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Genomic diversity and BCL9L mutational status in circulating tumor cells predict overall survival in metastatic colorectal cancer. 循环肿瘤细胞的基因组多样性和BCL9L突变状态预测转移性结直肠癌的总生存期。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1007/s13402-025-01109-x
Joao M Alves, Nuria Estévez-Gómez, Roberto Piñeiro, Laura Muinelo-Romay, Patricia Mondelo-Macía, Mercedes Salgado, Agueda Iglesias-Gómez, Laura Codesido-Prada, Astrid Diez-Martín, Joaquin Cubiella, David Posada

Background: Metastatic colorectal cancer (mCRC) remains a major cause of cancer-related mortality, but few noninvasive biomarkers exist to track disease progression or inform treatment strategies. Circulating tumor cells (CTCs) offer a minimally invasive source of tumor material, yet the prognostic significance of their genomic diversity remains unclear.

Methods: We conducted whole-exome sequencing of CTC pools from 29 mCRC patients to characterize their mutational landscape and assess associations with overall survival.

Results: Our analysis revealed substantial variation in mutational burden among patients, with all CTC pools harboring non-silent mutations in key CRC driver genes. Higher genomic diversity in CTC pools was significantly associated with reduced overall survival. Additionally, non-silent mutations in BCL9L emerged as a strong predictor of patient survival.

Conclusion: Genomic diversity and BCL9L mutational status in CTC pools emerged as strong predictors of survival in mCRC, underscoring the potential of CTC genomic profiling as a minimally invasive and clinically relevant prognostic tool in mCRC.

背景:转移性结直肠癌(mCRC)仍然是癌症相关死亡的主要原因,但很少有无创生物标志物可以跟踪疾病进展或告知治疗策略。循环肿瘤细胞(CTCs)提供了一种微创肿瘤物质来源,但其基因组多样性的预后意义尚不清楚。方法:我们对29例mCRC患者的CTC池进行了全外显子组测序,以表征其突变景观并评估其与总生存期的关系。结果:我们的分析揭示了患者突变负担的实质性变化,所有CTC池都包含关键CRC驱动基因的非沉默突变。CTC池中较高的基因组多样性与总生存率降低显著相关。此外,BCL9L的非沉默突变是患者生存的一个强有力的预测因子。结论:基因组多样性和BCL9L突变状态在CTC池中成为mCRC生存的强有力预测因素,强调了CTC基因组谱分析作为mCRC微创和临床相关预后工具的潜力。
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引用次数: 0
A novel β-carboline alkaloid derivative targeting MDM2-p53 pathway suppresses colorectal cancer progression. 一种新的靶向MDM2-p53通路的β-碳碱生物碱衍生物抑制结直肠癌的进展。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1007/s13402-025-01111-3
Fanbin Zeng, Cheng Chen, Zhanwei Fu, Haihui Huang, Wenqiang Cui, Yuanyuan Zhou, Yanjie Kong, Xia Liu, Zhiru Xu, Shouguo Wang, Tian Xiao, Houjun Xia

Purpose: Colorectal cancer (CRC) remains a major global health challenge, necessitating novel therapeutic approaches. β-carboline alkaloids, natural compounds with anticancer properties, have shown potential to inhibit cancer cell viability. Here, we synthesized β-carboline derivatives and explored their potential as CRC inhibitors.

Methods: The IC50 values of β-carboline derivatives were determined by cell viability assay. The biological effects of the leading candidate were evaluated via cell cycle analysis, proliferation assay, colony formation, apoptosis assay, and reactive oxygen species detection. Mechanistic studies were performed using transcriptomic and proteomic analysis, validated by immunoblotting, pulldown assay, cycloheximide-chasing assay, and co-immunoprecipitation. An in vivo CRC xenograft model was used to assess the efficacy of the leading candidate.

Results: Z-7 was identified as the leading candidate due to its ability to induce apoptosis and cell cycle arrest in CRC cells. Transcriptomic and proteomic data revealed that Z-7 activated the p53 signaling pathway in p53 wild-type CRC by binding to MDM2 at the RING domain, and inhibiting the E3 ligase activity of MDM2, leading to the reduction of p53 ubiquitination. In vivo study showed Z-7 treatment elevated p53 expression and significantly suppressed tumor growth in xenograft models.

