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Kinetochore-microtube attachments in cancer therapy 着丝细胞-微管附件在癌症治疗中的应用
Pub Date : 2015-11-16 DOI: 10.18632/ONCOSCIENCE.265
D. Del Bufalo, F. Degrassi
The process of cell division represents an extraordinary target to develop antitumor therapies. Indeed, a large number of clinically relevant anti-cancer drugs, such as taxanes and vinca alkaloids, target mitosis by stimulating or inhibiting microtubule (MT) polymerization. During the past decades anti-tubulin drugs have proven very effective against a wide range of tumors. However, collateral effects, such as myelosuppression and MT disruption in non-dividing tissues, including brain, are common. Recently, the increased understanding of the cell division process and the identification of several signaling pathways controlling mitosis have provided novel opportunities for cancer drug discovery. Consequently, mitotic proteins have become attractive targets to develop molecular cancer therapeutics. In this scenario, kinetochores (KTs) represent an attractive therapeutic target in light of their fundamental role in driving chromosome segregation and controlling chromosome segregation errors. Indeed, cells require a fine regulation of the kinetochore-microtubule (KT-MT) attachment stability to prevent chromosome instability, and KT-MT attachment dynamics is often deregulated in tumour cells [2]. Chromosome instability is commonly accepted as a driving force in the development of cancer, but more recent work has demonstrated that extensive chromosome missegregation may be detrimental to cancer cells and act as a tumor suppression mechanism [3]. In light of this double role of chromosome instability in cancer, we have explored the hypothesis that interfering with KT-MT attachment dynamics could drive massive chromosome missegregation and kill tumor cells. Highly Expressed in Cancer protein 1 (Hec1) is a constituent of the evolutionary conserved Ndc80 complex, the molecular connector between KTs and MTs. Among the subunits of the Ndc80 complex, Hec1 directly interacts with MTs and regulates KT-MT dynamics and attachment stability [3]. Importantly, Hec1 is frequently overexpressed in cancer. We previously demonstrated that expression of Hec1 fused with the enhanced green fluorescent protein (EGFP) tag at its N-terminus (EGFP-Hec1), the protein domain that regulates MT attachment dynamics, led to a strong accumulation of this modified protein, which acted as a dominant negative mutant over the endogenous Hec1. Mitotic cells expressing a N-terminus tagged Hec1 accumulated lateral KT-MT attachments and underwent a spindle assembly checkpoint (SAC) dependent mitotic arrest associated with the formation of multipolar spindles [4]. We further showed that expression of an inducible N-terminus modified Hec1 completely abolished in vitro growth of EGFP-Hec1 expressing HeLa cells but had no effects on untransformed human fibroblasts or epithelial cells [5]. These in vitro cell-based data were validated in vivo by showing that inducible EGFP-Hec1 expression strongly inhibited tumor growth in a HeLa xenograft mouse model [5]. Strikingly, in both in vitro and in vivo
