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Challenges and caveats in manipulating extracellular vesicle secretion from pancreatic cancer cells. 控制胰腺癌细胞外囊泡分泌的挑战和注意事项。
IF 4.6 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-31 Epub Date: 2025-10-25 DOI: 10.1080/15384047.2025.2569946
Jennifer M Finan, Jonathan R Brody

Background: Extracellular vesicle (EV) signaling is important in multiple malignancies, including pancreatic ductal adenocarcinoma (PDAC). In this coordinated cell‒cell signaling mechanism, genetically altered tumor cells signal to surrounding normal cells to promote tumor progression. Many efforts have been made to mechanistically interrogate this signaling axis by inhibiting EV secretion from cells. These techniques leverage our understanding of how EV biogenesis interferes with ceramide production or GTPase activity, which aids in membrane fusion with the plasma membrane.

Material and methods: Our group leveraged these methods in our orthotopic PDAC mouse model to investigate the importance of PDAC EV secretion. We interfered with the GTPases Rab27a and Rab35 and utilized an inhibitor of ceramide production (GW4869) to ablate EV secretion.

Results and conclusion: Overall, we found that these models did not perform as anticipated, and we could not consistently inhibit KPC cell EV secretion. These results emphasize the challenges of interfering with EV secretion, as several parallel pathways, such as direct membrane budding, can compensate. Further studies are needed to develop models for studying the role of EVs in vivo.

背景:细胞外囊泡(EV)信号在包括胰腺导管腺癌(PDAC)在内的多种恶性肿瘤中很重要。在这种协调的细胞-细胞信号机制中,基因改变的肿瘤细胞向周围的正常细胞发出信号,促进肿瘤的进展。通过抑制细胞中EV的分泌,人们已经做出了许多努力来机械地询问这一信号轴。这些技术利用了我们对EV生物发生如何干扰神经酰胺生产或GTPase活性的理解,这有助于膜与质膜的融合。材料和方法:我们的团队利用这些方法在我们的原位PDAC小鼠模型中研究PDAC EV分泌的重要性。我们干扰了gtpase Rab27a和Rab35,并利用神经酰胺产生抑制剂GW4869来抑制EV的分泌。结果和结论:总的来说,我们发现这些模型没有达到预期的效果,我们不能持续抑制KPC细胞的EV分泌。这些结果强调了干扰EV分泌的挑战,因为几种平行途径,如直接膜出芽,可以补偿。需要进一步的研究来建立模型来研究ev在体内的作用。
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引用次数: 0
cGAS-STING signaling in the tumor microenvironment induces myeloid cell activation and favors T cell-mediated antitumor immunity. 肿瘤微环境中的cGAS-STING信号可诱导髓细胞活化并促进T细胞介导的抗肿瘤免疫。
IF 4.6 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-31 Epub Date: 2025-11-30 DOI: 10.1080/15384047.2025.2585562
Meiqi Ren, Zhichao Eric Ai, Yan Zhang, Linghong Shi, Yafei Liu, Haixia Liu, Hong Shen, Xiangyu Yao, Zhipeng Yan

The cancer-immunity cycle is regulated by a series of stimulatory and inhibitory factors. The stimulator of interferon genes (STING) pathway, a key stimulator of type I interferon production, connects innate and adaptive immunity to promote antitumor responses. Using a syngeneic pancreatic tumor model, we characterized the single-cell landscape changes induced by STING stimulation. Our findings revealed that STING agonist treatment reprograms transcription across multiple cell lineages, enhances innate immune responses and activates lymphocytes, thereby promoting antitumor effects. Single-cell transcriptome sequencing identified significant increases in monocytes, neutrophils, macrophages, and CD8 T cells, indicating augmented tumor inflammation. Differential gene expression analysis highlighted upregulated genes related to immune cell effector mechanisms and antigen presentation. Functional assays confirmed the enhanced tumor killing effects induced by STING activation. These results underscore the potential of STING agonists in reprogramming the tumor microenvironment to potentiate antitumor immunity, although clinical translation remains challenging owing to pharmacokinetic limitations and potential systemic toxicity. Further research is needed to optimize STING agonist delivery and dosage for effective cancer immunotherapy.