Conclusion: Z-7 is a promising candidate for CRC therapy, particularly in patients with functional p53 and elevated MDM2, warranting further clinical evaluation.

目的:结直肠癌(CRC)仍然是一个主要的全球健康挑战,需要新的治疗方法。β-碳碱生物碱是具有抗癌特性的天然化合物,已显示出抑制癌细胞活力的潜力。在这里,我们合成了β-碳碱衍生物,并探索了它们作为结直肠癌抑制剂的潜力。方法:采用细胞活力法测定β-卡波林衍生物的IC50值。通过细胞周期分析、增殖实验、菌落形成、细胞凋亡实验和活性氧检测来评估主要候选药物的生物学效应。利用转录组学和蛋白质组学分析进行机制研究,并通过免疫印迹、拉下试验、环己亚胺追踪试验和共免疫沉淀进行验证。一个体内CRC异种移植模型被用来评估主要候选药物的疗效。结果:Z-7因其在CRC细胞中诱导细胞凋亡和细胞周期阻滞的能力而被确定为主要候选药物。转录组学和蛋白质组学数据显示,在p53野生型CRC中,Z-7通过在RING结构域与MDM2结合,抑制MDM2的E3连接酶活性,激活p53信号通路,导致p53泛素化降低。体内研究表明,Z-7治疗可提高异种移植瘤模型中p53的表达并显著抑制肿瘤生长。结论:Z-7是一种很有前景的CRC治疗候选者,特别是在功能性p53和MDM2升高的患者中,值得进一步的临床评估。
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引用次数: 0
Pyrotinib inhibits the tumorigenicity of HER2-positive non-small cell lung cancer by inducing ARIH1/ubiquitin/lysosome-dependent degradation of HER2. Pyrotinib通过诱导ARIH1/泛素/溶酶体依赖的HER2降解来抑制HER2阳性非小细胞肺癌的致瘤性。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1007/s13402-025-01107-z
Xiyue Li, Jiehong Wang, Shu Li, Jing Fang, Yue Hao, Chunwei Xu, You Shu, Hong Shu, Jiaojiao Chen, Naiyan Lu, Xue Zhu, Ke Wang, Xun Wang
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引用次数: 0
PTEN loss and ERBB2/ERBB3-mediated AKT reactivation drive resistance to MET inhibition in MET-amplified hepatocellular carcinoma. PTEN缺失和ERBB2/ erbb3介导的AKT再激活驱动MET扩增型肝细胞癌对MET抑制的抗性。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-09-24 DOI: 10.1007/s13402-025-01097-y
Ruolan Qian, Yuchen Guo, Xiaolin Hu, Jing Ling, Haigang Geng, Qiaoqiao Ye, Linmeng Zhang, Shujie Zhan, Long Liao, Yang Ge, Quan Zheng, Ying Cao

Background: Hepatocellular carcinoma (HCC) remains a therapeutic challenge due to limited treatment options and frequent resistance to targeted therapies. MET amplification is a promising therapeutic target in a subset of HCC. However, mechanisms of resistance to MET inhibitors are not fully understood, impeding the efficacy of treatments.

Methods: We performed a genome-wide CRISPR-Cas9 screen to identify genetic determinants of resistance to MET inhibitors. The efficacy of selective MET inhibitors, including capmatinib and tepotinib, was evaluated in MET-amplified HCC models. Mechanistic studies were conducted to characterize AKT signaling dynamics and tumour cell responses under various treatment conditions.

Results: MET inhibitors selectively suppressed tumour growth in MET-amplified HCC. However, PTEN deficiency sustained AKT activation despite MET blockade, facilitating tumour survival. Moreover, MET inhibitor treatment triggered adaptive upregulation of ERBB2/ERBB3, leading to AKT reactivation and resistance. Combined inhibition of MET and AKT or ERBB kinases synergistically restored therapeutic response and induced apoptosis. These resistance mechanisms also reduced the efficacy of cabozantinib. Notably, neither combination was effective in MET-high non-amplified HCC.

Conclusion: Our study identifies PTEN deficiency and ERBB2/ERBB3-mediated reactivation as key resistance mechanisms to MET inhibition in MET-amplified HCC. The findings support biomarker-informed combination strategies and underscore the importance of stratifying patients based on MET amplification status.