细胞分裂过程是开发抗肿瘤疗法的重要靶点。事实上,大量临床相关的抗癌药物,如紫杉烷和长春花生物碱,都是通过刺激或抑制微管(MT)聚合来靶向有丝分裂的。在过去的几十年里,抗微管蛋白药物已被证明对多种肿瘤非常有效。然而,附带效应,如骨髓抑制和MT破坏非分裂组织,包括脑,是常见的。最近,对细胞分裂过程的进一步了解和控制有丝分裂的几个信号通路的鉴定为癌症药物的发现提供了新的机会。因此,有丝分裂蛋白已成为开发分子癌症治疗的有吸引力的靶点。在这种情况下,着丝点(KTs)代表了一个有吸引力的治疗靶点,因为它们在驱动染色体分离和控制染色体分离错误方面起着基本作用。事实上,细胞需要对着丝点-微管(KT-MT)的附着稳定性进行精细调节,以防止染色体不稳定,而在肿瘤细胞中,KT-MT的附着动力学通常是不受调节的[2]。染色体不稳定被普遍认为是癌症发展的驱动力,但最近的研究表明,广泛的染色体错分离可能对癌细胞有害,并起到肿瘤抑制机制的作用[3]。鉴于染色体不稳定性在癌症中的双重作用,我们探索了干扰KT-MT附着动力学可能导致大量染色体错分离并杀死肿瘤细胞的假设。在Cancer protein 1 (Hec1)中高表达,是进化保守的Ndc80复合物的一个组成部分,Ndc80复合物是kt和mt之间的分子连接物,在Ndc80复合物的亚基中,Hec1直接与mt相互作用,调节KT-MT动力学和附着稳定性[3]。重要的是,Hec1在癌症中经常过表达。我们之前已经证明,Hec1在其n端与增强型绿色荧光蛋白(EGFP)标签(EGFP-Hec1)(调节MT附着动力学的蛋白质结构域)融合的表达导致这种修饰蛋白的强烈积累,作为内源性Hec1的显性负突变体。表达n端标记Hec1的有丝分裂细胞积累了侧向KT-MT附着,并经历了与多极纺锤体形成相关的纺锤体组装检查点(SAC)依赖的有丝分裂停滞[4]。我们进一步发现,诱导型n端修饰的Hec1的表达完全抑制了表达HeLa细胞的EGFP-Hec1的体外生长,但对未转化的人成纤维细胞或上皮细胞没有影响[5]。这些基于体外细胞的数据在体内得到验证,表明可诱导的EGFP-Hec1表达强烈抑制HeLa异种移植小鼠模型中的肿瘤生长[5]。引人注目的是,在体外和体内模型中,表达EGFP-Hec1的细胞在有丝分裂中永久停止并产生多极纺锤体。表达EGFP-Hec1的细胞的实时成像显示,多极纺锤体内染色体分离受损诱导有丝分裂灾难,通过诱导有丝分裂引起的凋亡死亡,或细胞分裂失败和多核来鉴定。最后,对MT通量率和KT周转率的测量表明,EGFP-Hec1增加了KT-MT附着的稳定性,这表明稳定KT-MT附着动力学是一种很有前途的治疗方法[5]。与KT-MT附着动力学是抗癌作用的分子靶点一致,在c端表达he1与EGFP融合,不影响KT-MT附着动力学,对癌细胞增殖没有显著影响[5]。总的来说,我们的研究结果表明,多极纺锤体内大量的染色体错分离可以通过激活有丝分裂突变过程来杀死肿瘤细胞。在我们的实验模型中,多极性的诱导是由细胞在前期的时间延长引起的,这促进了内聚疲劳(不协调的着丝粒内聚释放),并通过泄漏分离酶激活导致中心粒脱离,如图11所示[6,7]。在控制SAC沉默的蛋白质耗尽或抑制后期促进复合物/cdc20 (APC/C)活性后,内聚疲劳依赖性多极性诱导的癌细胞死亡已被证明(图(图1)),其中一些治疗方法被发现在避免有丝分裂滑移和产生癌细胞死亡方面比MT抑制剂更有效(7,8)。这些研究和我们的工作表明,刺激纺锤体多极可以作为一种抗癌策略,通过激活多极有丝分裂后的有丝分裂灾难。 此外,他们指出,靶向参与调节KT-MT附着动力学,纠正KT-MT错误附着或沉默纺锤体组装检查点的机制可能是抗癌策略发展的新前沿。
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引用次数: 0
Snail1 controls cooperative cell plasticity during metastasis Snail1控制转移过程中的协同细胞可塑性
Pub Date : 2015-11-16 DOI: 10.18632/ONCOSCIENCE.262
J. Baulida
Mortality in cancer is strongly associated with the capacity of tumor cells to spread and critically affect other tissues and organs. Genetic mutations accumulated by tumor cells and cross-signaling between tumor and host cells underlie the formation of metastasis. Cancer-activated fibroblasts (CAFs), which are host fibroblasts activated by tumor signaling, can alter tumor cell behavior by both paracrine signaling (secreting diffusible molecules) and mechanical signaling (modifying the composition and organization of the stroma). These fibroblasts resemble myofibroblasts (MFs) of the granulation tissue generated during wound healing, which produce a rigid desmoplastic stroma rich in signaling molecules and cross-linked extracellular fibers. Desmoplasia favors malignant tumor cell properties such as mobility, stemness, and even resistance to pharmacological insults [1].
