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CTSB-positive tumor-associated macrophages shape prognosis and therapeutic response in lung adenocarcinoma ctsb阳性肿瘤相关巨噬细胞影响肺腺癌的预后和治疗反应
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-12 DOI: 10.1016/j.tranon.2026.102671
Caiqiang Zhu , Liang Liang , Ning Xue , Dan Mei , Meng Tian , Zhaoyue Zhang , Xinchen Sun , Xiaofeng Ding

Background

Lung adenocarcinoma (LUAD) remains a major clinical challenge in assessment of clinical outcomes and therapeutic response. Although tumor-associated macrophages (TAMs) are known as crucial regulators of tumor progression, their heterogeneity and prognostic relevance in LUAD have not been fully elucidated.

Methods

The heterogeneity of TAMs was detected by integration analyses of single-cell data and spatial transcriptome data. The CTSB+ TAM-related signature (CTRS) was developed by machine learning algorithms across four LUAD datasets. Multi-omics analysis and functional experiments were applied to uncover the potential role and mechanism of CTSB+ TAMs in LUAD.

Results

Single-cell analysis identified CTSB⁺ TAM as a crucial player in LUAD progression with poor prognosis. The spatial co-localization of CTSB⁺ TAMs and tumor cells was confirmed on LUAD slides. Our proposed CTRS was generated and validated in four independent LUAD cohorts, with high scores indicating unfavorable outcomes Furthermore, high CTRS scores were correlated with immunosuppressive status, and poor responses to immune checkpoint blockade. Functional experiments demonstrated the role of CTSB+ TAMs in boosting proliferation and migration in LUAD cells.