癌症免疫周期是由一系列刺激和抑制因素调控的。干扰素基因刺激因子(STING)通路是I型干扰素产生的关键刺激因子,连接先天免疫和适应性免疫以促进抗肿瘤反应。利用同基因胰腺肿瘤模型,我们表征了STING刺激诱导的单细胞景观变化。我们的研究结果表明,STING激动剂治疗可重编程多种细胞系的转录,增强先天免疫反应并激活淋巴细胞,从而促进抗肿瘤作用。单细胞转录组测序发现单核细胞、中性粒细胞、巨噬细胞和CD8 T细胞显著增加,表明肿瘤炎症增强。差异基因表达分析强调了与免疫细胞效应机制和抗原呈递相关的上调基因。功能分析证实了STING激活后增强的肿瘤杀伤作用。这些结果强调了STING激动剂在重新编程肿瘤微环境以增强抗肿瘤免疫方面的潜力,尽管由于药代动力学限制和潜在的全身毒性,临床翻译仍然具有挑战性。需要进一步研究优化STING激动剂的递送和剂量,以实现有效的癌症免疫治疗。
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引用次数: 0
Nuclear translocation of Cx43 promotes to CRC progression and associates with β-catenin accumulation. Cx43的核易位促进结直肠癌的进展,并与β-连环蛋白的积累有关。
IF 4.6 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-31 Epub Date: 2025-12-07 DOI: 10.1080/15384047.2025.2589645
Shuo Wang, Ziling Zhu, Yin Zhu, Jing Tan, Xiujin Shen, Huan Wen, Jian Wu, Jingyao Xu, Jiangjiang Zheng, Yuhan Chen, Wanxi Yang, Hong Deng

Background: The tumour microenvironment (TME) significantly influences intercellular communication, with several secreted factors activating both tumour cells and fibroblasts. Connexin43 (Cx43), a crucial gap junction protein, exhibits a significant regulatory role in tumourigenesis; however, the underlying regulatory mechanisms in colorectal cancer (CRC) are not fully understood.

Methods: Transwell co-culture system was utilized to evaluate fibroblast-mediated effects on CRC cells. Immunohistochemical analysis was conducted on clinical specimens. Cell migration and invasion capabilities were measured using Transwell assays. Subcellular localization was assessed via immunofluorescence. Protein interactions were validated by co-immunoprecipitation.

Results: The Wnt signalling pathway was activated in the co-culture of CRC cells and fibroblasts. Nuclear Cx43 upregulation was detected and confirmed as a pro-oncogenic factor via prognostic analysis of patient samples. Therefore, although Cx43 on the cell membrane serves as a tumour suppressor, the nuclear translocation of Cx43 has an important influence on the Wnt signalling pathway and promotes CRC progression. Nuclear translocation of Cx43 during malignant progression has a significant effect on metastasis and is regulated by secreted TGF-β. Distinct nuclear translocation patterns of Cx43 observed across CRC cell lines suggest potential regulation by S368 phosphorylation. Co-immunoprecipitation confirmed Cx43/β-catenin interaction, revealing its role in facilitating β-catenin nuclear accumulation.

Conclusion: We systematically identified nuclear Cx43 as a factor promoting CRC progression. These findings highlight the novel mechanism involving the nuclear translocation of Cx43 as a promoting factor in CRC progression, and enhance our understanding of the interplay between the TME and CRC progression.

