p53突变在乳腺癌代谢、凋亡和氧化/抗氧化平衡失调中的意义

M. Abd-Elaziz
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摘要

乳腺癌是世界范围内最常见的女性侵袭性肿瘤。没有单一的基因组或代谢条件可以被认为是决定性的进展。无论如何,可以指出其中几个关键角色,其中肿瘤抑制因子p53,人类恶性肿瘤中最常见的突变基因之一。本研究旨在探讨p53突变对乳腺癌代谢、凋亡和氧化/抗氧化途径的调控作用。在本研究中,肿瘤标本来自40名不同级别的原发性乳腺癌妇女。另外10个非恶性(边缘)乳腺组织样本作为对照。Western blotting检测突变型p53 (mutp53)和甘油醛-3-磷酸脱氢酶(GAPDH)蛋白表达水平,RT-PCR检测促凋亡caspase-3和抗凋亡Bcl-2 mRNA表达水平。量热法测定大鼠乳腺组织中MDA、NO、GSH水平及SOD活性。结果:我们的研究结果显示,肿瘤相关的mutp53过表达一方面伴随着Bcl-2上调和caspase-3下调,反映了功能失调的细胞凋亡。另一方面,过量的mutp53与GAPDH冗余表达相关,表明糖酵解增加。氧化/抗氧化平衡的显著破坏也与肿瘤固有的p53突变相吻合。结论:乳腺癌中p53突变不仅会扰乱野生型p53 (wtp53)的抑瘤潜能,还会对其凋亡和代谢功能产生显性负向影响,从而影响其氧化/抗氧化平衡。这一综述在建立新的癌症治疗策略方面具有重要的临床应用价值。
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IMPLICATION OF P53 MUTATION IN THE DYSREGULATION OF METABOLIC, APOPTOTIC AND OXIDANT/ANTIOXIDANT EQUILIBRIUM IN BREAST CANCER
Breast cancer is the most worldwide frequent invasive tumor diagnosed in women. No single genomic or metabolic condition can be regarded as decisive for its progression. Whoever, few key players can be pointed out among them the tumor suppressor p53, one of the most frequent mutated gene in human malignances. The current study aimed to explore the influence of p53 mutation in the regulation of metabolic, apoptotic and oxidant/antioxidant pathways in breast cancer. In the present study, tumor specimens were obtained from 40 women in different grades of primary breast carcinoma. Another 10 non-malignant (marginal) breast tissue samples were used as controls. Both mutant p53 (mutp53) and Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) proteins were assessed by Western blotting, while the mRNA levels of both the proapoptotic caspase-3 and the antiapoptotic Bcl-2 were assessed by RT-PCR. The breast tissue levels of MDA, NO and GSH besides SOD activity were assayed calorimetrically. Results: Our results revealed that the tumor associated mutp53 overexpression is accompanied on the one hand by Bcl-2 up-regulation and caspase-3 downregulation reflecting a dysfunctional apoptosis. On the other hand, excessive mutp53 was associated with GAPDH redundant-expression indicating an increased glycolysis. Significant disruptions in the oxidant/antioxidant balance were also coincided with tumor-inherent p53 mutation. Conclusion: Our findings concluded that p53 mutation in breast cancer could not only perturb the tumor suppressive potential of the wild type p53 (wtp53) but also could induce dominant-negative effects over its apoptotic and metabolic functions besides its endeavor in oxidant/antioxidant equilibrium. This overview could have valuable clinical applications in establishing novel strategies for cancer therapy.
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