSs maturity, and peritumoral TLSs were significantly associated with better DFS in the high-age cohort (all P < 0.05).

Conclusion

In HER2-low breast cancer, TLSs were associated with higher histological grade, the presence of DCIS, absence of lymphovascular invasion, as well as expression of ER negative, PR negative, HER2 2 + , high K-i67, and triple-negative breast cancer. Additionally, the clinical prognosis value of TLSs (such as DFS) exhibited a correlation with the patient’s age.
目的探讨三级淋巴样结构(TLSs)在低her2乳腺癌中的存在及临床意义,探讨其与临床病理特征及预后的关系。方法采用舍马苏林染色、伊红染色、免疫组织化学标志物联合全片成像(WSI)对浸润性癌及邻近tls进行鉴别。随后使用基于wsi的工具来标注tls的位置、密度和成熟度。结果560例her2低乳腺癌患者中位年龄53岁,年龄范围28 ~ 85岁;34 %(189/560)为tlss阳性肿瘤。TLSs与高组织学分级、高级别DCIS、无淋巴血管浸润、er阴性、pr阴性、HER2 2 + 、高K-i67和三阴性乳腺癌亚型相关(P均为 <; 0.05)。在低龄队列中,TLSs(+)、TLSs密度、TLSs成熟度和肿瘤周围TLSs与较差的DFS显著相关(P均为 <; 0.05)。相反,在高年龄队列中,TLSs(+)、TLSs密度、TLSs成熟度和瘤周TLSs与较好的DFS显著相关(P均为 <; 0.05)。结论在HER2低的乳腺癌中,TLSs与较高的组织学分级、存在DCIS、无淋巴血管浸润以及ER阴性、PR阴性、HER2 2 + 、高K-i67和三阴性乳腺癌的表达相关。此外,TLSs(如DFS)的临床预后价值与患者年龄相关。
{"title":"The clinical pathological significance of TLSs in HER2-low breast cancer","authors":"Zhixing Zhang ,&nbsp;Wei Kang ,&nbsp;Chunjun Li ,&nbsp;Dongdong Zhang ,&nbsp;Xiaoyu Chen ,&nbsp;Dan Lu ,&nbsp;Yuzhen Huang ,&nbsp;Lixia Zeng","doi":"10.1016/j.prp.2025.156300","DOIUrl":"10.1016/j.prp.2025.156300","url":null,"abstract":"<div><h3>Purpose</h3><div>To investigate the presence and clinical significance of tertiary lymphoid structures (TLSs) in HER2-low breast cancer, by focusing on their associations with clinicopathological features and prognosis.</div></div><div><h3>Methods</h3><div>Hematoxylin and eosin staining and immunohistochemical markers were used in combination with whole-slide imaging (WSI) to delineate invasive carcinoma and adjacent TLSs. WSI-based tools were subsequently utilized to annotate the location, density, and maturity of TLSs.</div></div><div><h3>Results</h3><div>Among 560 patients with HER2-low breast cancer, the median age was 53 years and the age range was 28–85 years; 34 % (189/560) had TLSs-positive tumors. TLSs were associated with high histological grade, high-grade DCIS, absence of lymphovascular invasion, ER-negative, PR-negative, HER2 2 + , high K-i67, and triple-negative breast cancer subtypes (all P &lt; 0.05). In the low-age cohort, TLSs (+), TLSs density, TLSs maturity, and peritumoral TLSs were significantly associated with poorer DFS (all P &lt; 0.05).Conversely, TLSs (+), TLSs density, TLSs maturity, and peritumoral TLSs were significantly associated with better DFS in the high-age cohort (all P &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>In HER2-low breast cancer, TLSs were associated with higher histological grade, the presence of DCIS, absence of lymphovascular invasion, as well as expression of ER negative, PR negative, HER2 2 + , high K-i67, and triple-negative breast cancer. Additionally, the clinical prognosis value of TLSs (such as DFS) exhibited a correlation with the patient’s age.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"277 ","pages":"Article 156300"},"PeriodicalIF":3.2,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615957","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