背景:肝细胞癌(HCC)仍然是一个治疗挑战,由于有限的治疗选择和常见的耐药靶向治疗。MET扩增是一种很有希望的肝癌亚群治疗靶点。然而,对MET抑制剂的耐药机制尚不完全清楚,阻碍了治疗的有效性。方法:我们进行了全基因组CRISPR-Cas9筛选,以确定对MET抑制剂耐药的遗传决定因素。选择性MET抑制剂(包括卡马替尼和替波替尼)的疗效在MET扩增的HCC模型中进行了评估。机制研究表征AKT信号动力学和肿瘤细胞在不同治疗条件下的反应。结果:MET抑制剂选择性地抑制MET扩增的HCC的肿瘤生长。然而,尽管MET阻断,PTEN缺乏仍维持AKT激活,促进肿瘤存活。此外,MET抑制剂治疗引发ERBB2/ERBB3的适应性上调,导致AKT再激活和耐药。联合抑制MET和AKT或ERBB激酶可协同恢复治疗反应并诱导细胞凋亡。这些耐药机制也降低了卡博赞替尼的疗效。值得注意的是,这两种组合对met高的非扩增型HCC无效。结论:我们的研究确定PTEN缺乏和ERBB2/ erbb3介导的再激活是MET扩增型HCC中MET抑制的关键抵抗机制。研究结果支持生物标志物知情的联合策略,并强调了基于MET扩增状态对患者进行分层的重要性。
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引用次数: 0
ST6GAL1-mediated sialylation inhibits the antitumor immune response in colorectal cancer. st6gal1介导的唾液酰化抑制结直肠癌的抗肿瘤免疫反应。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-11 DOI: 10.1007/s13402-025-01118-w
Yuanchao Shi, Zhihong Peng, Zhenzhong Pan, Jingwei Duan, Zexing Wang, Quanlin Guan, Yiliang Fang, Bo Tang

Purpose: Interferon gamma (IFNG) directly affects the antitumor immune response. ST6-β-galactoside α-2,6-sialyltransferase 1 (ST6GAL1) is also positively correlated with poor prognosis for colorectal cancer (CRC). we performed some works to exploreexplored the underlying mechanism to further understand immune escape in colorectal cancer (CRC).

Methods: First, we used clinical samples to confirm the relationship between ST6GAL1 and CRC. Afterward, we constructed overexpression/knockdown cell lines and performed bulk RNA sequencing, kinase phosphorylation chip, mass spectrometry, and in vitro and in vivo assays to explore the mechanism regulated by ST6GAL1. Finally, we verified the mechanism by performing immunoprecipitation and immunofluorescence (IF) staining.

Results: ST6-β-galactoside α-2,6-sialyltransferase 1 (ST6GAL1) expression was negatively correlated with the response to neoadjuvant chemotherapy in patients with CRC and negatively correlated with the sensitivity to IFNG in CRC cell lines. We confirmed that ST6GAL1 overexpression inhibited the infiltration of effector T cells, the levels of IFNG produced by CD8+ T cells and CD4+ T cells decreased, and the levels of granzyme B produced by effector cells decreased in animal models. The results of in vitro assays and phosphorylation chip detection revealed that ST6GAL1 inhibited IFNG receptor 1 (IFNGR1) phosphorylation, thus decreasing the activation of the JAK1/STAT1 signaling pathway. Through immunoprecipitation assays and mass spectrometry, we found that ST6GAL1 can sialylate BICD cargo adaptor 2 (BICD2), thereby affecting the interaction between BICD2 and IFNGR1 to ultimately inhibit the phosphorylation of IFNGR1 and promote immune escape.

Conclusions: Our results confirmed that ST6GAL1 decreases the sensitivity of tumor cells to IFNG. This study describes a novel mechanism by which ST6GAL1 promotes the immune escape and malignant progression of CRC.

