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CSDE1: a versatile regulator of gene expression in cancer CSDE1:癌症基因表达的多功能调节器
Q2 Medicine Pub Date : 2024-04-10 DOI: 10.1093/narcan/zcae014
Annagiulia Ciocia, N. Mestre-Farràs, Ignacio Vicent-Nacht, Tanit Guitart, Fátima Gebauer
Abstract RNA-binding proteins (RBPs) have garnered significant attention in the field of cancer due to their ability to modulate diverse tumor traits. Once considered untargetable, RBPs have sparked renewed interest in drug development, particularly in the context of RNA-binding modulators of translation. This review focuses on one such modulator, the protein CSDE1, and its pivotal role in regulating cancer hallmarks. We discuss context-specific functions of CSDE1 in tumor development, its mechanisms of action, and highlight features that support its role as a molecular adaptor. Additionally, we discuss the regulation of CSDE1 itself and its potential value as biomarker and therapeutic target.
摘要 RNA 结合蛋白(RBPs)能够调节多种肿瘤特征,因此在癌症领域备受关注。RBPs 一度被认为是不可靶向的,但在药物开发方面,尤其是在翻译的 RNA 结合调节剂方面,RBPs 重新引发了人们的兴趣。本综述将重点讨论这样一种调节剂--蛋白质 CSDE1,以及它在调控癌症特征方面的关键作用。我们讨论了 CSDE1 在肿瘤发生发展过程中的特异性功能、其作用机制,并强调了支持其分子适配器作用的特征。此外,我们还讨论了 CSDE1 本身的调控及其作为生物标志物和治疗靶点的潜在价值。
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引用次数: 0
HDAC10 inhibition represses melanoma cell growth and BRAF inhibitor resistance via upregulating SPARC expression 抑制 HDAC10 可通过上调 SPARC 的表达抑制黑色素瘤细胞的生长和 BRAF 抑制剂的抗药性
Q2 Medicine Pub Date : 2024-04-08 DOI: 10.1093/narcan/zcae018
Hongbo Ling, Yixuan Li, Changmin Peng, Shengyu Yang, Edward Seto
Abstract Secreted protein acidic and rich in cysteine (SPARC), a conserved secreted glycoprotein, plays crucial roles in regulating various biological processes. SPARC is highly expressed and has profound implications in several cancer types, including melanoma. Understanding the mechanisms that govern SPARC expression in cancers has the potential to lead to improved cancer diagnosis, prognosis, treatment strategies, and patient outcomes. Here, we demonstrate that histone deacetylase 10 (HDAC10) is a key regulator of SPARC expression in melanoma cells. Depletion or inhibition of HDAC10 upregulates SPARC expression, whereas overexpression of HDAC10 downregulates it. Mechanistically, HDAC10 coordinates with histone acetyltransferase p300 to modulate the state of acetylation of histone H3 at lysine 27 (H3K27ac) at SPARC regulatory elements and the recruitment of bromodomain-containing protein 4 (BRD4) to these regions, thereby fine-tuning SPARC transcription. HDAC10 depletion and resultant SPARC upregulation repress melanoma cell growth primarily by activating AMPK signaling and inducing autophagy. Moreover, SPARC upregulation due to HDAC10 depletion partly accounts for the resensitization of resistant cells to a BRAF inhibitor. Our work reveals the role of HDAC10 in gene regulation through indirect histone modification and suggests a potential therapeutic strategy for melanoma or other cancers by targeting HDAC10 and SPARC.