ATF4 transcriptional regulation of OMD and STC2 drives vascular calcification progression via the PI3K/AKT pathway ATF4转录调控OMD和STC2通过PI3K/AKT通路驱动血管钙化进展
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-17 DOI: 10.1016/j.prp.2025.156296
Zhang Yue , Ming-Yan Wang , Chun-Ze Yuan , Jin-Wen Xu , Ke-Ke Shao
Vascular calcification (VC) is a pathological process characterized by the deposition of calcium phosphate crystals in blood vessels. Despite its clinical significance, the molecular mechanisms underlying VC remain poorly understood. This study integrated transcriptomic data from public datasets and experimental models to identify key regulators of VC. Human aortic smooth muscle cells (HASMCs) were induced to calcify using osteogenic medium (OM), followed by transcriptomic sequencing. Differential gene expression, functional enrichment, and machine learning-based hub gene identification, were performed. Experimental validation was conducted using in vitro and in vivo models. Transcriptomic analysis identified 278 differentially expressed genes (DEGs), 45 of which were associated with metabolism. Bioinformatic and machine learning approaches highlighted Osteomodulin (OMD), and Stanniocalcin 2 (STC2) as key regulators of VC. The iRegulon tool predicted that OMD and STC2 share a common transcription factor Activating Transcription Factor 4 (ATF4). In calcified human vascular tissues, ATF4, OMD, and STC2 expression levels were significantly upregulated, correlating with increased calcification markers such as RUNX2, ALP, and OCN. Functional studies demonstrated that ATF4 transcriptionally upregulates OMD and STC2 by binding to their promoter regions, then activated the PI3K/AKT signaling pathway, promoting osteogenic differentiation in HASMCs. In vivo experiments using AAV-SM22α-shATF4 confirmed that targeting ATF4 alleviates VC by suppressing OMD and STC2 expression and reducing calcium deposition. In conclusion, our study reveals that ATF4 promotes vascular calcification by transcriptionally upregulating OMD and STC2,which in turn activates the PI3K/AKT signaling pathway. These findings provides new evidence for the direct regulatory relationship between signaling nodes in the field of VC signaling network.
血管钙化(Vascular calcification, VC)是一种以血管内磷酸钙晶体沉积为特征的病理过程。尽管具有临床意义,但对VC的分子机制仍知之甚少。本研究整合了来自公共数据集和实验模型的转录组学数据,以确定VC的关键调控因子。用成骨培养基(OM)诱导人主动脉平滑肌细胞(HASMCs)钙化,然后进行转录组测序。进行了差异基因表达、功能富集和基于机器学习的枢纽基因鉴定。实验验证采用体外和体内模型。转录组学分析鉴定出278个差异表达基因(DEGs),其中45个与代谢相关。生物信息学和机器学习方法强调骨调节蛋白(OMD)和Stanniocalcin 2 (STC2)是VC的关键调节因子。iRegulon工具预测OMD和STC2共享一个共同的转录因子激活转录因子4 (ATF4)。在钙化的人血管组织中,ATF4、OMD和STC2的表达水平显著上调,与RUNX2、ALP、OCN等钙化标志物的升高相关。功能研究表明,ATF4通过结合OMD和STC2的启动子区域,转录上调OMD和STC2,进而激活PI3K/AKT信号通路,促进hasmc的成骨分化。AAV-SM22α-shATF4体内实验证实,靶向ATF4可通过抑制OMD和STC2表达,减少钙沉积来缓解VC。综上所述,我们的研究表明ATF4通过转录上调OMD和STC2促进血管钙化,进而激活PI3K/AKT信号通路。这些发现为VC信号网络中信号节点之间的直接调控关系提供了新的证据。
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引用次数: 0
EBF3 transcriptionally activates ACADL to block the Hippo/YAP signaling pathway and inhibits breast cancer progression EBF3通过转录激活ACADL,阻断Hippo/YAP信号通路,抑制乳腺癌进展
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-17 DOI: 10.1016/j.prp.2025.156299
Caihong Cao , Xing Feng

