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Expression of Glycoprotein B (gB) Correlates With Poor Prognosis in Nasopharyngeal Carcinoma. 糖蛋白B (gB)表达与鼻咽癌不良预后的关系
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-20 DOI: 10.1111/cas.70341
Shigetaka Komura, Satoru Kondo, Hideya Kawasaki, Shinji Watanabe, Satoshi Yamada, Hirotomo Dochi, Han Gia Nguyen, Isao Ohta, Makiko Moriyama-Kita, Masaki Fukuyo, Kousho Wakae, Yuki Kitagawa, Harue Mizokami, Luyao Liu, Nobuyuki Hirai, Eiji Kobayashi, Takayoshi Ueno, Yosuke Nakanishi, Kazuhira Endo, Hisashi Sugimoto, Naohiro Wakisaka, Rikinari Hanayama, Kiyoshi Misawa, Atsushi Kaneda, Tomokazu Yoshizaki

The Epstein-Barr virus (EBV) has two life cycles: latent and lytic. Previously, the latent cycle had been considered more relevant to EBV-associated epithelial malignancies, including nasopharyngeal carcinoma (NPC), whereas the lytic cycle, which ultimately leads to the death of host cells, had not been considered. However, recent studies have revealed that abortive lytic infections, in which the lytic cycle halts midway, avoids host cell death and contributes to tumorigenesis and tumor growth. However, the progression of the lytic cycle in NPC and its association with viral replication remain unclear. This study aimed to perform morphological analyses of EBV-positive NPC cell lines and clinical NPC biopsy samples using transmission electron microscopy, NanoSuit-correlative light and electron microscopy, and scanning ion conductance microscopy. Virion-like particles were observed in lytically induced EBV-positive NPC cell lines using time-lapse imaging to capture their release. These particles were also detected in clinical NPC samples using electron microscopy. Immunohistochemical analysis with the glycoprotein B (gB) antibody revealed a strong association between gB expression and poor prognosis. In conclusion, lytic infections with EBV replication occur in NPC, and the frequency of EBV replication is significantly associated with poor prognosis.

eb病毒(EBV)有两个生命周期:潜伏性和溶解性。以前,潜伏周期被认为与ebv相关的上皮恶性肿瘤,包括鼻咽癌(NPC)更为相关,而最终导致宿主细胞死亡的溶解周期则未被考虑。然而,最近的研究表明,流产性裂解感染,其中裂解周期中途停止,避免了宿主细胞死亡,并有助于肿瘤发生和肿瘤生长。然而,鼻咽癌裂解周期的进展及其与病毒复制的关系尚不清楚。本研究旨在利用透射电子显微镜、纳米相关光镜和电子显微镜以及扫描离子电导显微镜对ebv阳性鼻咽癌细胞株和临床鼻咽癌活检样本进行形态学分析。利用延时成像技术,在裂解诱导的ebv阳性鼻咽癌细胞系中观察到病毒粒子样颗粒的释放。这些颗粒也在临床鼻咽癌样本中通过电子显微镜检测到。免疫组化分析显示,糖蛋白B (gB)抗体表达与预后不良密切相关。综上所述,鼻咽癌存在溶性感染并伴有EBV复制,且EBV复制频率与预后不良显著相关。
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引用次数: 0
CD8+ T Cell Infiltration Elicits Molecular Subtype-Biased Clinical Outcomes in Gastric Cancer Patients. CD8+ T细胞浸润引发胃癌患者分子亚型偏倚的临床结果
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-20 DOI: 10.1111/cas.70366
Zhen Ling, Jieti Wang, Yun Gu, Ziqiu Zhang, Fei Shao, Chao Lin, Hongyong He, Ruochen Li, Hao Liu, Jiejie Xu

