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Histone methyltransferase SETD2 regulates TKT expression and mediates glycolysis to suppress lung adenocarcinoma progression and improve chemosensitivity. 组蛋白甲基转移酶SETD2调节TKT表达,介导糖酵解,抑制肺腺癌进展,改善化疗敏感性。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/JUWP3285
Cong Niu, Hongqing Li, Ji'an Zhou, Weijun Chen, Hui Zhao

Histone methyltransferase SETD2 is frequently downregulated in various malignancies and plays a critical role in regulating tumor progression. However, its biological role in lung adenocarcinoma (LUAD), especially its regulation of glycolysis and chemosensitivity, has not been fully elucidated. Transketolase (TKT) is a crucial enzyme in glycolysis, but whether it is involved in the regulation of LUAD progression and chemosensitivity by SETD2 remains unclear. Cisplatin (CIS)-resistant cells were established, and SETD2 and TKT expression levels were assessed via Western blot. The malignant phenotype of LUAD cells was evaluated through CCK-8 assay, scratch healing, colony formation, and Transwell assay; while apoptosis was determined by flow cytometry. The binding relationship between SETD2 and TKT was verified by ChIP and dual luciferase reporter gene assays. Glycolytic activity was measured using commercial kits. A LUAD tumor model was established in nude mice, and apoptosis and proliferation were detected by TUNEL staining and Ki-67 immunohistochemistry, respectively. SETD2 expression was diminished in LUAD tissues and CIS-resistant cell lines. Overexpression of SETD2 attenuated the malignant phenotype of LUAD cells, promoted apoptosis, and increased the chemosensitivity of CIS-resistant cells. Meanwhile, SETD2 overexpression reduced the glycolytic activity in LUAD cells, as evidenced by decreased glucose uptake, ATP and lactate production, and downregulation of key proteins in the glycolytic pathway. Mechanistically, SETD2 bound to the TKT promoter and suppressed its transcription. Furthermore, TKT overexpression partially reversed the regulatory impacts of SETD2 on LUAD cells. Additionally, SETD2 overexpression suppressed tumor growth by down-regulating TKT, reduced glycolysis level in tumor tissues, promoted apoptosis and inhibited proliferation of tumor cells. In conclusion, SETD2 inhibits glycolysis by directly suppressing TKT transcription, thereby attenuating malignant progression and enhancing chemosensitivity in LUAD.

组蛋白甲基转移酶SETD2在各种恶性肿瘤中经常下调,并在调节肿瘤进展中起关键作用。然而,其在肺腺癌(LUAD)中的生物学作用,特别是其对糖酵解和化学敏感性的调节,尚未完全阐明。转酮醇酶(TKT)是糖酵解过程中的关键酶,但它是否参与SETD2对LUAD进展和化学敏感性的调节尚不清楚。建立顺铂耐药细胞,通过Western blot检测SETD2和TKT的表达水平。通过CCK-8法、划痕愈合法、菌落形成法和Transwell法评价LUAD细胞的恶性表型;流式细胞术检测细胞凋亡。通过ChIP和双荧光素酶报告基因检测证实了SETD2和TKT的结合关系。使用商用试剂盒测定糖酵解活性。建立裸鼠LUAD肿瘤模型,TUNEL染色和Ki-67免疫组化分别检测其凋亡和增殖。SETD2在LUAD组织和cis耐药细胞系中的表达减少。过表达SETD2可减轻LUAD细胞的恶性表型,促进细胞凋亡,增加cis耐药细胞的化学敏感性。同时,SETD2过表达降低了LUAD细胞的糖酵解活性,表现为葡萄糖摄取、ATP和乳酸生成减少,糖酵解途径关键蛋白下调。从机制上讲,SETD2与TKT启动子结合并抑制其转录。此外,TKT过表达部分逆转了SETD2对LUAD细胞的调节作用。此外,SETD2过表达通过下调TKT抑制肿瘤生长,降低肿瘤组织糖酵解水平,促进肿瘤细胞凋亡,抑制肿瘤细胞增殖。综上所述,SETD2通过直接抑制TKT转录来抑制糖酵解,从而减缓LUAD的恶性进展并增强化学敏感性。
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引用次数: 0
SLC7A5 serves as a potential therapeutic target for osteosarcoma: a comprehensive analysis based on bioinformatics and experimental validation. SLC7A5作为骨肉瘤的潜在治疗靶点:基于生物信息学和实验验证的综合分析
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/WFPQ3511
Ziliang Yu, Feihu Chen, Yixuan Li, Jiafeng He, Dagong Gao, Fei Xia, Haiping Zhang

