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Pan-cancer analysis identifies venous thromboembolism-related genes F3, PLAT, and C1S as potential prognostic biomarkers for glioblastoma and lower grade glioma. 泛癌症分析发现静脉血栓栓塞相关基因F3、PLAT和C1S是胶质母细胞瘤和低级别胶质瘤的潜在预后生物标志物。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-24 DOI: 10.1186/s43556-024-00197-9
Jing Zhang, Qian Zhao, Yun Du, Wannan Wang, Cuiqing Liu

Venous thromboembolism (VTE) is a prevalent complication among patients with cancer, contributing significantly to morbidity and mortality. However, the relationship between VTE-related genes (VRGs) and their potential impact on prognosis, immune response, and therapeutic targets in various cancer types remains unclear. Based on the coagulation and complement pathways, we identified hub VRGs that play a role in regulating the immune response in cancer. Specifically, coagulation factor III (F3), plasminogen activator (PLAT) and complement C1s (C1S) were identified as genes that exhibit high expression levels, positively correlating with tumor stemness and copy number variations, while inversely correlating with methylation levels, in particular cancer types. Pan-cancer survival analysis revealed detrimental effects of these VRGs in several cancer types, notably in glioblastoma and lower grade glioma (GMBLGG). Further analysis using receiver operating characteristic (ROC) curves demonstrated a high accuracy of F3, PLAT and C1S in predicting outcomes in GBMLGG, with area under the curve (AUC) values ranging from 0.78 to 0.9. Validation of the prognostic value of these three genes in GMBLGG was conducted using an independent Gene Expression Omnibus (GEO) dataset. Additionally, gene-drug association analysis identified ciclosporin, ouabain and 6- mercaptopurine, which all exhibit immunosuppressive properties, as potential therapeutic options for tumor patients exhibiting high F3, PLAT or C1S expression, respectively. In summary, our findings provide a bioinformatics perspective on VRGs in pan-cancer, highlighting the pivotal roles of F3, PLAT and C1S, which could potentially be therapeutically exploited and targeted in several cancers, especially in GBMLGG.

静脉血栓栓塞症(VTE)是癌症患者中普遍存在的一种并发症,严重影响患者的发病率和死亡率。然而,VTE 相关基因(VRGs)之间的关系及其对各种癌症类型的预后、免疫反应和治疗靶点的潜在影响仍不清楚。基于凝血和补体途径,我们确定了在调节癌症免疫反应中发挥作用的枢纽 VRGs。具体来说,凝血因子 III (F3)、纤溶酶原激活剂 (PLAT) 和补体 C1s (C1S) 被确定为在特定癌症类型中表现出高表达水平的基因,它们与肿瘤干性和拷贝数变异呈正相关,而与甲基化水平呈反相关。泛癌症生存分析表明,这些 VRGs 在几种癌症类型中具有不利影响,尤其是在胶质母细胞瘤和低级别胶质瘤(GMBLGG)中。利用接收器操作特征曲线(ROC)进行的进一步分析表明,F3、PLAT 和 C1S 在预测 GBMLGG 的预后方面具有很高的准确性,曲线下面积(AUC)值从 0.78 到 0.9 不等。利用独立的基因表达总库(GEO)数据集验证了这三个基因在 GMBLGG 中的预后价值。此外,通过基因-药物关联分析,发现环孢素、欧贝因和 6-巯基嘌呤都具有免疫抑制特性,可分别作为 F3、PLAT 或 C1S 高表达肿瘤患者的潜在治疗选择。总之,我们的研究结果为泛癌症中的 VRGs 提供了一个生物信息学视角,突出了 F3、PLAT 和 C1S 的关键作用,这些作用有可能在几种癌症,尤其是 GBMLGG 中得到利用并成为治疗靶点。
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引用次数: 0
METTL Family in Healthy and Disease. 健康和疾病中的 METTL 家族
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-19 DOI: 10.1186/s43556-024-00194-y
Jiejie He, Fengchen Hao, Shiqi Song, Junli Zhang, Hongyu Zhou, Jun Zhang, Yan Li