Conclusion

Our research develops CTRS with reliable performance in evaluating patient clinical outcomes in LUAD, highlighting its potential utility in clinical decision-making.
背景肺腺癌(LUAD)仍然是评估临床结果和治疗反应的主要临床挑战。尽管肿瘤相关巨噬细胞(tam)被认为是肿瘤进展的关键调节因子,但它们在LUAD中的异质性和预后相关性尚未完全阐明。方法通过对单细胞数据和空间转录组数据的整合分析,检测tam的异质性。CTSB+ tam相关签名(CTRS)是通过跨四个LUAD数据集的机器学习算法开发的。通过多组学分析和功能实验,揭示了CTSB+ tam在LUAD中的潜在作用和机制。结果单细胞分析发现CTSB + TAM在预后不良的LUAD进展中起关键作用。LUAD玻片证实了CTSB + tam与肿瘤细胞的空间共定位。我们提出的CTRS在四个独立的LUAD队列中生成并验证,得分高表明结果不利。此外,高CTRS得分与免疫抑制状态和免疫检查点封锁反应差相关。功能实验证实了CTSB+ tam在LUAD细胞中促进增殖和迁移的作用。结论本研究开发的CTRS在评估LUAD患者临床结果方面具有可靠的性能,突出了其在临床决策中的潜在应用价值。
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引用次数: 0
Mechanistic and translational insights into plant-derived natural products in preclinical multiple myeloma research: Current evidence 临床前多发性骨髓瘤研究中植物来源的天然产物的机制和转化见解:目前的证据
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-08 DOI: 10.1016/j.tranon.2026.102666
Lulu Li , Jie Xu , Liming Yu , Jingbo Shi , Changnian Li , Jiabao Gu , Yaru Wang , Siyuan Cui
Multiple myeloma (MM) is a hematological malignancy characterized by the clonal proliferation of abnormal plasma cells, with marked heterogeneity and therapeutic refractoriness. Despite the introduction of proteasome inhibitors (PIs), immunomodulatory drugs (IMiDs), monoclonal antibodies (mAbs), and chimeric antigen receptor T-cell (CAR-T) therapy, relapse and drug resistance remain major challenges that urgently need to be addressed. Plant-derived natural products have attracted increasing attention in recent years due to their multi-target synergistic effects, demonstrating unique potential in inducing MM cell apoptosis, reversing drug resistance, and modulating the immune microenvironment—making them a rising focus in translational medicine research. In this structured narrative review, we systematically summarize the anti-myeloma mechanisms of fourteen plant-derived natural products, including plant-derived monomeric compounds (baicalein, artemisinin, curcumin, celastrol, gambogic acid, resveratrol, ginsenosides, icariin, oridonin, plumbagin, formononetin) and standardized plant extracts (Strychnos nux-vomica root extract, dandelion flavonoids, Hedyotis diffusa polysaccharides). This review highlights their multi-target regulatory effects on signaling pathways, cell cycle modulation, and immune regulation, and further discusses their potential translational value in overcoming drug resistance and optimizing combination treatment strategies. Literature was retrieved from PubMed, Web of Science, and CNKI databases, covering studies published up to January 2025. Although plant-derived natural products exhibit promising multi-target regulatory mechanisms in MM therapy, their clinical translation remains limited by poor bioavailability of single compounds and the lack of standardized extracts. Future research should integrate systems pharmacology with clinical studies to elucidate multi-component synergistic networks and develop novel targeted formulations, thereby accelerating the efficient translation of phytochemicals from bench to bedside.
多发性骨髓瘤(MM)是一种以异常浆细胞克隆增生为特征的血液系统恶性肿瘤,具有明显的异质性和治疗难治性。尽管引入了蛋白酶体抑制剂(pi)、免疫调节药物(IMiDs)、单克隆抗体(mab)和嵌合抗原受体t细胞(CAR-T)治疗,但复发和耐药仍然是迫切需要解决的主要挑战。近年来,植物源性天然产物因其多靶点协同作用而受到越来越多的关注,在诱导MM细胞凋亡、逆转耐药、调节免疫微环境等方面显示出独特的潜力,成为转化医学研究的热点。在这篇结构化的叙述综述中,我们系统地总结了14种植物源性天然产物的抗骨髓瘤机制,包括植物源性单体化合物(黄芩素、青蒿素、姜黄素、celastrol、藤黄酸、白藜芦醇、人参皂苷、淫羊藿苷、冬凌草苷、白桦柄花素)和标准化植物提取物(马钱子根提取物、蒲公英黄酮、白花蛇耳草多糖)。本文综述了它们在信号通路、细胞周期调节和免疫调节等方面的多靶点调控作用,并进一步讨论了它们在克服耐药和优化联合治疗策略方面的潜在翻译价值。文献检索自PubMed、Web of Science和CNKI数据库,涵盖截至2025年1月发表的研究。尽管植物来源的天然产物在多发性骨髓瘤治疗中显示出有希望的多靶点调节机制,但它们的临床转化仍然受到单一化合物生物利用度差和缺乏标准化提取物的限制。未来的研究应将系统药理学与临床研究结合起来,阐明多组分协同网络,开发新的靶向制剂,从而加快植物化学物质从实验室到床边的有效转化。
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引用次数: 0
Tumor derived adiponectin induces immunosuppressive macrophages in upper tract urothelial carcinoma 肿瘤源性脂联素在上尿路上皮癌中诱导免疫抑制巨噬细胞。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102599
Cheng-Huang Shen , PiChe Chen , Chia-Bin Chang , Chih-Chia Chang , Meilin Wang , Lien-Ping Chou , Ya-Yan Lai , Ming-Yang Lee , Shu-Fen Wu
Upper tract urothelial carcinoma (UTUC) is a rare urologic cancer that is more aggressive and has a poorer survival rate compared to bladder cancer. Previously, we linked the UTUC derived factors with tumor-infiltrating immune cells. Macrophages are considered the most abundant immune cell population within tumors and serve as key regulators of the tumor microenvironment. This study aimed to investigate their role in modulating immunosuppression in UTUC tumors. Our results indicated that UTUC patients had higher proportion of M2-type macrophages in the periphery, and that tumor-infiltrating M2 macrophages were inversely correlated with tumor-infiltrating T lymphocytes within UTUC tumors. The supernatants from UTUC tumor tissue, as well as the predominant factor adiponectin, caused upregulation of arginase-1 and CD206 expression in THP-1 differentiated macrophages. Furthermore, macrophages treated with supernatants from UTUC tumor tissue or adiponectin alone inhibited CD4 T cell and CD8 T cell proliferation, along with reduction of effective cytokines produced by T cells. These results suggest that macrophages modulated by adiponectin are associated with T cell suppression in the UTUC tumor microenvironment, highlighting a potential therapeutic target.
上尿路上皮癌(UTUC)是一种罕见的泌尿系统癌症,与膀胱癌相比更具侵袭性,生存率较低。之前,我们将UTUC衍生因子与肿瘤浸润性免疫细胞联系起来。巨噬细胞被认为是肿瘤中最丰富的免疫细胞群,是肿瘤微环境的关键调节因子。本研究旨在探讨它们在调节UTUC肿瘤免疫抑制中的作用。我们的研究结果表明,UTUC患者外周血中M2型巨噬细胞比例较高,且UTUC肿瘤内浸润性M2巨噬细胞与浸润性T淋巴细胞呈负相关。UTUC肿瘤组织上清液及优势因子脂联素引起THP-1分化巨噬细胞精氨酸酶-1和CD206表达上调。此外,用UTUC肿瘤组织上清液或脂联素单独处理巨噬细胞可抑制CD4 T细胞和CD8 T细胞的增殖,并减少T细胞产生的有效细胞因子。这些结果表明,脂联素调节的巨噬细胞与UTUC肿瘤微环境中的T细胞抑制有关,突出了一个潜在的治疗靶点。
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引用次数: 0
First functional evidence that a rare germline TP53β variant drives senescence-associated immune suppression and impairs apoptosis and cell migration in breast cancer patients 在乳腺癌患者中,一种罕见的种系TP53β变异驱动衰老相关的免疫抑制并损害细胞凋亡和细胞迁移的第一个功能证据。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102616
Claudia Christowitz , Daniel W Olivier , Nicole van der Merwe , Maritha J Kotze , Anna-Mart Engelbrecht

Introduction

Pathology-supported genetic testing (PSGT), a personalized medicine framework established in South Africa, led to the identification of a rare germline tumour suppressor protein 53 (TP53) beta-isoform (β) variant (NM_001126114.3, c.1018A>G, p.N340D) in a family with the Li-Fraumeni-like syndrome. While protein modeling predicted structural alterations consistent with impaired function, its pathogenicity remained unclear.

Aim

To determine the functional impact of the TP53β N340D variant on cell proliferation, cell death, senescence, migration, and anti-tumour activity using a translational ex vivo model.