摘要 富含半胱氨酸的酸性分泌蛋白(SPARC)是一种保守的分泌型糖蛋白,在调节各种生物过程中发挥着至关重要的作用。SPARC 在包括黑色素瘤在内的几种癌症类型中高度表达并具有深远影响。了解 SPARC 在癌症中的表达机制有可能改善癌症诊断、预后、治疗策略和患者预后。在这里,我们证明组蛋白去乙酰化酶10(HDAC10)是黑色素瘤细胞中SPARC表达的关键调节因子。消耗或抑制 HDAC10 会上调 SPARC 的表达,而过表达 HDAC10 则会下调 SPARC 的表达。从机理上讲,HDAC10与组蛋白乙酰转移酶p300协调,调节SPARC调控元件处组蛋白H3赖氨酸27(H3K27ac)的乙酰化状态,并将含溴域蛋白4(BRD4)招募到这些区域,从而对SPARC的转录进行微调。HDAC10 的耗竭和由此导致的 SPARC 上调主要通过激活 AMPK 信号和诱导自噬来抑制黑色素瘤细胞的生长。此外,HDAC10耗竭导致的SPARC上调也是耐药细胞对BRAF抑制剂重新敏感的部分原因。我们的研究揭示了HDAC10通过间接组蛋白修饰在基因调控中的作用,并提出了通过靶向HDAC10和SPARC治疗黑色素瘤或其他癌症的潜在治疗策略。
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引用次数: 0
The DNA Damage Response (DDR) landscape of endometrial cancer defines discrete disease subtypes and reveals therapeutic opportunities 子宫内膜癌的 DNA 损伤反应 (DDR) 情况定义了不同的疾病亚型,并揭示了治疗机会
Q2 Medicine Pub Date : 2024-04-08 DOI: 10.1093/narcan/zcae015
Xingyuan Zhang, Sayali Joseph, Di Wu, Jessica L. Bowser, Cyrus Vaziri
Abstract Genome maintenance is an enabling characteristic that allows neoplastic cells to tolerate the inherent stresses of tumorigenesis and evade therapy-induced genotoxicity. Neoplastic cells also deploy many mis-expressed germ cell proteins termed Cancer Testes Antigens (CTAs) to promote genome maintenance and survival. Here, we present the first comprehensive characterization of the DNA Damage Response (DDR) and CTA transcriptional landscapes of endometrial cancer in relation to conventional histological and molecular subtypes. We show endometrial serous carcinoma (ESC), an aggressive endometrial cancer subtype, is defined by gene expression signatures comprising members of the Replication Fork Protection Complex (RFPC) and Fanconi Anemia (FA) pathway and CTAs with mitotic functions. DDR and CTA-based profiling also defines a subset of highly aggressive endometrioid endometrial carcinomas (EEC) with poor clinical outcomes that share similar profiles to ESC yet have distinct characteristics based on conventional histological and genomic features. Using an unbiased CRISPR-based genetic screen and a candidate gene approach, we confirm that DDR and CTA genes that constitute the ESC and related EEC gene signatures are required for proliferation and therapy-resistance of cultured endometrial cancer cells. Our study validates the use of DDR and CTA-based tumor classifiers and reveals new vulnerabilities of aggressive endometrial cancer where none currently exist.
摘要 基因组维护是一种使肿瘤细胞能够承受肿瘤发生过程中固有压力和逃避治疗诱导的基因毒性的有利特性。肿瘤细胞还利用许多被称为癌睾丸抗原(CTA)的错误表达的生殖细胞蛋白来促进基因组的维护和存活。在这里,我们首次全面描述了子宫内膜癌的 DNA 损伤反应(DDR)和 CTA 转录景观与传统组织学和分子亚型的关系。我们发现,子宫内膜浆液性癌(ESC)是一种侵袭性子宫内膜癌亚型,其基因表达特征包括复制叉保护复合物(RFPC)和范可尼贫血症(FA)通路成员以及具有有丝分裂功能的 CTA。基于 DDR 和 CTA 的特征分析还定义了临床效果不佳的高侵袭性子宫内膜样内膜癌 (EEC) 亚群,它们与 ESC 具有相似的特征,但根据传统的组织学和基因组特征,它们又具有不同的特征。利用基于 CRISPR 的无偏见基因筛选和候选基因方法,我们证实了构成 ESC 和相关 EEC 基因特征的 DDR 和 CTA 基因是培养的子宫内膜癌细胞增殖和耐药性所必需的。我们的研究验证了基于 DDR 和 CTA 的肿瘤分类器的使用,并揭示了目前尚不存在的侵袭性子宫内膜癌的新弱点。
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引用次数: 0
TDP2 is a regulator of estrogen-responsive oncogene expression TDP2 是雌激素反应性癌基因表达的调节器
Q2 Medicine Pub Date : 2024-04-08 DOI: 10.1093/narcan/zcae016
N. Manguso, Minhyung Kim, Neeraj Joshi, Md Rasel Al Mahmud, Juan Aldaco, Ryusuke Suzuki, Felipe Cortés-Ledesma, Xiaojiang Cui, Shintaro Yamada, Shunichi Takeda, Armando Giuliano, Sungyong You, Hisashi Tanaka