癌症的死亡率与肿瘤细胞扩散并严重影响其他组织和器官的能力密切相关。肿瘤细胞积累的基因突变和肿瘤与宿主细胞之间的交叉信号传导是转移形成的基础。癌症激活的成纤维细胞(CAFs)是一种被肿瘤信号激活的宿主成纤维细胞,它可以通过旁分泌信号(分泌扩散分子)和机械信号(改变基质的组成和组织)改变肿瘤细胞的行为。这些成纤维细胞类似于伤口愈合过程中产生的肉芽组织中的肌成纤维细胞(MFs),后者产生一种富含信号分子和交联细胞外纤维的刚性结缔组织基质。结缔组织增生有利于恶性肿瘤细胞的特性,如移动性、干性,甚至抵抗药物损伤[1]。
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引用次数: 2
NETosis in cancer NETosis在癌症中的应用
Pub Date : 2015-11-16 DOI: 10.18632/ONCOSCIENCE.264
J. Cedervall, A. Olsson
A large proportion of cancer-related deaths are caused by thrombosis and general organ failure. Although the awareness of tumor-induced systemic effects has increased significantly in recent years, current knowledge is still mainly restricted to metastatic sites. Surprisingly little is known about the situation in organs that are not targets for metastasis or directly affected by the primary tumor. We therefore decided to look deeper into this relatively unexplored field of cancer research. For obvious reasons human biopsy material from tissues not affected by tumor cells, in an individual with cancer, are rare and mouse models therefore become important tools for such investigations. Using two different orthotopic and spontaneously metastasizing tumor models - the RIP1-Tag2 model for insulinoma with metastasis to the liver and the MMTV-PyMT model for mammary carcinoma with lung metastasis - we analyzed the presence of hematopoietic cells in organs which do not represent sites for primary tumor growth. There was a significant increase in the number of neutrophils in heart and kidneys of tumor-bearing mice compared to healthy individuals [1]. In mice with cancer, peripheral organs displayed systemic inflammation and impaired vascular function, which was restored upon neutrophil depletion. Platelet/neutrophil complexes, indicative of neutrophil extracellular traps (NETs), were found in kidney and heart from tumor-bearing mice, while these complexes were completely absent in the corresponding tissues from healthy mice. Indeed, analysis of peripheral blood confirmed the presence of neutrophils with extracellular DNA-tails in tumor-bearing mice.
很大一部分癌症相关死亡是由血栓形成和全身器官衰竭引起的。尽管近年来对肿瘤诱导的全身效应的认识显著提高,但目前的认识仍主要局限于转移部位。令人惊讶的是,对于非转移目标或直接受原发肿瘤影响的器官的情况知之甚少。因此,我们决定深入研究这个相对未被探索的癌症研究领域。由于显而易见的原因,在癌症个体中,来自未受肿瘤细胞影响的组织的人体活检材料很少,因此小鼠模型成为此类研究的重要工具。使用两种不同的原位和自发转移肿瘤模型——肝脏转移的胰岛素瘤的RIP1-Tag2模型和肺转移的乳腺癌的MMTV-PyMT模型——我们分析了造血细胞在不代表原发肿瘤生长部位的器官中的存在。与健康个体相比,荷瘤小鼠心脏和肾脏的中性粒细胞数量显著增加[1]。在患有癌症的小鼠中,外周器官表现出全身性炎症和血管功能受损,在中性粒细胞耗竭后恢复。在荷瘤小鼠的肾脏和心脏中发现了指示中性粒细胞细胞外陷阱(NETs)的血小板/中性粒细胞复合物,而这些复合物在健康小鼠的相应组织中完全不存在。确实,外周血分析证实了荷瘤小鼠中存在细胞外dna尾部的中性粒细胞。
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引用次数: 11
A pivotal role for HOXB7 protein in endocrine resistant breast cancer HOXB7蛋白在内分泌抵抗性乳腺癌中的关键作用
Pub Date : 2015-11-15 DOI: 10.18632/ONCOSCIENCE.263
Kideok Jin, S. Sukumar
HOXB7 is a homeodomain containing transcription factor which plays a pivotal role in tamoxifen resistant breast cancer. Our work has shown that overexpression of HOXB7 renders cells tamoxifen resistant by mobilizing a number of receptor tyrosine kinase pathways. EGFR expression is upregulated by direct binding of HOXB7 to the EGFR promoter, while HOXB7 functions as a cofactor with ERα to cause overexpression of multiple ER-target genes, including HER2, in tamoxifen resistant breast cancer cells. Probing the pathway further, we found that miR-196a and MYC are upstream regulators of HOXB7 expression. Mechanistically, HOXB7 and ERα jointly upregulate HER2 which phosphorylates MYC. Thus stabilized, MYC in turn suppresses miR-196a. Loss of miR-196a results lifts the quelling influence of miR-196a on HOXB7 expression. Besides shedding light on the intricate interplay of events occurring in tamoxifen resistant breast cancer, the work identifies a number of new therapeutic targets capable of restoring sensitivity of breast cancer cells to tamoxifen.