Methods

Peripheral blood mononuclear cells (PBMCs) were isolated from female controls and breast cancer patients, with or without the TP53β N340D variant. Lipopolysaccharide (LPS)- and phytohemagglutinin-L (PHA-L)-stimulated proliferation was evaluated by a water-soluble tetrazolium 1 (WST-1) assay. Doxorubicin (DXR)-induced cell death was assessed using a WST-1 assay, flow cytometry, and western blotting. A senescence-associated beta-galactosidase assay and western blotting determined senescence. Migration and anti-tumour activity were assessed using a Transwell assay and co-culturing PBMCs with BT-549 spheroids.

Results

The TP53β N340D variant impaired DXR-induced cell death (p < 0.001), supported by reduced late apoptosis and decreased CASP3 and PARP activation. TP53β N340D PBMCs exhibited increased senescence (p < 0.01), potentially contributing to chemoresistance. Reduced LPS- and PHA-L-stimulated proliferation was dependent on cancer status. The variant reduced PBMC migration (p < 0.01), suggesting altered immune recruitment. Although anti-tumour activity appeared reduced in TP53β N340D PBMCs, spheroid size remained unchanged.

Conclusions

This study provides supporting evidence for the pathogenicity of the TP53β N340D variant and highlights the importance of integrating functional genomics into PSGT to enhance medical decision-making.
病理学支持基因检测(PSGT)是南非建立的一种个性化医学框架,在一个li - fraumeni样综合征家庭中发现了一种罕见的种系肿瘤抑制蛋白53 (TP53) β -同型异构体(β)变异(NM_001126114.3, c.1018A>G, p.N340D)。虽然蛋白质模型预测结构改变与功能受损一致,但其致病性仍不清楚。目的:通过翻译离体模型确定TP53β N340D变异对细胞增殖、细胞死亡、衰老、迁移和抗肿瘤活性的功能影响。方法:从携带或不携带TP53β N340D变异的女性对照和乳腺癌患者中分离外周血单个核细胞(PBMCs)。脂多糖(LPS)和植物血凝素- l (PHA-L)刺激的增殖通过水溶性四氮唑1 (WST-1)试验进行评估。采用WST-1检测、流式细胞术和western blotting评估阿霉素(DXR)诱导的细胞死亡。衰老相关的-半乳糖苷酶测定和免疫印迹法测定衰老。通过Transwell实验和pbmc与BT-549球体共培养来评估迁移和抗肿瘤活性。结果:TP53β N340D变异体损害了dxr诱导的细胞死亡(p < 0.001),减少了晚期凋亡,降低了CASP3和PARP的激活。TP53β N340D pmcs衰老增加(p < 0.01),可能有助于化学耐药。LPS和pha - l刺激的增殖减少依赖于癌症状态。该变异降低了PBMC迁移(p < 0.01),提示免疫募集发生改变。虽然TP53β N340D pbmc的抗肿瘤活性降低,但球体大小保持不变。结论:本研究为TP53β N340D变异的致病性提供了支持证据,并强调了将功能基因组学整合到PSGT中以提高医疗决策的重要性。
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引用次数: 0
AVIL promotes osteosarcoma progression and cisplatin resistance via ARP2/3-mediated DNA damage repair AVIL通过arp2 /3介导的DNA损伤修复促进骨肉瘤进展和顺铂耐药。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102654
Zhenyi Chen , Guozhu Tang , Xuan Lv , Guoqing Ding, Mingyang Huang, Zhe Chen, Shuo Dai, Huilin Liu, Sheng Zhang, Lin Cai
Osteosarcoma (OS) is the most common primary malignant tumor of bone that commonly occurs in adolescents with poor prognosis. Neoadjuvant chemotherapy with the MAP regimen (high-dose methotrexate (Methotrexate), doxorubicin, and cisplatin) is essential for the standardized OS therapeutic, the good response of which critically exceeds the patient survival. However, approximately 30–40 % of patients develop chemoresistance, leading to metastatic disease or recurrence. Understanding the molecular mechanisms underlying chemoresistance is crucial for improving clinical outcomes. In this study, AVIL was identified as a key gene correlated with OS progression and chemoresistance. AVIL overexpression was found to promote OS progression in vitro and in vivo by enhancing cell proliferation, migration, and invasion, while AVIL deficiency exerted the inverse phenotypes. In vivo experiments further confirmed that AVIL overexpression promotes tumor growth and suppresses apoptosis. Mechanistically, AVIL interacts with the ARP2/3 complex, a key regulator of DNA damage repair via actin polymerization and cytoskeletal dynamics. This interaction was confirmed to facilitate cisplatin resistance, with reduced DNA damage response and increased cell survival caused by AVIL overexpression. Furthermore, using patient-derived organoid (PDO) models, we demonstrated that CK666, an ARP2/3 inhibitor, enhanced the chemotherapy efficacy of cisplatin by increasing DNA damage response and reversing AVIL-mediated cisplatin resistance. These findings highlight AVIL as a potential therapeutic target and suggest that targeting the AVIL-ARP2/3 axis could serve as an alternative strategy to overcome chemoresistance during OS treatment.