背景:肿瘤微环境(TME)显著影响细胞间通讯,一些分泌因子激活肿瘤细胞和成纤维细胞。Connexin43 (Cx43)是一种重要的间隙连接蛋白,在肿瘤发生中具有重要的调节作用;然而,结直肠癌(CRC)的潜在调控机制尚不完全清楚。方法:采用Transwell共培养体系评价成纤维细胞对结直肠癌细胞的影响。对临床标本进行免疫组化分析。采用Transwell法测定细胞迁移和侵袭能力。通过免疫荧光检测亚细胞定位。通过共免疫沉淀验证蛋白相互作用。结果:Wnt信号通路在结直肠癌细胞和成纤维细胞共培养中被激活。通过对患者样本的预后分析,检测并证实核Cx43上调是一种促癌因子。因此,尽管细胞膜上的Cx43作为肿瘤抑制因子,但Cx43的核易位对Wnt信号通路有重要影响,促进CRC的进展。恶性进展过程中Cx43的核易位对转移有显著影响,并受分泌的TGF-β调节。在结直肠癌细胞系中观察到不同的Cx43核易位模式,表明可能受到S368磷酸化的调节。共免疫沉淀证实了Cx43/β-catenin相互作用,揭示了其促进β-catenin核积累的作用。结论:我们系统地确定了核Cx43是促进结直肠癌进展的一个因素。这些发现强调了涉及Cx43核易位作为CRC进展促进因子的新机制,并增强了我们对TME与CRC进展之间相互作用的理解。
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引用次数: 0
Correction. 修正。
IF 4.6 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-31 Epub Date: 2025-12-18 DOI: 10.1080/15384047.2025.2602376
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引用次数: 0
Sigma1 inhibitor suppression of adaptive immune resistance mechanisms mediated by cancer cell derived extracellular vesicles. Sigma1 抑制剂抑制由癌细胞衍生的细胞外囊泡介导的适应性免疫抵抗机制。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2025-01-26 DOI: 10.1080/15384047.2025.2455722
Paola A Castagnino, Derick A Haas, Luca Musante, Nathalia A Tancler, Bach V Tran, Rhonda Kean, Alexandra R Steck, Luis A Martinez, Elahe A Mostaghel, D Craig Hooper, Felix J Kim

Adaptive immune resistance in cancer describes the various mechanisms by which tumors adapt to evade anti-tumor immune responses. IFN-γ induction of programmed death-ligand 1 (PD-L1) was the first defined and validated adaptive immune resistance mechanism. The endoplasmic reticulum (ER) is central to adaptive immune resistance as immune modulatory secreted and integral membrane proteins are dependent on ER. Sigma1 is a unique ligand-regulated integral membrane scaffolding protein enriched in the ER of cancer cells. PD-L1 is an integral membrane glycoprotein that is translated into the ER and processed through the cellular secretory pathway. At the cell surface, PD-L1 is an immune checkpoint molecule that binds PD-1 on activated T-cells and blocks anti-tumor immunity. PD-L1 can also be incorporated into cancer cell-derived extracellular vesicles (EVs), and EV-associated PD-L1 can inactivate T-cells within the tumor microenvironment. Here, we demonstrate that a selective small molecule inhibitor of Sigma1 can block IFN-γ mediated adaptive immune resistance in part by altering the incorporation of PD-L1 into cancer cell-derived EVs. Sigma1 inhibition blocked post-translational maturation of PD-L1 downstream of IFN-γ/STAT1 signaling. Subsequently, EVs released in response to IFN-γ stimulation were significantly less potent suppressors of T-cell activation. These results suggest that by reducing tumor derived immune suppressive EVs, Sigma1 inhibition may promote antitumor immunity. Sigma1 modulation presents a novel approach to regulating the tumor immune microenvironment by altering the content and production of EVs. Altogether, these data support the notion that Sigma1 may play a role in adaptive immune resistance in the tumor microenvironment.