HOXB7是一种含有同源结构域的转录因子,在耐他莫昔芬乳腺癌中起关键作用。我们的工作表明,HOXB7的过表达通过动员一些受体酪氨酸激酶途径使细胞产生他莫昔芬抗性。在他莫昔芬耐药的乳腺癌细胞中,HOXB7与EGFR启动子直接结合可上调EGFR的表达,而HOXB7作为ERα的辅助因子导致包括HER2在内的多个er靶基因过表达。进一步探索该通路,我们发现miR-196a和MYC是HOXB7表达的上游调控因子。机制上,HOXB7和ERα共同上调HER2,使MYC磷酸化。因此稳定下来,MYC反过来抑制miR-196a。miR-196a的缺失解除了miR-196a对HOXB7表达的抑制作用。除了揭示他莫昔芬耐药乳腺癌中发生的复杂相互作用外,这项工作还确定了一些新的治疗靶点,这些靶点能够恢复乳腺癌细胞对他莫昔芬的敏感性。
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引用次数: 9
New alternative splicing BCR/ABL-OOF shows an oncogenic role by lack of inhibition of BCR GTPase activity and an increased of persistence of Rac activation in chronic myeloid leukemia 新的选择性剪接BCR/ABL-OOF在慢性髓性白血病中通过缺乏对BCR GTPase活性的抑制和Rac激活持久性的增加而显示出致癌作用
Pub Date : 2015-11-11 DOI: 10.18632/ONCOSCIENCE.260
C. Panuzzo, G. Volpe, E. C. Rocchietti, C. Casnici, K. Crotta, S. Crivellaro, Giovanna Carrá, Roberta Lorenzatti, Barbara Peracino, Davide Torti, A. Morotti, M. P. Camacho-Leal, P. Defilippi, O. Marelli, G. Saglio
In Chronic Myeloid Leukemia 80% of patients present alternative splice variants involving BCR exons 1, 13 or 14 and ABL exon 4, with a consequent impairment in the reading frame of the ABL gene. Therefore BCR/ABL fusion proteins (BCR/ABL-OOF) are characterized by an in-frame BCR portion followed by an amino acids sequence arising from the out of frame (OOF) reading of the ABL gene. The product of this new transcript contains the characteristic BCR domains while lacking the COOH-terminal Rho GTPase GAP domain. The present work aims to characterize the protein functionality in terms of cytoskeleton (re-)modelling, adhesion and activation of canonical oncogenic signalling pathways. Here, we show that BCR/ABL-OOF has a peculiar endosomal localization which affects EGF receptor activation and turnover. Moreover, we demonstrate that BCR/ABL-OOF expression leads to aberrant cellular adhesion due to the activation of Rac GTPase, increase in cellular proliferation, migration and survival. When overexpressed in a BCR/ABL positive cell line, BCR/ABL-OOF induces hyperactivation of Rac signaling axis offering a therapeutic window for Rac-targeted therapy. Our data support a critical role of BCR/ABL-OOF in leukemogenesis and identify a subset of patients that may benefit from Rac-targeted therapies.
在慢性髓性白血病中,80%的患者出现涉及BCR外显子1,13或14和ABL外显子4的选择性剪接变异,导致ABL基因的阅读框受损。因此,BCR/ABL融合蛋白(BCR/ABL-OOF)的特征是帧内BCR部分随后是由ABL基因的帧外(OOF)读取产生的氨基酸序列。该新转录产物含有典型的BCR结构域,而缺乏cooh末端Rho GTPase GAP结构域。目前的工作旨在描述蛋白质在细胞骨架(重新)建模、粘附和典型致癌信号通路激活方面的功能。在这里,我们发现BCR/ABL-OOF具有特殊的内体定位,影响EGF受体的激活和周转。此外,我们还证明BCR/ABL-OOF的表达会通过激活Rac GTPase导致异常的细胞粘附,增加细胞的增殖、迁移和存活。当BCR/ABL阳性细胞系中过表达时,BCR/ABL- oof诱导Rac信号轴的过度激活,为Rac靶向治疗提供了一个治疗窗口。我们的数据支持BCR/ABL-OOF在白血病发生中的关键作用,并确定了可能从rac靶向治疗中受益的患者亚群。
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引用次数: 2
A ceRNA approach may unveil unexpected contributors to deletion syndromes, the model of 5q- syndrome ceRNA方法可能揭示5q-综合征模型缺失综合征的意想不到的贡献者
Pub Date : 2015-11-11 DOI: 10.18632/ONCOSCIENCE.261
W. Arancio, S. Genovese, L. Bongiovanni, C. Tripodo