CD8+ T cell infiltration is essential for antitumor immunity across cancers while its clinical significance in gastric cancer (GC) remains unclear. This reflects molecular heterogeneity of GC, as defined by The Cancer Genome Atlas (TCGA) into four subtypes: Epstein-Barr virus (EBV)-positive, microsatellite instability (MSI), chromosomal instability (CIN), and genomically stable (GS), each with distinct immune features. We aimed to characterize distribution, clinical relevance, and immune associations of CD8+ T cell infiltration within this molecular framework. TCGA (n = 336) and Zhongshan Hospital (ZSHS, n = 455) cohorts were analyzed. CD8+ T cell infiltration and immune features were compared across TCGA subtypes. Prognostic and predictive significance of CD8+ T cells was evaluated in ZSHS cohort. CD8+ T cell infiltration was elevated in the EBV-positive and MSI subtypes (ZSHS: p = 0.026; TCGA: p < 0.001). In ZSHS cohort, high CD8+ T cell infiltration was associated with better overall survival (p = 0.040), particularly in the EBV-positive (p = 0.036) and CIN (p = 0.065) subtypes, but not in MSI (p = 0.440) or GS (p = 0.860). Notably, low CD8+ T infiltration predicted superior response to adjuvant chemotherapy in MSI patients (HR = 0.210, p = 0.022). Immune profiling revealed associations of CD8+ T cells with antigen presentation in EBV-positive, tertiary lymphoid structure signatures in CIN, and podoplanin+ cells in GS tumors, instead of neoantigen burden in MSI or pan-fibroblast TGFβ response signature in GS. CD8+ T cell infiltration demonstrates subtype-specific prognostic and therapeutic significance in GC-beneficial in EBV-positive and CIN tumors, and predictive of chemotherapy response in MSI with low infiltration, which accompanied by divergent immune features, reflecting heterogeneous immunological landscape of GC.

CD8+ T细胞浸润对各种肿瘤的抗肿瘤免疫至关重要,但其在胃癌(GC)中的临床意义尚不清楚。这反映了GC的分子异质性,正如癌症基因组图谱(TCGA)所定义的那样,GC分为四种亚型:Epstein-Barr病毒(EBV)阳性、微卫星不稳定(MSI)、染色体不稳定(CIN)和基因组稳定(GS),每种亚型都具有不同的免疫特征。我们的目的是在这个分子框架内表征CD8+ T细胞浸润的分布、临床相关性和免疫关联。分析TCGA (n = 336)和中山医院(ZSHS, n = 455)队列。不同TCGA亚型间CD8+ T细胞浸润及免疫特性比较。评估CD8+ T细胞在ZSHS队列中的预后和预测意义。CD8+ T细胞浸润在ebv阳性和MSI亚型中升高(ZSHS: p = 0.026; TCGA: p + T细胞浸润与更好的总生存率相关(p = 0.040),特别是在ebv阳性(p = 0.036)和CIN (p = 0.065)亚型中,但在MSI (p = 0.440)或GS (p = 0.860)中没有。值得注意的是,低CD8+ T浸润预示着MSI患者对辅助化疗的更好反应(HR = 0.210, p = 0.022)。免疫分析显示CD8+ T细胞与ebv阳性的抗原呈递、CIN的三级淋巴样结构特征和GS肿瘤的podoplanin+细胞相关,而不是MSI的新抗原负担或GS的泛成纤维细胞TGFβ反应特征。CD8+ T细胞浸润在ebv阳性和CIN肿瘤中具有亚型特异性预后和治疗意义,可预测低浸润MSI的化疗反应,并伴有不同的免疫特征,反映了GC的异质性免疫景观。
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引用次数: 0
RETRACTION: Frequent Alterations of the Candidate Genes hMLH1, ITGA9 and RBSP3 in Early Dysplastic Lesions of Head and Neck: Clinical and Prognostic Significance. 撤回:候选基因hMLH1、ITGA9和RBSP3在头颈部早期发育不良病变中的频繁改变:临床和预后意义。
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-19 DOI: 10.1111/cas.70372