癌症中的适应性免疫抵抗描述了肿瘤适应逃避抗肿瘤免疫反应的各种机制。IFN-γ诱导程序性死亡配体1 (PD-L1)是第一个被定义和验证的适应性免疫抵抗机制。内质网(ER)是适应性免疫抵抗的核心,因为免疫调节分泌和整体膜蛋白依赖于内质网。Sigma1是一种独特的配体调控的整体膜支架蛋白,富集于癌细胞内质网中。PD-L1是一种完整的膜糖蛋白,被翻译成内质网并通过细胞分泌途径加工。在细胞表面,PD-L1是一种免疫检查点分子,它将PD-1结合在活化的t细胞上,阻断抗肿瘤免疫。PD-L1也可以被整合到癌细胞来源的细胞外囊泡(ev)中,而ev相关的PD-L1可以使肿瘤微环境中的t细胞失活。在这里,我们证明了Sigma1的选择性小分子抑制剂可以通过改变PD-L1与癌细胞来源的EVs的结合来部分阻断IFN-γ介导的适应性免疫抵抗。Sigma1抑制阻断了IFN-γ/STAT1信号下游PD-L1的翻译后成熟。随后,响应IFN-γ刺激而释放的ev对t细胞活化的抑制作用明显减弱。这些结果表明,通过减少肿瘤源性免疫抑制ev, Sigma1抑制可能促进抗肿瘤免疫。Sigma1调节是一种通过改变ev的含量和产生来调节肿瘤免疫微环境的新途径。总之,这些数据支持了Sigma1可能在肿瘤微环境中的适应性免疫抵抗中发挥作用的观点。
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引用次数: 0
β-amino acid substitution in the SIINFEKL antigen alters immunological recognition. SIINFEKL抗原中的β-氨基酸取代改变了免疫识别。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2025-04-08 DOI: 10.1080/15384047.2025.2486141
Ichwaku Rastogi, John A Mannone, Ruslan Gibadullin, Jena E Moseman, John Sidney, Alessandro Sette, Douglas G McNeel, Samuel H Gellman

Background: Peptide vaccines offer a direct way to initiate an immunogenic response to a defined antigen epitope. However, peptide vaccines are unstable in vivo, subject to rapid enzymatic proteolysis. Replacement of an α-amino acid residue with a homologous β-amino acid residue (native side chain, but backbone extended by a single CH2 unit) impairs proteolysis at nearby amide bonds. Therefore, antigen analogues containing α-to-β replacements have been examined for functional mimicry of native all-α antigens. Another group previously took this approach in the ovalbumin (OVA) antigen model by evaluating single α-to-β analogues of the murine major histocompatibility complex (MHC) I-restricted peptide SIINFEKL.

Methods: We re-examined this set of α/β SIINFEKL antigens. We tested the susceptibility to proteolysis in mouse serum and their ability to activate OVA-antigen-specific CD8 T cells in vitro. Additionally, we tested the α/β antigens in vivo for their ability to induce an antigen-specific immunogenic response in naïve mice and in OVA-expressing tumor-bearing mice.

Results: The α/β antigens were comparable to the native antigen in their susceptibility to proteolysis in serum. Each α/β antigen was capable of activating antigen-specific CD8 T cells in vitro. However, antigen-specific CD8 T cells induced against α/β antigens in vivo were not cross-reactive to the native antigen. Moreover, immunization with α/β analogues did not elicit anti-tumor effects in tumor-bearing mice.

Conclusions: We conclude that even though α/β analogues of the SIINFEKL antigen can elicit a T cell-based response, this class of backbone-modified peptides is not promising from the perspective of antitumor vaccine development.