In genomic deletions, gene haploinsufficiency might directly configure a specific disease phenotype. Nevertheless, in some cases no functional association can be identified between haploinsufficient genes and the deletion-associated phenotype. Transcripts can act as microRNA sponges. The reduction of transcripts from the hemizygous region may increase the availability of specific microRNAs, which in turn may exert in-trans regulation of target genes outside the deleted region, eventually contributing to the phenotype. Here we prospect a competing endogenous RNA (ceRNA) approach for the identification of candidate genes target of epigenetic regulation in deletion syndromes. As a model, we analyzed the 5q- myelodysplastic syndrome. Genes in haploinsufficiency within the common 5q deleted region in CD34+ blasts were identified in silico. Using the miRWalk 2.0 platform, we predicted microRNAs whose availability, and thus activity, could be enhanced by the deletion, and performed a genomewide analysis of the genes outside the 5q deleted region that could be targeted by the predicted miRNAs. The analysis pointed to two genes with altered expression in 5q- transcriptome, which have never been related with 5q- before. The prospected approach allows investigating the global transcriptional effect of genomic deletions, possibly prompting discovery of unsuspected contributors in the deletion-associated phenotype. Moreover, it may help in functionally characterizing previously reported unexpected interactions.
在基因组缺失中,基因单倍不足可能直接配置特定的疾病表型。然而,在某些情况下,单倍不足基因和缺失相关表型之间没有功能关联。转录本可以作为microRNA海绵。半合子区域转录本的减少可能会增加特定microrna的可用性,这反过来可能会对缺失区域外的靶基因进行反式调控,最终导致表型。在这里,我们展望了一种竞争性内源性RNA (ceRNA)方法,用于鉴定缺失综合征中表观遗传调控的候选基因靶点。作为模型,我们分析了5q-骨髓增生异常综合征。在CD34+细胞中,在常见的5q缺失区发现了单倍体功能不全的基因。使用miRWalk 2.0平台,我们预测了通过缺失可以增强其可用性和活性的microrna,并对5q缺失区域外可能被预测的mirna靶向的基因进行了全基因组分析。分析指出,在5q-转录组中有两个基因表达改变,这两个基因以前从未与5q-相关。预期的方法允许调查基因组缺失的全球转录效应,可能会促使发现缺失相关表型中未预料到的贡献者。此外,它可能有助于描述先前报道的意外相互作用的功能特征。
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引用次数: 9
Selective amino acid restriction therapy (SAART): a non-pharmacological strategy against all types of cancer cells 选择性氨基酸限制疗法(SAART):一种针对所有类型癌细胞的非药物策略
Pub Date : 2015-11-10 DOI: 10.18632/ONCOSCIENCE.258
M. López-Lázaro
Metastasis will continue to be an incurable disease for most patients until we develop highly selective anticancer therapies. The development of these therapies requires finding and exploiting major differences between cancer cells and normal cells. Although the sum of the many DNA alterations of cancer cells makes up such a major difference, there is currently no way of exploiting these alterations as a whole. Here I propose a non-pharmacological strategy to selectively kill any type of cancer cell, including cancer stem cells, by exploiting their complete set of DNA alterations. It is based on creating challenging environmental conditions that only cells with undamaged DNAs can overcome. Cell survival requires continuous protein synthesis, which in turn requires adequate levels of 20 amino acids (AAs). If we temporarily restrict specific AAs and keep high levels of others whose deficit triggers proteolysis, we will force cells to activate a variety of genetic programs to obtain adequate levels of each of the 20 proteinogenic AAs. Because cancer cells have an extremely altered DNA that has evolved under particular environmental conditions, they may be unable to activate the genetic programs required to adapt to and survive the new environment. Cancer patients may be successfully treated with a protein-free artificial diet in which the levels of specific AAs are manipulated. Practical considerations for testing and implementing this cheap and universal anticancer strategy are discussed.