This study aimed to investigate the role of solute carrier family 7 member 5 (SLC7A5) in osteosarcoma (OS) and its potential as a therapeutic target. Pan-cancer analysis revealed that SLC7A5 is significantly overexpressed in various tumor types, with particularly prominent upregulation in osteosarcoma. Using datasets from The Cancer Genome Atlas (TCGA), we found that high SLC7A5 expression was closely associated with poor patient prognosis, tumor multifocality, and metastatic progression. Based on SLC7A5-related genes, we constructed a prognostic risk score model using LASSO regression. This model effectively stratified patients by risk, revealing significant differences in survival outcomes between the high-risk and low-risk groups. In in vitro experiments, SLC7A5 overexpression significantly promoted the proliferation, migration, and invasion of osteosarcoma cells; conversely, silencing SLC7A5 not only inhibited these cellular behaviors but also induced apoptosis. Combining RNA sequencing with pathway enrichment analysis, we found that SLC7A5 regulates the phosphorylation levels of the mTOR pathway and its downstream target S6. In vivo experiments showed that SLC7A5 overexpression accelerated the growth of mouse xenograft tumors. Consistent with the in vitro functional assays, Ki-67 and phosphorylated mTOR levels were also elevated in tumor tissues, further validating the association between SLC7A5 and mTOR-mediated tumor progression.

本研究旨在探讨溶质载体家族7成员5 (SLC7A5)在骨肉瘤(OS)中的作用及其作为治疗靶点的潜力。泛癌分析显示SLC7A5在各种肿瘤类型中均显著过表达,在骨肉瘤中表达上调尤为突出。使用来自癌症基因组图谱(TCGA)的数据集,我们发现SLC7A5的高表达与患者预后差、肿瘤多灶性和转移进展密切相关。基于slc7a5相关基因,采用LASSO回归构建预后风险评分模型。该模型有效地将患者按风险分层,揭示了高危组和低危组之间生存结局的显著差异。在体外实验中,SLC7A5过表达显著促进骨肉瘤细胞的增殖、迁移和侵袭;相反,沉默SLC7A5不仅可以抑制这些细胞行为,还可以诱导细胞凋亡。结合RNA测序和通路富集分析,我们发现SLC7A5调控mTOR通路及其下游靶点S6的磷酸化水平。体内实验表明,SLC7A5过表达加速了小鼠异种移植瘤的生长。与体外功能分析一致,肿瘤组织中Ki-67和磷酸化mTOR水平也升高,进一步证实了SLC7A5与mTOR介导的肿瘤进展之间的关联。
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引用次数: 0
PDE4C stabilized by ELAVL1 promotes lymph node metastasis in papillary thyroid cancer. ELAVL1稳定的PDE4C促进甲状腺乳头状癌淋巴结转移。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/VZMV3943
Tingting Cui, Ying Zhang, Wanwan Li, Danzhen Zhang, Weida Liu, Haiying Gong

Lymph node metastasis (LNM) is a key factor in the recurrence and progression of papillary thyroid carcinoma (PTC). Phosphodiesterase 4C (PDE4C) serves as a crucial regulator in cancer development and metastasis, its functional role and mechanism in LNM of PTC need further elucidation. PDE4C and embryonic lethal abnormal vision like 1 (ELAVL1) expression in PTC and adjacent normal tissues were assessed using bioinformatic analysis and immunohistochemistry (IHC). We found that PDE4C and ELAVL1 were upregulated in PTC tissues. Cell viability in BCPAP and TPC-1 cell lines was assessed via cell counting kit-8 (CCK-8) assay, while Transwell assays were employed to determine their migratory and invasive capacities. Our data revealed that silencing of PDE4C remarkably suppressed BCPAP and TPC-1 cell proliferation, migration and invasion. Besides, the association between ELAVL1 and PDE4C was predicted and verified by ENCORI, RNA pull down and RNA immunoprecipitation (RIP) assay. The mRNA of ELAVL1 and PDE4C were evaluated via quantitative real-time PCR (qRT-PCR). ELAVL1 and PDE4C expression was examined using Western blot analysis. The number of metastatic tumors in the lymph nodes was assessed by hematoxylin-eosin (HE) staining. Ki-67 level in tumor tissues were determined by IHC. ELAVL1 interacts with PDE4C, resulting in an increase in PDE4C mRNA stability, which contributes to the aforementioned malignant phenotypes. Consistently, the knockdown of PDE4C or ELAVL1 inhibited LNM of PTC cells, PTC growth, and Ki-67 expression in vivo. In summary, ELAVL1 promotes LNM in PTC by stabilising PDE4C. Our study elucidates the molecular mechanisms driving PTC metastasis, offering new therapeutic avenues for PTC treatment.