Abstract With its ligand estrogen, the estrogen receptor (ER) initiates a global transcriptional program, promoting cell growth. This process involves topoisomerase 2 (TOP2), a key protein in resolving topological issues during transcription by cleaving a DNA duplex, passing another duplex through the break, and repairing the break. Recent studies revealed the involvement of various DNA repair proteins in the repair of TOP2-induced breaks, suggesting potential alternative repair pathways in cases where TOP2 is halted after cleavage. However, the contribution of these proteins in ER-induced transcriptional regulation remains unclear. We investigated the role of tyrosyl-DNA phosphodiesterase 2 (TDP2), an enzyme for the removal of halted TOP2 from the DNA ends, in the estrogen-induced transcriptome using both targeted and global transcription analyses. MYC activation by estrogen, a TOP2-dependent and transient event, became prolonged in the absence of TDP2 in both TDP2-deficient cells and mice. Bulk and single-cell RNA-seq analyses defined MYC and CCND1 as oncogenes whose estrogen response is tightly regulated by TDP2. These results suggest that TDP2 may inherently participate in the repair of estrogen-induced breaks at specific genomic loci, exerting precise control over oncogenic gene expression.
摘要 雌激素受体(ER)通过其配体雌激素启动全局转录程序,促进细胞生长。这一过程涉及拓扑异构酶 2(TOP2),它是解决转录过程中拓扑问题的一个关键蛋白,其作用是裂解 DNA 双链,使另一个双链通过断裂处并修复断裂。最近的研究发现,多种 DNA 修复蛋白参与了 TOP2 诱导的断裂修复,这表明在 TOP2 在裂解后停止的情况下,可能存在其他修复途径。然而,这些蛋白在ER诱导的转录调控中的贡献仍不清楚。我们利用靶向和全局转录分析研究了酪氨酰-DNA 磷酸二酯酶 2(TDP2)在雌激素诱导的转录组中的作用。在缺乏 TDP2 的细胞和小鼠中,雌激素对 MYC 的活化(一种依赖于 TOP2 的瞬时事件)在缺乏 TDP2 的情况下会延长。大量和单细胞RNA-seq分析确定了MYC和CCND1是其雌激素反应受TDP2严格调控的癌基因。这些结果表明,TDP2 可能本质上参与了雌激素诱导的特定基因组位点断裂的修复,从而对致癌基因的表达进行精确控制。
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引用次数: 0
XPA tumor variant leads to defects in NER that sensitize cells to cisplatin. XPA 肿瘤变体导致 NER 缺陷,使细胞对顺铂敏感。
IF 3.4 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-18 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae013
Alexandra M Blee, Kaitlyn S Gallagher, Hyun-Suk Kim, Mihyun Kim, Suhas S Kharat, Christina R Troll, Areetha D'Souza, Jiyoung Park, P Drew Neufer, Orlando D Schärer, Walter J Chazin

Nucleotide excision repair (NER) reduces efficacy of treatment with platinum (Pt)-based chemotherapy by removing Pt lesions from DNA. Previous study has identified that missense mutation or loss of the NER genes Excision Repair Cross Complementation Group 1 and 2 (ERCC1 and ERCC2) leads to improved patient outcomes after treatment with Pt-based chemotherapies. Although most NER gene alterations found in patient tumors are missense mutations, the impact of mutations in the remaining nearly 20 NER genes is unknown. Towards this goal, we previously developed a machine learning strategy to predict genetic variants in an essential NER protein, Xeroderma Pigmentosum Complementation Group A (XPA), that disrupt repair. In this study, we report in-depth analyses of a subset of the predicted variants, including in vitro analyses of purified recombinant protein and cell-based assays to test Pt agent sensitivity in cells and determine mechanisms of NER dysfunction. The most NER deficient variant Y148D had reduced protein stability, weaker DNA binding, disrupted recruitment to damage, and degradation. Our findings demonstrate that tumor mutations in XPA impact cell survival after cisplatin treatment and provide valuable mechanistic insights to improve variant effect prediction. Broadly, these findings suggest XPA tumor variants should be considered when predicting chemotherapy response.