在我们开发出高度选择性的抗癌疗法之前,转移将继续是大多数患者无法治愈的疾病。这些疗法的发展需要发现和利用癌细胞和正常细胞之间的主要差异。尽管癌细胞的许多DNA变化的总和构成了如此重大的差异,但目前还没有办法将这些变化作为一个整体加以利用。在这里,我提出了一种非药物策略,通过利用其完整的DNA改变来选择性地杀死任何类型的癌细胞,包括癌症干细胞。它的基础是创造具有挑战性的环境条件,只有dna未受损的细胞才能克服这些条件。细胞生存需要持续的蛋白质合成,而这又需要足够的20种氨基酸(AAs)。如果我们暂时限制特定的AAs,并保持其他缺陷触发蛋白水解的高水平,我们将迫使细胞激活各种遗传程序,以获得20种蛋白原AAs中的每一种的足够水平。由于癌细胞的DNA在特定的环境条件下发生了极大的变化,因此它们可能无法激活适应新环境并在新环境中生存所需的遗传程序。癌症患者可以通过无蛋白质的人工饮食成功治疗,其中特定AAs的水平被控制。讨论了测试和实施这种廉价和普遍的抗癌策略的实际考虑。
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引用次数: 13
Conserved E2F mediated metastasis in mouse models of breast cancer and HER2 positive patients 保守的E2F介导的乳腺癌小鼠模型和HER2阳性患者转移
Pub Date : 2015-11-10 DOI: 10.18632/ONCOSCIENCE.259
J. Rennhack, E. Andrechek
To improve breast cancer patient outcome work must be done to understand and block tumor metastasis. This study leverages bioinformatics techniques and traditional genetic screens to create a novel method of discovering potential contributors of tumor progression with a focus on tumor metastasis. A database of 1172 of expression data from a variety of mouse models of breast cancer was assembled and queried using previously defined oncogenic activity signatures. This analysis revealed high activity of the E2F family of transcription factors in the MMTV-Neu mouse model. A genetic cross of MMTV-Neu mice into an E2F1 null, E2F2 null, or E2F3 heterozygous background revealed significant changes in tumor progression specifically reductions in tumor latency and metastasis with E2F1 or E2F2 loss. These findings were found to be conserved in human HER2 positive patients. Patients with high E2F1 activity were shown to have worse outcomes such as relapse free survival and distant metastasis free survival. This study shows conserved mechanisms of tumor progression in human breast cancer subtypes and analogous mouse models and underlies the importance of increased research into the characterization of and comparisons between mouse and human tumors to identify which mouse models resemble each subtype of human breast cancer.
为了改善乳腺癌患者的预后,必须了解和阻止肿瘤转移。本研究利用生物信息学技术和传统的基因筛选来创造一种新的方法来发现肿瘤进展的潜在因素,重点是肿瘤转移。收集了来自多种乳腺癌小鼠模型的1172个表达数据的数据库,并使用先前定义的致癌活性特征进行了查询。该分析显示,在MMTV-Neu小鼠模型中,E2F家族转录因子具有高活性。MMTV-Neu小鼠在E2F1缺失、E2F2缺失或E2F3杂合背景下的遗传杂交显示,肿瘤进展发生了显著变化,特别是在E2F1或E2F2缺失的情况下,肿瘤潜伏期和转移减少。这些发现在人类HER2阳性患者中被发现是保守的。高E2F1活性的患者有较差的预后,如无复发生存和无远处转移生存。这项研究显示了人类乳腺癌亚型和类似小鼠模型中肿瘤进展的保守机制,并表明了对小鼠和人类肿瘤的特征和比较进行更多研究的重要性,以确定哪种小鼠模型与人类乳腺癌的每种亚型相似。
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引用次数: 17
Understanding why aspirin prevents cancer and why consuming very hot beverages and foods increases esophageal cancer risk. Controlling the division rates of stem cells is an important strategy to prevent cancer 了解阿司匹林预防癌症的原因以及为什么饮用非常热的饮料和食物会增加食道癌的风险。控制干细胞的分裂率是预防癌症的重要策略
Pub Date : 2015-11-10 DOI: 10.18632/ONCOSCIENCE.257
M. López-Lázaro
Cancer is, in essence, a stem cell disease. The main biological cause of cancer is that stem cells acquire DNA alterations during cell division. The more stem cell divisions a tissue accumulates over a lifetime, the higher is the risk of cancer in that tissue. This explains why cancer is diagnosed millions of times more often in some tissues than in others, and why cancer incidence increases so dramatically with age. It may also explain why taking a daily low-dose aspirin for several years reduces the risk of developing and dying from cancer. Since aspirin use reduces PGE2 levels and PGE2 fuels stem cell proliferation, aspirin may prevent cancer by restricting the division rates of stem cells. The stem cell division model of cancer may also explain why regular consumption of very hot foods and beverages increases the risk of developing esophageal cancer. Given that tissue injury activates stem cell division for repair, the thermal injury associated with this dietary habit will increase esophageal cancer risk by inducing the accumulation of stem cell divisions in the esophagus. Using these two examples, here I propose that controlling the division rates of stem cells is an essential approach to preventing cancer.
