Pub Date : 2026-02-28Epub Date: 2026-02-25DOI: 10.21037/tcr-2025-1404
Rui Zhang, Yue Jiao, Song Wang, Ling Wang, Yan Leng, Zhuang Xiong, Ming Yang
Background: Chemotherapy plays a crucial role in the treatment of advanced hepatocellular carcinoma (HCC), but the therapeutic efficacy of cisplatin, a commonly used chemotherapeutic agent, is frequently compromised by drug resistance in advanced stages of the disease. A previous study demonstrated that the combination of emodin and cisplatin alleviates cisplatin resistance by inhibiting epithelial-mesenchymal transition (EMT), but the underlying molecular mechanism remains unclear. This study aimed to systematically elucidate the mechanism of action of emodin in enhancing the antitumor activity of cisplatin.
Methods: The synergistic concentration of emodin and cisplatin was determined using the CCK-8 assay, combined with transcriptome sequencing to analyze the differentially expressed genes and signaling pathways, and Western blot (WB) to validate the expression of key proteins.
Results: The combination of emodin (50 µM) and cisplatin (10 µM) inhibited the proliferation, invasion, and migration of HepG2 cells. Transcriptomic analysis revealed that the combination exerted a synergistic effect through the regulation of the Rap1 pathway. Pathway inhibition assays verified that the combination downregulated Rap1, vimentin, N-cadherin, and p-AKT/AKT, while upregulating the expression of the epithelial marker E-cadherin.
Conclusions: Emodin potentiates the anti-tumor efficacy of cisplatin against HCC while suppressing metastasis, mechanistically through targeted inhibition of the Rap1 signaling pathway and subsequent blockade of the EMT.
背景:化疗在晚期肝细胞癌(HCC)的治疗中起着至关重要的作用,但顺铂作为一种常用的化疗药物,在疾病的晚期经常因耐药而降低疗效。已有研究表明,大黄素联合顺铂可通过抑制上皮-间质转化(epithelial-mesenchymal transition, EMT)减轻顺铂耐药,但其分子机制尚不清楚。本研究旨在系统阐明大黄素增强顺铂抗肿瘤活性的作用机制。方法:采用CCK-8法测定大黄素与顺铂的协同浓度,结合转录组测序分析差异表达基因和信号通路,并用Western blot (WB)验证关键蛋白的表达。结果:大黄素(50µM)与顺铂(10µM)联合使用可抑制HepG2细胞的增殖、侵袭和迁移。转录组学分析显示,这两个组合通过调控Rap1通路发挥协同作用。通路抑制实验证实,联合用药下调了Rap1、vimentin、N-cadherin和p-AKT/AKT,同时上调了上皮标志物E-cadherin的表达。结论:大黄素通过靶向抑制Rap1信号通路和随后阻断EMT,增强顺铂抗HCC的肿瘤疗效,同时抑制转移。
{"title":"Mechanistic study of the role of emodin in targeting and inhibiting the Rap1 signaling pathway to regulate epithelial-mesenchymal transition and reverse cisplatin resistance in hepatocellular carcinoma.","authors":"Rui Zhang, Yue Jiao, Song Wang, Ling Wang, Yan Leng, Zhuang Xiong, Ming Yang","doi":"10.21037/tcr-2025-1404","DOIUrl":"https://doi.org/10.21037/tcr-2025-1404","url":null,"abstract":"<p><strong>Background: </strong>Chemotherapy plays a crucial role in the treatment of advanced hepatocellular carcinoma (HCC), but the therapeutic efficacy of cisplatin, a commonly used chemotherapeutic agent, is frequently compromised by drug resistance in advanced stages of the disease. A previous study demonstrated that the combination of emodin and cisplatin alleviates cisplatin resistance by inhibiting epithelial-mesenchymal transition (EMT), but the underlying molecular mechanism remains unclear. This study aimed to systematically elucidate the mechanism of action of emodin in enhancing the antitumor activity of cisplatin.</p><p><strong>Methods: </strong>The synergistic concentration of emodin and cisplatin was determined using the CCK-8 assay, combined with transcriptome sequencing to analyze the differentially expressed genes and signaling pathways, and Western blot (WB) to validate the expression of key proteins.</p><p><strong>Results: </strong>The combination of emodin (50 µM) and cisplatin (10 µM) inhibited the proliferation, invasion, and migration of HepG2 cells. Transcriptomic analysis revealed that the combination exerted a synergistic effect through the regulation of the Rap1 pathway. Pathway inhibition assays verified that the combination downregulated Rap1, vimentin, N-cadherin, and p-AKT/AKT, while upregulating the expression of the epithelial marker E-cadherin.</p><p><strong>Conclusions: </strong>Emodin potentiates the anti-tumor efficacy of cisplatin against HCC while suppressing metastasis, mechanistically through targeted inhibition of the Rap1 signaling pathway and subsequent blockade of the EMT.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"93"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971538/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435726","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Lactate and lactylation-related genes (LRGs) have demonstrated promising effects in mitigating tumor growth and improving clinical outcomes, but their role in the ovarian cancer (OV) microenvironment and immunotherapy has not been extensively examined. This study aimed to characterize the relationship between LRGs and the outcomes of patients with OV.