Objective

Breast cancer (BC) is the chief cause of malignancy-related deaths in women. This paper investigates how the EBF3-ACADL axis inhibits BC progression through Hippo/YAP signaling.

Methods

The differentially expressed gene ACADL in BC was screened by the bioinformatics databases, and ACADL expression in BC tumors and cells was verified by immunohistochemistry, RT-qPCR, and western blot analysis. BC cells were infected with an overexpressing-ACADL lentivirus to examine the effect of ACADL on BC cell growth. The in vivo impact of ACADL was investigated by constructing a xenograft tumor model. Cells were treated with XMU-MP-1, an inhibitor of MST1/2 kinase, to study the influence of ACADL on BC progression through the Hippo/YAP pathway. The upstream mechanism of abnormally elevated ACADL expression was analyzed by bioinformatics, and EBF3 expression in BC tumors and cells was verified. Regulatory assays were performed to confirm the binding relationship between ACADL and EBF3.

Results

ACADL and EBF3 were poorly expressed in BC tissues and cell lines. ACADL overexpression blocked p-YAP (Ser127), nuclear YAP localization, and canonical target genes (CTGF, CYR61, and ANKRD1), thereby suppressing BC cell growth and xenograft tumor development. XMU-MP-1 reversed the suppressive effect of ACADL overexpression on BC progression. EBF3 transcriptionally activated ACADL expression by binding to its promoter. EBF3 overexpression suppressed the malignant behavior of BC cells and xenograft tumor development in mice, which was reversed by ACADL knockdown.

Conclusion

EBF3 transcriptionally activates ACADL and blocks the Hippo/YAP pathway to inhibit BC progression.
目的乳腺癌(BC)是女性恶性肿瘤相关死亡的主要原因。本文研究EBF3-ACADL轴如何通过Hippo/YAP信号抑制BC进展。方法利用生物信息学数据库筛选BC中差异表达的ACADL基因,采用免疫组化、RT-qPCR、western blot等方法验证ACADL在BC肿瘤及细胞中的表达。用过表达的ACADL慢病毒感染BC细胞,观察ACADL对BC细胞生长的影响。通过构建异种移植瘤模型,研究ACADL在体内的影响。用MST1/2激酶抑制剂XMU-MP-1处理细胞,研究ACADL通过Hippo/YAP途径对BC进展的影响。通过生物信息学分析ACADL表达异常升高的上游机制,验证EBF3在BC肿瘤及细胞中的表达。调节实验证实了ACADL和EBF3之间的结合关系。结果sacadl和EBF3在BC组织和细胞系中表达较差。ACADL过表达阻断p-YAP (Ser127)、核YAP定位和典型靶基因(CTGF、CYR61和ANKRD1),从而抑制BC细胞生长和异种移植物肿瘤的发展。XMU-MP-1逆转了ACADL过表达对BC进展的抑制作用。EBF3通过结合其启动子转录激活ACADL表达。EBF3过表达可抑制小鼠BC细胞的恶性行为和异种移植物肿瘤的发展,而ACADL敲除可逆转这一作用。结论ebf3通过转录激活ACADL,阻断Hippo/YAP通路抑制BC的进展。
{"title":"EBF3 transcriptionally activates ACADL to block the Hippo/YAP signaling pathway and inhibits breast cancer progression","authors":"Caihong Cao ,&nbsp;Xing Feng","doi":"10.1016/j.prp.2025.156299","DOIUrl":"10.1016/j.prp.2025.156299","url":null,"abstract":"<div><h3>Objective</h3><div>Breast cancer (BC) is the chief cause of malignancy-related deaths in women. This paper investigates how the EBF3-ACADL axis inhibits BC progression through Hippo/YAP signaling.</div></div><div><h3>Methods</h3><div>The differentially expressed gene ACADL in BC was screened by the bioinformatics databases, and ACADL expression in BC tumors and cells was verified by immunohistochemistry, RT-qPCR, and western blot analysis. BC cells were infected with an overexpressing-ACADL lentivirus to examine the effect of ACADL on BC cell growth. The <em>in vivo</em> impact of ACADL was investigated by constructing a xenograft tumor model. Cells were treated with XMU-MP-1, an inhibitor of MST1/2 kinase, to study the influence of ACADL on BC progression through the Hippo/YAP pathway. The upstream mechanism of abnormally elevated ACADL expression was analyzed by bioinformatics, and EBF3 expression in BC tumors and cells was verified. Regulatory assays were performed to confirm the binding relationship between ACADL and EBF3.</div></div><div><h3>Results</h3><div>ACADL and EBF3 were poorly expressed in BC tissues and cell lines. ACADL overexpression blocked p-YAP (Ser127), nuclear YAP localization, and canonical target genes (CTGF, CYR61, and ANKRD1), thereby suppressing BC cell growth and xenograft tumor development. XMU-MP-1 reversed the suppressive effect of ACADL overexpression on BC progression. EBF3 transcriptionally activated ACADL expression by binding to its promoter. EBF3 overexpression suppressed the malignant behavior of BC cells and xenograft tumor development in mice, which was reversed by ACADL knockdown.</div></div><div><h3>Conclusion</h3><div>EBF3 transcriptionally activates ACADL and blocks the Hippo/YAP pathway to inhibit BC progression.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"277 ","pages":"Article 156299"},"PeriodicalIF":3.2,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570116","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
EGCG inhibits hepatic stellate cell activity and liver fibrosis by targeting the MDM2/MUC5AC-mediated TGF-β1/Smad signaling pathway EGCG通过靶向MDM2/ muc5ac介导的TGF-β1/Smad信号通路抑制肝星状细胞活性和肝纤维化。
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-17 DOI: 10.1016/j.prp.2025.156298
Longbao Yang , Fenrong Chen , Xiong Li, Xiaoke Sun, Hong Li, Haitao Shi, Gang Zhao