淋巴结转移是甲状腺乳头状癌(PTC)复发和发展的关键因素。磷酸二酯酶4C (Phosphodiesterase 4C, PDE4C)是肿瘤发生转移的重要调控因子,其在PTC LNM中的功能作用及机制有待进一步阐明。采用生物信息学分析和免疫组化(IHC)检测PDE4C和胚胎致死性异视样1 (ELAVL1)在PTC及邻近正常组织中的表达。我们发现PDE4C和ELAVL1在PTC组织中上调。采用细胞计数试剂盒-8 (CCK-8)法评估BCPAP和TPC-1细胞株的细胞活力,采用Transwell法测定其迁移和侵袭能力。我们的数据显示PDE4C的沉默显著抑制BCPAP和TPC-1细胞的增殖、迁移和侵袭。此外,通过ENCORI、RNA拉下和RNA免疫沉淀(RIP)实验预测并验证了ELAVL1与PDE4C的相关性。采用实时荧光定量PCR (qRT-PCR)检测ELAVL1和PDE4C mRNA表达水平。Western blot检测ELAVL1和PDE4C的表达。苏木精-伊红(HE)染色检测淋巴结转移瘤数量。免疫组化法检测肿瘤组织中Ki-67水平。ELAVL1与PDE4C相互作用,导致PDE4C mRNA稳定性增加,从而导致上述恶性表型。PDE4C或ELAVL1的敲除抑制PTC细胞的LNM、PTC的生长和体内Ki-67的表达。综上所述,ELAVL1通过稳定PDE4C促进PTC中的LNM。我们的研究阐明了PTC转移的分子机制,为PTC的治疗提供了新的途径。
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引用次数: 0
Epigenetic modifications in ferroptosis regulation of breast cancer. 乳腺癌铁下垂调控中的表观遗传修饰。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/IUOL3997
Lin Lin, Yunyang Wang, Wenzhe Si, Xujun Liu

Breast cancer (BC) is the most frequently diagnosed type of cancer worldwide and has become the primary cause of cancer deaths in women, presenting many difficulties for treatment due to its molecular heterogeneity, dynamic tumor microenvironment and frequent development of resistance to traditional drugs and targeted therapies. Ferroptosis is a type of genetically regulated, iron-dependent cell death that occurs due to the extensive accumulation of phospholipid hydroperoxides, and it has been identified as an essential tumor-suppressive mechanism with significant implications for the pathogenesis, progression and treatment response of BC. Recent evidence shows that epigenetic mechanisms, including DNA methylation, histone post-translational modifications, and non-coding RNA-mediated regulation (microRNA, long non-coding RNA, circular RNA), precisely control the core ferroptosis machinery system Xc-, GPX4, ACSL4, and FSP1 in a context-dependent manner. This review introduces the systematic and mechanistic integration of the current knowledge base on the modulation of BC cells' ferroptosis susceptibility by epigenetic reprogramming across molecular subtypes. We critically assess the preclinical and translational evidence linking specific epigenetic regulators to ferroptosis evasion, identify emerging biomarkers predictive of ferroptosis vulnerability, and discuss the therapeutic potential of epigenetic-ferroptosis co-targeting strategies to restore ferroptosis sensitivity, circumvent drug resistance, and enhance survival outcomes in patients with refractory or metastatic BC.