Retraction: A. Ghosh, S. Ghosh, G.P. Maiti, M.G. Sabbir, E.R. Zabarovsky, A. Roy, S. Roychoudhury, and C.K. Panda, "Frequent Alterations of the Candidate Genes hMLH1, ITGA9 and RBSP3 in Early Dysplastic Lesions of Head and Neck: Clinical and Prognostic Significance," Cancer Science 101, no. 6 (2010): 1511-1520, https://doi.org/10.1111/j.1349-7006.2010.01551.x. The above article, published online on 19 May 2010 in Wiley Online Library (http://onlinelibrary.wiley.com/), has been retracted by agreement between the journal Editor-in-Chief, Masanori Hatakeyama; the Japanese Cancer Association; and John Wiley & Sons Australia, Ltd. A third party contacted the journal with concerns about duplicated images in the figures. Following an investigation, multiple duplications were found throughout Figures 2A, 3B, 4B, and supporting information Figure 2. Additionally, portions of some figures were duplicated in later articles by some of the same authors: Figure 2A in Dasgupta et al. 2016 (https://doi.org/10.2217/fon-2016-0289); Figures 2A and 3A in Ghosh et al. 2011 (https://doi.org/10.1245/s10434-011-1991-x); and Figure 3A in Bhattacharya et al. 2013 (https://doi.org/10.1245/s10434-012-2715-6). Due to the scope of the errors, the editor has lost confidence in the results reported, and therefore the article must be retracted. The authors have been informed of this decision.

引用本文:A. Ghosh, S. Ghosh, G.P. Maiti, M.G. Sabbir, E.R. Zabarovsky, A. Roy, S. Roychoudhury, C.K. Panda,“早期头颈部发育不良病变候选基因hMLH1、ITGA9和RBSP3的常见改变:临床和预后意义”,《癌症科学》第101期,第1期。6 (2010): 1511-1520, https://doi.org/10.1111/j.1349-7006.2010.01551.x。上述文章于2010年5月19日在线发表在Wiley在线图书馆(http://onlinelibrary.wiley.com/)上,经期刊主编畑山正森(Masanori Hatakeyama);日本癌症协会;及John Wiley & Sons Australia有限公司第三方联系了该杂志,对图中的重复图像表示担忧。经过调查,在图2A、3B、4B和图2的支持信息中发现了多个重复。此外,一些数据的部分在后来的文章中被一些相同的作者重复了:Dasgupta等人2016年的图2A (https://doi.org/10.2217/fon-2016-0289);Ghosh等人2011年的图2A和3A (https://doi.org/10.1245/s10434-011-1991-x);Bhattacharya et al. 2013 (https://doi.org/10.1245/s10434-012-2715-6)的图3A。由于错误的范围,编辑对报告的结果失去了信心,因此文章必须撤回。作者已被告知这一决定。
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引用次数: 0
Early-Onset Digestive System Cancers: Risk Factors and Clinicopathological and Molecular Features Across Organ Sites. 早发性消化系统癌症:跨器官部位的危险因素、临床病理和分子特征。
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-18 DOI: 10.1111/cas.70363
Nobuhiro Nakazawa, Satoko Ugai, Atsushi Kondo, Kosuke Matsuda, Shu Kato, Genki Usui, Shiori Tanaka, Hwa-Young Lee, Xinyuan Zhang, Hideo Miyagawa, Mai Chan Lau, Hiroshi Saeki, Yukihide Kanemitsu, Andrew T Chan, Shuji Ogino, Minkyo Song, Juha P Väyrynen, Tomotaka Ugai

The incidence of early-onset cancers, commonly defined as cancers diagnosed before age 50 years, has been increasing globally over recent decades. In particular, the incidence of several early-onset digestive system cancers, including cancers of the esophagus, stomach, colorectum, liver, extrahepatic bile duct, gallbladder, and pancreas, has been reported to be increasing in multiple regions. To elucidate carcinogenic mechanisms and develop effective prevention, earlier detection, and treatment strategies, further evidence is needed on risk factors and clinical, pathological, and molecular characteristics. In this review, we summarize the current evidence on these characteristics, highlight shared and distinct features across organ sites, and discuss research opportunities to address the rising burden of early-onset digestive system cancers.