Objective

To investigate the intervention effect of epigallocatechin gallate (EGCG) on liver fibrosis and its underlying molecular mechanisms.

Methods

A mouse model of liver fibrosis induced by a high-fat diet was established, with groups divided into normal control, high-fat diet (HF) group, and HF + EGCG groups (low, medium, and high doses). The therapeutic effect of EGCG on liver fibrosis was evaluated by liver pathological scoring, detection of serum biochemical indicators, analysis of fibrotic markers, and Western blot for fibrotic protein expression. LX-2 cells were cultured in vitro and activated by TGF-β1. Molecular biology experiments (RT-qPCR, Western blot, immunofluorescence, co-immunoprecipitation, etc.) were used to explore the effects of EGCG on LX-2 cell activation, proliferation, migration, and its regulation of the TGF-β/Smad signaling pathway. Ubiquitination assays, molecular docking, and enzyme inhibitor interventions were performed to clarify the regulatory mechanism of EGCG on MUC5AC stability and its interaction with MDM2. Gene silencing/overexpression techniques were used to verify the critical role of the MDM2/MUC5AC axis in EGCG’s anti-fibrotic effect.

Results

In vivo experiments showed that EGCG dose-dependently improved liver histological damage in high-fat diet-fed mice, reduced serum levels of ALT, AST, and TBil, increased albumin and prothrombin time, decreased the expression of fibrotic markers such as hyaluronic acid (HA) and laminin (LN), and inhibited the expression of fibrotic proteins including α-SMA and collagen I. In vitro experiments confirmed that EGCG reduced activation, proliferation, and migration of LX-2 cells by inhibiting the TGF-β1/Smad signaling pathway (downregulating Smad2/3 phosphorylation and upregulating Smad7). Mechanistically, EGCG targeted and bound to MDM2, inhibiting MDM2-mediated ubiquitination and degradation of MUC5AC, thereby increasing MUC5AC protein stability. MUC5AC directly interacted with TGF-β1, further inhibiting the activation of the TGF-β1/Smad pathway. Additionally, overexpression of MDM2 reversed the upregulation of MUC5AC and the anti-fibrotic effect of EGCG, while supplementation of MUC5AC restored the intervention effect of EGCG, confirming that EGCG exerts its function through the MDM2/MUC5AC axis.