乳腺癌(BC)是世界范围内诊断频率最高的癌症类型,已成为妇女癌症死亡的主要原因,由于其分子异质性、肿瘤微环境动态以及对传统药物和靶向治疗的频繁耐药性,给治疗带来了许多困难。铁凋亡是一种受遗传调控的铁依赖性细胞死亡,是由于磷脂氢过氧化物的广泛积累而发生的,它已被确定为一种重要的肿瘤抑制机制,对BC的发病、进展和治疗反应具有重要意义。最近的证据表明,表观遗传机制,包括DNA甲基化,组蛋白翻译后修饰和非编码RNA介导的调控(microRNA,长链非编码RNA,环状RNA),以上下文依赖的方式精确控制核心铁死亡机制系统Xc-, GPX4, ACSL4和FSP1。本文综述了通过表观遗传重编程跨分子亚型调节BC细胞铁死亡易感性的系统和机制整合的现有知识基础。我们批判性地评估了将特定表观遗传调节因子与铁下垂逃避联系起来的临床前和转化证据,确定了预测铁下垂易感的新兴生物标志物,并讨论了表观遗传-铁下垂共同靶向策略的治疗潜力,以恢复铁下垂敏感性,规避耐药性,并提高难治性或转移性BC患者的生存结果。
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引用次数: 0
Erratum: Superiority of FAPI-PET/CT for examining multiple malignant tumors: a retrospective study. 更正:FAPI-PET/CT检查多发性恶性肿瘤的优越性:一项回顾性研究。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/HWEE4799
Wei Li, Zhiyun Jiang, Nan Cui, Jiatong Li, Liang Cheng, Wei Liu, Jing Li, Kezheng Wang

[This corrects the article on p. 4547 in vol. 13, PMID: 37970338.].

[这更正了第13卷第4547页的文章,PMID: 37970338]。
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引用次数: 0
Inhibition of RAB7 promotes CD8+ T cell activation via the STING/IRF1/CCL5/CXCL10 signaling axis to promote PD-1-mediated anti-lung cancer efficacy. 抑制RAB7可通过STING/IRF1/CCL5/CXCL10信号轴促进CD8+ T细胞活化,从而提高pd -1介导的抗肺癌疗效。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/KRNB3973
Xiaoli Liu, Zhiqiang Jiang, Ruijie Li, Jia Li, Lu Zhang, Huaimin Liu

Programmed cell death protein 1 (PD-1) antibody is facing the challenge of drug resistance in cancer therapy. RAB7 plays a key role in autophagic lysosomal fusion, but its function in tumor immune regulation, especially whether it can enhance the efficacy of PD-1 inhibitors, is not clear. RAS-associated binding protein 7 (RAB7) and stimulator of interferon gene (STING) were knocked down by siRNA in lung squamous cell carcinoma (LUSC) cells. The effects of RAB7 and STING on the malignant phenotype of cells were evaluated. The autophagy flux and cytoplasmic double-stranded DNA (dsDNA) accumulation were observed by Western blot, RFP-GFP-LC3B tandem fluorescent probe, transmission electron microscopy and immunofluorescence. The expression of STING/interferon regulatory factor 1 (IRF1) pathway was analyzed by Western blot. CD8+ T cells were co-cultured with lung cancer cells to investigate RAB7 knockdown effects on CD8+ T cell activation. Finally, mouse subcutaneous xenograft models were established to explore RAB7 knockdown combined with anti-PD-1 treatment. RAB7 was highly expressed in lung cancer, and its knockdown blocked autophagy flux, leading to cytoplasmic dsDNA accumulation, which in turn activated the STING/IRF1 signaling axis and up-regulated C-C motif chemokine ligand 5 (CCL5) and C-X-C motif chemokine ligand (CXCL) 10. In the co-culture system, knockdown of RAB7 promoted CD8+ T cell proliferation and cytotoxicity, up-regulated Perforin expressions, and decreased the levels of PD-1 and CD39. The combined application inhibited tumor growth, which was accompanied by activation of STING/IRF1 pathway, increased tumor infiltration and CD8+ T cell function. STING knockdown reversed all anti-tumor and immune activation effects mediated by RAB7 knockdown. In summary, knockdown of RAB7 activated the STING/IRF1/CCL5/CXCL10 signaling pathway by blocking autophagy flux, enhanced the activation and infiltration of CD8+ T cells, and significantly enhanced PD-1 antibody efficacy against lung cancer.

