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Correction: Affibodies as valuable tool to prevent β2m aggregation under lysosomal-like conditions. 更正:在溶酶体样条件下,词缀是防止β2m聚集的重要工具。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-16 DOI: 10.1186/s13062-025-00679-y
Cristina Visentin, Giulia Rizzi, Wen Yin, Mathilde Hotot, Dipambita Roy, Torbjörn Gräslund, Riccardo Capelli, Stefano Ricagno
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引用次数: 0
Nrf2/UBE3B protects against acute lung injury by inhibiting ferritinophagy through the ubiquitination of NCOA4. Nrf2/UBE3B通过NCOA4泛素化抑制铁蛋白自噬来保护急性肺损伤。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-16 DOI: 10.1186/s13062-025-00678-z
Yunfan Gu, Hui Dong, Yanjun Wang, Beibei Hu, Hong Jiang, Rong Hu

Background: Iron overload and ferroptosis are associated with intestinal ischemia and reperfusion (II/R)-induced acute lung injury (ALI). However, the mechanisms underlying the regulation of iron homeostasis remain unclear. Nrf2 regulates cellular iron homeostasis; nonetheless, its impact on ALI pathology and its underlying mechanism of action requires further investigation. Ubiquitin ligase E3B (UBE3B) plays a critical role in the proteasome pathway, which is essential for protein turnover and ubiquitin-mediated signaling. A recent study found that UBE3B plays a role in oxidative stress; nevertheless, it remains unknown whether its role is related to Nrf2. Furthermore, the exact role of UBE3B in ALI and its underlying mechanism remain largely uncharacterized.

Methods and results: In the present study, immunohistochemical analysis of UBE3B expression in type II alveolar epithelial cells (AECII) was conducted, and its expression was found to be decreased in II/R-ALI. Western blot analysis indicated that UBE3B hypoactivation may aggravate oxidative stress, thereby promoting ALI. Moreover, UBE3B was involved in iron metabolism dysfunction and ferroptosis. UBE3B deficiency enhanced the process of nuclear receptor coactivator 4 (NCOA4)-mediated ferritinophagy and increased ferrous ion content, whereas overexpression of UBE3B reversed the harmful effects of Nrf2 knockdown on AECII, which may promote AECII ferroptosis.

Conclusions: This study highlights the role of the Nrf2/UBE3B/NCOA4 axis in AECII ferroptosis and II/R-ALI pathogenesis, suggesting that Nrf2 activation may be a promising strategy for ALI treatment.

背景:铁超载和铁上吊与肠缺血再灌注(II/R)诱导的急性肺损伤(ALI)有关。然而,铁稳态调节的机制尚不清楚。Nrf2调控细胞铁稳态;尽管如此,其对ALI病理的影响及其潜在的作用机制仍需进一步研究。泛素连接酶E3B (Ubiquitin connection ase E3B, UBE3B)在蛋白酶体通路中起关键作用,对蛋白质周转和泛素介导的信号传导至关重要。最近的一项研究发现,UBE3B在氧化应激中起作用;然而,其作用是否与Nrf2有关尚不清楚。此外,UBE3B在ALI中的确切作用及其潜在机制在很大程度上仍未明确。方法与结果:本研究通过免疫组化分析UBE3B在II型肺泡上皮细胞(AECII)中的表达,发现其在II/R-ALI中表达降低。Western blot分析显示,UBE3B失活可能加重氧化应激,从而促进ALI。此外,UBE3B还参与铁代谢功能障碍和铁下垂。UBE3B缺失增强了核受体共激活因子4 (NCOA4)介导的铁蛋白自噬过程,增加了亚铁离子含量,而UBE3B过表达逆转了Nrf2敲低对AECII的有害作用,可能促进AECII铁凋亡。结论:本研究强调了Nrf2/UBE3B/NCOA4轴在AECII铁凋亡和II/R-ALI发病机制中的作用,提示Nrf2激活可能是一种很有前景的ALI治疗策略。
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引用次数: 0
Extracellular vesicle-enriched secretome of adipose-derived stem cells upregulates clusterin to alleviate doxorubicin-induced apoptosis in cardiomyocytes. 脂肪源性干细胞细胞外囊泡富集分泌组上调聚簇蛋白以减轻阿霉素诱导的心肌细胞凋亡。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-16 DOI: 10.1186/s13062-025-00664-5
Wan-Tseng Hsu, Shinji Kobuchi, Tung-Chun Russell Chien, I-Chun Chen, Shohei Hamada, Masayuki Tsujimoto, I-Lin Tsai, Yun-Sheng Wong, Kuan-Hsuan Tung, Ying-Zhen He