骨肉瘤(Osteosarcoma, OS)是最常见的原发性骨恶性肿瘤,常见于青少年,预后较差。MAP方案(高剂量甲氨蝶呤、阿霉素和顺铂)的新辅助化疗对于标准化的OS治疗至关重要,其良好的反应严重超过了患者的生存期。然而,大约30- 40%的患者出现化疗耐药,导致转移性疾病或复发。了解化疗耐药的分子机制对改善临床结果至关重要。在本研究中,AVIL被确定为与OS进展和化疗耐药相关的关键基因。研究发现,在体外和体内,AVIL过表达可以通过增强细胞增殖、迁移和侵袭来促进OS的进展,而AVIL缺乏则会产生相反的表型。体内实验进一步证实,AVIL过表达可促进肿瘤生长,抑制细胞凋亡。在机制上,AVIL与ARP2/3复合物相互作用,ARP2/3复合物是通过肌动蛋白聚合和细胞骨架动力学进行DNA损伤修复的关键调节因子。这种相互作用被证实促进顺铂耐药,降低DNA损伤反应,增加AVIL过表达引起的细胞存活率。此外,通过患者源性类器官(PDO)模型,我们证明了ARP2/3抑制剂CK666通过增加DNA损伤反应和逆转avil介导的顺铂耐药来增强顺铂的化疗疗效。这些发现强调了AVIL作为一个潜在的治疗靶点,并表明靶向AVIL- arp2 /3轴可以作为在OS治疗期间克服化疗耐药的替代策略。
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引用次数: 0
Scutellarin regulates MAPK/ERK signalling in nasopharyngeal cancer via the apoptotic and ROS induced DNA damage 黄芩苷通过凋亡和ROS诱导的DNA损伤调控鼻咽癌中MAPK/ERK信号通路。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102635
Jingda Xu , Guanzheng Wu , Lu Wang , Qingfeng Zhang , Periyannan Velu , Annamalai Vijayalakshmi , Gang Chen
Nasopharyngeal carcinoma (NPC) occurs frequently, and NPC poses a significant risk to public health in areas where it is endemic. Better care is needed because NPC is associated with considerable morbidity and mortality. A natural anticancer substance called scutellarin fights cancer by acting on a variety of signalling pathways. Nevertheless, little is known about the underlying apoptotic and anti-proliferative actions of scutellarin. The current study aimed to determine the molecular effects of in vitro scutellarin on CNE1 human NPC cells through mechanisms such as cell proliferation, anti-inflammatory, and anti-apoptotic effects. NPC cells were exposed to scutellarin (20 and 30 μM/ml), and their proliferation and apoptosis were evaluated using the MTT assay, AO/EB, Rh-123, DCFH-DA, DAPI, and PI staining, cell adhesion, cell migration, and western blot analysis. We evaluated putative molecular pathways, MAPKs/NF-κB signaling, MMP, and intracellular ROS, cell proliferation regulatory proteins. By generating intracellular ROS, causing MMP loss and inducing apoptosis via the signalling pathways of TNF-α, COX-2, iNOS, and IL-6, pRB, cyclin-D1, CDK4/CDK6, and MAPKs/NF-κB, it has been found that scutellarin may reduce the proliferative, inflammatory, migratory, and invasive capacity of NPC cells. Our research supports the MAPKs/NF-κB pathway as a therapeutic target and suggests that it may play a key role in mediating the scutellarin actions against nasopharyngeal cancer malignancy. In summary, scutellarin may be an effective conventional therapeutic drug in preventing the progression of NPC.
鼻咽癌发生频繁,在鼻咽癌流行地区对公共卫生构成重大威胁。需要更好的护理,因为鼻咽癌与相当高的发病率和死亡率有关。一种叫做黄芩素的天然抗癌物质通过作用于多种信号通路来对抗癌症。然而,对黄芩苷潜在的凋亡和抗增殖作用知之甚少。本研究旨在通过细胞增殖、抗炎、抗凋亡等机制,确定体外黄芩苷对CNE1人鼻咽癌细胞的分子作用。采用MTT法、AO/EB、Rh-123、DCFH-DA、DAPI和PI染色、细胞粘附、细胞迁移和western blot分析鼻咽癌细胞的增殖和凋亡情况。我们评估了可能的分子途径,MAPKs/NF-κB信号,MMP和细胞内ROS,细胞增殖调节蛋白。研究发现,黄芩苷通过TNF-α、COX-2、iNOS、IL-6、pRB、cyclin-D1、CDK4/CDK6、MAPKs/NF-κB等信号通路产生细胞内ROS,导致MMP丢失,诱导细胞凋亡,从而降低鼻咽癌细胞的增殖、炎症、迁移和侵袭能力。我们的研究支持MAPKs/NF-κB通路作为治疗靶点,并提示其可能在介导黄芩素抗鼻咽癌的作用中发挥关键作用。综上所述,黄芩苷可能是一种有效的预防鼻咽癌进展的常规治疗药物。
{"title":"Scutellarin regulates MAPK/ERK signalling in nasopharyngeal cancer via the apoptotic and ROS induced DNA damage","authors":"Jingda Xu ,&nbsp;Guanzheng Wu ,&nbsp;Lu Wang ,&nbsp;Qingfeng Zhang ,&nbsp;Periyannan Velu ,&nbsp;Annamalai Vijayalakshmi ,&nbsp;Gang Chen","doi":"10.1016/j.tranon.2025.102635","DOIUrl":"10.1016/j.tranon.2025.102635","url":null,"abstract":"<div><div>Nasopharyngeal carcinoma (NPC) occurs frequently, and NPC poses a significant risk to public health in areas where it is endemic. Better care is needed because NPC is associated with considerable morbidity and mortality. A natural anticancer substance called scutellarin fights cancer by acting on a variety of signalling pathways. Nevertheless, little is known about the underlying apoptotic and anti-proliferative actions of scutellarin. The current study aimed to determine the molecular effects of <em>in vitro</em> scutellarin