程序性细胞死亡蛋白1 (PD-1)抗体在肿瘤治疗中面临着耐药的挑战。RAB7在自噬溶酶体融合中起关键作用,但其在肿瘤免疫调节中的功能,特别是能否增强PD-1抑制剂的疗效尚不清楚。肺鳞状细胞癌(LUSC)细胞中ras相关结合蛋白7 (RAB7)和干扰素刺激因子基因(STING)被siRNA敲低。观察RAB7和STING对细胞恶性表型的影响。采用Western blot、RFP-GFP-LC3B串联荧光探针、透射电镜和免疫荧光观察自噬通量和胞质双链DNA (dsDNA)积累情况。Western blot分析STING/干扰素调节因子1 (IRF1)通路的表达。将CD8+ T细胞与肺癌细胞共培养,研究RAB7敲除对CD8+ T细胞活化的影响。最后,建立小鼠皮下异种移植模型,探索RAB7敲除联合抗pd -1治疗。RAB7在肺癌中高表达,其敲低阻断自噬通量,导致细胞质dsDNA积累,进而激活STING/IRF1信号轴,上调C-C基序趋化因子配体5 (CCL5)和C-X-C基序趋化因子配体(CXCL) 10。在共培养系统中,敲低RAB7可促进CD8+ T细胞增殖和细胞毒性,上调Perforin表达,降低PD-1和CD39水平。联合应用抑制肿瘤生长,同时激活STING/IRF1通路,增加肿瘤浸润和CD8+ T细胞功能。STING敲低逆转了RAB7敲低介导的所有抗肿瘤和免疫激活作用。综上所述,敲低RAB7通过阻断自噬通量激活STING/IRF1/CCL5/CXCL10信号通路,增强CD8+ T细胞的活化和浸润,显著增强PD-1抗体抗肺癌的疗效。
{"title":"Inhibition of RAB7 promotes CD8<sup>+</sup> T cell activation via the STING/IRF1/CCL5/CXCL10 signaling axis to promote PD-1-mediated anti-lung cancer efficacy.","authors":"Xiaoli Liu, Zhiqiang Jiang, Ruijie Li, Jia Li, Lu Zhang, Huaimin Liu","doi":"10.62347/KRNB3973","DOIUrl":"https://doi.org/10.62347/KRNB3973","url":null,"abstract":"<p><p>Programmed cell death protein 1 (PD-1) antibody is facing the challenge of drug resistance in cancer therapy. RAB7 plays a key role in autophagic lysosomal fusion, but its function in tumor immune regulation, especially whether it can enhance the efficacy of PD-1 inhibitors, is not clear. RAS-associated binding protein 7 (RAB7) and stimulator of interferon gene (STING) were knocked down by siRNA in lung squamous cell carcinoma (LUSC) cells. The effects of RAB7 and STING on the malignant phenotype of cells were evaluated. The autophagy flux and cytoplasmic double-stranded DNA (dsDNA) accumulation were observed by Western blot, RFP-GFP-LC3B tandem fluorescent probe, transmission electron microscopy and immunofluorescence. The expression of STING/interferon regulatory factor 1 (IRF1) pathway was analyzed by Western blot. CD8<sup>+</sup> T cells were co-cultured with lung cancer cells to investigate RAB7 knockdown effects on CD8<sup>+</sup> T cell activation. Finally, mouse subcutaneous xenograft models were established to explore RAB7 knockdown combined with anti-PD-1 treatment. RAB7 was highly expressed in lung cancer, and its knockdown blocked autophagy flux, leading to cytoplasmic dsDNA accumulation, which in turn activated the STING/IRF1 signaling axis and up-regulated C-C motif chemokine ligand 5 (CCL5) and C-X-C motif chemokine ligand (CXCL) 10. In the co-culture system, knockdown of RAB7 promoted CD8<sup>+</sup> T cell proliferation and cytotoxicity, up-regulated Perforin expressions, and decreased the levels of PD-1 and CD39. The combined application inhibited tumor growth, which was accompanied by activation of STING/IRF1 pathway, increased tumor infiltration and CD8<sup>+</sup> T cell function. STING knockdown reversed all anti-tumor and immune activation effects mediated by RAB7 knockdown. In summary, knockdown of RAB7 activated the STING/IRF1/CCL5/CXCL10 signaling pathway by blocking autophagy flux, enhanced the activation and infiltration of CD8<sup>+</sup> T cells, and significantly enhanced PD-1 antibody efficacy against lung cancer.</p>","PeriodicalId":7437,"journal":{"name":"American journal of cancer research","volume":"16 2","pages":"741-765"},"PeriodicalIF":2.9,"publicationDate":"2026-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13000129/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147497173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"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
Erratum: Molecular determinants of response to PI3K/AKT/mTOR and KRAS pathways inhibitors in NSCLC cell lines. 勘误:非小细胞肺癌细胞系对PI3K/AKT/mTOR和KRAS通路抑制剂反应的分子决定因素
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/KXSN5341
Alice Iezzi, Elisa Caiola, Marika Colombo, Mirko Marabese, Massimo Broggini