Methods: We collected bulk RNA-sequencing data from The Cancer Genome Atlas (TCGA) OV dataset via the University of California, Santa Cruz (UCSC) Xena and bulk RNA fragments per kilobase of transcript per million mapped reads (FPKM) sequences of normal ovarian tissues via the Genotype-Tissue Expression (GTEx) project. We then analyzed the relationship of 22 LRGs with programmed cell death protein 1 (PD-1) or programmed death-ligand 1 (PD-L1) and compared the prognosis of patients with different expressions of LRGs in response to anti-PD-1/PD-L1 immunotherapy. We used the hierarchical clustering method to delineate subtypes of patients with OV according to LRG and PD-1 and PD-L1 expression and compared their tumor microenvironment (TME) compositions. A neural network was trained based on LRGs to predict the immunotherapy response in patients with OV, and single-cell RNA (scRNA) analysis was used to clarify the mechanisms underlying the LRGs' predictive capacity. Meanwhile, a tissue array was used to determine the LRG hub genes' influence on the prognosis of patients with OV.
Results: Most of the LRGs examined were associated with the prognosis of patients with OV undergoing anti-PD-1/PD-L1 immunotherapy. According to the expression of the LRG panel, patients with OV could be clustered in subtypes, with each cluster exhibiting a distinct TME composition and immune-cell ratio. The neural network based on LRG expression could predict the immunotherapy response of patients with OV, with LDHA and LDHB being the potential hub LRGs. Patients with OV and low LDHA expression had better prognosis in terms of disease-free survival (DFS) or overall survival (OS), while patients with OV and high LDHB expression had a longer DFS and OS.
Conclusions: The expression of lactylation-related hub genes can be used to stratify patients with OV and predict their response to immunotherapy.
{"title":"Ability of lactylation-related genes to stratify patients with ovarian cancer and predict immunotherapy response.","authors":"Zhijian Tang, Wei Li, Ruiqiong Ma, Panjian Wei, Jinghong Huang, Ruijun Wang, Yuanming Pan, Jianliu Wang","doi":"10.21037/tcr-2025-1802","DOIUrl":"https://doi.org/10.21037/tcr-2025-1802","url":null,"abstract":"<p><strong>Background: </strong>Lactate and lactylation-related genes (LRGs) have demonstrated promising effects in mitigating tumor growth and improving clinical outcomes, but their role in the ovarian cancer (OV) microenvironment and immunotherapy has not been extensively examined. This study aimed to characterize the relationship between LRGs and the outcomes of patients with OV.</p><p><strong>Methods: </strong>We collected bulk RNA-sequencing data from The Cancer Genome Atlas (TCGA) OV dataset via the University of California, Santa Cruz (UCSC) Xena and bulk RNA fragments per kilobase of transcript per million mapped reads (FPKM) sequences of normal ovarian tissues via the Genotype-Tissue Expression (GTEx) project. We then analyzed the relationship of 22 LRGs with programmed cell death protein 1 (PD-1) or programmed death-ligand 1 (PD-L1) and compared the prognosis of patients with different expressions of LRGs in response to anti-PD-1/PD-L1 immunotherapy. We used the hierarchical clustering method to delineate subtypes of patients with OV according to LRG and PD-1 and PD-L1 expression and compared their tumor microenvironment (TME) compositions. A neural network was trained based on LRGs to predict the immunotherapy response in patients with OV, and single-cell RNA (scRNA) analysis was used to clarify the mechanisms underlying the LRGs' predictive capacity. Meanwhile, a tissue array was used to determine the LRG hub genes' influence on the prognosis of patients with OV.</p><p><strong>Results: </strong>Most of the LRGs examined were associated with the prognosis of patients with OV undergoing anti-PD-1/PD-L1 immunotherapy. According to the expression of the LRG panel, patients with OV could be clustered in subtypes, with each cluster exhibiting a distinct TME composition and immune-cell ratio. The neural network based on LRG expression could predict the immunotherapy response of patients with OV, with <i>LDHA</i> and <i>LDHB</i> being the potential hub LRGs. Patients with OV and low <i>LDHA</i> expression had better prognosis in terms of disease-free survival (DFS) or overall survival (OS), while patients with OV and high <i>LDHB</i> expression had a longer DFS and OS.</p><p><strong>Conclusions: </strong>The expression of lactylation-related hub genes can be used to stratify patients with OV and predict their response to immunotherapy.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"79"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435454","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28Epub Date: 2026-02-25DOI: 10.21037/tcr-2025-1844
Huizhen Zheng, Xiaodan Wang, Qin Chen
Background: Nasopharyngeal carcinoma (NPC) is a widely prevalent malignant tumor with a marked tendency toward metastasis and recurrence. Ferroptosis-related genes (FRGs) are critically involved in the pathogenesis of NPC. This study aims to employ bioinformatics analysis methods to identify key genes influencing the malignant progression of NPC and to investigate the regulatory mechanisms of these genes.