Transcription, RNA splicing, RNA translation, and post-translational protein modification are fundamental processes of gene expression. Epigenetic modifications, such as DNA methylation, RNA modifications, and protein modifications, play a crucial role in regulating gene expression. The methyltransferase-like protein (METTL) family, a constituent of the 7-β-strand (7BS) methyltransferase subfamily, is broadly distributed across the cell nucleus, cytoplasm, and mitochondria. Members of the METTL family, through their S-adenosyl methionine (SAM) binding domain, can transfer methyl groups to DNA, RNA, or proteins, thereby impacting processes such as DNA replication, transcription, and mRNA translation, to participate in the maintenance of normal function or promote disease development. This review primarily examines the involvement of the METTL family in normal cell differentiation, the maintenance of mitochondrial function, and its association with tumor formation, the nervous system, and cardiovascular diseases. Notably, the METTL family is intricately linked to cellular translation, particularly in its regulation of translation factors. Members represent important molecules in disease development processes and are associated with patient immunity and tolerance to radiotherapy and chemotherapy. Moreover, future research directions could include the development of drugs or antibodies targeting its structural domains, and utilizing nanomaterials to carry miRNA corresponding to METTL family mRNA. Additionally, the precise mechanisms underlying the interactions between the METTL family and cellular translation factors remain to be clarified.

转录、RNA 剪接、RNA 翻译和蛋白质翻译后修饰是基因表达的基本过程。表观遗传修饰(如 DNA 甲基化、RNA 修饰和蛋白质修饰)在调控基因表达方面起着至关重要的作用。甲基转移酶样蛋白(METTL)家族是 7-β 链(7BS)甲基转移酶亚家族的成员,广泛分布于细胞核、细胞质和线粒体中。METTL 家族成员通过其 S-腺苷蛋氨酸(SAM)结合结构域,可将甲基转移到 DNA、RNA 或蛋白质上,从而影响 DNA 复制、转录和 mRNA 翻译等过程,参与维持正常功能或促进疾病发展。这篇综述主要探讨了 METTL 家族参与正常细胞分化、维持线粒体功能的情况,及其与肿瘤形成、神经系统和心血管疾病的关系。值得注意的是,METTL 家族与细胞翻译,特别是其对翻译因子的调控有着错综复杂的联系。其成员代表了疾病发展过程中的重要分子,并与患者的免疫力以及对放疗和化疗的耐受性有关。此外,未来的研究方向可能包括开发针对其结构域的药物或抗体,以及利用纳米材料携带与 METTL 家族 mRNA 相对应的 miRNA。此外,METTL 家族与细胞翻译因子之间相互作用的确切机制仍有待澄清。
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引用次数: 0
Effects of HOX family regulator-mediated modification patterns and immunity characteristics on tumor-associated cell type in endometrial cancer. HOX家族调控因子介导的修饰模式和免疫特征对子宫内膜癌肿瘤相关细胞类型的影响
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-14 DOI: 10.1186/s43556-024-00196-w
JiaoLin Yang, JinPeng Li, SuFen Li, YuTong Yang, HuanCheng Su, HongRui Guo, Jing Lei, YaLin Wang, KaiTing Wen, Xia Li, SanYuan Zhang, Zhe Wang