[This corrects the article on p. 4488 in vol. 10, PMID: 33415013.].

[这更正了第10卷第4488页的文章,PMID: 33415013]。
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引用次数: 0
Dyskerin dysfunction in cancer development: from telomere dysregulation to immune deficiency. 肿瘤发展中的Dyskerin功能障碍:从端粒失调到免疫缺陷。
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/HJXS1407
Yihang Xie, Ningning Xue, Lin Xue, Xin Zeng, Jiongke Wang, Xuefeng Zhang

Dyskerin, encoded by the dyskerin pseudouridine synthase 1 (DKC1) gene, is a core component of the H/ACA ribonucleoprotein complex and plays essential roles in telomerase activity maintenance, rRNA pseudouridylation, and ribosome biogenesis. Loss of DKC1 function represents a major pathogenic basis of dyskeratosis congenita (DC) and is associated with a markedly increased risk of malignancy, particularly head and neck squamous cell carcinoma and oral squamous cell carcinoma. Traditionally, cancer susceptibility in DC has been largely attributed to telomere shortening and the resulting genomic instability; however, this explanation does not fully account for the heterogeneity observed across different genetic subtypes and clinical phenotypes. In this review, we systematically integrate three key mechanisms through which dyskerin dysfunction contributes to DC-associated carcinogenesis: disruption of telomere homeostasis, defects in selective translation regulation dependent on RNA pseudouridylation, and progressive impairment of T-cell-mediated immune surveillance. We highlight how DKC1 deficiency leads to insufficient rRNA pseudouridylation, selectively affecting the translation of internal ribosome entry site (IRES)-dependent transcripts, thereby attenuating the stress-induced expression of critical tumor suppressor proteins. In parallel, evidence from patient cohort studies is discussed to support a potentially dominant role of immunodeficiency in tumor development. Finally, we propose that future studies on DC and short telomere syndromes should emphasize genetic stratification and long-term clinical outcomes to refine cancer risk assessment and optimize preventive and therapeutic strategies.

Dyskerin由Dyskerin伪尿嘧啶合成酶1 (DKC1)基因编码,是H/ACA核糖核蛋白复合物的核心组成部分,在端粒酶活性维持、rRNA伪尿嘧啶化和核糖体生物发生中发挥重要作用。DKC1功能的丧失是先天性角化不良(DC)的主要致病基础,并与恶性肿瘤的风险显著增加有关,特别是头颈部鳞状细胞癌和口腔鳞状细胞癌。传统上,DC的癌症易感性主要归因于端粒缩短和由此产生的基因组不稳定性;然而,这种解释并不能完全解释在不同的遗传亚型和临床表型中观察到的异质性。在这篇综述中,我们系统地整合了dyskerin功能障碍导致dc相关癌变的三个关键机制:端粒稳态的破坏,依赖于RNA假尿嘧啶化的选择性翻译调节缺陷,以及t细胞介导的免疫监视的进行性损伤。我们强调DKC1缺乏如何导致rRNA假尿嘧啶化不足,选择性地影响内部核糖体进入位点(IRES)依赖转录物的翻译,从而减弱应激诱导的关键肿瘤抑制蛋白的表达。同时,研究人员还讨论了来自患者队列研究的证据,以支持免疫缺陷在肿瘤发展中的潜在主导作用。最后,我们建议未来对DC和短端粒综合征的研究应强调遗传分层和长期临床结果,以完善癌症风险评估,优化预防和治疗策略。
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引用次数: 0
Ovarian Sertoli-Leydig cell tumors with somatic DICER1 mutations: a clinicopathologic study of 15 cases. 卵巢支持-间质细胞瘤伴体细胞DICER1突变15例临床病理分析
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-25 eCollection Date: 2026-01-01 DOI: 10.62347/IFBR1532
Chuan Xie, Yangmei Shen, Yuping Xie