Methods: Bulk RNA sequencing datasets (GSE53819, GSE61218, GSE64634, GSE12452, and GSE102349) and a single-cell RNA sequencing dataset (GSE150825) were downloaded from the Gene Expression Omnibus. Integrated bioinformatics analyses-including differential expression analysis, weighted gene co-expression network analysis, machine learning, and survival analysis-were conducted to identify key FRGs associated with NPC. Intracellular expression levels of adenosylhomocysteinase (AHCY), acyl-CoA synthetase long chain family member 4, glutathione peroxidase 4, macrophage stimulating 1, and Yes1 associated transcriptional regulator were detected through western blot. Cell viability was assessed using the cell counting kit-8; cell death was determined by flow cytometry; and cell migration and invasion were evaluated using wound-healing and Transwell assays. Intracellular reactive oxygen species levels were determined using the fluorescent probe 2',7'-dichlorodihydrofluorescein diacetate, and malondialdehyde and glutathione levels were detected using their respective detection kits.
Results: Four key FRGs-isocitrate dehydrogenase 1, AHCY, endothelial PAS domain-containing protein 1 (EPAS1), and ARHGEF26 antisense RNA 1-were identified. Survival analysis of publicly available cohorts highlighted AHCY and EPAS1 as potential biomarkers for survival in patients with NPC. We selected AHCY for further in vitro mechanistic analysis and found it to be upregulated in NPC cell lines (NPC/HK1 and c666-1) relative to the nasopharyngeal epithelial cell line NP69. Functionally, AHCY knockdown in c666-1 cells inhibited cell migration, viability, and invasion, as well as suppressing the Hippo-Yes-associated protein (YAP) pathway, while promoting ferroptosis. Conversely, AHCY overexpression in NPC/HK1 cells enhanced cell migration, viability, and invasion, as well as promoting the Hippo-YAP pathway, while inhibiting ferroptosis. Treatment of AHCY-knockdown c666-1 cells with the ferroptosis inhibitor ferrostatin-1 enhanced cell viability, migration, and invasion, while treatment with the Hippo-YAP pathway agonist PY-60 promoted cell viability, migration, and invasion, while inhibiting ferroptosis.
Conclusions: Our in vitro findings indicate that AHCY suppresses ferroptosis, partly via the Hippo-YAP pathway, thereby promoting the invasion and migration of NPC cells. Further in vivo and clinical studies are warranted to validate these findings.
{"title":"Bioinformatics identification of adenosylhomocysteinase (AHCY) as a regulator of ferroptosis in nasopharyngeal carcinoma cells via the Hippo-Yes-associated protein (Hippo-YAP) pathway.","authors":"Huizhen Zheng, Xiaodan Wang, Qin Chen","doi":"10.21037/tcr-2025-1844","DOIUrl":"https://doi.org/10.21037/tcr-2025-1844","url":null,"abstract":"<p><strong>Background: </strong>Nasopharyngeal carcinoma (NPC) is a widely prevalent malignant tumor with a marked tendency toward metastasis and recurrence. Ferroptosis-related genes (FRGs) are critically involved in the pathogenesis of NPC. This study aims to employ bioinformatics analysis methods to identify key genes influencing the malignant progression of NPC and to investigate the regulatory mechanisms of these genes.</p><p><strong>Methods: </strong>Bulk RNA sequencing datasets (GSE53819, GSE61218, GSE64634, GSE12452, and GSE102349) and a single-cell RNA sequencing dataset (GSE150825) were downloaded from the Gene Expression Omnibus. Integrated bioinformatics analyses-including differential expression analysis, weighted gene co-expression network analysis, machine learning, and survival analysis-were conducted to identify key FRGs associated with NPC. Intracellular expression levels of adenosylhomocysteinase (AHCY), acyl-CoA synthetase long chain family member 4, glutathione peroxidase 4, macrophage stimulating 1, and Yes1 associated transcriptional regulator were detected through western blot. Cell viability was assessed using the cell counting kit-8; cell death was determined by flow cytometry; and cell migration and invasion were evaluated using wound-healing and Transwell assays. Intracellular reactive oxygen species levels were determined using the fluorescent probe 2',7'-dichlorodihydrofluorescein diacetate, and malondialdehyde and glutathione levels were detected using their respective detection kits.