核苷酸切除修复(NER)通过清除DNA中的铂病变,降低了以铂(Pt)为基础的化疗的疗效。先前的研究发现,NER基因切除修复交叉补体组1和2(ERCC1和ERCC2)的错义突变或缺失会改善患者接受铂类化疗后的疗效。虽然在患者肿瘤中发现的大多数 NER 基因改变都是错义突变,但其余近 20 个 NER 基因突变的影响尚不清楚。为了实现这一目标,我们之前开发了一种机器学习策略来预测破坏修复的重要 NER 蛋白--色素沉着病补体A组(XPA)的基因变异。在本研究中,我们报告了对预测变体子集的深入分析,包括纯化重组蛋白的体外分析和基于细胞的试验,以测试细胞对铂制剂的敏感性并确定 NER 功能障碍的机制。最缺乏 NER 的变体 Y148D 蛋白稳定性降低,DNA 结合力减弱,损伤招募和降解紊乱。我们的研究结果表明,XPA的肿瘤突变会影响细胞在顺铂治疗后的存活,并为改善变异效应预测提供了宝贵的机理见解。从广义上讲,这些发现表明在预测化疗反应时应考虑 XPA 肿瘤变异。
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引用次数: 0
The impact of tRNA modifications on translation in cancer: identifying novel therapeutic avenues. tRNA 修饰对癌症翻译的影响:确定新的治疗途径。
Q2 Medicine Pub Date : 2024-03-12 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae012
Ana M Añazco-Guenkova, Borja Miguel-López, Óscar Monteagudo-García, Raquel García-Vílchez, Sandra Blanco

Recent advancements have illuminated the critical role of RNA modifications in post-transcriptional regulation, shaping the landscape of gene expression. This review explores how tRNA modifications emerge as critical players, fine-tuning functionalities that not only maintain the fidelity of protein synthesis but also dictate gene expression and translation profiles. Highlighting their dysregulation as a common denominator in various cancers, we systematically investigate the intersection of both cytosolic and mitochondrial tRNA modifications with cancer biology. These modifications impact key processes such as cell proliferation, tumorigenesis, migration, metastasis, bioenergetics and the modulation of the tumor immune microenvironment. The recurrence of altered tRNA modification patterns across different cancer types underscores their significance in cancer development, proposing them as potential biomarkers and as actionable targets to disrupt tumorigenic processes, offering new avenues for precision medicine in the battle against cancer.