癌症本质上是一种干细胞疾病。癌症的主要生物学原因是干细胞在细胞分裂过程中获得DNA改变。一个组织在一生中积累的干细胞分裂越多,该组织患癌症的风险就越高。这就解释了为什么癌症在某些组织中的诊断率是其他组织的数百万倍,以及为什么癌症发病率随着年龄的增长而急剧增加。这也可以解释为什么连续几年每天服用低剂量阿司匹林可以降低患癌症和死于癌症的风险。由于服用阿司匹林会降低PGE2水平,而PGE2会促进干细胞的增殖,阿司匹林可能通过限制干细胞的分裂率来预防癌症。癌症的干细胞分裂模型也可以解释为什么经常食用非常热的食物和饮料会增加患食道癌的风险。考虑到组织损伤激活干细胞分裂进行修复,与这种饮食习惯相关的热损伤会通过诱导食道干细胞分裂的积累而增加食道癌的风险。通过这两个例子,我认为控制干细胞的分裂率是预防癌症的重要途径。
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引用次数: 12
CDK4/6 inhibitor: from quiescence to senescence CDK4/6抑制剂:从静止到衰老
Pub Date : 2015-10-20 DOI: 10.18632/ONCOSCIENCE.256
A. Yoshida, J. Diehl
The CDK4 and CDK6 kinases (CDK4/6) are the first cyclin dependent kinases to be activated and initiate transition through G1 phase of the cell cycle. In response to mitogenic growth factors, the CDK4/6 kinase together with one of three D-type cyclins (D1, D2, D3) initiates G1 progression by virtue of its capacity to phosphorylate the retinoblastoma protein (RB), a bona fide tumor suppressor and Gate Keeper of cell division. Phosphorylation of RB in turn results in de-repression of E2F transcription factors thereby triggering expression of genes whose products drive S-phase entry and progression (1). Cyclin D1 dysregulation occurs in a majority of human cancers, a direct result of gene amplification or mutations that disrupt its protein degradation. CDK4 amplification or activating point mutations are also observed in select malignancies. The end result of such aberrations is elevated CDK4 catalytic function, increased cell division and decreased dependence on extracellular mitogenic growth factors for cell proliferation. These observations have contributed to significant efforts to develop selective small molecule CDK4/6 inhibitors with the hope that such entities would have significant anti-cancer benefit. PD0332991 (Palbociclib), a highly selective inhibitor of CDK4 (IC50: 0.011 μM) and CDK6 (IC50: 0.016 μM), has been shown to be highly efficacious in a variety of cell culture models with regard to its capacity to suppress cell cycle progression through inhibition of CDK4/6 kinase activity in an RB-dependent manner and it is currently being tested in clinical trials for malignancies such as mantle cell lymphoma, breast cancer, and colorectal cancer (2). While acute inhibition of CDK4/6 is associated with reversible cell cycle withdraw or quiescence, some recent investigations have provided provocative evidence that Palbociclib treatment can in fact trigger irreversible withdraw, a state referred to as senescence (3, 4, 5). However the mechanisms that determine whether Palbociclib evokes quiescence versus senescence are yet to be established. In work described by Kovatcheva et al a new molecular mechanism wherein MDM2 and ATRX determine cell fate following