</p><p><strong>Results: </strong>Four key FRGs-isocitrate dehydrogenase 1, AHCY, endothelial PAS domain-containing protein 1 (EPAS1), and ARHGEF26 antisense RNA 1-were identified. Survival analysis of publicly available cohorts highlighted AHCY and EPAS1 as potential biomarkers for survival in patients with NPC. We selected AHCY for further <i>in vitro</i> mechanistic analysis and found it to be upregulated in NPC cell lines (NPC/HK1 and c666-1) relative to the nasopharyngeal epithelial cell line NP69. Functionally, AHCY knockdown in c666-1 cells inhibited cell migration, viability, and invasion, as well as suppressing the Hippo-Yes-associated protein (YAP) pathway, while promoting ferroptosis. Conversely, AHCY overexpression in NPC/HK1 cells enhanced cell migration, viability, and invasion, as well as promoting the Hippo-YAP pathway, while inhibiting ferroptosis. Treatment of AHCY-knockdown c666-1 cells with the ferroptosis inhibitor ferrostatin-1 enhanced cell viability, migration, and invasion, while treatment with the Hippo-YAP pathway agonist PY-60 promoted cell viability, migration, and invasion, while inhibiting ferroptosis.</p><p><strong>Conclusions: </strong>Our <i>in vitro</i> findings indicate that AHCY suppresses ferroptosis, partly via the Hippo-YAP pathway, thereby promoting the invasion and migration of NPC cells. Further <i>in vivo</i> and clinical studies are warranted to validate these findings.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"88"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971592/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28Epub Date: 2026-02-06DOI: 10.21037/tcr-2026-1-0051
Guilherme Augusto Sousa Alcântara, João Agostinho Machado-Neto
{"title":"Does coordinated targeting of metabolism and autophagy, modulated by microtubule dynamics, influence therapeutic vulnerability to eribulin in glioblastoma?","authors":"Guilherme Augusto Sousa Alcântara, João Agostinho Machado-Neto","doi":"10.21037/tcr-2026-1-0051","DOIUrl":"https://doi.org/10.21037/tcr-2026-1-0051","url":null,"abstract":"","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"136"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971549/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
<p><strong>Background: </strong>Mutations in the family with sequence similarity 111 member B (FAM111B) are responsible for POIKTMP, a rare hereditary disease characterized by poikiloderma with tendon contractures, myopathy, and pulmonary fibrosis. Previous studies have primarily focused on the roles of <i>FAM111B</i> in genomic instability and cellular homeostasis, whereas its pan-cancer expression patterns, mechanistic roles, and immune-related relevance, particularly its functions in glioma, have not been systematically investigated. Therefore, this study aimed to systematically investigate the biological and immune-related roles of <i>FAM111B</i> in the development and progression of lower-grade glioma (LGG), and to assess its potential as a prognostic biomarker and therapeutic target.</p><p><strong>Methods: </strong>We analyzed the expression profile of <i>FAM111B</i> across pan-cancer datasets using publicly available databases and assessed its prognostic significance. We investigated the associations between <i>FAM111B</i> expression and tumor mutational burden (TMB), microsatellite instability (MSI), pyroptosis, ferroptosis, and the overall gene mutation landscape. Focusing on glioma, we validated the differential expression of <i>FAM111B</i> among LGG subtypes using patient tumor tissue specimens and glioma cell lines <i>in vitro</i>. Additionally, we conducted protein-protein interaction (PPI) network analysis and functional enrichment analysis. Subsequently, we examined the correlations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Finally, the tumor-promoting role of FAM111B in glioma was further validated through <i>in vitro</i> experiments and intracranial xenograft models established using luciferase-expressing LN229 cells in male BALB/c nude mice, with tumor growth monitored by bioluminescence imaging.</p><p><strong>Results: </strong><i>FAM111B</i> exhibited differential expression across pan-cancer datasets and was significantly associated with patient prognosis. <i>FAM111B</i> expression showed notable correlations with tumor genomic instability and cell death-related molecular features. We further demonstrated that <i>FAM111B</i> was differentially expressed among LGG subtypes and identified <i>FAM111B</i> as an independent prognostic factor for LGG. Subsequent investigations revealed significant associations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Functionally, <i>in vitro</i> experiments demonstrated that FAM111B enhanced glioma cell proliferation, invasion, and migration, and <i>in vivo</i> studies further demonstrated that FAM111B promoted glioma progression by fostering an immunosuppressive tumor microenvironment.</p><p><strong>Conclusions: </strong>Our research indicates that <i>FAM111B</i> is a reliable immune-associated marker of poor prognosis in glioma.