最近的研究进展揭示了 RNA 修饰在转录后调控中的关键作用,它们塑造了基因表达的全貌。这篇综述探讨了 tRNA 修饰是如何成为关键角色的,它们对功能进行微调,不仅维持了蛋白质合成的保真度,还决定了基因表达和翻译概况。我们系统地研究了细胞质和线粒体 tRNA 修饰与癌症生物学的交叉点,强调它们的失调是各种癌症的共同特征。这些修饰影响着细胞增殖、肿瘤发生、迁移、转移、生物能和肿瘤免疫微环境调控等关键过程。tRNA修饰模式的改变在不同癌症类型中反复出现,这凸显了它们在癌症发展中的重要意义,提出将它们作为潜在的生物标志物和可操作的靶点来破坏致瘤过程,为抗癌过程中的精准医疗提供了新的途径。
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引用次数: 0
The AsiDNA™ decoy mimicking DSBs protects the normal tissue from radiation toxicity through a DNA-PK/p53/p21-dependent G1/S arrest. 模拟 DSB 的 AsiDNA™ 诱饵通过 DNA-PK/p53/p21 依赖性 G1/S 停顿保护正常组织免受辐射毒性的伤害。
IF 3.4 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-03-12 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae011
Anouk Sesink, Margaux Becerra, Jia-Ling Ruan, Sophie Leboucher, Maxime Dubail, Sophie Heinrich, Wael Jdey, Kristoffer Petersson, Charles Fouillade, Nathalie Berthault, Marie Dutreix, Pierre-Marie Girard

AsiDNA™, a cholesterol-coupled oligonucleotide mimicking double-stranded DNA breaks, was developed to sensitize tumour cells to radio- and chemotherapy. This drug acts as a decoy hijacking the DNA damage response. Previous studies have demonstrated that standalone AsiDNA™ administration is well tolerated with no additional adverse effects when combined with chemo- and/or radiotherapy. The lack of normal tissue complication encouraged further examination into the role of AsiDNA™ in normal cells. This research demonstrates the radioprotective properties of AsiDNA™. In vitro, AsiDNA™ induces a DNA-PK/p53/p21-dependent G1/S arrest in normal epithelial cells and fibroblasts that is absent in p53 deficient and proficient tumour cells. This cell cycle arrest improved survival after irradiation only in p53 proficient normal cells. Combined administration of AsiDNA™ with conventional radiotherapy in mouse models of late and early radiation toxicity resulted in decreased onset of lung fibrosis and increased intestinal crypt survival. Similar results were observed following FLASH radiotherapy in standalone or combined with AsiDNA™. Mechanisms comparable to those identified in vitro were detected both in vivo, in the intestine and ex vivo, in precision cut lung slices. Collectively, the results suggest that AsiDNA™ can partially protect healthy tissues from radiation toxicity by triggering a G1/S arrest in normal cells.

AsiDNA™是一种模拟双链DNA断裂的胆固醇偶联寡核苷酸,用于使肿瘤细胞对放射治疗和化疗敏感。这种药物可作为诱饵劫持 DNA 损伤反应。先前的研究表明,单独使用 AsiDNA™ 与化疗和/或放疗结合使用时,耐受性良好,不会产生额外的不良反应。由于没有出现正常组织并发症,因此鼓励进一步研究 AsiDNA™ 在正常细胞中的作用。这项研究证明了 AsiDNA™ 的放射保护特性。在体外,AsiDNA™ 能诱导正常上皮细胞和成纤维细胞发生依赖于 DNA-PK/p53/p21 的 G1/S 停滞,而 p53 缺乏和熟练的肿瘤细胞则不存在这种停滞。这种细胞周期停滞仅在 p53 基因缺陷的正常细胞中改善了辐照后的存活率。在早期和晚期放射毒性小鼠模型中,将 AsiDNA™ 与传统放疗结合使用,可减少肺纤维化的发生,提高肠隐窝存活率。在单独使用或与 AsiDNA™ 联合使用 FLASH 放射治疗后,也观察到了类似的结果。在体内肠道和体外精确切割的肺切片中都发现了与体外发现的机制相似的机制。总之,这些结果表明,AsiDNA™ 可以通过引发正常细胞的 G1/S 停滞,部分保护健康组织免受辐射毒性的伤害。
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引用次数: 0
Singleton mutations in large-scale cancer genome studies: uncovering the tail of cancer genome. 大规模癌症基因组研究中的单突变:揭开癌症基因组的尾巴。
Q2 Medicine Pub Date : 2024-03-12 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae010
Sanket Desai, Suhail Ahmad, Bhargavi Bawaskar, Sonal Rashmi, Rohit Mishra, Deepika Lakhwani, Amit Dutt

Singleton or low-frequency driver mutations are challenging to identify. We present a domain driver mutation estimator (DOME) to identify rare candidate driver mutations. DOME analyzes positions analogous to known statistical hotspots and resistant mutations in combination with their functional and biochemical residue context as determined by protein structures and somatic mutation propensity within conserved PFAM domains, integrating the CADD scoring scheme. Benchmarked against seven other tools, DOME exhibited superior or comparable accuracy compared to all evaluated tools in the prediction of functional cancer drivers, with the exception of one tool. DOME identified a unique set of 32 917 high-confidence predicted driver mutations from the analysis of whole proteome missense variants within domain boundaries across 1331 genes, including 1192 noncancer gene census genes, emphasizing its unique place in cancer genome analysis. Additionally, analysis of 8799 TCGA (The Cancer Genome Atlas) and in-house tumor samples revealed 847 potential driver mutations, with mutations in tyrosine kinase members forming the dominant burden, underscoring its higher significance in cancer. Overall, DOME complements current approaches for identifying novel, low-frequency drivers and resistant mutations in personalized therapy.