目的:干扰素γ (IFNG)直接影响抗肿瘤免疫应答。ST6-β-半乳糖苷α-2,6-唾液基转移酶1 (ST6GAL1)也与结直肠癌(CRC)预后不良呈正相关。我们进行了一些工作来探索潜在的机制,以进一步了解结直肠癌(CRC)的免疫逃逸。方法:首先,我们通过临床样本确认ST6GAL1与CRC的关系。随后,我们构建了过表达/敲低细胞系,并进行了大量RNA测序、激酶磷酸化芯片、质谱分析和体外和体内实验,以探索ST6GAL1调控的机制。最后,我们通过免疫沉淀和免疫荧光(IF)染色验证了其机制。结果:ST6-β-半乳糖苷α-2,6-涎酰基转移酶1 (ST6GAL1)的表达与结直肠癌患者对新辅助化疗的反应呈负相关,与结直肠癌细胞系对IFNG的敏感性呈负相关。我们在动物模型中证实,ST6GAL1过表达抑制效应T细胞的浸润,CD8+ T细胞和CD4+ T细胞产生的IFNG水平下降,效应细胞产生的颗粒酶B水平下降。体外实验和磷酸化芯片检测结果显示,ST6GAL1抑制IFNG受体1 (IFNGR1)磷酸化,从而降低JAK1/STAT1信号通路的激活。通过免疫沉淀实验和质谱分析,我们发现ST6GAL1可以唾液化BICD cargo adaptor 2 (BICD2),从而影响BICD2与IFNGR1的相互作用,最终抑制IFNGR1的磷酸化,促进免疫逃逸。结论:我们的研究结果证实了ST6GAL1降低肿瘤细胞对IFNG的敏感性。本研究描述了ST6GAL1促进CRC免疫逃逸和恶性进展的新机制。
{"title":"ST6GAL1-mediated sialylation inhibits the antitumor immune response in colorectal cancer.","authors":"Yuanchao Shi, Zhihong Peng, Zhenzhong Pan, Jingwei Duan, Zexing Wang, Quanlin Guan, Yiliang Fang, Bo Tang","doi":"10.1007/s13402-025-01118-w","DOIUrl":"10.1007/s13402-025-01118-w","url":null,"abstract":"<p><strong>Purpose: </strong>Interferon gamma (IFNG) directly affects the antitumor immune response. ST6-β-galactoside α-2,6-sialyltransferase 1 (ST6GAL1) is also positively correlated with poor prognosis for colorectal cancer (CRC). we performed some works to exploreexplored the underlying mechanism to further understand immune escape in colorectal cancer (CRC).</p><p><strong>Methods: </strong>First, we used clinical samples to confirm the relationship between ST6GAL1 and CRC. Afterward, we constructed overexpression/knockdown cell lines and performed bulk RNA sequencing, kinase phosphorylation chip, mass spectrometry, and in vitro and in vivo assays to explore the mechanism regulated by ST6GAL1. Finally, we verified the mechanism by performing immunoprecipitation and immunofluorescence (IF) staining.</p><p><strong>Results: </strong>ST6-β-galactoside α-2,6-sialyltransferase 1 (ST6GAL1) expression was negatively correlated with the response to neoadjuvant chemotherapy in patients with CRC and negatively correlated with the sensitivity to IFNG in CRC cell lines. We confirmed that ST6GAL1 overexpression inhibited the infiltration of effector T cells, the levels of IFNG produced by CD8<sup>+</sup> T cells and CD4<sup>+</sup> T cells decreased, and the levels of granzyme B produced by effector cells decreased in animal models. The results of in vitro assays and phosphorylation chip detection revealed that ST6GAL1 inhibited IFNG receptor 1 (IFNGR1) phosphorylation, thus decreasing the activation of the JAK1/STAT1 signaling pathway. Through immunoprecipitation assays and mass spectrometry, we found that ST6GAL1 can sialylate BICD cargo adaptor 2 (BICD2), thereby affecting the interaction between BICD2 and IFNGR1 to ultimately inhibit the phosphorylation of IFNGR1 and promote immune escape.</p><p><strong>Conclusions: </strong>Our results confirmed that ST6GAL1 decreases the sensitivity of tumor cells to IFNG. This study describes a novel mechanism by which ST6GAL1 promotes the immune escape and malignant progression of CRC.</p>","PeriodicalId":49223,"journal":{"name":"Cellular Oncology","volume":" ","pages":"1935-1953"},"PeriodicalIF":4.8,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12698818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145490650","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Unraveling the miR-144-3p/PUMA pathway: a novel regulator of FDX1-mediated cuproptosis in colorectal cancer. 揭示miR-144-3p/PUMA通路:fdx1介导的结直肠癌铜增生的新调节剂
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1007/s13402-025-01093-2
Guiyun Jia, Jiehan Li, Meimei Jiang, Nannan Liu, Ning Ding, Xinxiu Jiang, Ge Zhang, Xiaoxiao Tan, Ying Kang, Lingling Zhang, Feng Wang, Yingjie Zhang
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引用次数: 0
Microphysiological systems for metastasis research: a stepwise approach. 微生理系统的转移研究:一个逐步的方法。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-22 DOI: 10.1007/s13402-025-01110-4
Vira Sharko, Ignacio Ochoa, Estela Solanas