近几十年来,全球早发性癌症(通常定义为50岁之前诊断出的癌症)的发病率一直在上升。特别是一些早发性消化系统癌症的发病率,包括食道癌、胃癌、结直肠癌、肝癌、肝外胆管癌、胆囊癌和胰腺癌,据报道在多个地区都在增加。为了阐明致癌机制,制定有效的预防、早期发现和治疗策略,需要进一步研究危险因素和临床、病理和分子特征。在这篇综述中,我们总结了这些特征的现有证据,强调了各器官部位的共同和独特特征,并讨论了解决早发性消化系统癌症日益增加的负担的研究机会。
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引用次数: 0
GPRC5B Identified by m5C meRIP-Seq Suppresses Apoptosis in Osteosarcoma Through NSUN2-Mediated RNA Methylation. m5C meRIP-Seq鉴定的GPRC5B通过nsun2介导的RNA甲基化抑制骨肉瘤细胞凋亡
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-18 DOI: 10.1111/cas.70362
Zhenyi Chen, Min Yang, Xiaoxiao Liang, Zhiqiang Yang, Wulan Mai, Yuyang Wang, Yushen Lu, Ruimin Wang, Yuanhang Han, Yuanlong Xie, Lin Cai

Osteosarcoma, the most common primary malignant bone tumor with poor prognosis, underscores the need for a deeper understanding of its molecular mechanisms. Recent studies have highlighted the importance of RNA modifications, including 5-methylcytosine (m5C), in cancer progression, yet the m5C modification landscape in osteosarcoma remains unexplored. Here, we performed transcriptome-wide profiling of m5C modifications in osteosarcoma using meRIP-seq and RNA-seq, analyzing four pairs of osteosarcoma and adjacent normal tissues. Furthermore, through conjunction analyses of meRIP-seq and RNA-seq data, we identified 637 genes with significant changes in both the m5C modification and mRNA levels. Among these, GPRC5B emerged as a key prognostic gene, with its high expression and m5C hypermethylation significantly associated with poor survival in osteosarcoma patients. Functional experiments demonstrated that GPRC5B suppresses apoptosis and promotes osteosarcoma cell proliferation and migration. Mechanistically, NSUN2-mediated m5C modification upregulates GPRC5B expression, and the anti-apoptotic effects of NSUN2 are primarily dependent on its ability to modulate GPRC5B m5C modification and expression. Knockdown of GPRC5B partially rescues the anti-apoptotic effects of NSUN2, highlighting the critical role of GPRC5B in osteosarcoma survival. Our study identified an m5C-dependent NSUN2-GPRC5B regulatory axis, providing insights into osteosarcoma progression and revealing its therapeutic potential.

骨肉瘤是最常见的原发性恶性骨肿瘤,预后较差,因此需要对其分子机制有更深入的了解。最近的研究强调了包括5-甲基胞嘧啶(m5C)在内的RNA修饰在癌症进展中的重要性,但m5C修饰在骨肉瘤中的前景仍未被探索。在这里,我们使用meRIP-seq和RNA-seq对骨肉瘤中的m5C修饰进行转录组全谱分析,分析了四对骨肉瘤和邻近的正常组织。此外,通过meRIP-seq和RNA-seq数据的联合分析,我们发现637个基因在m5C修饰和mRNA水平上都发生了显著变化。其中,GPRC5B成为关键的预后基因,其高表达和m5C高甲基化与骨肉瘤患者的低生存率显著相关。功能实验表明,GPRC5B抑制细胞凋亡,促进骨肉瘤细胞增殖和迁移。在机制上,NSUN2介导的m5C修饰上调GPRC5B的表达,NSUN2的抗凋亡作用主要依赖于其调节GPRC5B m5C修饰和表达的能力。GPRC5B的敲低部分恢复了NSUN2的抗凋亡作用,突出了GPRC5B在骨肉瘤存活中的关键作用。我们的研究确定了m5c依赖的NSUN2-GPRC5B调控轴,为骨肉瘤的进展提供了见解,并揭示了其治疗潜力。
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引用次数: 0
Genomic Profiling in Localized Prostate Cancer: Associations With Biochemical Recurrence and Response to Salvage Radiotherapy. 局部前列腺癌的基因组分析:与生化复发和补救性放疗反应的关系。
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-18 DOI: 10.1111/cas.70367
Kenji Zennami, Tetsuya Takimoto, Takuhisa Nukaya, Makoto Sumitomo, Mayu Takeda, Eiji Sugihara, Hideyuki Saya, Ryoichi Shiroki