{"title":"Pan-cancer analysis identifies FAM111B as a biomarker for immune suppression microenvironment in low-grade gliomas.","authors":"Zhihai Wang, Longji Li, Bingcheng Wang, Zihao Liu, Xianyong Yin, Dong He, Yuming Li, Qian Liu, Tao Xin","doi":"10.21037/tcr-2025-1762","DOIUrl":"https://doi.org/10.21037/tcr-2025-1762","url":null,"abstract":"<p><strong>Background: </strong>Mutations in the family with sequence similarity 111 member B (FAM111B) are responsible for POIKTMP, a rare hereditary disease characterized by poikiloderma with tendon contractures, myopathy, and pulmonary fibrosis. Previous studies have primarily focused on the roles of <i>FAM111B</i> in genomic instability and cellular homeostasis, whereas its pan-cancer expression patterns, mechanistic roles, and immune-related relevance, particularly its functions in glioma, have not been systematically investigated. Therefore, this study aimed to systematically investigate the biological and immune-related roles of <i>FAM111B</i> in the development and progression of lower-grade glioma (LGG), and to assess its potential as a prognostic biomarker and therapeutic target.</p><p><strong>Methods: </strong>We analyzed the expression profile of <i>FAM111B</i> across pan-cancer datasets using publicly available databases and assessed its prognostic significance. We investigated the associations between <i>FAM111B</i> expression and tumor mutational burden (TMB), microsatellite instability (MSI), pyroptosis, ferroptosis, and the overall gene mutation landscape. Focusing on glioma, we validated the differential expression of <i>FAM111B</i> among LGG subtypes using patient tumor tissue specimens and glioma cell lines <i>in vitro</i>. Additionally, we conducted protein-protein interaction (PPI) network analysis and functional enrichment analysis. Subsequently, we examined the correlations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Finally, the tumor-promoting role of FAM111B in glioma was further validated through <i>in vitro</i> experiments and intracranial xenograft models established using luciferase-expressing LN229 cells in male BALB/c nude mice, with tumor growth monitored by bioluminescence imaging.</p><p><strong>Results: </strong><i>FAM111B</i> exhibited differential expression across pan-cancer datasets and was significantly associated with patient prognosis. <i>FAM111B</i> expression showed notable correlations with tumor genomic instability and cell death-related molecular features. We further demonstrated that <i>FAM111B</i> was differentially expressed among LGG subtypes and identified <i>FAM111B</i> as an independent prognostic factor for LGG. Subsequent investigations revealed significant associations between <i>FAM111B</i> expression and tumor immune cell infiltration, inflammatory activity, and immune checkpoint expression. Functionally, <i>in vitro</i> experiments demonstrated that FAM111B enhanced glioma cell proliferation, invasion, and migration, and <i>in vivo</i> studies further demonstrated that FAM111B promoted glioma progression by fostering an immunosuppressive tumor microenvironment.</p><p><strong>Conclusions: </strong>Our research indicates that <i>FAM111B</i> is a reliable immune-associated marker of poor prognosis in glioma.","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"89"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435729","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hepatocellular carcinoma (HCC) is a major cause of cancer-related mortality. Surgical resection offers a curative option, but outcomes vary widely. Accurate preoperative risk stratification is essential. This study evaluated the prognostic value of the albumin-bilirubin (ALBI) score and triglyceride-glucose (TyG) index-markers of liver function and metabolic status-in patients undergoing curative liver resection.
Methods: This retrospective study included 238 patients with pathologically confirmed HCC who underwent curative liver resection. Preoperative clinical and biochemical variables were collected, and a prognostic model was developed using the entire dataset. Multivariate Cox proportional hazards regression was performed to identify independent prognostic factors. A nomogram incorporating the ALBI score and TyG index was constructed to estimate 2-, 3-, and 4-year overall survival (OS). Model performance was assessed through Kaplan-Meier survival analysis, receiver operating characteristic (ROC) curves, calibration plot, and decision curve analysis (DCA). Bootstrap resampling was used for internal validation to generate corrected estimates of model accuracy.
Results: Multivariate Cox regression demonstrated that both the ALBI score [hazard ratio (HR) =5.120; 95% confidence interval (CI): 2.944-8.905; P<0.001] and the TyG index (HR =4.202; 95% CI: 2.459-7.180; P<0.001) were independent predictors of OS. Patients with elevated ALBI or TyG values exhibited markedly shorter median survival compared with those with lower values. The ALBI-TyG nomogram showed robust discriminative ability, yielding an area under the ROC curve of 0.823 (95% CI: 0.768-0.878), outperforming either marker alone as well as traditional liver function scoring systems. Calibration plot demonstrated good agreement between predicted and observed survival probabilities, while DCA indicated superior net clinical benefit across a wide range of threshold probabilities.
Conclusions: Combining ALBI score and TyG index offers an objective and accessible tool for prognostic assessment in HCC patients undergoing liver resection, enabling more personalized perioperative management.