背景:肽疫苗提供了一种针对特定抗原表位启动免疫原性应答的直接途径。然而,肽疫苗在体内是不稳定的,受到快速的酶蛋白水解。α-氨基酸残基替换为同源β-氨基酸残基(天然侧链,但主链被单个CH2单元延长)会损害附近酰胺键的蛋白水解。因此,含有α-to-β替代物的抗原类似物已被研究用于功能模仿天然全α抗原。另一组先前通过评估小鼠主要组织相容性复合体(MHC) i限制肽SIINFEKL的单个α-to-β类似物,在卵清蛋白(OVA)抗原模型中采用了这种方法。方法:对α/β SIINFEKL抗原进行复检。我们测试了小鼠血清对蛋白水解的敏感性,以及它们在体外激活ova抗原特异性CD8 T细胞的能力。此外,我们在体内测试了α/β抗原在naïve小鼠和表达ova的荷瘤小鼠中诱导抗原特异性免疫原性反应的能力。结果:α/β抗原对血清蛋白水解的敏感性与天然抗原相当。每种α/β抗原均能在体外激活抗原特异性CD8 T细胞。然而,体内针对α/β抗原诱导的抗原特异性CD8 T细胞对天然抗原没有交叉反应。此外,α/β类似物免疫对荷瘤小鼠没有抗肿瘤作用。结论:尽管SIINFEKL抗原的α/β类似物可以引起基于T细胞的应答,但从抗肿瘤疫苗开发的角度来看,这类骨架修饰肽并不具有前景。
{"title":"β-amino acid substitution in the SIINFEKL antigen alters immunological recognition.","authors":"Ichwaku Rastogi, John A Mannone, Ruslan Gibadullin, Jena E Moseman, John Sidney, Alessandro Sette, Douglas G McNeel, Samuel H Gellman","doi":"10.1080/15384047.2025.2486141","DOIUrl":"10.1080/15384047.2025.2486141","url":null,"abstract":"<p><strong>Background: </strong>Peptide vaccines offer a direct way to initiate an immunogenic response to a defined antigen epitope. However, peptide vaccines are unstable <i>in vivo</i>, subject to rapid enzymatic proteolysis. Replacement of an α-amino acid residue with a homologous β-amino acid residue (native side chain, but backbone extended by a single CH<sub>2</sub> unit) impairs proteolysis at nearby amide bonds. Therefore, antigen analogues containing α-to-β replacements have been examined for functional mimicry of native all-α antigens. Another group previously took this approach in the ovalbumin (OVA) antigen model by evaluating single α-to-β analogues of the murine major histocompatibility complex (MHC) I-restricted peptide SIINFEKL.</p><p><strong>Methods: </strong>We re-examined this set of α/β SIINFEKL antigens. We tested the susceptibility to proteolysis in mouse serum and their ability to activate OVA-antigen-specific CD8 T cells <i>in vitro</i>. Additionally, we tested the α/β antigens <i>in vivo</i> for their ability to induce an antigen-specific immunogenic response in naïve mice and in OVA-expressing tumor-bearing mice.</p><p><strong>Results: </strong>The α/β antigens were comparable to the native antigen in their susceptibility to proteolysis in serum. Each α/β antigen was capable of activating antigen-specific CD8 T cells <i>in</i> <i>vitro</i>. However, antigen-specific CD8 T cells induced against α/β antigens <i>in</i> <i>vivo</i> were not cross-reactive to the native antigen. Moreover, immunization with α/β analogues did not elicit anti-tumor effects in tumor-bearing mice.</p><p><strong>Conclusions: </strong>We conclude that even though α/β analogues of the SIINFEKL antigen can elicit a T cell-based response, this class of backbone-modified peptides is not promising from the perspective of antitumor vaccine development.</p>","PeriodicalId":9536,"journal":{"name":"Cancer Biology & Therapy","volume":"26 1","pages":"2486141"},"PeriodicalIF":4.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11988276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143810527","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Correction. 修正。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2025-05-14 DOI: 10.1080/15384047.2025.2500190
{"title":"Correction.","authors":"","doi":"10.1080/15384047.2025.2500190","DOIUrl":"https://doi.org/10.1080/15384047.2025.2500190","url":null,"abstract":"","PeriodicalId":9536,"journal":{"name":"Cancer Biology & Therapy","volume":"26 1","pages":"2500190"},"PeriodicalIF":4.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12080273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144076214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Daurisoline inhibits glycolysis of lung cancer by targeting the AKT-HK2 axis. Daurisoline通过靶向AKT-HK2轴抑制肺癌糖酵解。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2024-12-19 DOI: 10.1080/15384047.2024.2442556
Shi-Ming Tan, Lan Luo, Yi-Fu He, Wei Li, Xin-Xing Wan