Ovarian Sertoli-Leydig cell tumors (SLCTs) are a rare type of sex cord-stromal neoplasm. Approximately 60% of these tumors are associated with DICER1 mutations, which may occur in the context of the rare DICER1 syndrome. Due to the scarcity of these tumors, their comprehensive clinicopathologic spectrum and optimal management remain incompletely defined. We conducted a single-institution, retrospective clinicopathologic study on 15 patients with molecularly confirmed DICER1-related ovarian SLCTs (January 2020 - May 2025). Clinical, surgical, pathologic, and molecular data were analyzed. The median patient age at diagnosis was 21 years (range: 3-34 years). Most patients (93.3%, 14/15) were symptomatic, with abdominal distension (53.3%) and secondary amenorrhea (33.3%) being the most common presentations. The vast majority of tumors (93.3%, 14/15) were FIGO stage I, and the median largest tumor dimension was 12.0 cm. Fertility-preserving surgery was performed in 93.3% of cases; however, intraoperative tumor rupture occurred in 46.7% (7/15). Histopathologically, all tumors demonstrated classic SLCT features and were immunopositive for inhibin and calretinin. Among the cohort with somatic DICER1 mutations, only one patient (6.7%) was found to have a concurrent germline DICER1 pathogenic variant. Notably, all tumors were moderately (60.0%, 9/15) or poorly (26.7%, 4/15) differentiated, with no well-differentiated SLCTs observed. Adjuvant platinum-based chemotherapy was administered to 53.3% (8/15) of patients, primarily those with stage IC (85.7%) or higher-stage disease. After a median follow-up of 19 months, no recurrences were observed in patients with stage I disease. This study confirms that DICER1-related SLCTs predominantly occur in young women and typically present at an early stage. Our findings suggest a favorable short-term prognosis for stage I disease. We identify a strong genotype-phenotype correlation, with DICER1 mutations being exclusively associated with non-well-differentiated histology. Meticulous surgery to prevent tumor rupture is paramount, and adjuvant chemotherapy can be effectively reserved for higher-risk patients. Longer-term follow-up is needed to fully define the prognostic implications of our observations.

卵巢间质细胞瘤是一种罕见的性索间质肿瘤。大约60%的这些肿瘤与DICER1突变有关,这可能发生在罕见的DICER1综合征的背景下。由于这些肿瘤的稀缺性,其全面的临床病理谱和最佳管理仍然不完全确定。我们对15例分子证实的dicer1相关卵巢slct患者(2020年1月至2025年5月)进行了一项单机构回顾性临床病理研究。对临床、手术、病理和分子数据进行分析。患者诊断时的中位年龄为21岁(范围:3-34岁)。大多数患者(93.3%,14/15)有症状,以腹胀(53.3%)和继发性闭经(33.3%)为最常见的表现。绝大多数肿瘤(93.3%,14/15)为FIGO I期,肿瘤中位最大尺寸为12.0 cm。93.3%的病例行保生育手术;但术中肿瘤破裂发生率为46.7%(7/15)。组织病理学上,所有肿瘤均表现出典型的SLCT特征,抑制素和calretinin免疫阳性。在体细胞DICER1突变的队列中,仅发现1例患者(6.7%)同时存在种系DICER1致病变异。值得注意的是,所有肿瘤均为中度(60.0%,9/15)或低分化(26.7%,4/15),未观察到高分化slct。53.3%(8/15)的患者接受了辅助铂类化疗,主要是IC期(85.7%)或更高阶段的患者。中位随访19个月后,未观察到I期患者复发。这项研究证实,dicer1相关的slct主要发生在年轻女性中,通常出现在早期。我们的研究结果表明I期疾病的短期预后良好。我们发现了强烈的基因型-表型相关性,DICER1突变仅与非高分化组织学相关。细致的手术预防肿瘤破裂是至关重要的,辅助化疗可以有效地保留给高危患者。需要长期随访来充分确定我们观察的预后意义。
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引用次数: 0
Effectiveness and safety of recombinant human endostatin injection plus immune checkpoint inhibitors for non-small cell lung cancer: a single-centered, retrospective study. 重组人内皮抑素注射液加免疫检查点抑制剂治疗非小细胞肺癌的有效性和安全性:一项单中心回顾性研究
IF 2.9 3区 医学 Q2 ONCOLOGY Pub Date : 2026-02-15 eCollection Date: 2026-01-01 DOI: 10.62347/MHWB5732
Fei Han, Guanhua Liu, Zhilong Li, Kang Zheng