Metastasis, the leading cause of cancer-related mortality, is a complex process involving tumor cell detachment from the primary site, survival and dissemination through the circulation, and colonization of distant organs. At each stage, tumor cells face adaptive pressures from successive biological and biomechanical challenges in the local microenvironment, which collectively shape their progression. Traditional in vitro models often fail to replicate these dynamics, while animal models are limited by species differences and restricted real-time monitoring. Microphysiological systems (MPS) have emerged as powerful tools to address these limitations, delivering physiologically relevant cues and precise experimental control to recapitulate step-specific metastatic contexts. This review outlines recent advances in MPS designs for modeling critical hallmarks of metastasis, beginning with matrix interactions, stromal cells, and mechanical forces from the tumor microenvironment that drive epithelial-mesenchymal transition and invasion. The discussion then transitions to MPS that reproduce vascular physiology during intravasation, circulation, and extravasation, and concludes with organ-specific environments for studying colonization and organotropic behavior in the final stages of metastasis. Additionally, common MPS configurations, categorized into horizontal and vertical compartmental arrangements, and strategies for integrating vascularization are explored. Together, these advances highlight the potential of MPS in elucidating metastatic mechanisms and advancing targeted therapies.

转移是癌症相关死亡的主要原因,是一个复杂的过程,涉及肿瘤细胞从原发部位脱离,通过循环生存和传播,以及远处器官的定植。在每个阶段,肿瘤细胞都面临着来自当地微环境中连续的生物和生物力学挑战的适应压力,这些挑战共同影响了它们的发展。传统的体外模型往往无法复制这些动态,而动物模型受到物种差异和实时监测的限制。微生理系统(MPS)已经成为解决这些限制的有力工具,提供生理学相关线索和精确的实验控制,以概括步骤特异性转移背景。本文概述了MPS设计用于模拟转移的关键特征的最新进展,从基质相互作用、基质细胞和肿瘤微环境驱动上皮-间质转化和侵袭的机械力开始。然后讨论MPS在血管内、循环和外渗过程中复制血管生理,并以研究转移最后阶段的定植和嗜器官行为的器官特异性环境作为结论。此外,研究人员还探讨了常见的MPS结构(分为水平和垂直隔室布置)以及整合血管化的策略。总之,这些进展突出了MPS在阐明转移机制和推进靶向治疗方面的潜力。
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引用次数: 0
Fibroblasts in the tumor microenvironment: heterogeneity and dynamic interactions in tumor progression revealed by spatial transcriptomics. 肿瘤微环境中的成纤维细胞:空间转录组学揭示的肿瘤进展的异质性和动态相互作用。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-23 DOI: 10.1007/s13402-025-01108-y
Xiaoyu Ji, Xian Wu, Wei Sun, Hao Zhang
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引用次数: 0
Correction to: Raloxifene inhibits pancreatic adenocarcinoma growth by interfering with ERβ and IL-6/gp130/STAT3 signaling. 更正:雷洛昔芬通过干扰ERβ和IL-6/gp130/STAT3信号传导抑制胰腺腺癌生长。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 DOI: 10.1007/s13402-025-01128-8
Ioannis Pozios, Nina N Seel, Nina A Hering, Lisa Hartmann, Verena Liu, Peter Camaj, Mario H Müller, Lucas D Lee, Christiane J Bruns, Martin E Kreis, Hendrik Seeliger
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引用次数: 0
TAK-981 potentiates doxorubicin immunocide in triple-negative breast cancer by IFN I-dependent NK cell stimulation. 通过IFN i依赖性NK细胞刺激,TAK-981增强阿霉素免疫抑制剂在三阴性乳腺癌中的作用。
IF 4.8 2区 医学 Q2 CELL BIOLOGY Pub Date : 2025-12-01 Epub Date: 2025-10-06 DOI: 10.1007/s13402-025-01114-0
Jia Liu, Yiming Wang, Xiaoxia Wei, Suyan Liu, Congting Hu, Pingping Peng, Wenhua Wu, Jiaqin Cai, Hong Sun