on CNE1 human NPC cells through mechanisms such as cell proliferation, anti-inflammatory, and anti-apoptotic effects. NPC cells were exposed to scutellarin (20 and 30 μM/ml), and their proliferation and apoptosis were evaluated using the MTT assay, AO/EB, Rh-123, DCFH-DA, DAPI, and PI staining, cell adhesion, cell migration, and western blot analysis. We evaluated putative molecular pathways, MAPKs/NF-κB signaling, MMP, and intracellular ROS, cell proliferation regulatory proteins. By generating intracellular ROS, causing MMP loss and inducing apoptosis via the signalling pathways of TNF-α, COX-2, iNOS, and IL-6, pRB, cyclin-D1, CDK4/CDK6, and MAPKs/NF-κB, it has been found that scutellarin may reduce the proliferative, inflammatory, migratory, and invasive capacity of NPC cells. Our research supports the MAPKs/NF-κB pathway as a therapeutic target and suggests that it may play a key role in mediating the scutellarin actions against nasopharyngeal cancer malignancy. In summary, scutellarin may be an effective conventional therapeutic drug in preventing the progression of NPC.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"64 ","pages":"Article 102635"},"PeriodicalIF":5.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912790","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
Zeaxanthin targets TOP2A to regulate autophagy and suppress lung cancer progression via the MAPK/ERK pathway 玉米黄质通过MAPK/ERK通路靶向TOP2A调节自噬,抑制肺癌进展。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102658
Jinxi He , Bo Yu , Xuyang Song , Tong Zhang, Zhixiong Qiao, Jing Li
Lung cancer (LC) remains a significant global health challenge, characterized by rapid progression and limited therapeutic options. Zeaxanthin (Zea), a natural carotenoid, exhibits promising antioxidant, anti-inflammatory, and anti-tumor activities; however, its precise mechanisms in LC are largely unexplored. Here, we demonstrate that Zea and DNA topoisomerase II A (TOP2A) significantly suppresses the viability, proliferation, and migration of LC cells while promoting apoptosis in vitro. Mechanistically, transcriptome analysis identified TOP2A as a critical downstream target. Molecular docking and cellular thermal shift assays further confirmed a direct interaction between Zea and TOP2A, suggesting Zea enhances TOP2A protein stability. We found that Zea inhibits TOP2A expression, which subsequently disrupts MAPK/ERK signaling and enhances autophagic activity, evidenced by increased autophagosome and autolysosome formation. Western blot and immunofluorescence analyses corroborated the modulation of key autophagy-related proteins. In vivo studies using an orthotopic LC model revealed that Zea treatment markedly reduced tumor growth, accompanied by decreased TOP2A and Ki67 expression. Collectively, our findings establish Zea as a potent LC therapeutic agent that suppresses tumor progression by targeting TOP2A, inhibiting the MAPK/ERK pathway, and ultimately modulating autophagy.
肺癌(LC)仍然是一个重大的全球健康挑战,其特点是快速进展和有限的治疗选择。玉米黄质(Zea)是一种天然类胡萝卜素,具有良好的抗氧化、抗炎和抗肿瘤活性;然而,其在LC中的确切机制在很大程度上尚未被探索。在这里,我们证明了玉米和DNA拓扑异构酶II A (TOP2A)在体外显著抑制LC细胞的活力、增殖和迁移,同时促进细胞凋亡。从机制上讲,转录组分析确定TOP2A是一个关键的下游靶标。分子对接和细胞热移实验进一步证实了Zea与TOP2A之间的直接相互作用,表明Zea增强了TOP2A蛋白的稳定性。我们发现,Zea抑制TOP2A的表达,进而破坏MAPK/ERK信号通路,增强自噬活性,自噬体和自噬酶体的形成增加。Western blot和免疫荧光分析证实了关键自噬相关蛋白的调节。原位LC模型的体内研究显示,Zea处理显著降低肿瘤生长,同时降低TOP2A和Ki67的表达。总的来说,我们的研究结果表明Zea是一种有效的LC治疗剂,通过靶向TOP2A,抑制MAPK/ERK通路,最终调节自噬来抑制肿瘤进展。
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引用次数: 0
Induction chemotherapy with nedaplatin, docetaxel and 5-fluorouracil followed by concurrent nedaplatin and radiotherapy in locoregionally advanced nasopharyngeal carcinoma: A single arm, open label, phase II clinical trial 局部进展期鼻咽癌诱导化疗奈达铂、多西紫杉醇和5-氟尿嘧啶并发奈达铂和放疗:单臂、开放标签、II期临床试验
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102634
Fang-Zheng Chen , Ying Deng , Wen-Jing Yin , Meng-Yao Wang , Fang Yang , Zhi-Huan Yang , Li-Ping Zhou , Si-Da Chen , Jie-Ling Chen , Xi-Zhen Jiang , Ao-Xiong Zhou , Yu-Meng Ou , Jin-Quan Liu , Dong-Ping Chen , Bin Qi