To evaluate the clinical effectiveness and safety of recombinant human endostatin (rh-Endo) injection plus immune checkpoint inhibitor (ICI) treatment of non-small cell lung cancer (NSCLC) treatment. We collected the medical records and follow-up data of inoperable NSCLC patients who received the corresponding anti-tumor treatment for at least 4 cycles and were discharged from our hospital from January 2021 to January 2023 for a retrospective analysis. According to the treatment methods, they were assigned to rh-Endo+ICIs (Endostatin+ICIs) and ICIs groups. Rh-Endo injection was administered at 210 mg each time via continuous chemotherapy pump infusion for 3 days, once every 3 weeks. The use of ICIs followed the instructions. Neither rh-Endo injection nor ICIs were allowed to be administered at a reduced dose. Therapeutic efficacy was compared between groups, tumor biomarkers, health status, and life quality were observed, and the occurrence of adverse reactions was documented. Progression-free survival (PFS) and overall survival (OS) during patient follow-up (2 years) were tracked. In this study, 114 eligible cases were included, with 73 receiving ICIs+rh-Endo. The disease control rate (DCR) of the ICIs and Endostatin+ICIs groups was 46.35% and 75.34% (P=0.002), respectively. Both cohorts exhibited reduced serum cytokeratin 19 fragment (CYFRA21-1), squamous cell carcinoma antigen (SCCA), carbohydrate antigen 50 (CA50) after three cycles of treatment, especially in the Endostatin+ICIs group (P<0.05). Endostatin+ICIs also contributed to better health status and life quality in patients compared to ICIs. The Endostatin+ICIs group displayed longer mean PFS (10.6 months vs. 6.8 months) and mean OS (17.6 months vs. 8.3 months) than the ICIs group. The results indicated that rh-Endo injection plus ICIs showesno significantly difference compare to ICIs alone in the adverse reaction rate, shows superior efficacy in improving clinical efficacy, significantly prolonging PFS and OS, and boosting patients' health status and quality of life.

评价重组人内皮抑素(rh-Endo)注射液联合免疫检查点抑制剂(ICI)治疗非小细胞肺癌(NSCLC)的临床疗效和安全性。我们收集了2021年1月至2023年1月出院且接受相应抗肿瘤治疗至少4个周期且不能手术的非小细胞肺癌患者的病历及随访资料进行回顾性分析。根据治疗方法分为rh-Endo+ICIs(内皮抑素+ICIs)组和ICIs组。Rh-Endo注射液每次210 mg,连续化疗泵输注3天,每3周1次。ICIs的使用遵循说明。rh-Endo注射剂和ICIs均不允许以减少剂量施用。比较两组患者的治疗效果,观察肿瘤生物标志物、健康状况、生活质量,记录不良反应发生情况。追踪患者随访期间(2年)的无进展生存期(PFS)和总生存期(OS)。本研究纳入114例符合条件的病例,其中73例接受ICIs+rh-Endo治疗。ICIs组和内皮抑素+ICIs组疾病控制率(DCR)分别为46.35%和75.34% (P=0.002)。两组患者治疗3个周期后血清细胞角蛋白19片段(CYFRA21-1)、鳞状细胞癌抗原(SCCA)、碳水化合物抗原50 (CA50)均降低,内皮抑素+ICIs组(P
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American journal of cancer research
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