Objective: This study aimed to investigate the synergistic antitumor effects and immunoregulatory functions of the SUMOylation inhibitor TAK-981 in combination with the chemotherapeutic agent doxorubicin (DOX) in triple-negative breast cancer (TNBC), as well as to evaluate the safety of this combination strategy, particularly its mitigating effect on DOX-induced cardiotoxicity.

Methods: In vitro experiments were conducted to assess the effects of TAK-981 and DOX, both alone and in combination, on the type I interferon (IFN I) signaling pathway, cell proliferation, and apoptosis in TNBC cells. Mechanistic studies were performed to explore their impact on the IFN I/JAK1/STAT1 axis and the expression of the downstream NKG2D ligand NKG2DL (ULBP2). In vivo animal models were used to evaluate the antitumor efficacy of the combination therapy, its effect on natural killer (NK) cell activity, systemic toxicity, with a focus on its cardioprotective effects.

Results: TAK-981 activated IFN I signaling, and DOX further enhanced IFN I pathway activity. The two drugs demonstrated a synergistic effect, significantly inducing apoptosis and inhibiting proliferation in TNBC cells. Mechanistically, the TAK-981 and DOX combination targeted the IFN I/JAK1/STAT1 signaling axis, downregulating the expression of the NKG2D ligand (ULBP2) through suppression of the NF-κB pathway. In vivo experiments confirmed that the combination therapy effectively inhibited tumor growth, enhanced NK cell activity, and did not increase systemic toxicity. Notably, TAK-981 significantly alleviated DOX-induced cardiotoxicity, improved cardiac function, and reduced fibrosis.

Conclusion: The combination of an immunomodulatory agent with chemotherapy represents a novel therapeutic strategy for TNBC. TAK-981 not only synergizes with DOX to produce antitumor immun effects but also significantly mitigates DOX-induced cardiotoxicity, offering a promising new direction for improving the efficacy and safety of TNBC treatment.

目的:本研究旨在探讨SUMOylation抑制剂TAK-981联合化疗药物多柔比星(DOX)对三阴性乳腺癌(TNBC)的协同抗肿瘤作用和免疫调节功能,并评价该联合策略的安全性,特别是其对DOX诱导的心脏毒性的缓解作用。方法:通过体外实验评估TAK-981和DOX单独或联合使用对TNBC细胞I型干扰素(IFN I)信号通路、细胞增殖和凋亡的影响。机制研究探讨了它们对IFN I/JAK1/STAT1轴和下游NKG2D配体NKG2DL (ULBP2)表达的影响。采用体内动物模型评价联合治疗的抗肿瘤疗效、对自然杀伤细胞(NK)活性的影响、全身毒性,重点研究其对心脏的保护作用。结果:TAK-981激活IFN I信号通路,DOX进一步增强IFN I通路活性。两种药物具有协同作用,显著诱导TNBC细胞凋亡,抑制细胞增殖。在机制上,TAK-981和DOX联合靶向IFN I/JAK1/STAT1信号轴,通过抑制NF-κB通路下调NKG2D配体(ULBP2)的表达。体内实验证实,联合治疗有效抑制肿瘤生长,增强NK细胞活性,不增加全身毒性。值得注意的是,TAK-981显著减轻dox诱导的心脏毒性,改善心功能,减少纤维化。结论:免疫调节剂联合化疗是一种新的TNBC治疗策略。TAK-981不仅能与DOX协同产生抗肿瘤免疫作用,还能显著减轻DOX诱导的心脏毒性,为提高TNBC治疗的疗效和安全性提供了一个有希望的新方向。
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引用次数: 0
期刊
Cellular Oncology
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