{"title":"Development and internal validation of a prognostic model for hepatocellular carcinoma after liver resection based on the albumin-bilirubin score and triglyceride-glucose index.","authors":"Yibo Wang, Yubo Zhao, Linhai Wei, Zhening Yan, Xiang Li, Yinghan Wang, Yue Sun, Yanbo Ma","doi":"10.21037/tcr-2025-1868","DOIUrl":"https://doi.org/10.21037/tcr-2025-1868","url":null,"abstract":"<p><strong>Background: </strong>Hepatocellular carcinoma (HCC) is a major cause of cancer-related mortality. Surgical resection offers a curative option, but outcomes vary widely. Accurate preoperative risk stratification is essential. This study evaluated the prognostic value of the albumin-bilirubin (ALBI) score and triglyceride-glucose (TyG) index-markers of liver function and metabolic status-in patients undergoing curative liver resection.</p><p><strong>Methods: </strong>This retrospective study included 238 patients with pathologically confirmed HCC who underwent curative liver resection. Preoperative clinical and biochemical variables were collected, and a prognostic model was developed using the entire dataset. Multivariate Cox proportional hazards regression was performed to identify independent prognostic factors. A nomogram incorporating the ALBI score and TyG index was constructed to estimate 2-, 3-, and 4-year overall survival (OS). Model performance was assessed through Kaplan-Meier survival analysis, receiver operating characteristic (ROC) curves, calibration plot, and decision curve analysis (DCA). Bootstrap resampling was used for internal validation to generate corrected estimates of model accuracy.</p><p><strong>Results: </strong>Multivariate Cox regression demonstrated that both the ALBI score [hazard ratio (HR) =5.120; 95% confidence interval (CI): 2.944-8.905; P<0.001] and the TyG index (HR =4.202; 95% CI: 2.459-7.180; P<0.001) were independent predictors of OS. Patients with elevated ALBI or TyG values exhibited markedly shorter median survival compared with those with lower values. The ALBI-TyG nomogram showed robust discriminative ability, yielding an area under the ROC curve of 0.823 (95% CI: 0.768-0.878), outperforming either marker alone as well as traditional liver function scoring systems. Calibration plot demonstrated good agreement between predicted and observed survival probabilities, while DCA indicated superior net clinical benefit across a wide range of threshold probabilities.</p><p><strong>Conclusions: </strong>Combining ALBI score and TyG index offers an objective and accessible tool for prognostic assessment in HCC patients undergoing liver resection, enabling more personalized perioperative management.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"85"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971544/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Cervical cancer remains a major malignancy seriously threatening women's health. Rosa roxburghii Tratt fruit polysaccharides (RTFP), a natural extract possessing diverse biological activities, can inhibit tumors through mechanisms such as inducing apoptosis and cell cycle arrest. However, the potential effects of RTFP on cervical cancer and the associated molecular mechanisms remain incompletely elucidated. Therefore, this study aimed to investigate the effects of RTFP sourced on the proliferation, migration, invasion, and apoptosis of human cervical cancer cell line.
Methods: Cell viability was assessed using the Cell Counting Kit-8 (CCK-8) assay. HeLa cells were treated with RTFP at concentrations of 2, 4, 6, 8, and 10 mg/mL for 24, 48, and 72 h. Cell migration and invasion were evaluated using scratch wound healing and Transwell assays, respectively, after exposure to RTFP (3 and 6 mg/mL) for 24 and 48 h. For cell cycle and apoptosis analysis, cells treated with RTFP (3 and 6 mg/mL) for 48 h were analyzed by flow cytometry. The messenger RNA (mRNA) and protein expression levels of cell cycle regulators (CDK-1 and cyclin B1) and apoptosis-related markers (Bax, Bcl-2, caspase-3, caspase-8, and caspase-9) were quantified by quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot, respectively, following 48 h of treatment with RTFP (3 and 6 mg/mL). All experiments were performed in three independent replicates (n=3), and data are presented as mean ± standard deviation (SD).
Results: RTFP inhibited the proliferation, migration, and invasion of HeLa cells in a time- and dose-dependent manner (P<0.01). It induced cell cycle arrest at the G2/M phase (P<0.01) and downregulated the protein expression of CDK-1 and cyclin B1 (P<0.05). Additionally, RTFP promoted apoptosis through modulating apoptosis-related proteins: it upregulated the pro-apoptotic proteins Bax, caspase-3, caspase-8, and caspase-9 (P<0.05), while downregulated the anti-apoptotic protein Bcl-2 (P<0.01).
Conclusions: RTFP inhibits the proliferation, migration, and invasion of HeLa cells, arrests the cell cycle at the G2/M phase, and induces apoptosis. These in vitro findings preliminarily demonstrate the potential anti-cervical cancer activity of RTFP in HeLa cells, warranting further in-depth investigations.