Purpose

To evaluate the efficacy of nedaplatin in induction chemotherapy and concurrent chemoradiotherapy for locoregionally advanced nasopharyngeal carcinoma.

Methods

In this prospective, single-arm, open-label phase II trial, patients with newly diagnosed stage III-IVa (except T3–4N0) nasopharyngeal carcinoma were enrolled. Participants received three cycles of induction chemotherapy with docetaxel (60 mg/m² IV on days 1, 22, and 43), nedaplatin (60 mg/m² IV on days 1, 22, and 43), and fluorouracil (600 mg/m²/day as a continuous 120 h infusion on days 1–5, 22–26, and 43–47). This was followed by intensity-modulated radiotherapy with concurrent nedaplatin (100 mg/m² IV on days 1, 22, and/or 43) for two or three cycles. The primary endpoint was the objective response rate (ORR). Secondary endpoints included overall survival (OS), progression-free survival (PFS), and toxicity profile.

Results

From March 2020 to November 2021, 32 patients were enrolled. With a median follow-up of 42.4 months (IQR, 35.4–45.2), 32 patients (100 %) achieved ORR at 12 weeks post-treatment. The 36-month PFS was 87.5 % (95 % CI, 76.1 %-98.8 %), and the 36-month OS was 100 %. The most common grade 3 or 4 adverse events during induction chemotherapy were neutropenia (9.4 %), diarrhea (9.4 %), leukopenia (6.2 %), fatigue (3.1 %) and hepatotoxicity (3.1 %). Mucositis (9.4 %) was the most common adverse events during concurrent chemoradiotherapy, followed by leukopenia (3.1 %), neutropenia (3.1 %), and thrombocytopenia (3.1 %). All adverse events were manageable.

Conclusion

Induction chemotherapy with nedaplatin, docetaxel, and 5-fluorouracil, followed by concurrent nedaplatin with intensity-modulated radiotherapy, demonstrated promising antitumor activity and manageable toxicities in locoregionally advanced nasopharyngeal carcinoma patients.

Trial registration

This trial was registered with ClinicalTrials.gov identifier: NCT04834206.
目的:评价奈达铂在局部进展期鼻咽癌诱导化疗和同步放化疗中的疗效。方法:在这项前瞻性、单臂、开放标签的II期试验中,纳入了新诊断的III-IVa期(T3-4N0期除外)鼻咽癌患者。参与者接受了三个周期的诱导化疗,包括多西紫杉醇(60mg /m²IV,第1、22和43天)、奈达铂(60mg /m²IV,第1、22和43天)和氟尿嘧啶(600mg /m²/天,连续输注120小时,第1-5、22-26和43-47天)。随后进行调强放疗,同时使用奈达铂(100mg /m²IV,在第1、22和/或43天)进行2或3个周期。主要终点为客观缓解率(ORR)。次要终点包括总生存期(OS)、无进展生存期(PFS)和毒性特征。结果:从2020年3月到2021年11月,32例患者入组。中位随访42.4个月(IQR, 35.4-45.2), 32例(100%)患者在治疗后12周达到ORR。36个月的PFS为87.5% (95% CI, 76.1% - 98.8%), 36个月的OS为100%。诱导化疗期间最常见的3级或4级不良事件是中性粒细胞减少(9.4%)、腹泻(9.4%)、白细胞减少(6.2%)、疲劳(3.1%)和肝毒性(3.1%)。粘膜炎(9.4%)是同步放化疗期间最常见的不良事件,其次是白细胞减少(3.1%)、中性粒细胞减少(3.1%)和血小板减少(3.1%)。所有不良事件均在可控范围内。结论:奈达铂、多西紫杉醇和5-氟尿嘧啶诱导化疗,随后奈达铂联合调强放疗,在局部进展期鼻咽癌患者中显示出良好的抗肿瘤活性和可控的毒性。试验注册:该试验在ClinicalTrials.gov注册,注册号:NCT04834206。
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引用次数: 0
Interleukin 35 promotes progression of hepatocellular carcinoma by recruiting neutrophils 白细胞介素35通过募集中性粒细胞促进肝细胞癌的进展。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102630
Wei Gan , Guo-Qiang Sun , Jin-Long Huang , Bao-Ye Sun , Zhu-Tao Wang , Zhang-Fu Yang , Cheng Zhou , Yong Yi , Shuang-Jian Qiu

Background

A growing number of therapeutic strategies against hepatocellular carcinoma (HCC) have emerged. However, their efficacy remains limited. This study investigated the mechanism of interleukin-35 (IL-35) in the progression of HCC and its potential application in HCC treatment.

Methods

The expression of IL-35,Gp130 ,IL12-Rβ2, CCL3,etc. in HCC tissues was detected by immunohistochemistry(IHC), and the expression of IL-35 in HCC cell lines was detected by fluorescence assay. Kaplan-Meier survival analysis of IL-35 and its receptor in relation to overall survival(OS) and recurrence free survival(RFS) in patients with HCC. The mouse subcutaneous tumor models to study the effects of IL-35 on HCC growth and immune cells. Western blot were used to detect the expression IL-35, CCL3, FGF2, and flow cytometric plot were performed to explore the immune cells infiltration in the tumor tissue.

Results

High expression of IL-35 in patients with HCC was associated with poor prognosis. Furthermore, IL-35 could facilitate tumor progression by affecting neutrophil infiltration, angiogenesis, and CD8+ T-cell infiltration. Additionally, CCL3 was a key factor mediating the recruitment of neutrophils by IL-35. FGF2 derived from neutrophils stimulated by IL-35 promoted intratumoral angiogenesis. IL-35 also facilitated the adhesion of tumors to endothelial cells, with neutrophils further enhancing this effect both. Anti-IL-35 antibody combined with anti-PD1 antibody significantly enhanced which therapeutic effect in HCC.