Lung cancer, one of the most prevalent tumors, remains a clinical challenge with a poor five-year survival rate. Daurisoline, a bis-benzylisoquinoline alkaloid derived from the traditional Chinese herb Menispermum dauricum, is known to suppress tumor growth effectively. However, its precise mechanism of action remains unclear. In this study, we demonstrate that Daurisoline targets glycolysis and reduces the protein level of HK2, thereby inhibiting lung cancer progression. Mechanistic investigations reveal that Daurisoline directly binds to AKT and antagonizes the AKT-GSK3β-c-Myc-HK2 signaling axis. Furthermore, in an animal model, we validate the in vivo anti-tumor effect of Daurisoline without any observable side effects. Overall, our findings suggest that Daurisoline holds potential as an anti-tumor agent through its targeting of glycolysis.

肺癌是最常见的肿瘤之一,其5年生存率很低,仍然是一个临床挑战。Daurisoline是一种双苄基异喹啉生物碱,从传统中药半月草中提取,已知可有效抑制肿瘤生长。然而,其确切的作用机制尚不清楚。在这项研究中,我们证明了Daurisoline靶向糖酵解并降低HK2蛋白水平,从而抑制肺癌的进展。机制研究表明Daurisoline直接结合AKT并拮抗AKT- gsk3 β-c- myc - hk2信号轴。此外,在动物模型中,我们验证了Daurisoline的体内抗肿瘤作用,没有任何可观察到的副作用。总的来说,我们的研究结果表明,Daurisoline通过靶向糖酵解具有抗肿瘤的潜力。
{"title":"Daurisoline inhibits glycolysis of lung cancer by targeting the AKT-HK2 axis.","authors":"Shi-Ming Tan, Lan Luo, Yi-Fu He, Wei Li, Xin-Xing Wan","doi":"10.1080/15384047.2024.2442556","DOIUrl":"10.1080/15384047.2024.2442556","url":null,"abstract":"<p><p>Lung cancer, one of the most prevalent tumors, remains a clinical challenge with a poor five-year survival rate. Daurisoline, a bis-benzylisoquinoline alkaloid derived from the traditional Chinese herb Menispermum dauricum, is known to suppress tumor growth effectively. However, its precise mechanism of action remains unclear. In this study, we demonstrate that Daurisoline targets glycolysis and reduces the protein level of HK2, thereby inhibiting lung cancer progression. Mechanistic investigations reveal that Daurisoline directly binds to AKT and antagonizes the AKT-GSK3β-c-Myc-HK2 signaling axis. Furthermore, in an animal model, we validate the in vivo anti-tumor effect of Daurisoline without any observable side effects. Overall, our findings suggest that Daurisoline holds potential as an anti-tumor agent through its targeting of glycolysis.</p>","PeriodicalId":9536,"journal":{"name":"Cancer Biology & Therapy","volume":"26 1","pages":"2442556"},"PeriodicalIF":4.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11660295/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142853197","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
Long-term effects of neoadjuvant chemotherapy in variant histology locally advanced colon cancer: a propensity score-matched analysis. 新辅助化疗对不同组织学局部晚期结肠癌的长期影响:倾向评分匹配分析。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2024-12-24 DOI: 10.1080/15384047.2024.2441511
Qiancheng Wang, Shiyang Jin, Zeshen Wang, Yuming Ju, Kuan Wang

Purpose: Neoadjuvant chemotherapy (NAC) has proven valuable in treating locally advanced colon cancer (LACC) and is included as a treatment option for patients with clinical T4b colon cancer by the National Comprehensive Cancer Network. However, the long-term survival benefit of NAC in LACC remains debated, due to a lack of conclusive clinical trial results identifying the patients who would benefit most from NAC. This study aimed to assess the efficacy of NAC in patients with LACC based on histological subtype.

Patients and methods: This retrospective study analyzed 3,709 patients with LACC who underwent curative resection at Harbin Medical University Cancer Hospital between 2014 and 2018. Patients were grouped into two groups: neoadjuvant chemotherapy (NAC) and adjuvant chemotherapy (AC) groups. Propensity score matching (PSM) was used to adjust for confounders, and survival outcomes of the two groups across different histological subtypes were evaluated using Kaplan-Meier (K-M) curves and log-rank tests.