Endometrial cancer (UCEC) is one of three major malignant tumors in women. The HOX gene regulates tumor development. However, the potential roles of HOX in the expression mechanism of multiple cell types and in the development and progression of tumor microenvironment (TME) cell infiltration in UCEC remain unknown. In this study, we utilized both the The Cancer Genome Atlas (TCGA) database and International Cancer Genome Consortium (ICGC) database to analyze transcriptome data of 529 patients with UCEC based on 39 HOX genes, combing clinical information, we discovered HOX gene were a pivotal factor in the development and progression of UCEC and in the formation of TME diversity and complexity. Here, a new scoring system was developed to quantify individual HOX patterns in UCEC. Our study found that patients in the low HOX score group had abundant anti-tumor immune cell infiltration, good tumor differentiation, and better prognoses. In contrast, a high HOX score was associated with blockade of immune checkpoints, which enhances the response to immunotherapy. The Real-Time quantitative PCR (RT-qPCR) and Immunohistochemistry (IHC) exhibited a higher expression of the HOX gene in the tumor patients. We revealed that the significant upregulation of the HOX gene in the epithelial cells can activate signaling pathway associated with tumour invasion and metastasis through single-cell RNA sequencing (scRNA-seq), such as nucleotide metabolic proce and so on. Finally, a risk prognostic model established by the positive relationship between HOX scores and cancer-associated fibroblasts (CAFs) can predict the prognosis of individual patients by scRNA-seq and transcriptome data sets. In sum, HOX gene may serve as a potential biomarker for the diagnosis and prediction of UCEC and to develop more effective therapeutic strategies.

子宫内膜癌(UCEC)是女性三大恶性肿瘤之一。HOX 基因调控着肿瘤的发展。然而,HOX 在 UCEC 中多种细胞类型的表达机制以及肿瘤微环境(TME)细胞浸润的发展和进展中的潜在作用仍然未知。本研究利用癌症基因组图谱(The Cancer Genome Atlas,TCGA)数据库和国际癌症基因组联盟(International Cancer Genome Consortium,ICGC)数据库,分析了529例UCEC患者的转录组数据,基于39个HOX基因,结合临床信息,我们发现HOX基因在UCEC的发生、发展以及TME多样性和复杂性的形成中起着关键作用。在此,我们开发了一种新的评分系统来量化 UCEC 中的单个 HOX 模式。我们的研究发现,低HOX评分组患者有大量抗肿瘤免疫细胞浸润,肿瘤分化良好,预后较好。相反,高HOX评分与免疫检查点受阻有关,而免疫检查点受阻会增强对免疫疗法的反应。实时定量 PCR(RT-qPCR)和免疫组化(IHC)显示,肿瘤患者的 HOX 基因表达较高。我们通过单细胞 RNA 测序(scRNA-seq)发现,HOX 基因在上皮细胞中的显著上调可激活与肿瘤侵袭和转移相关的信号通路,如核苷酸代谢过程等。最后,根据 HOX 评分与癌症相关成纤维细胞(CAFs)之间的正相关关系建立的风险预后模型,可以通过 scRNA-seq 和转录组数据集预测个体患者的预后。总之,HOX基因可作为潜在的生物标志物,用于UCEC的诊断和预测,并开发更有效的治疗策略。
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引用次数: 0
Inhibition of Sesn2 has negative regulatory effects on the myogenic differentiation of C2C12 myoblasts. 抑制 Sesn2 会对 C2C12 肌母细胞的成肌分化产生负面调节作用。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-09 DOI: 10.1186/s43556-024-00193-z
Zubiao Song, Qing Lin, Jiahui Liang, Weixi Zhang

Sestrin2 (Sesn2) has been previously confirmed to be a stress-response molecule. However, the influence of Sesn2 on myogenic differentiation remains elusive. This study was conducted to analyze the role of Sesn2 in the myogenic differentiation of C2C12 myoblasts and related aspects in mdx mice, an animal model of Duchenne muscular dystrophy (DMD). Our results showed that knockdown of Sesn2 reduced the myogenic differentiation capacity of C2C12 myoblasts. Predictive analysis from two databases suggested that miR-182-5p is a potential regulator of Sesn2. Further experimental validation revealed that overexpression of miR-182-5p decreased both the protein and mRNA levels of Sesn2 and inhibited myogenesis of C2C12 myoblasts. These findings suggest that miR-182-5p negatively regulates myogenesis by repressing Sesn2 expression. Extending to an in vivo model of DMD, knockdown of Sesn2 led to decreased Myogenin (Myog) expression and increased Pax7 expression, while its overexpression upregulated Myog levels and enhanced the proportion of slow-switch myofibers. These findings indicate the crucial role of Sesn2 in promoting myogenic differentiation and skeletal muscle regeneration, providing potential therapeutic targets for muscular dystrophy.