Doxorubicin (DOX) is a potent chemotherapeutic widely used against various cancers, but its clinical application is limited by DOX-induced cardiotoxicity (DIC). This study explored the cardioprotective potential of extracellular vesicle-enriched secretome derived from adipose stem cells (EVSASC) in mitigating DOX-induced apoptosis in cardiomyocytes. Adipose-derived stem cells were cultured, and their conditioned medium and extraceullular vesicles were isolated and characterized according to the Minimal Information for Studies of Extracellular Vesicles 2023 guidelines. HL-1 cardiomyocytes were pretreated with EVSASC before exposure to 1 µM DOX. Cell viability was assessed via the cell counting kit-8 assay, while apoptosis markers and survival mediators were evaluated through Western blotting. RNA sequencing identified differentially expressed genes, including clusterin (Clu), which was further quantified using an enzyme-linked immunosorbent assay. The functional role of clusterin was validated through siRNA-mediated knockdown. EVSASC significantly improved cell viability in DOX-exposed cardiomyocytes and reduced the cleaved caspase-3 to procaspase-3 ratio. Clusterin expression was highest in EVSASC-treated cells, and its knockdown markedly increased caspase-3 cleavage, confirming its pivotal role in cardioprotection. Moreover, EVSASC enhanced the phosphorylation of AKT, Bcl2-associated agonist of cell death, and glycogen synthase kinase-3β, implicating PI3K/AKT pathway activation in clusterin upregulation and anti-apoptotic effects. These findings demonstrate that EVSASC mitigates DOX-induced apoptosis in cardiomyocytes through clusterin upregulation and PI3K/AKT pathway activation. Clusterin is identified as a potential biomarker for evaluating EVSASC efficacy. While EVSASC shows promise as a cardioprotective strategy against DIC, further studies are needed to optimize its therapeutic safety by addressing potential oncogenic risks.

多柔比星(DOX)是一种有效的化疗药物,广泛用于治疗各种癌症,但其临床应用受到DOX诱导的心脏毒性(DIC)的限制。本研究探讨了来自脂肪干细胞的细胞外囊泡富集分泌组(EVSASC)在减轻dox诱导的心肌细胞凋亡中的心脏保护潜力。培养脂肪来源的干细胞,并根据细胞外囊泡研究的最小信息2023指南分离和表征其条件培养基和囊外泡。在暴露于1µM DOX之前,用EVSASC预处理HL-1心肌细胞。通过细胞计数试剂盒-8检测细胞活力,Western blotting检测细胞凋亡标志物和存活介质。RNA测序鉴定出差异表达的基因,包括聚簇蛋白(Clu),并使用酶联免疫吸附法进一步定量。通过sirna介导的敲低验证了clusterin的功能作用。EVSASC显著提高dox暴露心肌细胞的细胞活力,降低裂解caspase-3与procaspase-3的比值。Clusterin在evsasc处理的细胞中表达最高,其敲低显著增加caspase-3的切割,证实了其在心脏保护中的关键作用。此外,EVSASC增强了AKT、bcl2相关细胞死亡激动剂和糖原合成酶激酶3β的磷酸化,暗示PI3K/AKT通路的激活参与了簇蛋白上调和抗凋亡作用。这些发现表明,EVSASC通过上调聚簇蛋白和激活PI3K/AKT通路,减轻dox诱导的心肌细胞凋亡。Clusterin被认为是评估EVSASC疗效的潜在生物标志物。虽然EVSASC有望作为一种抗DIC的心脏保护策略,但需要进一步的研究来通过解决潜在的致癌风险来优化其治疗安全性。
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引用次数: 0
Autophagy inhibition potentiates anti-cancer activity of Sunitinib in kidney cancer cells. 自噬抑制增强舒尼替尼对肾癌细胞的抗癌活性。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-15 DOI: 10.1186/s13062-025-00671-6
Simone Patergnani, Pietro Zampieri, Nicoletta Bianchi, Carmelo Ippolito, Roberta Gafà, Giovanni Lanza, Mariusz R Wieckowski, Paolo Pinton, Gianluca Aguiari
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引用次数: 0
Molecular mechanisms of efferocytosis imbalance in the idiopathic pulmonary fibrosis microenvironment: from gene screening to dynamic regulation analysis. 特发性肺纤维化微环境中胞吐失衡的分子机制:从基因筛选到动态调控分析。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-15 DOI: 10.1186/s13062-025-00658-3
Qian Jin, Yi Kang, Wenwen Jin, Ying Liu, Qian Chen, Jian Liu, Yali Guo, Yuguang Wang