Results: Patients with non-mucinous adenocarcinoma (NMAC) treated with NAC had a significantly improved 5-year OS rate (76.3% vs. 69.2%, p = .039) and DFS rate (67.2% vs. 60.1%, p = .041) compared with patients treated with AC. However, there was no significant difference in OS and DFS between the two treatment groups among patients with mucinous adenocarcinoma (MAC) and signet ring cell carcinoma (SRCC).

Conclusion: In patients with LACC, the prognostic value of NAC varied by histology. NMAC may serve as a predictor of improved long-term survival benefit from NAC in these patients.

目的:新辅助化疗(NAC)已被证明在治疗局部晚期结肠癌(LACC)方面有价值,并被国家综合癌症网络(National Comprehensive cancer Network)纳入临床T4b结肠癌患者的治疗选择。然而,由于缺乏确定从NAC获益最多的患者的结论性临床试验结果,NAC在LACC中的长期生存获益仍然存在争议。本研究旨在基于组织学亚型评估NAC对LACC患者的疗效。患者和方法:本回顾性研究分析了2014年至2018年在哈尔滨医科大学肿瘤医院行根治性切除术的3709例LACC患者。将患者分为新辅助化疗(NAC)组和辅助化疗(AC)组。使用倾向评分匹配(PSM)来调整混杂因素,并使用Kaplan-Meier (K-M)曲线和log-rank检验评估两组不同组织学亚型的生存结果。结果:与AC相比,NAC治疗非黏液性腺癌(NMAC)患者的5年OS率(76.3% vs. 69.2%, p = 0.039)和DFS率(67.2% vs. 60.1%, p = 0.041)均有显著改善,而黏液性腺癌(MAC)和印环细胞癌(SRCC)患者的5年OS和DFS在两治疗组间无显著差异。结论:在LACC患者中,NAC的预后价值因组织学而异。在这些患者中,NMAC可以作为NAC改善长期生存获益的预测因子。
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引用次数: 0
Inhibitory effect of Endostar on HIF-1 with upregulation of MHC-I in lung cancer cells. 恩度通过上调肺癌细胞mhc -1抑制HIF-1的作用。
IF 4.4 4区 医学 Q2 ONCOLOGY Pub Date : 2025-12-01 Epub Date: 2025-05-20 DOI: 10.1080/15384047.2025.2508535
Ming-Zhen Zhao, Hong-Fei Zheng, Jing-Na Wang, Yan-Min Zhang, Hai-Jing Wang, Zhi-Wei Zhao

Endostar is a human recombinant endostatin which is an attractive anti-angiogenesis protein. Because inefficient antigen presenting MHC class I expression (which can be downregulated by HIF-1) is an important strategy for cancer immune evasion, besides its anti-angiogenesis effect, it remains unclear whether Endostar has an inhibitory effect on HIF-1 expression by upregulating MHC class I expression in cancer cells to facilitate immunotherapies, including PD-1/PD-L1 inhibitors. In this study, A549 and NCI-H1299 lung cancer cells were treated with Endostar (6.25 μg/ml, 12.5 μg/ml, and 25 μg/ml, respectively). HIF-1 expression was detected by Immunocytochemistry and Western blot. Proteins of the MHC class I α-heavy chain and β2 m light chain, STAT3 and pSTAT3 were detected by Western blot. The mRNAs of MHC class I α-heavy chain and β2 m light chain were detected by RT-qPCR. It was shown that decreased expression of HIF-1 and promotion of β2-microglobulin were observed after Endostar treatment. In addition, elevated levels of MHC class I α-heavy chain mRNA and protein, as well as downregulation of STAT3 and pSTAT3, were also observed following Endostar treatment. Endostar inhibited HIF-1 expression in A549 and NCI-H1299 lung cancer cells, upregulated expression of MHC class I α-heavy chain and β2 m light chain, with the upregulation of STAT3 and pSTAT3, suggesting involvement of STAT3 pathway. It is important because only in combination with MHC class I on target cells can tumor antigenic peptides be recognized by CD8+ CTLs which destroy target cells. However, MHC class I is frequently deficient in cancer cells.