The clinical significance of comprehensive genomic profiling (CGP) has been established in metastatic castration-resistant prostate cancer (PC). However, the role of genomic profiling in localized PC remains unclear. In this exploratory study, we evaluated somatic genomic alterations in localized PC using an in-house CGP platform to examine their associations with biochemical recurrence (BCR) and recurrence-free survival (RFS) after radical prostatectomy. DNA extracted from surgical specimens of 314 patients with localized PC was analyzed for alterations in 164 cancer-related genes. Six genes (PTEN, BRCA2, POLD1, ERBB3, MYC, and SETD2) were more frequently altered in patients who developed BCR in exploratory analyses. Patients harboring alterations in any of these genes (n = 96) showed higher pathological T stage, increased BCR rates (27.1% vs. 6.4%), and inferior RFS compared with alteration-negative patients (n = 218; p < 0.001). In multivariate analysis, the presence of these alterations was independently associated with worse RFS. Among individual genes, BRCA2 alteration, and particularly BRCA2-SETD2 co-alteration, were associated with unfavorable outcomes, although the latter finding was based on a limited number of cases. In patients who developed BCR, alterations were associated with shorter PSA doubling time and poorer outcomes after salvage radiotherapy, particularly in margin-negative cases; however, these subgroup analyses were based on small numbers and should be interpreted as hypothesis-generating. These findings suggest that somatic genomic alterations identified at prostatectomy are associated with early recurrence in localized PC. Further validation in independent cohorts is required to determine whether genomic profiling may contribute to future risk stratification and management strategies.

综合基因组谱分析(CGP)在转移性去势抵抗性前列腺癌(PC)中的临床意义已经确立。然而,基因组谱在局部PC中的作用尚不清楚。在这项探索性研究中,我们使用内部CGP平台评估了局部PC的体细胞基因组改变,以检查它们与根治性前列腺切除术后生化复发(BCR)和无复发生存(RFS)的关系。从314例局部PC患者的手术标本中提取DNA,分析164个癌症相关基因的改变。在探索性分析中,六个基因(PTEN, BRCA2, POLD1, ERBB3, MYC和SETD2)在发生BCR的患者中更频繁地改变。携带这些基因改变的患者(n = 96)表现出更高的病理性T分期,BCR率增加(27.1% vs. 6.4%),与改变阴性的患者(n = 218; p
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引用次数: 0
Transcriptional Reinforcement of the HER2-RAS Network in HER2-Positive Gastric Cancer: The RUNX-SOS1 Axis in Context. HER2-RAS网络在her2阳性胃癌中的转录增强:RUNX-SOS1轴。
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-17 DOI: 10.1111/cas.70364
Tatsuya Masuda, Takayoshi Watanabe, Toshinori Ozaki, Yasuhiko Kamikubo