Conclusion

EGCG targets MDM2 to prevent MUC5AC from ubiquitination and degradation. The upregulated MUC5AC binds to TGF-β1 and inhibits the TGF-β1/Smad signaling pathway, thereby suppressing hepatic stellate cell activation and liver fibrosis progression. This study provides new potential targets and experimental basis for the prevention and treatment of liver fibrosis.
目的:探讨表没食子儿茶素没食子酸酯(EGCG)对肝纤维化的干预作用及其分子机制。方法:建立高脂饮食致肝纤维化小鼠模型,分为正常对照组、高脂饮食(HF)组和HF + EGCG组(低、中、高剂量)。通过肝脏病理评分、血清生化指标检测、纤维化标志物分析、Western blot检测纤维化蛋白表达,评价EGCG对肝纤维化的治疗效果。体外培养LX-2细胞,TGF-β1激活LX-2细胞。采用分子生物学实验(RT-qPCR、Western blot、免疫荧光、共免疫沉淀等)探讨EGCG对LX-2细胞活化、增殖、迁移的影响及其对TGF-β/Smad信号通路的调控作用。通过泛素化实验、分子对接和酶抑制剂干预,阐明EGCG对MUC5AC稳定性的调控机制及其与MDM2的相互作用。采用基因沉默/过表达技术验证MDM2/MUC5AC轴在EGCG抗纤维化作用中的关键作用。结果:体内实验表明,EGCG剂量依赖性地改善了高脂饮食小鼠的肝脏组织损伤,降低了血清中ALT、AST和TBil的水平,增加了白蛋白和凝血酶原时间,降低了透明质酸(HA)和层粘连蛋白(LN)等纤维化标志物的表达,抑制了α-SMA和胶原i等纤维化蛋白的表达。通过抑制TGF-β1/Smad信号通路(下调Smad2/3磷酸化,上调Smad7),促进LX-2细胞的迁移。在机制上,EGCG靶向并结合MDM2,抑制MDM2介导的泛素化和MUC5AC的降解,从而提高MUC5AC蛋白的稳定性。MUC5AC直接与TGF-β1相互作用,进一步抑制TGF-β1/Smad通路的激活。此外,MDM2的过表达逆转了MUC5AC的上调和EGCG的抗纤维化作用,而补充MUC5AC恢复了EGCG的干预作用,证实了EGCG是通过MDM2/MUC5AC轴发挥作用的。结论:EGCG作用于MDM2可阻止MUC5AC的泛素化和降解。MUC5AC上调后与TGF-β1结合,抑制TGF-β1/Smad信号通路,从而抑制肝星状细胞活化和肝纤维化进展。本研究为肝纤维化的防治提供了新的潜在靶点和实验依据。
{"title":"EGCG inhibits hepatic stellate cell activity and liver fibrosis by targeting the MDM2/MUC5AC-mediated TGF-β1/Smad signaling pathway","authors":"Longbao Yang ,&nbsp;Fenrong Chen ,&nbsp;Xiong Li,&nbsp;Xiaoke Sun,&nbsp;Hong Li,&nbsp;Haitao Shi,&nbsp;Gang Zhao","doi":"10.1016/j.prp.2025.156298","DOIUrl":"10.1016/j.prp.2025.156298","url":null,"abstract":"<div><h3>Objective</h3><div>To investigate the intervention effect of epigallocatechin gallate (EGCG) on liver fibrosis and its underlying molecular mechanisms.</div></div><div><h3>Methods</h3><div>A mouse model of liver fibrosis induced by a high-fat diet was established, with groups divided into normal control, high-fat diet (HF) group, and HF + EGCG groups (low, medium, and high doses). The therapeutic effect of EGCG on liver fibrosis was evaluated by liver pathological scoring, detection of serum biochemical indicators, analysis of fibrotic markers, and Western blot for fibrotic protein expression. LX-2 cells were cultured in vitro and activated by TGF-β1. Molecular biology experiments (RT-qPCR, Western blot, immunofluorescence, co-immunoprecipitation, etc.) were used to explore the effects of EGCG on LX-2 cell activation, proliferation, migration, and its regulation of the TGF-β/Smad signaling pathway. Ubiquitination assays, molecular docking, and enzyme inhibitor interventions were performed to clarify the regulatory mechanism of EGCG on MUC5AC stability and its interaction with MDM2. Gene silencing/overexpression techniques were used to verify the critical role of the MDM2/MUC5AC axis in EGCG’s anti-fibrotic effect.</div></div><div><h3>Results</h3><div>In vivo experiments showed that EGCG dose-dependently improved liver histological damage in high-fat diet-fed mice, reduced serum levels of ALT, AST, and TBil, increased albumin and prothrombin time, decreased the expression of fibrotic markers such as hyaluronic acid (HA) and laminin (LN), and inhibited the expression of fibrotic proteins including α-SMA and collagen I. In vitro experiments confirmed that EGCG reduced activation, proliferation, and migration of LX-2 cells by inhibiting the TGF-β1/Smad signaling pathway (downregulating Smad2/3 phosphorylation and upregulating Smad7). Mechanistically, EGCG targeted and bound to MDM2, inhibiting MDM2-mediated ubiquitination and degradation of MUC5AC, thereby increasing MUC5AC protein stability. MUC5AC directly interacted with TGF-β1, further inhibiting the activation of the TGF-β1/Smad pathway. Additionally, overexpression of MDM2 reversed the upregulation of MUC5AC and the anti-fibrotic effect of EGCG, while supplementation of MUC5AC restored the intervention effect of EGCG, confirming that EGCG exerts its function through the MDM2/MUC5AC axis.