Endostar是一种重组人血管内皮抑制素,是一种有吸引力的抗血管生成蛋白。由于低效抗原呈递MHC I类表达(可被HIF-1下调)是癌症免疫逃避的重要策略,除了其抗血管生成作用外,尚不清楚恩度是否通过上调癌细胞中MHC I类表达来抑制HIF-1的表达,从而促进包括PD-1/PD-L1抑制剂在内的免疫治疗。本研究采用恩度(6.25 μg/ml、12.5 μg/ml和25 μg/ml)治疗A549和NCI-H1299肺癌细胞。免疫细胞化学和Western blot检测HIF-1的表达。Western blot检测MHCⅰ类α-重链、β2 m轻链、STAT3、pSTAT3蛋白。RT-qPCR检测MHCⅰ类α-重链和β2 m轻链mrna。结果表明,恩度治疗后HIF-1表达降低,β2微球蛋白表达增强。此外,在恩度治疗后,MHC I类α-重链mRNA和蛋白水平升高,STAT3和pSTAT3下调。恩度抑制A549和NCI-H1299肺癌细胞中HIF-1的表达,上调MHC I类α-重链和β2 m轻链的表达,上调STAT3和pSTAT3,提示参与STAT3通路。这很重要,因为只有与靶细胞上的MHC I类结合,肿瘤抗原肽才能被CD8+ ctl识别,从而破坏靶细胞。然而,MHC I类在癌细胞中经常缺乏。
{"title":"Inhibitory effect of Endostar on HIF-1 with upregulation of MHC-I in lung cancer cells.","authors":"Ming-Zhen Zhao, Hong-Fei Zheng, Jing-Na Wang, Yan-Min Zhang, Hai-Jing Wang, Zhi-Wei Zhao","doi":"10.1080/15384047.2025.2508535","DOIUrl":"10.1080/15384047.2025.2508535","url":null,"abstract":"<p><p>Endostar is a human recombinant endostatin which is an attractive anti-angiogenesis protein. Because inefficient antigen presenting MHC class I expression (which can be downregulated by HIF-1) is an important strategy for cancer immune evasion, besides its anti-angiogenesis effect, it remains unclear whether Endostar has an inhibitory effect on HIF-1 expression by upregulating MHC class I expression in cancer cells to facilitate immunotherapies, including PD-1/PD-L1 inhibitors. In this study, A549 and NCI-H1299 lung cancer cells were treated with Endostar (6.25 μg/ml, 12.5 μg/ml, and 25 μg/ml, respectively). HIF-1 expression was detected by Immunocytochemistry and Western blot. Proteins of the MHC class I α-heavy chain and β2 m light chain, STAT3 and pSTAT3 were detected by Western blot. The mRNAs of MHC class I α-heavy chain and β2 m light chain were detected by RT-qPCR. It was shown that decreased expression of HIF-1 and promotion of β2-microglobulin were observed after Endostar treatment. In addition, elevated levels of MHC class I α-heavy chain mRNA and protein, as well as downregulation of STAT3 and pSTAT3, were also observed following Endostar treatment. Endostar inhibited HIF-1 expression in A549 and NCI-H1299 lung cancer cells, upregulated expression of MHC class I α-heavy chain and β2 m light chain, with the upregulation of STAT3 and pSTAT3, suggesting involvement of STAT3 pathway. It is important because only in combination with MHC class I on target cells can tumor antigenic peptides be recognized by CD8+ CTLs which destroy target cells. However, MHC class I is frequently deficient in cancer cells.</p>","PeriodicalId":9536,"journal":{"name":"Cancer Biology & Therapy","volume":"26 1","pages":"2508535"},"PeriodicalIF":4.4,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12101583/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144109815","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"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
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