Background: Idiopathic pulmonary fibrosis (IPF) is a chronic progressive pulmonary disease characterized by alveolar structural destruction and fibrosis. In recent years, efferocytosis has been recognized as playing a crucial role in the occurrence and progression of IPF. This study aimed to identify and regulate key efferocytosis-related genes to elucidate their potential roles and clinical significance in IPF.

Methods: IPF-related datasets (GSE32537) were obtained from the Gene Expression Omnibus (GEO) database. Differential gene expression analysis and weighted gene coexpression network analysis (WGCNA) were applied to identify key genes associated with IPF, intersecting them with efferocytosis-related genes (ERGs) to obtain IPF-ERGs. Protein‒protein interaction (PPI) network construction and enrichment analysis were performed to elucidate the potential functions of these genes in IPF. Seven machine learning algorithms were employed to screen for hub genes with high diagnostic value. The GSE70866 dataset was used for validation, and a nomogram was constructed. Additionally, the CIBERSORT algorithm was used to analyze immune infiltration levels, and transcriptomic validation of the hub genes was conducted in animal experiments.

Results: A total of 21 IPF-ERGs were identified, and machine learning further identified TLR2, ATG7, SPHK1, and ICAM1 as hub genes, which were significantly upregulated in the IPF group. Immune infiltration analysis revealed a significant increase in the infiltration levels of immune cell subsets, including memory B cells, CD8 + T cells, and resting dendritic cells, in the IPF group. Further clinical correlation analysis revealed a strong association between the expression levels of the hub genes and pulmonary function. A nomogram was constructed on the basis of the hub genes and validated for its potential clinical application. Consensus clustering classified IPF patients into two subtypes: C1, which was primarily by metabolic pathway activation, and C2, which was enriched in inflammatory and immune pathways. Transcriptomic analysis of animal experiments also confirmed the upregulation of hub gene expression in IPF.

Conclusion: This study identified TLR2, ATG7, SPHK1, and ICAM1 as four key hub genes, revealing their potential diagnostic value and biological functions in IPF. These genes may serve as potential diagnostic biomarkers and therapeutic targets, providing new insights for precision treatment.

Clinical trial number: Not applicable.