{"title":"Rosa roxburghii Tratt fruit polysaccharides inhibit proliferation and induce apoptosis in human cervical cancer cell line.","authors":"Huiqiong Liang, Qianqian Li, Yuxing Liao, Hongmei Huang, Wenjie Yang, Xueying Li, Guiyuan Chen, Cuixiang Zhang","doi":"10.21037/tcr-2025-aw-2431","DOIUrl":"https://doi.org/10.21037/tcr-2025-aw-2431","url":null,"abstract":"<p><strong>Background: </strong>Cervical cancer remains a major malignancy seriously threatening women's health. Rosa roxburghii Tratt fruit polysaccharides (RTFP), a natural extract possessing diverse biological activities, can inhibit tumors through mechanisms such as inducing apoptosis and cell cycle arrest. However, the potential effects of RTFP on cervical cancer and the associated molecular mechanisms remain incompletely elucidated. Therefore, this study aimed to investigate the effects of RTFP sourced on the proliferation, migration, invasion, and apoptosis of human cervical cancer cell line.</p><p><strong>Methods: </strong>Cell viability was assessed using the Cell Counting Kit-8 (CCK-8) assay. HeLa cells were treated with RTFP at concentrations of 2, 4, 6, 8, and 10 mg/mL for 24, 48, and 72 h. Cell migration and invasion were evaluated using scratch wound healing and Transwell assays, respectively, after exposure to RTFP (3 and 6 mg/mL) for 24 and 48 h. For cell cycle and apoptosis analysis, cells treated with RTFP (3 and 6 mg/mL) for 48 h were analyzed by flow cytometry. The messenger RNA (mRNA) and protein expression levels of cell cycle regulators (CDK-1 and cyclin B1) and apoptosis-related markers (Bax, Bcl-2, caspase-3, caspase-8, and caspase-9) were quantified by quantitative real-time polymerase chain reaction (qRT-PCR) and Western blot, respectively, following 48 h of treatment with RTFP (3 and 6 mg/mL). All experiments were performed in three independent replicates (n=3), and data are presented as mean ± standard deviation (SD).</p><p><strong>Results: </strong>RTFP inhibited the proliferation, migration, and invasion of HeLa cells in a time- and dose-dependent manner (P<0.01). It induced cell cycle arrest at the G2/M phase (P<0.01) and downregulated the protein expression of CDK-1 and cyclin B1 (P<0.05). Additionally, RTFP promoted apoptosis through modulating apoptosis-related proteins: it upregulated the pro-apoptotic proteins Bax, caspase-3, caspase-8, and caspase-9 (P<0.05), while downregulated the anti-apoptotic protein Bcl-2 (P<0.01).</p><p><strong>Conclusions: </strong>RTFP inhibits the proliferation, migration, and invasion of HeLa cells, arrests the cell cycle at the G2/M phase, and induces apoptosis. These <i>in vitro</i> findings preliminarily demonstrate the potential anti-cervical cancer activity of RTFP in HeLa cells, warranting further in-depth investigations.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"121"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971540/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435724","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28Epub Date: 2026-02-10DOI: 10.21037/tcr-2025-1-2616
Lindsey M Bachmann, Dalia El-Gamal, Trisha M Wise-Draper
{"title":"Timing matters: concurrent <i>vs.</i> sequential immunotherapy in combination with chemoradiation in head and neck cancer.","authors":"Lindsey M Bachmann, Dalia El-Gamal, Trisha M Wise-Draper","doi":"10.21037/tcr-2025-1-2616","DOIUrl":"https://doi.org/10.21037/tcr-2025-1-2616","url":null,"abstract":"","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"74"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971590/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435730","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28Epub Date: 2026-02-02DOI: 10.21037/tcr-2025-1-2781
Eisuke Booka, Hiroya Takeuchi
{"title":"Integrating tumor regression and nodal status for refined prognostication after neoadjuvant therapy in esophageal cancer: where does TRG-N fit in the evolving global landscape?","authors":"Eisuke Booka, Hiroya Takeuchi","doi":"10.21037/tcr-2025-1-2781","DOIUrl":"https://doi.org/10.21037/tcr-2025-1-2781","url":null,"abstract":"","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"72"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971537/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2026-02-28Epub Date: 2026-02-13DOI: 10.21037/tcr-2025-1846
Dong Sun, Fei Dai, Binqing Xiang, Heng Wang, Haiyan Tao, Shuai Zhang, Xiaoliang Tao, Xianjie Zhu, Fei Luo, Lei Song
Background: Angiogenesis plays a pivotal role in driving tumour progression, including tumour growth, local invasion, and distant metastasis. Calponin 3 (CNN3) belongs to the actin-binding protein family and has been shown to be aberrantly expressed in osteosarcoma specimens, but its exact role in the regulation of angiogenesis remains unknown. This study aimed to investigate the function and underlying mechanism of CNN3 in osteosarcoma angiogenesis.
Methods: CNN3 and CD31 expression in osteosarcoma specimens was detected by immunohistochemistry. CNN3 in MG-63 and Saos-2 cells was silenced or overexpressed by transfection with small interfering RNA or overexpression plasmids, respectively. Vascular endothelial growth factor-A (VEGF-A) levels were determined by enzyme-linked immunosorbent assay. Human umbilical vein endothelial cells (HUVECs) were co-cultured with CNN3-silenced or -overexpressing osteosarcoma cells using a Transwell chamber. The function of HUVECs were assessed using cell counting, scratch wound healing, Transwell Matrigel invasion, and Matrigel vascular mimicry assays. The protein levels of endothelial-to-mesenchymal transition (EndMT) markers and phosphorylated Akt in HUVECs was determined using western blotting.
Results: Immunohistochemical analysis demonstrated a significant positive correlation between CNN3 expression and CD31 (microvascular density marker) levels in osteosarcoma tissues (r=0.7264, P=0.0003). HUVECs co-cultured with CNN3-overexpressing cells exhibited enhanced proliferative, migratory, invasive, and tube-forming capacities along with promoted EndMT, whereas CNN3 silencing suppressed these effects. CNN3 silencing reduced, while its overexpression elevated, VEGF-A secretion in both MG-63 and Saos-2 cells. Furthermore, silencing CNN3 in MG-63 and Saos-2 cells decreased Akt phosphorylation in co-cultured HUVECs, whereas CNN3 overexpression concomitantly increased it.