Conclusions

Our data show that the high expression of IL-35 in patients with HCC is an important tumor promoter. Combined treatment with anti-IL-35 and anti-PD1 antibodies have potential therapeutic effect against HCC.
背景:针对肝细胞癌(HCC)的治疗策略越来越多。然而,它们的功效仍然有限。本研究旨在探讨白细胞介素-35 (IL-35)在HCC发生发展中的作用机制及其在HCC治疗中的潜在应用。方法:检测IL-35、Gp130、IL12-Rβ2、CCL3等的表达。免疫组化(IHC)法检测肝癌组织中IL-35的表达,荧光法检测肝癌细胞系中IL-35的表达。肝癌患者IL-35及其受体与总生存期(OS)和无复发生存期(RFS)的Kaplan-Meier生存分析建立小鼠皮下肿瘤模型,研究IL-35对肝癌生长及免疫细胞的影响。Western blot检测IL-35、CCL3、FGF2的表达,流式细胞术观察免疫细胞在肿瘤组织中的浸润情况。结果:肝癌患者IL-35高表达与预后不良相关。此外,IL-35可以通过影响中性粒细胞浸润、血管生成和CD8+ t细胞浸润来促进肿瘤进展。此外,CCL3是介导IL-35募集中性粒细胞的关键因子。IL-35刺激中性粒细胞产生的FGF2促进肿瘤内血管生成。IL-35还促进肿瘤与内皮细胞的粘附,中性粒细胞进一步增强了这一作用。抗il -35抗体联合抗pd1抗体可显著提高其治疗HCC的效果。结论:我们的数据表明,IL-35在HCC患者中高表达是一个重要的肿瘤启动子。联合抗il -35和抗pd1抗体治疗肝癌有潜在的治疗效果。
{"title":"Interleukin 35 promotes progression of hepatocellular carcinoma by recruiting neutrophils","authors":"Wei Gan ,&nbsp;Guo-Qiang Sun ,&nbsp;Jin-Long Huang ,&nbsp;Bao-Ye Sun ,&nbsp;Zhu-Tao Wang ,&nbsp;Zhang-Fu Yang ,&nbsp;Cheng Zhou ,&nbsp;Yong Yi ,&nbsp;Shuang-Jian Qiu","doi":"10.1016/j.tranon.2025.102630","DOIUrl":"10.1016/j.tranon.2025.102630","url":null,"abstract":"<div><h3>Background</h3><div>A growing number of therapeutic strategies against hepatocellular carcinoma (HCC) have emerged. However, their efficacy remains limited. This study investigated the mechanism of interleukin-35 (IL-35) in the progression of HCC and its potential application in HCC treatment.</div></div><div><h3>Methods</h3><div>The expression of IL-35,Gp130 ,IL12-Rβ2, CCL3,etc. in HCC tissues was detected by immunohistochemistry(IHC), and the expression of IL-35 in HCC cell lines was detected by fluorescence assay. Kaplan-Meier survival analysis of IL-35 and its receptor in relation to overall survival(OS) and recurrence free survival(RFS) in patients with HCC. The mouse subcutaneous tumor models to study the effects of IL-35 on HCC growth and immune cells. Western blot were used to detect the expression IL-35, CCL3, FGF2, and flow cytometric plot were performed to explore the immune cells infiltration in the tumor tissue.</div></div><div><h3>Results</h3><div>High expression of IL-35 in patients with HCC was associated with poor prognosis. Furthermore, IL-35 could facilitate tumor progression by affecting neutrophil infiltration, angiogenesis, and CD8+ T-cell infiltration. Additionally, CCL3 was a key factor mediating the recruitment of neutrophils by IL-35. FGF2 derived from neutrophils stimulated by IL-35 promoted intratumoral angiogenesis. IL-35 also facilitated the adhesion of tumors to endothelial cells, with neutrophils further enhancing this effect both. Anti-IL-35 antibody combined with anti-PD1 antibody significantly enhanced which therapeutic effect in HCC.</div></div><div><h3>Conclusions</h3><div>Our data show that the high expression of IL-35 in patients with HCC is an important tumor promoter. Combined treatment with anti-IL-35 and anti-PD1 antibodies have potential therapeutic effect against HCC.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"64 ","pages":"Article 102630"},"PeriodicalIF":5.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
NTRK2 promotes malignant progression and paclitaxel resistance of lung adenocarcinoma through targeting MYC/ABCF1 axis NTRK2通过靶向MYC/ABCF1轴促进肺腺癌的恶性进展和紫杉醇耐药。
IF 5 2区 医学 Q2 Medicine Pub Date : 2026-01-06 DOI: 10.1016/j.tranon.2025.102655
Rongrong Cui , Yuanyuan Wang , Yao Yao , Xiaojuan Ren , Yuchen Zhang , Daxu Li , Peng Hou , Meiju Ji , Yiping Qu
Lung adenocarcinoma (LUAD) is the most prevalent histological subtype of lung cancer, and the development of chemoresistance often leads to tumor recurrence and metastasis. Neurotrophic receptor tyrosine kinase 2 (NTRK2) has been implicated in tumorigenesis and chemotherapy resistance, but its precise role in LUAD and contribution to paclitaxel resistance remain unclear. In this study, we found that NTRK2 expression was significantly upregulated in LUADs compared with paired noncancerous tissues and was further elevated in samples from patients who experienced recurrence following paclitaxel-based chemotherapy. Functional assays demonstrated that