背景:特发性肺纤维化(IPF)是一种以肺泡结构破坏和纤维化为特征的慢性进行性肺部疾病。近年来,efferocytosis被认为在IPF的发生和发展中起着至关重要的作用。本研究旨在鉴定和调控胞泡增多相关的关键基因,阐明其在IPF中的潜在作用和临床意义。方法:从Gene Expression Omnibus (GEO)数据库中获取ipf相关数据集GSE32537。应用差异基因表达分析和加权基因共表达网络分析(WGCNA)鉴定与IPF相关的关键基因,并将其与efferocytosis相关基因(ERGs)相交,得到IPF-ERGs。通过蛋白-蛋白相互作用(PPI)网络构建和富集分析来阐明这些基因在IPF中的潜在功能。采用7种机器学习算法筛选具有较高诊断价值的枢纽基因。使用GSE70866数据集进行验证,并构建nomogram。此外,利用CIBERSORT算法分析免疫浸润水平,并在动物实验中对枢纽基因进行转录组学验证。结果:共鉴定出21个IPF- ergs,机器学习进一步鉴定出TLR2、ATG7、SPHK1和ICAM1为枢纽基因,这些基因在IPF组中显著上调。免疫浸润分析显示,IPF组免疫细胞亚群的浸润水平显著增加,包括记忆B细胞、CD8 + T细胞和静息树突状细胞。进一步的临床相关分析显示中枢基因的表达水平与肺功能之间有很强的相关性。以枢纽基因为基础,构建了一种模式图,并对其潜在的临床应用进行了验证。共识聚类将IPF患者分为两个亚型:C1型,主要通过代谢途径激活;C2型,主要通过炎症和免疫途径激活。动物实验的转录组学分析也证实了中枢基因在IPF中的表达上调。结论:本研究发现TLR2、ATG7、SPHK1和ICAM1是IPF的4个关键枢纽基因,揭示了它们在IPF中的潜在诊断价值和生物学功能。这些基因可能作为潜在的诊断生物标志物和治疗靶点,为精准治疗提供新的见解。临床试验号:不适用。
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引用次数: 0
Correction: METTL3-induced lncRNA GBAP1 promotes hepatocellular carcinoma progression by activating BMP/SMAD pathway. 更正:mettl3诱导的lncRNA GBAP1通过激活BMP/SMAD通路促进肝癌进展。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-10 DOI: 10.1186/s13062-025-00673-4
Runkun Liu, Guozhi Yin, Hang Tuo, Yixian Guo, Yifeng Zhu, Lei Zhang, Wei Yang, Qingguang Liu, Yufeng Wang
{"title":"Correction: METTL3-induced lncRNA GBAP1 promotes hepatocellular carcinoma progression by activating BMP/SMAD pathway.","authors":"Runkun Liu, Guozhi Yin, Hang Tuo, Yixian Guo, Yifeng Zhu, Lei Zhang, Wei Yang, Qingguang Liu, Yufeng Wang","doi":"10.1186/s13062-025-00673-4","DOIUrl":"10.1186/s13062-025-00673-4","url":null,"abstract":"","PeriodicalId":9164,"journal":{"name":"Biology Direct","volume":"20 1","pages":"81"},"PeriodicalIF":5.7,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12243380/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144599404","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"生物学","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 oxidative stress landscape in diabetic foot ulcers: insights from bulk RNA and single-cell RNA sequencing data. 揭示糖尿病足溃疡的氧化应激景观:来自大量RNA和单细胞RNA测序数据的见解。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-04 DOI: 10.1186/s13062-025-00672-5
Jialiang Lin, Linjuan Huang, Weiming Li, Haijun Xiao, Mingmang Pan

Background: Oxidative stress plays a crucial role in the development of diabetic foot ulcers (DFU). However, its underlying mechanisms are not fully understood. The purpose of this study was to use bioinformatics and preliminary validation methods to preliminarily reveal the oxidative stress landscape in DFU.

Methods: Based on the single-cell and bulk RNA sequencing data of DFU, we conducted differential genes screening, machine learning, PPI network construction, immune infiltration analysis, drug prediction, TF-mRNA-miRNA network, cell-cell interaction, pseudotime trajectory analysis, external cohort validation, and in vitro experiments to develop the oxidative stress landscape in DFU.

Results: Bulk RNA-seq analysis identified 63 oxidative stress-related genes of DFU (DORGs), and the top 59 genes were screened out for key nodes with close functional associations. Functional enrichment analysis showed significant involvement in oxidative stress response. Drug prediction highlighted Thymoquinone and Erlotinib as potential therapeutic candidates. Machine learning algorithms (SVM-RFE, LASSO and RF) identified BCL2 and FOXP2 as candidate hub DORGs for DFU diagnosis. Immune cell infiltration analysis indicated a significant presence of naive B cells and CD8 T cells in DFU. The analysis of single-cell RNA sequencing identified a total of 31,787 cells across 10 distinct clusters, with a notably lower proportion of fibroblasts in DFU group than that in the control group. The expression patterns of BCL2 and FOXP2 across the different groups were consistent with findings from bulk RNA sequencing analysis. Notably, fibroblasts derived from DFU patients exhibited the highest oxidative stress scores. Intercellular signaling analysis indicated that fibroblasts serve as crucial communication cells, primarily engaged in COLLAGEN signaling network. Additionally, fibroblasts are categorized into five distinct clusters. Among these, COL6A5+ fibroblasts constitute the predominant cluster in DFU and exhibit low differentiation potential. Furthermore, in vitro experiments successfully established a DFU oxidative stress model of fibroblasts, revealing reduced migration ability in the absence of cell death. Both in vitro findings and external data corroborated the decreased expression levels of BCL2andFOXP2in DFU.

Conclusion: The oxidative stress-related genes BCL2 and FOXP2 could serve as diagnostic markers for DFU. Furthermore, we identified the novel pathogenic mechanism associated with oxidative stress in DFU fibroblasts. This study may offer new insights for the diagnosis and treatment of DFU.