</div></div><div><h3>Conclusion</h3><div>EGCG targets MDM2 to prevent MUC5AC from ubiquitination and degradation. The upregulated MUC5AC binds to TGF-β1 and inhibits the TGF-β1/Smad signaling pathway, thereby suppressing hepatic stellate cell activation and liver fibrosis progression. This study provides new potential targets and experimental basis for the prevention and treatment of liver fibrosis.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"277 ","pages":"Article 156298"},"PeriodicalIF":3.2,"publicationDate":"2025-11-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145605549","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
FBXW7 promotes osteoarthritis injury by regulating SLC7A11 ubiquitination degradation and chondrocyte ferroptosis FBXW7通过调节SLC7A11泛素化降解和软骨细胞凋亡促进骨关节炎损伤
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-13 DOI: 10.1016/j.prp.2025.156297
Lijuan Yang, Dongli Wang, Nan Yu, Caixia Zhu
F-box and WD repeat domain-containing 7 (FBXW7), a ubiquitinating enzyme, has been verified as a key factor linking to the mechanical overloading and chondrocyte senescence in the pathology of osteoarthritis (OA). Given the lack of deeply mechanism research on the regulation of OA by FBXW7, elucidation of the action mechanism of FBXW7 in OA could provide theoretical basis for the treatment of OA. OA model was established by injuring the anterior cruciate ligament (ACL). Ferrostatin-1 (Fer-1) was applied for analysis of ferroptosis. After overexpressed or silence of FBXW7, cell viability and apoptosis were determined via CCK-8 and TUNEL staining. The intracellular Fe2 + , GSH concentration, ROS levels and mitochondrial membrane potential were assessed by iron determination kit, ELISA, C11-BODIPY/DCFH-DA and JC-1 staining methods. Western blot and RT-qPCR were carried out for determination of ferroptosis-correlated factors (SLC7A11 and GPX4) and ECM-related factors (collagen II (Col II) and ADAMTS5). The interaction between SLC7A11 protein and FBXW7 was detected by immunofluorescence (IF) and immunoprecipitation (IP). Up-regulation of FBXW7, and down-regulation of SLC7A11 and GPX4 were observed in OA groups, compared to that in Control group. Moreover, FBXW7 overexpression significantly hindered cell viability, injured cell morphology, promoted apoptosis and reduced Col II protein level, while Fer-1 treatment blocked the function of FBXW7 overexpression in OA injury. Additionally, silence of FBXW7 showcased the opposite results, meanwhile decreased Fe2+ level, increased GSH release, reduced ROS content, raised mitochondrial membrane potential and elevated SLC7A11 and GPX4 in OA chondrocytes. Furthermore, SLC7A11 and FBXW7 were co-localized in chondrocytes and exhibited protein interaction. The ubiquitination degradation of SLC7A11 was accelerated by FBXW7 in chondrocytes, which was intercepted by MG132 treatment. In vivo experimental results further uncovered the alleviated functions of FBXW7 knockdown in ferroptosis and cartilage damage in OA model. The finding demonstrated that FBXW7 aggravated OA injury and ferroptosis, which might be linked to the ubiquitination degradation of SLC7A11.