单个或低频驱动突变的识别具有挑战性。我们提出了一种领域驱动突变估算器(DOME)来识别罕见的候选驱动突变。DOME 结合保守的 PFAM 结构域内由蛋白质结构和体细胞突变倾向确定的功能和生化残基背景,分析与已知统计热点和抗性突变类似的位置,并整合 CADD 评分方案。与其他七种工具相比,除一种工具外,DOME 在预测功能性癌症驱动因素方面的准确性均优于或相当于所有评估工具。DOME 通过对 1331 个基因(包括 1192 个非癌症基因普查基因)域边界内的全蛋白质组错义变异进行分析,确定了一组独特的 32 917 个高置信度预测驱动基因突变,突出了其在癌症基因组分析中的独特地位。此外,对8799份TCGA(癌症基因组图谱)和内部肿瘤样本的分析显示,有847个潜在的驱动基因突变,其中酪氨酸激酶成员的突变占主导地位,突显了其在癌症中的重要地位。总之,DOME 是对目前在个性化治疗中识别新型、低频驱动基因和耐药突变方法的补充。
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引用次数: 0
METTL3 as a master regulator of translation in cancer: mechanisms and implications. METTL3 作为癌症翻译的主调节器:机制与影响。
Q2 Medicine Pub Date : 2024-03-05 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae009
Margalida Esteva-Socias, Francesca Aguilo

Translational regulation is an important step in the control of gene expression. In cancer cells, the orchestration of both global control of protein synthesis and selective translation of specific mRNAs promote tumor cell survival, angiogenesis, transformation, invasion and metastasis. N6-methyladenosine (m6A), the most prevalent mRNA modification in higher eukaryotes, impacts protein translation. Over the past decade, the development of m6A mapping tools has facilitated comprehensive functional investigations, revealing the involvement of this chemical mark, together with its writer METTL3, in promoting the translation of both oncogenes and tumor suppressor transcripts, with the impact being context-dependent. This review aims to consolidate our current understanding of how m6A and METTL3 shape translation regulation in the realm of cancer biology. In addition, it delves into the role of cytoplasmic METTL3 in protein synthesis, operating independently of its catalytic activity. Ultimately, our goal is to provide critical insights into the interplay between m6A, METTL3 and translational regulation in cancer, offering a deeper comprehension of the mechanisms sustaining tumorigenesis.