背景:氧化应激在糖尿病足溃疡(DFU)的发展中起关键作用。然而,其潜在机制尚不完全清楚。本研究的目的是利用生物信息学和初步验证方法,初步揭示DFU的氧化应激景观。方法:基于DFU单细胞和大体积RNA测序数据,通过差异基因筛选、机器学习、PPI网络构建、免疫浸润分析、药物预测、TF-mRNA-miRNA网络、细胞-细胞相互作用、伪时间轨迹分析、外部队列验证、体外实验等,构建DFU氧化应激景观。结果:Bulk RNA-seq分析鉴定出63个DFU (DORGs)氧化应激相关基因,筛选出前59个功能关联密切的关键节点基因。功能富集分析显示其参与氧化应激反应。药物预测强调百里醌和厄洛替尼是潜在的治疗候选者。机器学习算法(SVM-RFE, LASSO和RF)确定BCL2和FOXP2作为DFU诊断的候选中心狗。免疫细胞浸润分析表明,DFU中存在明显的幼稚B细胞和CD8 T细胞。单细胞RNA测序分析共鉴定出31,787个细胞,分布在10个不同的簇中,DFU组成纤维细胞的比例明显低于对照组。BCL2和FOXP2在不同组中的表达模式与大量RNA测序分析结果一致。值得注意的是,来自DFU患者的成纤维细胞表现出最高的氧化应激评分。细胞间信号分析表明成纤维细胞是重要的通讯细胞,主要参与胶原蛋白信号网络。此外,成纤维细胞可分为五个不同的簇。其中,COL6A5+成纤维细胞在DFU中占主导地位,表现出低分化潜能。此外,体外实验成功建立了成纤维细胞DFU氧化应激模型,揭示了在没有细胞死亡的情况下迁移能力降低。体外研究结果和外部数据均证实bcl2和foxp2在DFU中的表达水平下降。结论:氧化应激相关基因BCL2和FOXP2可作为DFU的诊断标志物。此外,我们确定了与DFU成纤维细胞氧化应激相关的新的致病机制。本研究可能为DFU的诊断和治疗提供新的见解。
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引用次数: 0
CAF-derived exosomal miR-196b-5p after androgen deprivation therapy promotes epithelial-mesenchymal transition in prostate cancer cells through HOXC8/NF-κB signaling pathway. 雄激素剥夺治疗后caf来源的外泌体miR-196b-5p通过HOXC8/NF-κB信号通路促进前列腺癌细胞上皮-间质转化。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-04 DOI: 10.1186/s13062-025-00667-2
Xiaodong Song, Tiewen Li, Wenhao Zhou, Chengling Feng, Zeng Zhou, Yuanming Chen, Deng Li, Lei Chen, Jing Zhao, Yu Zhang, Bangmin Han

Background: Cancer-associated fibroblasts (CAFs) have been reported to play a significant role in the development and metastasis of various tumors; however, research on their role in promoting prostate cancer (PCa) metastasis under castration conditions remains unclear.

Methods: In this study, we utilized quantitative reverse transcription polymerase chain reaction (qRT-PCR) to detect the expression differences of microRNA-196b-5p (miR-196b-5p) in the exosomes secreted by CAFs before and after castration. We further characterized the transcriptional regulatory landscape through RNA sequencing combined with bioinformatics databases. In vitro and in vivo experiments were conducted to determine the role of miR-196b-5p in promoting tumor migration and metastasis. The dual-luciferase reporter assay, RT-PCR analysis, and Western blot analysis confirmed that miR-196b-5p targets HOXC8 in prostate cancer. Additionally, transwell assays and Western blot analysis were performed to elucidate the role and specific mechanisms of HOXC8 in tumor metastasis.

Results: By analyzing the expression differences of miRNAs in the exosomes secreted by CAFs before and after castration, along with relevant data from databases, we found that miR-196b-5p is highly secreted by CAFs after castration. miR-196b-5p promotes the migration and metastasis of prostate cancer cells. Subsequently, through RNA sequencing analysis and experimental validation, we determined that miR-196b-5p targets HOXC8. This interaction activates the NF-κB pathway, leading to the upregulation of epithelial-mesenchymal transition (EMT)-related protein expression, thereby driving the metastasis of prostate cancer.

Conclusions: Our study elucidates a specific mechanism by which CAF-derived exosomes promote prostate cancer metastasis via miR-196b-5p regulation, contributing to the identification of therapeutic targets for managing tumor metastasis following castration.