F-box和WD重复结构域7 (FBXW7)是一种泛素化酶,已被证实是骨关节炎(OA)病理中机械超载和软骨细胞衰老的关键因素。鉴于FBXW7对OA的调控机制缺乏深入的研究,阐明FBXW7在OA中的作用机制可以为OA的治疗提供理论依据。通过损伤前交叉韧带(ACL)建立骨关节炎模型。应用铁抑素-1 (fer1)分析铁下垂。FBXW7过表达或沉默后,通过CCK-8和TUNEL染色检测细胞活力和凋亡情况。采用铁测定试剂盒、ELISA、C11-BODIPY/DCFH-DA和JC-1染色法检测细胞内Fe2 +、GSH浓度、ROS水平和线粒体膜电位。Western blot和RT-qPCR检测凋亡相关因子(SLC7A11和GPX4)和ecm相关因子(collagen II (Col II)和ADAMTS5)。采用免疫荧光(IF)和免疫沉淀(IP)检测SLC7A11蛋白与FBXW7的相互作用。与对照组相比,OA组FBXW7表达上调,SLC7A11和GPX4表达下调。FBXW7过表达显著抑制细胞活力,损伤细胞形态,促进细胞凋亡,降低Col II蛋白水平,而fe -1处理可阻断FBXW7过表达在OA损伤中的作用。此外,FBXW7沉默显示相反的结果,同时OA软骨细胞中Fe2+水平降低,GSH释放增加,ROS含量降低,线粒体膜电位升高,SLC7A11和GPX4升高。此外,SLC7A11和FBXW7在软骨细胞中共定位,并表现出蛋白质相互作用。软骨细胞中的FBXW7加速了SLC7A11的泛素化降解,MG132阻断了FBXW7。体内实验结果进一步揭示了FBXW7敲低对OA模型铁下垂和软骨损伤的缓解作用。研究结果表明,FBXW7加重OA损伤和铁下沉,这可能与SLC7A11的泛素化降解有关。
{"title":"FBXW7 promotes osteoarthritis injury by regulating SLC7A11 ubiquitination degradation and chondrocyte ferroptosis","authors":"Lijuan Yang,&nbsp;Dongli Wang,&nbsp;Nan Yu,&nbsp;Caixia Zhu","doi":"10.1016/j.prp.2025.156297","DOIUrl":"10.1016/j.prp.2025.156297","url":null,"abstract":"<div><div>F-box and WD repeat domain-containing 7 (FBXW7), a ubiquitinating enzyme, has been verified as a key factor linking to the mechanical overloading and chondrocyte senescence in the pathology of osteoarthritis (OA). Given the lack of deeply mechanism research on the regulation of OA by FBXW7, elucidation of the action mechanism of FBXW7 in OA could provide theoretical basis for the treatment of OA. OA model was established by injuring the anterior cruciate ligament (ACL). Ferrostatin-1 (Fer-1) was applied for analysis of ferroptosis. After overexpressed or silence of FBXW7, cell viability and apoptosis were determined via CCK-8 and TUNEL staining. The intracellular Fe<sup>2 +</sup> , GSH concentration, ROS levels and mitochondrial membrane potential were assessed by iron determination kit, ELISA, C11-BODIPY/DCFH-DA and JC-1 staining methods. Western blot and RT-qPCR were carried out for determination of ferroptosis-correlated factors (SLC7A11 and GPX4) and ECM-related factors (collagen II (Col II) and ADAMTS5). The interaction between SLC7A11 protein and FBXW7 was detected by immunofluorescence (IF) and immunoprecipitation (IP). Up-regulation of FBXW7, and down-regulation of SLC7A11 and GPX4 were observed in OA groups, compared to that in Control group. Moreover, FBXW7 overexpression significantly hindered cell viability, injured cell morphology, promoted apoptosis and reduced Col II protein level, while Fer-1 treatment blocked the function of FBXW7 overexpression in OA injury. Additionally, silence of FBXW7 showcased the opposite results, meanwhile decreased Fe<sup>2+</sup> level, increased GSH release, reduced ROS content, raised mitochondrial membrane potential and elevated SLC7A11 and GPX4 in OA chondrocytes. Furthermore, SLC7A11 and FBXW7 were co-localized in chondrocytes and exhibited protein interaction. The ubiquitination degradation of SLC7A11 was accelerated by FBXW7 in chondrocytes, which was intercepted by MG132 treatment. <em>In vivo</em> experimental results further uncovered the alleviated functions of FBXW7 knockdown in ferroptosis and cartilage damage in OA model. The finding demonstrated that FBXW7 aggravated OA injury and ferroptosis, which might be linked to the ubiquitination degradation of SLC7A11.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"277 ","pages":"Article 156297"},"PeriodicalIF":3.2,"publicationDate":"2025-11-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145570118","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
SCD1 drives bladder cancer progression and trametinib sensitivity SCD1驱动膀胱癌进展和曲美替尼敏感性
IF 3.2 4区 医学 Q2 PATHOLOGY Pub Date : 2025-11-10 DOI: 10.1016/j.prp.2025.156287
Yanping Zhang , Shazhou Ye , Suying Wang , Qi Ding , Jing Jin , Ming Zhao