Conclusions: CNN3 promotes osteosarcoma angiogenesis, possibly through upregulating VEGF-A secretion and enhancing endothelial cell functions, suggesting its potential as the therapeutic target for anti-angiogenic strategies.
背景:血管生成在肿瘤进展中起着关键作用,包括肿瘤生长、局部侵袭和远处转移。钙钙蛋白3 (CNN3)属于肌动蛋白结合蛋白家族,已被证明在骨肉瘤标本中异常表达,但其在调节血管生成中的确切作用尚不清楚。本研究旨在探讨CNN3在骨肉瘤血管生成中的功能及其机制。方法:采用免疫组化方法检测骨肉瘤标本中CNN3和CD31的表达。转染小干扰RNA或过表达质粒后,MG-63和Saos-2细胞中CNN3分别沉默或过表达。采用酶联免疫吸附法检测血管内皮生长因子- a (VEGF-A)水平。人脐静脉内皮细胞(HUVECs)与cnn3沉默或过表达的骨肉瘤细胞使用Transwell腔室共培养。通过细胞计数、划伤愈合、Transwell Matrigel侵袭和Matrigel血管模拟试验来评估HUVECs的功能。采用western blotting检测HUVECs中内皮-间质转化(EndMT)标记物和磷酸化Akt的蛋白水平。结果:免疫组化分析显示,骨肉瘤组织中CNN3表达与CD31(微血管密度标记物)水平呈正相关(r=0.7264, P=0.0003)。与过表达CNN3的细胞共培养的HUVECs表现出增强的增殖、迁移、侵袭和管形成能力,并促进了EndMT,而CNN3沉默抑制了这些作用。CNN3沉默降低MG-63和Saos-2细胞中VEGF-A的分泌,而其过表达升高。此外,在MG-63和Saos-2细胞中沉默CNN3可降低共培养HUVECs中Akt的磷酸化,而CNN3过表达可同时增加Akt的磷酸化。结论:CNN3可能通过上调VEGF-A分泌和增强内皮细胞功能促进骨肉瘤血管生成,提示其可能作为抗血管生成策略的治疗靶点。
{"title":"CNN3 promotes angiogenesis in osteosarcoma, associated with upregulating VEGF-A and enhancing endothelial cell activity.","authors":"Dong Sun, Fei Dai, Binqing Xiang, Heng Wang, Haiyan Tao, Shuai Zhang, Xiaoliang Tao, Xianjie Zhu, Fei Luo, Lei Song","doi":"10.21037/tcr-2025-1846","DOIUrl":"https://doi.org/10.21037/tcr-2025-1846","url":null,"abstract":"<p><strong>Background: </strong>Angiogenesis plays a pivotal role in driving tumour progression, including tumour growth, local invasion, and distant metastasis. Calponin 3 (CNN3) belongs to the actin-binding protein family and has been shown to be aberrantly expressed in osteosarcoma specimens, but its exact role in the regulation of angiogenesis remains unknown. This study aimed to investigate the function and underlying mechanism of CNN3 in osteosarcoma angiogenesis.</p><p><strong>Methods: </strong>CNN3 and CD31 expression in osteosarcoma specimens was detected by immunohistochemistry. CNN3 in MG-63 and Saos-2 cells was silenced or overexpressed by transfection with small interfering RNA or overexpression plasmids, respectively. Vascular endothelial growth factor-A (VEGF-A) levels were determined by enzyme-linked immunosorbent assay. Human umbilical vein endothelial cells (HUVECs) were co-cultured with CNN3-silenced or -overexpressing osteosarcoma cells using a Transwell chamber. The function of HUVECs were assessed using cell counting, scratch wound healing, Transwell Matrigel invasion, and Matrigel vascular mimicry assays. The protein levels of endothelial-to-mesenchymal transition (EndMT) markers and phosphorylated Akt in HUVECs was determined using western blotting.</p><p><strong>Results: </strong>Immunohistochemical analysis demonstrated a significant positive correlation between CNN3 expression and CD31 (microvascular density marker) levels in osteosarcoma tissues (r=0.7264, P=0.0003). HUVECs co-cultured with CNN3-overexpressing cells exhibited enhanced proliferative, migratory, invasive, and tube-forming capacities along with promoted EndMT, whereas CNN3 silencing suppressed these effects. CNN3 silencing reduced, while its overexpression elevated, VEGF-A secretion in both MG-63 and Saos-2 cells. Furthermore, silencing CNN3 in MG-63 and Saos-2 cells decreased Akt phosphorylation in co-cultured HUVECs, whereas CNN3 overexpression concomitantly increased it.</p><p><strong>Conclusions: </strong>CNN3 promotes osteosarcoma angiogenesis, possibly through upregulating VEGF-A secretion and enhancing endothelial cell functions, suggesting its potential as the therapeutic target for anti-angiogenic strategies.</p>","PeriodicalId":23216,"journal":{"name":"Translational cancer research","volume":"15 2","pages":"118"},"PeriodicalIF":1.7,"publicationDate":"2026-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12971542/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147435515","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}