背景:癌症相关成纤维细胞(CAFs)已被报道在各种肿瘤的发生和转移中发挥重要作用;然而,它们在去势条件下促进前列腺癌(PCa)转移中的作用尚不清楚。方法:本研究采用定量逆转录聚合酶链反应(qRT-PCR)检测cas去势前后分泌的外泌体中microRNA-196b-5p (miR-196b-5p)的表达差异。我们通过RNA测序结合生物信息学数据库进一步表征了转录调控景观。通过体外和体内实验确定miR-196b-5p在促进肿瘤迁移和转移中的作用。双荧光素酶报告基因试验、RT-PCR分析和Western blot分析证实miR-196b-5p在前列腺癌中靶向HOXC8。此外,我们还通过transwell实验和Western blot分析来阐明HOXC8在肿瘤转移中的作用和具体机制。结果:通过分析阉割前后CAFs分泌的外泌体中mirna的表达差异,结合数据库中的相关数据,我们发现在阉割后CAFs高分泌miR-196b-5p。miR-196b-5p促进前列腺癌细胞的迁移和转移。随后,通过RNA测序分析和实验验证,我们确定miR-196b-5p靶向HOXC8。这种相互作用激活NF-κB通路,导致上皮-间充质转化(epithelial-mesenchymal transition, EMT)相关蛋白表达上调,从而推动前列腺癌转移。结论:我们的研究阐明了caf来源的外泌体通过miR-196b-5p调控促进前列腺癌转移的特定机制,有助于确定去势后肿瘤转移的治疗靶点。
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引用次数: 0
Prognostic model integrating histology, systemic inflammation, and recurrence status predicts immunotherapy response in advanced non-small-cell lung cancer patients. 结合组织学、全身性炎症和复发状态的预后模型预测晚期非小细胞肺癌患者的免疫治疗反应。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-03 DOI: 10.1186/s13062-025-00674-3
F V Moiseenko, M A Krasavina, I R Agranov, E V Artemieva, A P Oganesian, A S Gabina, M L Makarkina, E O Elsakova, V A Henshtein, N M Volkov, V V Egorenkov, V M Moiseenko, M Yu Fedyanin, G S Kopeina, B Zhivotovsky, A V Zamaraev

Background: Non-small-cell lung cancer (NSCLC) exhibits variable outcomes and remains a leading cause of cancer-related mortality, despite advances in immunotherapy. This study aimed to develop a prognostic model using real-world data (RWD) to stratify patients by survival outcomes and evaluate the benefit of immunotherapy across risk groups.

Methods: A retrospective cohort of 270 patients with NSCLC (2015-2024) treated with chemotherapy alone (54%) or chemoimmunotherapy (46%) was analyzed. Clinical, laboratory (neutrophil-to-lymphocyte ratio [NLR], platelet-to-lymphocyte ratio [PLR], monocyte-to-lymphocyte ratio [MLR]), and histopathological data were collected. Multivariate Cox regression identified prognostic factors for overall survival (OS) and validated them via bootstrapping.

Results: The cohort (median age, 65; 78% male) had a median OS of 11.2 months and a median progression-free survival (PFS) of 7.7 months. The final prognostic model incorporated histology (adenocarcinoma vs. large cell/squamous cell carcinoma/rare subtypes: HR = 1.6-2.03), recurrence state (HR = 0.51), and NLR (HR = 1.13). Patients were stratified into low- (median OS = 14.6 months) and high-risk (median OS = 9.6 months; p < 0.001) groups. Immunotherapy significantly increased PFS in low-risk patients (12.2 vs. 7.1 months, p = 0.002) and showed an increasing trend in OS (16.9 vs. 11.3 months, p = 0.12). High-risk patients derived no OS/PFS benefit (p ≥ 0.56).

Conclusion: This RWD-derived prognostic model effectively stratifies NSCLC patients into distinct risk groups. Immunotherapy-chemotherapy provided meaningful PFS improvement in low-risk patients but minimal benefit in high-risk subgroups, underscoring the need for tailored therapeutic strategies.