Sestrin2(Sesn2)已被证实是一种应激反应分子。然而,Sesn2 对成肌细胞分化的影响仍然难以捉摸。本研究旨在分析 Sesn2 在杜氏肌营养不良症(DMD)动物模型 mdx 小鼠中 C2C12 肌母细胞成肌分化中的作用及相关方面。我们的研究结果表明,敲除 Sesn2 会降低 C2C12 肌母细胞的成肌分化能力。来自两个数据库的预测分析表明,miR-182-5p 是 Sesn2 的潜在调控因子。进一步的实验验证表明,过表达 miR-182-5p 会降低 Sesn2 的蛋白和 mRNA 水平,并抑制 C2C12 肌母细胞的成肌作用。这些研究结果表明,miR-182-5p 通过抑制 Sesn2 的表达负向调控肌生成。扩展到 DMD 的体内模型,敲除 Sesn2 会导致 Myogenin(Myog)表达减少和 Pax7 表达增加,而过表达则会上调 Myog 水平并增加慢开关肌纤维的比例。这些研究结果表明,Sesn2 在促进肌原分化和骨骼肌再生方面起着至关重要的作用,为肌肉萎缩症提供了潜在的治疗靶点。
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引用次数: 0
The inoculum dose of Zika virus can affect the viral replication dynamics, cytokine responses and survival rate in immunocompromised AG129 mice. 寨卡病毒的接种剂量会影响免疫力低下的 AG129 小鼠的病毒复制动态、细胞因子反应和存活率。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-08-03 DOI: 10.1186/s43556-024-00195-x
Yuhuan Yan, Hao Yang, Yun Yang, Junbin Wang, Yanan Zhou, Cong Tang, Bai Li, Qing Huang, Ran An, Xiaoming Liang, Dongdong Lin, Wenhai Yu, Changfa Fan, Shuaiyao Lu

Zika virus, a mosquito-borne arbovirus, has repeatedly caused large pandemics with symptoms worsening from mild and self-limiting diseases to Guillain-Barré syndrome in adults and fetal microcephaly in newborns. In recent years, Zika virus diseases have posed a serious threat to human health. The shortage of susceptible small animal models makes it difficult to study pathogenic mechanisms and evaluate potential therapies for Zika virus infection. Therefore, we chose immunocompromised mice (AG129 mice) deficient in IFN-α/β and IFN-γ receptors, which can abolish the innate immune system that prevents Zika virus infection early. AG129 mice were infected with the Zika virus, and this mouse model exhibited replication dynamics, tissue tropism, pathological lesion and immune activation of the Zika virus. Our results suggest that the inoculum dose of Zika virus can affect the viral replication dynamics, cytokine responses and survival rate in AG129 mice. By testing the potential antiviral drug favipiravir, several critical indicators, including replication dynamics and survival rates, were identified in AG129 mice after Zika virus infection. It is suggested that the model is reliable for drug evaluation. In brief, this model provides a potential platform for studies of the infectivity, virulence, and pathogenesis of the Zika virus. Moreover, the development of an accessible mouse model of Zika virus infection will expedite the research and deployment of therapeutics and vaccines.