Bladder cancer (BCa) is the most common malignancy of the urinary system. Despite advancements in novel targeted therapies and immunotherapy, the majority of patients remain incurable, and disease progression frequently occurs after treatment. Therefore, identifying new therapeutic strategies is crucial. Fatty acids are essential components of cell structure, playing roles in energy storage and serving as signaling molecules. In tumor tissues, due to abnormal blood vessel development, cancer cells primarily rely on de novo fatty acid synthesis to meet the demands of growth and proliferation. Stearoyl-CoA desaturase 1 (SCD1) is a key enzyme, widely recognized as a potential therapeutic target in various cancers. SCD1 promotes the synthesis of cell membranes by converting saturated fatty acids into monounsaturated fatty acids, thus supporting tumor cell growth. In this study, we conducted bioinformatics analysis using public datasets (including bulk RNA-seq and single-cell RNA-seq) and immunohistochemical examination of BCa tissues. Our findings reveal that SCD1 is specifically expressed in BCa cells and is associated with poor tumor grade and prognosis. Furthermore, drug sensitivity predictions and validations suggest that SCD1 enhances the sensitivity of BCa cells to trametinib. Therefore, SCD1 offers a promising new avenue for the early diagnosis, prognostic assessment, and optimization of personalized treatment strategies for BCa.
膀胱癌是泌尿系统最常见的恶性肿瘤。尽管新的靶向治疗和免疫治疗取得了进展,但大多数患者仍然无法治愈,并且在治疗后经常发生疾病进展。因此,确定新的治疗策略至关重要。脂肪酸是细胞结构的重要组成部分,起着能量储存和信号分子的作用。在肿瘤组织中,由于血管发育异常,癌细胞主要依靠从头合成脂肪酸来满足生长和增殖的需要。硬脂酰辅酶a去饱和酶1 (SCD1)是一种关键酶,被广泛认为是多种癌症的潜在治疗靶点。SCD1通过将饱和脂肪酸转化为单不饱和脂肪酸来促进细胞膜的合成,从而支持肿瘤细胞的生长。在这项研究中,我们使用公共数据集(包括大量RNA-seq和单细胞RNA-seq)进行生物信息学分析,并对BCa组织进行免疫组织化学检查。我们的研究结果表明,SCD1在BCa细胞中特异性表达,并与不良肿瘤分级和预后相关。此外,药物敏感性预测和验证表明,SCD1增强了BCa细胞对曲美替尼的敏感性。因此,SCD1为BCa的早期诊断、预后评估和个性化治疗策略的优化提供了一个有希望的新途径。
{"title":"SCD1 drives bladder cancer progression and trametinib sensitivity","authors":"Yanping Zhang ,&nbsp;Shazhou Ye ,&nbsp;Suying Wang ,&nbsp;Qi Ding ,&nbsp;Jing Jin ,&nbsp;Ming Zhao","doi":"10.1016/j.prp.2025.156287","DOIUrl":"10.1016/j.prp.2025.156287","url":null,"abstract":"<div><div>Bladder cancer (BCa) is the most common malignancy of the urinary system. Despite advancements in novel targeted therapies and immunotherapy, the majority of patients remain incurable, and disease progression frequently occurs after treatment. Therefore, identifying new therapeutic strategies is crucial. Fatty acids are essential components of cell structure, playing roles in energy storage and serving as signaling molecules. In tumor tissues, due to abnormal blood vessel development, cancer cells primarily rely on de novo fatty acid synthesis to meet the demands of growth and proliferation. Stearoyl-CoA desaturase 1 (SCD1) is a key enzyme, widely recognized as a potential therapeutic target in various cancers. SCD1 promotes the synthesis of cell membranes by converting saturated fatty acids into monounsaturated fatty acids, thus supporting tumor cell growth. In this study, we conducted bioinformatics analysis using public datasets (including bulk RNA-seq and single-cell RNA-seq) and immunohistochemical examination of BCa tissues. Our findings reveal that SCD1 is specifically expressed in BCa cells and is associated with poor tumor grade and prognosis. Furthermore, drug sensitivity predictions and validations suggest that SCD1 enhances the sensitivity of BCa cells to trametinib. Therefore, SCD1 offers a promising new avenue for the early diagnosis, prognostic assessment, and optimization of personalized treatment strategies for BCa.</div></div>","PeriodicalId":19916,"journal":{"name":"Pathology, research and practice","volume":"277 ","pages":"Article 156287"},"PeriodicalIF":3.2,"publicationDate":"2025-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145615958","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}
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