HER2-positive gastric cancer represents a distinct molecular subtype characterized by chromosomal instability, variable HER2 amplification, and substantial intratumoral heterogeneity. Although HER2-targeted therapies have improved clinical outcomes, therapeutic resistance commonly develops and limits long-term benefit. Established resistance mechanisms include bypass signaling through alternative receptor tyrosine kinases, reactivation of downstream pathways such as PI3K-AKT and MAPK, and dynamic changes in HER2 expression during treatment. These findings underscore the complexity of signaling regulation in HER2-driven tumors and indicate that mechanisms beyond receptor-level inhibition contribute to persistent oncogenic signaling. In this review, we examine the concept of transcriptional reinforcement within the HER2-RAS signaling network and discuss RUNX-dependent regulation of SOS1 as a downstream mechanism that may sustain signaling activity. We position this regulatory axis within the broader landscape of established resistance mechanisms and emerging therapeutic strategies, including antibody-drug conjugates, kinase inhibitors, and rational combination approaches. By integrating canonical resistance pathways with transcriptional regulation, this review provides a balanced perspective on how downstream regulatory processes may influence therapeutic response in HER2-positive gastric cancer.

HER2阳性胃癌是一种独特的分子亚型,其特征是染色体不稳定、可变的HER2扩增和大量的肿瘤内异质性。尽管her2靶向治疗改善了临床结果,但通常会出现治疗耐药性,并限制了长期获益。已建立的耐药机制包括通过替代受体酪氨酸激酶的旁路信号,下游通路如PI3K-AKT和MAPK的再激活,以及治疗期间HER2表达的动态变化。这些发现强调了her2驱动肿瘤信号调节的复杂性,并表明受体水平抑制之外的机制有助于持续的致癌信号传导。在这篇综述中,我们研究了HER2-RAS信号网络中转录强化的概念,并讨论了SOS1的runx依赖性调控作为可能维持信号活性的下游机制。我们将这一调控轴定位于更广泛的耐药机制和新兴治疗策略,包括抗体-药物偶联物、激酶抑制剂和合理联合方法。通过整合经典耐药途径和转录调控,本综述为下游调控过程如何影响her2阳性胃癌的治疗反应提供了一个平衡的视角。
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引用次数: 0
NOL7 Inhibits Ovarian Cancer Progression and Suppresses Angiogenesis by Stabilizing GADD45A to Deactivate STAT3. NOL7通过稳定GADD45A使STAT3失活抑制卵巢癌进展和血管生成
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-11 DOI: 10.1111/cas.70358
Xinyu Xu, Jiayuan Wang, Meng Jiang, Ling Ouyang

Ovarian cancer is one of the most prevalent gynecologic malignancies worldwide. Dysregulated cell proliferation and angiogenesis are well-recognized to be involved in the pathogenesis of ovarian cancer. Nucleolar Protein 7 (NOL7), a novel RNA-binding protein, has been identified as a tumor suppressor and a key anti-angiogenetic factor. However, the function of NOL7 and its underlying molecular mechanisms in ovarian cancer remain unclear. In this study, we demonstrated that NOL7 expression was down-regulated in ovarian cancer tissues, and low NOL7 expression was associated with poorer prognosis in patients with ovarian cancer. Overexpression of NOL7 decreased cell viability, inhibited cell cycle entry and proliferation, and promoted apoptosis in OVCAR-3 and SKOV-3 cells. Additionally, NOL7 overexpression decreased VEGF-A level, increased TSP-1, and suppressed angiogenesis of human umbilical vein endothelial cells (HUVECs). Conversely, knockdown of NOL7 in ovarian cancer cells enhanced cell proliferation and angiogenesis, while reducing apoptosis. In vivo experiments further confirmed that NOL7 overexpression inhibited tumor growth and angiogenesis. Mechanistic studies revealed that NOL7 could bind to the 3'UTR of growth arrest and DNA damage inducible alpha (GADD45A), and overexpression of NOL7 up-regulated GADD45A expression by stabilizing GADD45A mRNA in ovarian cancer cells. The anti-cancer effects of the NOL7/GADD45A were mediated by inhibiting the phosphorylation of STAT3 at Ser727. Collectively, our findings indicate that NOL7 functions as a tumor suppressor in ovarian cancer and provide a novel therapeutic target for the treatment of ovarian cancer.