NTRK2 knockdown markedly inhibited the malignant phenotypes of LUAD cells in vitro and significantly restored the sensitivity of LUAD cells to paclitaxel. Conversely, NTRK2 overexpression promoted cell proliferation, colony formation, and reduced responsiveness to paclitaxel. Consistently, in vivo xenograft experiments revealed that NTRK2 knockdown suppressed tumor growth and enhanced the antitumor efficacy of paclitaxel. Mechanistically, NTRK2 activated the MAPK/ERK and PI3K/AKT signaling pathways, leading to the upregulation of MYC, which in turn directly activated the transcription of ATP-binding cassette subfamily F member 1 (ABCF1), thereby promoting LUAD progression and paclitaxel resistance. Collectively, our findings identify NTRK2 as a critical oncogenic driver that confers chemoresistance by activating the NTRK2/MYC/ABCF1 signaling axis. This study provides new mechanistic insights into the regulation of paclitaxel resistance in LUAD and highlights NTRK2 and its downstream effectors as promising therapeutic targets for overcoming chemoresistance.
肺腺癌(LUAD)是肺癌最常见的组织学亚型,化疗耐药的发展往往导致肿瘤的复发和转移。神经营养受体酪氨酸激酶2 (NTRK2)与肿瘤发生和化疗耐药有关,但其在LUAD中的确切作用和对紫杉醇耐药的贡献尚不清楚。在这项研究中,我们发现与配对的非癌组织相比,LUADs中的NTRK2表达显著上调,并且在紫杉醇化疗后复发的患者样本中进一步升高。功能实验表明,NTRK2敲低可显著抑制LUAD细胞的恶性表型,并显著恢复LUAD细胞对紫杉醇的敏感性。相反,NTRK2过表达促进细胞增殖、集落形成,并降低对紫杉醇的反应性。与此一致的是,体内异种移植实验显示,NTRK2敲低抑制肿瘤生长,增强紫杉醇的抗肿瘤功效。机制上,NTRK2激活MAPK/ERK和PI3K/AKT信号通路,导致MYC上调,进而直接激活atp结合盒亚家族F成员1 (ABCF1)的转录,从而促进LUAD进展和紫杉醇耐药。总的来说,我们的研究结果确定NTRK2是一个关键的致癌驱动因素,通过激活NTRK2/MYC/ABCF1信号轴来赋予化学耐药。该研究为LUAD中紫杉醇耐药的调控提供了新的机制见解,并强调了NTRK2及其下游效应物是克服化疗耐药的有希望的治疗靶点。
{"title":"NTRK2 promotes malignant progression and paclitaxel resistance of lung adenocarcinoma through targeting MYC/ABCF1 axis","authors":"Rongrong Cui ,&nbsp;Yuanyuan Wang ,&nbsp;Yao Yao ,&nbsp;Xiaojuan Ren ,&nbsp;Yuchen Zhang ,&nbsp;Daxu Li ,&nbsp;Peng Hou ,&nbsp;Meiju Ji ,&nbsp;Yiping Qu","doi":"10.1016/j.tranon.2025.102655","DOIUrl":"10.1016/j.tranon.2025.102655","url":null,"abstract":"<div><div>Lung adenocarcinoma (LUAD) is the most prevalent histological subtype of lung cancer, and the development of chemoresistance often leads to tumor recurrence and metastasis. Neurotrophic receptor tyrosine kinase 2 (NTRK2) has been implicated in tumorigenesis and chemotherapy resistance, but its precise role in LUAD and contribution to paclitaxel resistance remain unclear. In this study, we found that NTRK2 expression was significantly upregulated in LUADs compared with paired noncancerous tissues and was further elevated in samples from patients who experienced recurrence following paclitaxel-based chemotherapy. Functional assays demonstrated that <em>NTRK2</em> knockdown markedly inhibited the malignant phenotypes of LUAD cells <em>in vitro</em> and significantly restored the sensitivity of LUAD cells to paclitaxel. Conversely, <em>NTRK2</em> overexpression promoted cell proliferation, colony formation, and reduced responsiveness to paclitaxel. Consistently, <em>in vivo</em> xenograft experiments revealed that <em>NTRK2</em> knockdown suppressed tumor growth and enhanced the antitumor efficacy of paclitaxel. Mechanistically, NTRK2 activated the MAPK/ERK and PI3K/AKT signaling pathways, leading to the upregulation of MYC, which in turn directly activated the transcription of ATP-binding cassette subfamily F member 1 (<em>ABCF1</em>), thereby promoting LUAD progression and paclitaxel resistance. Collectively, our findings identify NTRK2 as a critical oncogenic driver that confers chemoresistance by activating the NTRK2/MYC/ABCF1 signaling axis. This study provides new mechanistic insights into the regulation of paclitaxel resistance in LUAD and highlights NTRK2 and its downstream effectors as promising therapeutic targets for overcoming chemoresistance.</div></div>","PeriodicalId":48975,"journal":{"name":"Translational Oncology","volume":"64 ","pages":"Article 102655"},"PeriodicalIF":5.0,"publicationDate":"2026-01-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145912842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"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
期刊
Translational Oncology
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