翻译调控是控制基因表达的一个重要步骤。在癌细胞中,蛋白质合成的整体控制和特定 mRNA 的选择性翻译都会促进肿瘤细胞的存活、血管生成、转化、侵袭和转移。N6-甲基腺苷(m6A)是高等真核生物中最常见的 mRNA 修饰,会影响蛋白质的翻译。在过去十年中,m6A 绘图工具的开发促进了全面的功能研究,揭示了这种化学标记及其作者 METTL3 参与促进致癌基因和肿瘤抑制转录本的翻译,其影响取决于具体情况。本综述旨在巩固我们目前对 m6A 和 METTL3 如何在癌症生物学领域形成翻译调控的理解。此外,它还深入探讨了细胞质 METTL3 在蛋白质合成中的作用,这种作用与 METTL3 的催化活性无关。最终,我们的目标是提供有关癌症中 m6A、METTL3 和翻译调控之间相互作用的重要见解,从而更深入地理解维持肿瘤发生的机制。
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引用次数: 0
SAMHD1 expression contributes to doxorubicin resistance and predicts survival outcomes in diffuse large B-cell lymphoma patients. SAMHD1 的表达会导致多柔比星耐药,并预测弥漫大 B 细胞淋巴瘤患者的生存结果。
IF 3.4 Q2 BIOCHEMISTRY & MOLECULAR BIOLOGY Pub Date : 2024-02-24 eCollection Date: 2024-03-01 DOI: 10.1093/narcan/zcae007
Waaqo Daddacha, Dominique Monroe, Ashley J Schlafstein, Allison E Withers, Elizabeth B Thompson, Diana Danelia, Nho C Luong, Fatmata Sesay, Sandip K Rath, Edidiong R Usoro, Mark E Essien, Andrew T Jung, Jinmeng G Jiang, Jiaxuan Hu, Bijan Mahboubi, Arilyn Williams, Julia E Steinbeck, Xiaofeng Yang, Zachary S Buchwald, William S Dynan, Jeffrey M Switchenko, Baek Kim, Mohammad K Khan, David L Jaye, David S Yu

Diffuse large B-cell lymphoma (DLBCL) is a commonly diagnosed, aggressive non-Hodgkin's lymphoma. While R-CHOP chemoimmunotherapy is potentially curative, about 40% of DLBCL patients will fail, highlighting the need to identify biomarkers to optimize management. SAMHD1 has a dNTPase-independent role in promoting resection to facilitate DNA double-strand break (DSB) repair by homologous recombination. We evaluated the relationship of SAMHD1 levels with sensitivity to DSB-sensitizing agents in DLBCL cells and the association of SAMHD1 expression with clinical outcomes in 79 DLBCL patients treated with definitive therapy and an independent cohort dataset of 234 DLBCL patients. Low SAMHD1 expression, Vpx-mediated, or siRNA-mediated degradation/depletion in DLBCL cells was associated with greater sensitivity to doxorubicin and PARP inhibitors. On Kaplan-Meier log-rank survival analysis, low SAMHD1 expression was associated with improved overall survival (OS), which on subset analysis remained significant only in patients with advanced stage (III-IV) and moderate to high risk (2-5 International Prognostic Index (IPI)). The association of low SAMHD1 expression with improved OS remained significant on multivariate analysis independent of other adverse factors, including IPI, and was validated in an independent cohort. Our findings suggest that SAMHD1 expression mediates doxorubicin resistance and may be an important prognostic biomarker in advanced, higher-risk DLBCL patients.

弥漫大 B 细胞淋巴瘤(DLBCL)是一种常见的侵袭性非霍奇金淋巴瘤。虽然R-CHOP化疗免疫疗法有可能治愈疾病,但约40%的DLBCL患者会治疗失败,这凸显了确定生物标志物以优化治疗的必要性。SAMHD1在促进DNA双链断裂(DSB)的同源重组修复中发挥着不依赖于dNTP酶的作用。我们评估了SAMHD1水平与DLBCL细胞对DSB增敏剂的敏感性之间的关系,以及SAMHD1表达与79名接受明确疗法的DLBCL患者和234名DLBCL患者的独立队列数据集的临床结果之间的关系。DLBCL细胞中SAMHD1的低表达、Vpx介导或siRNA介导的降解/消耗与对多柔比星和PARP抑制剂更敏感有关。根据卡普兰-米尔对数秩生存分析,SAMHD1的低表达与总生存期(OS)的改善有关,只有在晚期(III-IV期)和中高风险(国际预后指数(IPI)2-5)患者中,子集分析结果仍具有显著性。SAMHD1低表达与OS改善之间的关系在多变量分析中仍然显著,不受包括IPI在内的其他不利因素的影响,并在一个独立队列中得到了验证。我们的研究结果表明,SAMHD1的表达介导多柔比星耐药,可能是晚期高危DLBCL患者的重要预后生物标志物。
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引用次数: 0
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NAR cancer
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