CDK4/6 inhibition in cancer cells derived from several distinct cancer etiologies such as well-differentiated and dedifferentiated liposarcoma (WD/DDLS), lung cancer, and glioma (6). In this work, WD/DDLS cell lines were classified based upon cell fate following Palbociclib exposure: quiescence (non-responders) versus senescence (responders). While both groups had the expected reduction in RB phosphorylation, the responders also exhibited a significant decrease in MDM2 levels after prolonged CDK4 inhibition. Importantly, the phenotype is RB dependent, but is p53 and p16INK4a-independent. The capacity of MDM2 knock down to trigger senescence from quiescent phase in a combination with Palbociclib in non-responders, provides evidence that the reduction of MDM2 is in fact causative in the respo
CDK4和CDK6激酶(CDK4/6)是第一个被激活的周期蛋白依赖性激酶,并在细胞周期的G1期开始转变。在有丝分裂生长因子的作用下,CDK4/6激酶与三种d型细胞周期蛋白(D1, D2, D3)中的一种一起,通过磷酸化视网膜母细胞瘤蛋白(RB)的能力启动G1进程,RB是一种真正的肿瘤抑制因子和细胞分裂的看门人。RB的磷酸化反过来导致E2F转录因子的去抑制,从而触发其产物驱动s期进入和进展的基因的表达(1)。Cyclin D1失调发生在大多数人类癌症中,这是基因扩增或突变破坏其蛋白质降解的直接结果。在某些恶性肿瘤中也观察到CDK4扩增或激活点突变。这种畸变的最终结果是CDK4催化功能升高,细胞分裂增加,细胞增殖对细胞外有丝分裂生长因子的依赖减少。这些观察结果有助于开发选择性小分子CDK4/6抑制剂,希望这些实体具有显着的抗癌益处。PD0332991 (Palbociclib),高选择性CDK4 (IC50: 0.011 μM)和CDK6 (IC50: 0.011 μM)抑制剂0.016 μM),已在多种细胞培养模型中显示出其通过以rb依赖的方式抑制CDK4/6激酶活性来抑制细胞周期进展的能力,目前正在用于套细胞淋巴瘤、乳腺癌和结直肠癌等恶性肿瘤的临床试验中(2)。而CDK4/6的急性抑制与可逆的细胞周期退出或静止有关。最近的一些研究提供了令人兴奋的证据,表明Palbociclib治疗实际上可以引发不可逆的退出,一种被称为衰老的状态(3,4,5)。然而,Palbociclib是否引起静止或衰老的机制尚未确定。在Kovatcheva等人描述的一种新的分子机制中,MDM2和ATRX决定了来自几种不同癌症病因的癌细胞中CDK4/6抑制后的细胞命运,如高分化和去分化脂肪肉瘤(WD/DDLS)、肺癌和胶质瘤(6)。在这项工作中,WD/DDLS细胞系根据帕博西尼暴露后的细胞命运进行分类:静止(无应答)和衰老(应答)。虽然两组患者RB磷酸化水平均有预期的降低,但在长时间抑制CDK4后,应答者也表现出MDM2水平的显著降低。重要的是,表型依赖于RB,但不依赖于p53和p16ink4a。在无应答者中,与Palbociclib联合使用时,MDM2敲低触发静止期衰老的能力提供了证据,证明MDM2的降低实际上是应答的原因,而不仅仅是间接后果。虽然作者无法将MDM2在衰老反应中的靶点的机制归因于新的见解,但额外的实验显示,MDM2的自泛素化对于帕博西尼暴露后的下调至关重要。由于MDM2的自泛素化是由一种去泛素化酶HAUSP/USP7调控的,因此人们可能会认为,它对HAUSP/USP7功能的改变也可能影响衰老。同样,HAUSP/USP7敲低可诱导细胞衰老。然而,HAUSP/USP7水平的改变和与MDM2的关联与应答者和非应答者状态无关,这表明HAUSP/USP7并不直接决定帕博西尼暴露后的细胞命运。对细胞命运开关的新分子见解源于对一种与肿瘤细胞免于衰老有关的分子的询问;ALT(端粒选择性延长)相关蛋白。对应答者和无应答者的ATRX的关键分析显示,c端ATRX的翻译后修饰存在差异。这种修饰的性质目前尚不清楚,然而磷酸化是一种可能的修饰。应答者中ATRX的敲低挽救了MDM2的丢失,并使这些细胞不易衰老,而不是静止,揭示了ATRX、MDM2和细胞命运之间的功能联系。虽然这项工作提供的机制见解将为进一步研究细胞决定从静止到衰老(衰老转化)的分子机制提供关键基础,但如果这些相同的观察结果在临床反应中没有价值,它们的影响将是有限的。 重要的是,Kovatcheva等人还在WD/DDLS患者使用Palbociclib的临床试验中评估了他们的活检模型,显示Palbociclib暴露后MDM2损失与反应相关。帕博西尼已被FDA批准为突破性疗法,然而CDK4抑制剂抑制肿瘤生长的分子机制仍不明确。Kovatcheva等人对控制年龄转换的机制提供了新的见解。MDM2和ATRX明显有助于WD/DDLS和其他潜在上皮癌中CDK4抑制后的细胞命运(图(图1))。最终,这项工作提供的见解具有独特的诊断意义,并表明通过小分子靶向MDM2或ATRX与CDK4抑制剂联合可能有希望用于癌症治疗。图1 MDM2和ATRX调节Palbociclib对老年转化的反应
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引用次数: 13
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Oncoscience
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