卵巢癌是世界上最常见的妇科恶性肿瘤之一。细胞增殖和血管生成的失调被认为与卵巢癌的发病机制有关。Nucleolar Protein 7 (NOL7)是一种新型的rna结合蛋白,被认为是肿瘤抑制因子和重要的抗血管生成因子。然而,NOL7在卵巢癌中的作用及其潜在的分子机制尚不清楚。在本研究中,我们发现NOL7在卵巢癌组织中表达下调,且NOL7低表达与卵巢癌患者预后较差相关。在OVCAR-3和SKOV-3细胞中,NOL7过表达降低细胞活力,抑制细胞周期进入和增殖,促进细胞凋亡。此外,NOL7过表达可降低人脐静脉内皮细胞(HUVECs)的VEGF-A水平,升高TSP-1,抑制血管生成。相反,在卵巢癌细胞中,敲低NOL7可增强细胞增殖和血管生成,同时减少细胞凋亡。体内实验进一步证实NOL7过表达抑制肿瘤生长和血管生成。机制研究表明,NOL7可以结合生长阻滞和DNA损伤诱导α (GADD45A)的3'UTR,过表达NOL7通过稳定GADD45A mRNA上调GADD45A的表达。NOL7/GADD45A的抗癌作用是通过抑制STAT3 Ser727位点的磷酸化介导的。总之,我们的研究结果表明,NOL7在卵巢癌中具有肿瘤抑制作用,为卵巢癌的治疗提供了新的治疗靶点。
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引用次数: 0
Targeting Inflammation and Immune Regulation in Chronic Inflammation Associated Cancers. 慢性炎症相关癌症的靶向炎症和免疫调节。
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-10 DOI: 10.1111/cas.70360
Lawan Rabiu, Mengzhu Chinn, Feng Chen, Yerkezhan Yerkinkazhina, Yuan Tian, Wei-Guo Zhu

Chronic inflammation is a fundamental driver of cancer development, linking persistent immune activation to genomic instability, microenvironmental remodeling, and malignant transformation. In inflammation-associated malignancies such as colitis-associated cancer (CAC) and metabolic dysfunction-associated fatty liver disease-related hepatocellular carcinoma (MAFLD-HCC), sustained inflammatory signaling integrates tissue injury with oncogenic pathways to promote tumor initiation and progression. Importantly, these cancers arise through prolonged preneoplastic stages, during which dysregulated immune and inflammatory responses not only drive malignant transformation but also create opportunities for cancer prevention and early disease interception. CAC and MAFLD-HCC share convergent mechanisms, including IL-6/STAT3 and NF-κB activation, cytokine-driven survival signaling, and cooperation with genetic alterations in APC, KRAS, and TP53. A critical but often underappreciated dimension of this process is the failure of endogenous immunoregulatory systems that normally restrain excessive inflammation. Among these, the negative regulator of immune cells TIPE2 plays an important role in limiting inflammatory signaling, and its reduced activity contributes to the persistence of a tumor-promoting inflammatory microenvironment that supports both disease initiation and progression. This review synthesizes the shared inflammatory, immunologic, and microenvironmental mechanisms underpinning CAC and MAFLD-HCC, with a particular emphasis on how impaired immune regulation drives the transition from chronic inflammation to cancer. We further highlight therapeutic and preventive strategies targeting inflammation-driven pathways, underscoring the dual relevance of immune modulation for cancer prevention in chronic inflammatory disease and for the treatment of established malignancy.