背景:非小细胞肺癌(NSCLC)表现出不同的结局,尽管免疫治疗取得了进展,但它仍然是癌症相关死亡的主要原因。本研究旨在建立一个使用真实世界数据(RWD)的预后模型,根据生存结果对患者进行分层,并评估免疫治疗在风险组中的益处。方法:对270例单纯化疗(54%)或化疗免疫治疗(46%)的NSCLC患者(2015-2024)进行回顾性队列分析。收集临床、实验室(中性粒细胞与淋巴细胞比值[NLR]、血小板与淋巴细胞比值[PLR]、单核细胞与淋巴细胞比值[MLR])和组织病理学数据。多变量Cox回归确定了总生存期(OS)的预后因素,并通过自举验证了这些因素。结果:该队列(中位年龄65岁;78%为男性)的中位生存期为11.2个月,中位无进展生存期(PFS)为7.7个月。最终的预后模型包括组织学(腺癌与大细胞/鳞状细胞癌/罕见亚型:HR = 1.6-2.03)、复发状态(HR = 0.51)和NLR (HR = 1.13)。患者被分为低(中位生存期= 14.6个月)和高风险(中位生存期= 9.6个月;结论:rwd衍生的预后模型有效地将NSCLC患者划分为不同的危险组。免疫治疗-化疗在低风险患者中提供了有意义的PFS改善,但在高风险亚组中获益甚微,强调了定制治疗策略的必要性。
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引用次数: 0
In vitro synergistic effect of AXL, FAK and ErbB receptors inhibitors for head and neck cancer. AXL、FAK和ErbB受体抑制剂对头颈癌的体外协同作用。
IF 5.7 2区 生物学 Q1 BIOLOGY Pub Date : 2025-07-02 DOI: 10.1186/s13062-025-00668-1
Valeria Lucarini, Valentina Angiolini, Daniela Nardozi, Monica Benvenuto, Chiara Focaccetti, Patrizia Mancini, Elena Splendiani, Tanja Milena Autilio, Claudio Cortese, Riccardo Bei, Gianluca Nicolai, Camilla Palumbo, Elisabetta Ferretti, Loredana Cifaldi, Roberto Bei, Laura Masuelli

The prognosis for patients with head and neck cancer (HNC) is usually poor, highlighting the need for new therapeutic strategies. To this end, this study aims to evaluate the antitumor efficacy of a combined treatment with low doses of different molecular targeted drugs, i.e. Y15, a FAK inhibitor, Afatinib (AFA) an ErbB inhibitor and TP-0903, an Axl inhibitor, on HNC. Human cell lines from salivary gland, tongue and pharynx HNC, cultured in 2D and 3D (spheroids) conditions, were used to evaluate the antitumor effects of Y15, AFA and TP-0903, alone or in combination. Cell survival, death and migration were evaluated. Western blotting and immunofluorescence analysis were performed to investigate the expression and activation of proteins involved in signal transduction and epithelial to mesenchymal transition. The combined treatment with low doses of Y15, AFA and TP-0903, was more effective than the individual and dual drug treatments in reducing survival, increasing cell death and reducing migration of HNC cells. The three inhibitors in combination had a synergistic effect in reducing survival of HNC cell lines in both 2D and 3D conditions. Moreover, as compared to the individual inhibitors and their pairwise combinations, the triple drug combination was the only able to simultaneously downregulate Axl, FAK, and N-cadherin while upregulating E-cadherin expression levels. The results reported herein provide compelling preliminary evidence supporting the combined use of Y15, AFA and TP-0903 as a novel therapeutic strategy for HNCs.

头颈癌(HNC)患者的预后通常较差,因此需要新的治疗策略。为此,本研究旨在评价FAK抑制剂Y15、ErbB抑制剂阿法替尼(AFA)、Axl抑制剂TP-0903等低剂量不同分子靶向药物联合治疗HNC的抗肿瘤疗效。以人唾液腺、舌咽部HNC细胞系为研究对象,分别在二维和三维(球体)条件下培养Y15、AFA和TP-0903单独或联合使用的抗肿瘤作用。观察细胞存活、死亡和迁移情况。Western blotting和免疫荧光分析研究了信号转导和上皮向间质转化相关蛋白的表达和激活。低剂量Y15、AFA和TP-0903联合治疗在降低HNC细胞存活、增加细胞死亡和减少迁移方面比单用和双药治疗更有效。在2D和3D条件下,这三种抑制剂联合使用对降低HNC细胞系的存活具有协同作用。此外,与单个抑制剂及其两两联合相比,三联用药是唯一能够同时下调Axl、FAK和N-cadherin而上调E-cadherin表达水平的药物。本文报道的结果提供了令人信服的初步证据,支持联合使用Y15、AFA和TP-0903作为一种新的治疗HNCs的策略。
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