寨卡病毒是一种由蚊子传播的虫媒病毒,曾多次引起大规模流行,症状从轻微的自限性疾病恶化为成人格林-巴利综合征和新生儿胎儿小头畸形。近年来,寨卡病毒疾病已对人类健康构成严重威胁。由于缺乏易感小动物模型,因此很难研究寨卡病毒感染的致病机制和评估潜在疗法。因此,我们选择了IFN-α/β和IFN-γ受体缺失的免疫功能低下小鼠(AG129小鼠),它可以取消先天性免疫系统,从而早期预防寨卡病毒感染。AG129 小鼠感染了寨卡病毒,该小鼠模型表现出寨卡病毒的复制动态、组织滋养、病理病变和免疫激活。我们的结果表明,寨卡病毒的接种剂量会影响 AG129 小鼠的病毒复制动态、细胞因子反应和存活率。通过测试潜在的抗病毒药物法非吡韦,我们确定了寨卡病毒感染后 AG129 小鼠的几个关键指标,包括复制动态和存活率。结果表明,该模型可用于药物评估。简而言之,该模型为研究寨卡病毒的感染性、毒性和致病机理提供了一个潜在的平台。此外,开发一种易于使用的寨卡病毒感染小鼠模型将加快治疗药物和疫苗的研究与应用。
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引用次数: 0
Assessing the neutralizing antibody and duration of RNA positivity from COVID-19 infected patients with immunocompromised diseases and pneumonia. 评估感染 COVID-19 的免疫功能低下疾病和肺炎患者的中和抗体和 RNA 阳性持续时间。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-07-28 DOI: 10.1186/s43556-024-00191-1
Shuo Liu, Xuelian Wu, Ziteng Liang, Weijin Huang, Yufeng Xiong
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引用次数: 0
UCHL5 is a putative prognostic marker in renal cell carcinoma: a study of UCHL family. UCHL5 是肾细胞癌的潜在预后标志物:对 UCHL 家族的研究。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-07-22 DOI: 10.1186/s43556-024-00192-0
Mengdi Zhang, Jingxian Li, Sijia Liu, Fangfang Zhou, Long Zhang

A macroscopic perspective is indispensable for understanding the intricate relationship between deubiquitinases and tumorigenesis. Proteomics has been proposed as a viable approach for elucidating the complex role of deubiquitylation in cellular progression. Instead of studying the function of a single ubiquitinase, research on a deubiquitinase family with similar catalytic core(s) may provide a new perspective for the pathological understanding of cancer. The Ubiquitin C-terminal hydrolase L (UCHL) family consists of four members: UCHL1, UCHL3, UCHL5, and BRAC1 associated protein-1 (BAP1), and they have been implicated in tumorigenesis and metastasis. Some members are considered hallmarks of intracranial lesions, colon cancer, chromatin remodeling, and histone stability. The present study uncovered an unknown correlation between the UCHL family and renal cancer. We discovered that UCHLs exhibit diverse regulatory effects in renal cancer, establishing connections between the renal cancer and truncated gene mutations, mitochondrial energetic metastasis, immune cell infiltration, and chromosomal stability of UCHLs family. Notably, we found that the increase of UCHL5 expression in renal cancer cells decreases the antigen processing and presentation of RCC tumor-infiltrating B cells. Further research identified that the expression of UCHL5 in RCC tumors is correlated with transport proteins, which led us to find that the abundance of UCHL5 in the blood of late-stage renal cell cancer patients is upregulated from 18 ng/L to 500 ng/L. Therefore, we propose that the abundance of UCHL5 in patients' blood can be a possible indicator of poor prognosis for renal cell cancer.