慢性炎症是癌症发展的基本驱动因素,将持续的免疫激活与基因组不稳定、微环境重塑和恶性转化联系起来。在炎症相关的恶性肿瘤中,如结肠炎相关癌症(CAC)和代谢功能障碍相关脂肪性肝病相关肝细胞癌(MAFLD-HCC),持续的炎症信号将组织损伤与致癌途径结合起来,促进肿瘤的发生和进展。重要的是,这些癌症是通过延长的肿瘤前阶段发生的,在此期间,失调的免疫和炎症反应不仅驱动恶性转化,而且为癌症预防和早期疾病拦截创造了机会。CAC和MAFLD-HCC具有趋同机制,包括IL-6/STAT3和NF-κB活化、细胞因子驱动的生存信号,以及与APC、KRAS和TP53基因改变的合作。这个过程的一个关键但经常被低估的方面是内源性免疫调节系统的失败,而内源性免疫调节系统通常会抑制过度炎症。其中,免疫细胞的负调节因子TIPE2在限制炎症信号传导方面发挥重要作用,其活性降低有助于肿瘤促进炎症微环境的持续存在,从而支持疾病的发生和进展。这篇综述综合了CAC和MAFLD-HCC共同的炎症、免疫和微环境机制,特别强调了免疫调节受损如何驱动从慢性炎症到癌症的转变。我们进一步强调针对炎症驱动途径的治疗和预防策略,强调免疫调节在慢性炎症疾病中预防癌症和治疗已建立的恶性肿瘤的双重相关性。
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引用次数: 0
Targeting PRMTs Creates Vulnerability of DNA Double-Stand Break Repair Pathways, and Potentiates Chemotherapy Efficacy in TNBC. 靶向PRMTs使DNA双支架断裂修复通路易损性增强TNBC化疗疗效
IF 4.3 2区 医学 Q1 Medicine Pub Date : 2026-03-09 DOI: 10.1111/cas.70338
Charlène Thiebaut, Sébastien Martinez, Ludivine Pruvost, Louisane Eve, Rania El-Botty, Laura Sourd, Elodie Montaudon, Ahmed Dahmani, Heloise Derrien, Stéphanie Sentis, Coralie Poulard, Elisabetta Marangoni, Olivier Trédan, Muriel Le Romancer

Patients with triple-negative breast cancer (ER-, PR-, and HER2-) are routinely treated with chemotherapies that induce DNA damage. However, around 30% of patients display resistance, owing largely to increased DNA repair mechanisms, upregulated to allow cancer cells to escape such therapies. PRMT1 and PRMT5, the two main protein arginine methyltransferases, are involved in several biological pathways, including DNA repair signaling, where they contribute to ensuring DNA integrity. We then speculated that targeting their enzymatic activity may sensitize TNBC cells to chemotherapeutic agents inducing DNA double-strand breaks. Here, we showed that PRMT1 and PRMT5 are recruited to DNA double-strand breaks upon doxorubicin or carboplatin treatment, two chemotherapies currently used to treat TNBC patients, and are preferentially involved in the homologous recombination pathway. By combining PRMT inhibitors with doxorubicin or carboplatin, we increased DNA double-strand breaks and impaired TNBC cell proliferation and clonogenicity in vitro and sensitized patient-derived models of TNBC to carboplatin treatment. These preclinical data provide a rationale for the clinical evaluation of PRMT inhibitors as combinatorial agents to improve chemotherapy efficacy for TNBC patients.

三阴性乳腺癌(ER-、PR-和HER2-)患者通常接受诱导DNA损伤的化疗。然而,大约30%的患者表现出耐药性,这主要是由于DNA修复机制的增加,使癌细胞能够逃避这种治疗。PRMT1和PRMT5是两种主要的蛋白精氨酸甲基转移酶,它们参与多种生物途径,包括DNA修复信号,在这些途径中它们有助于确保DNA的完整性。然后我们推测,靶向它们的酶活性可能会使TNBC细胞对诱导DNA双链断裂的化疗药物敏感。在这里,我们发现PRMT1和PRMT5在目前用于治疗TNBC患者的两种化疗药物阿霉素或卡铂治疗时被招募到DNA双链断裂,并且优先参与同源重组途径。通过将PRMT抑制剂与阿霉素或卡铂联合使用,我们在体外增加了DNA双链断裂,损害了TNBC细胞的增殖和克隆原性,并使患者来源的TNBC模型对卡铂治疗敏感。这些临床前数据为临床评价PRMT抑制剂作为联合用药提高TNBC患者化疗疗效提供了依据。
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Cancer Science
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