要了解去泛素化酶与肿瘤发生之间错综复杂的关系,宏观视角是必不可少的。蛋白质组学被认为是阐明去泛素化在细胞进展中的复杂作用的可行方法。与其研究单一泛素酶的功能,不如研究具有相似催化核心的去泛素酶家族,这可能会为癌症的病理研究提供一个新的视角。泛素 C 端水解酶 L(UCHL)家族由四个成员组成:UCHL1、UCHL3、UCHL5 和 BRAC1 相关蛋白-1 (BAP1),它们与肿瘤发生和转移有关。其中一些成员被认为是颅内病变、结肠癌、染色质重塑和组蛋白稳定性的标志。本研究发现了 UCHL 家族与肾癌之间未知的相关性。我们发现,UCHLs 在肾癌中表现出多种调控作用,并建立了肾癌与截短基因突变、线粒体能量转移、免疫细胞浸润和 UCHLs 家族染色体稳定性之间的联系。值得注意的是,我们发现肾癌细胞中 UCHL5 表达的增加会降低 RCC 肿瘤浸润 B 细胞的抗原处理和递呈能力。进一步的研究发现,UCHL5 在 RCC 肿瘤中的表达与转运蛋白相关,这使我们发现 UCHL5 在晚期肾细胞癌患者血液中的含量从 18 纳克/升升高至 500 纳克/升。因此,我们认为患者血液中 UCHL5 的含量可能是肾细胞癌预后不良的一个指标。
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引用次数: 0
m6A-dependent mature miR-151-5p accelerates the malignant process of HNSCC by targeting LYPD3. 依赖于 m6A 的成熟 miR-151-5p 通过靶向 LYPD3 加速了 HNSCC 的恶性进程。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-07-16 DOI: 10.1186/s43556-024-00189-9
Fei Huang, Yuan Ren, Yufei Hua, Ying Wang, Ruomeng Li, Ning Ji, Xin Zeng, Ding Bai, Qianming Chen, Xikun Zhou, Junjie Wu, Jing Li

miRNA has emerged as a crucial regulator in various of pathological and physiological processes, yet its precise mechanism of action the detailed mechanism of their action in Head and neck squamous cell carcinoma (HNSCC) remains incompletely understood. This study sheds light on the role of mi-151-5p, revealing its significantly elevated expression in tumor cells, which notably enhances the invasion and migration of HNSCC cells. This effect is achieved through directly targeting LY6/PLAUR Domain Containing 3 (LYPD3) by miR-151-5p, involving complementary binding to the 3'-untranslated regions (3'-UTR) in the mRNA of LYPD3. Consequently, this interaction accelerates the metastasis of HNSCC. Notably, clinical observations indicate a correlation between high expression of miR-151-5p and low levels of LYPD3 in clinical settings are correlated with poor prognosis of HNSCC patients. Furthermore, our investigation demonstrates that glycosylation of LYPD3 modulates its subcellular localization and reinforces its role in suppressing HNSCC metastasis. Additionally, we uncover a potential regulatory mechanism involving the facilitation of miR-151-5p maturation and accumulation through N6-methyladenosine (m6A) modification. This process is orchestrated by methyltransferase-like 3 (METTL3) and mediated by a newly identified reader, heterogeneous nuclear ribonucleoprotein U (hnRNP U). These findings collectively underscore the significance of the METTL3/miR-151-5p/LYPD3 axis serves as a prominent driver in the malignant progression of HNSCC.

miRNA 已成为各种病理和生理过程中的重要调节因子,但其确切的作用机制仍不完全清楚。本研究揭示了 mi-151-5p 在肿瘤细胞中的作用,发现它在肿瘤细胞中的表达明显升高,这显著增强了 HNSCC 细胞的侵袭和迁移。这种作用是通过 miR-151-5p 直接靶向 LY6/PLAUR Domain Containing 3 (LYPD3),与 LYPD3 mRNA 中的 3'- 非翻译区 (3'-UTR) 互补结合实现的。因此,这种相互作用加速了 HNSCC 的转移。值得注意的是,临床观察表明,miR-151-5p 的高表达和 LYPD3 的低水平与 HNSCC 患者的不良预后相关。此外,我们的研究表明,LYPD3 的糖基化可调节其亚细胞定位,并加强其抑制 HNSCC 转移的作用。此外,我们还发现了一种潜在的调控机制,即通过 N6-甲基腺苷(m6A)修饰促进 miR-151-5p 的成熟和积累。这一过程由类似甲基转移酶 3(METTL3)协调,并由新发现的阅读器异质核糖核蛋白 U(hnRNP U)介导。这些发现共同强调了METTL3/miR-151-5p/LYPD3轴在HNSCC恶性进展中的重要作用。
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引用次数: 0
Exploring haematopoietic stem cell dynamics through mitochondrial mutation profiling. 通过线粒体突变特征分析探索造血干细胞的动态变化。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-07-10 DOI: 10.1186/s43556-024-00190-2
Yongming Xia, Ruixiu Chen, Shiwei Duan
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引用次数: 0
Multiple myeloma: signaling pathways and targeted therapy. 多发性骨髓瘤:信号通路和靶向治疗。
IF 6.3 Q1 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-07-04 DOI: 10.1186/s43556-024-00188-w
Qizhong Lu, Donghui Yang, Hexian Li, Ting Niu, Aiping Tong

Multiple myeloma (MM) is the second most common hematological malignancy of plasma cells, characterized by osteolytic bone lesions, anemia, hypercalcemia, renal failure, and the accumulation of malignant plasma cells. The pathogenesis of MM involves the interaction between MM cells and the bone marrow microenvironment through soluble cytokines and cell adhesion molecules, which activate various signaling pathways such as PI3K/AKT/mTOR, RAS/MAPK, JAK/STAT, Wnt/β-catenin, and NF-κB pathways. Aberrant activation of these pathways contributes to the proliferation, survival, migration, and drug resistance of myeloma cells, making them attractive targets for therapeutic intervention. Currently, approved drugs targeting these signaling pathways in MM are limited, with many inhibitors and inducers still in preclinical or clinical research stages. Therapeutic options for MM include non-targeted drugs like alkylating agents, corticosteroids, immunomodulatory drugs, proteasome inhibitors, and histone deacetylase inhibitors. Additionally, targeted drugs such as monoclonal antibodies, chimeric antigen receptor T cells, bispecific T-cell engagers, and bispecific antibodies are being used in MM treatment. Despite significant advancements in MM treatment, the disease remains incurable, emphasizing the need for the development of novel or combined targeted therapies based on emerging theoretical knowledge, technologies, and platforms. In this review, we highlight the key role of signaling pathways in the malignant progression and treatment of MM, exploring advances in targeted therapy and potential treatments to offer further insights for improving MM management and outcomes.

多发性骨髓瘤(MM)是浆细胞恶性肿瘤中第二常见的血液恶性肿瘤,以溶骨性骨病变、贫血、高钙血症、肾功能衰竭和恶性浆细胞聚集为特征。MM 的发病机制涉及 MM 细胞与骨髓微环境之间通过可溶性细胞因子和细胞粘附分子的相互作用,从而激活各种信号通路,如 PI3K/AKT/mTOR、RAS/MAPK、JAK/STAT、Wnt/β-catenin 和 NF-κB 通路。这些通路的异常激活导致骨髓瘤细胞的增殖、存活、迁移和耐药性,使它们成为有吸引力的治疗干预靶点。目前,针对 MM 这些信号通路的获批药物非常有限,许多抑制剂和诱导剂仍处于临床前或临床研究阶段。MM 的治疗选择包括非靶向药物,如烷化剂、皮质类固醇、免疫调节药物、蛋白酶体抑制剂和组蛋白去乙酰化酶抑制剂。此外,单克隆抗体、嵌合抗原受体T细胞、双特异性T细胞啮合剂和双特异性抗体等靶向药物也被用于MM的治疗。尽管 MM 的治疗取得了重大进展,但这种疾病仍然无法治愈,这就强调了基于新兴理论知识、技术和平台开发新型或联合靶向疗法的必要性。在这篇综述中,我们强调了信号通路在 MM 恶性进展和治疗中的关键作用,探讨了靶向治疗和潜在治疗的进展,为改善 MM 的管理和预后提供了进一步的见解。
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引用次数: 0
期刊
Molecular biomedicine
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