PTEN

PTEN
  • 文章类型: Journal Article
    当它们对化学引诱物的梯度做出反应时,正常大小的网藻菌类细胞会形成前尾极性。为了挑战极性产生系统,融合细胞以研究超大细胞的趋化反应,这些细胞向引诱剂来源延伸多个前沿。可以在这些细胞中探索的一个方面是响应于化学引诱物自发产生的肌动蛋白波与肌动蛋白重组的关系。
    Normal-sized cells of Dictyostelium build up a front-tail polarity when they respond to a gradient of chemoattractant. To challenge the polarity-generating system, cells are fused to study the chemotactic response of oversized cells that extend multiple fronts toward the source of attractant. An aspect that can be explored in these cells is the relationship of spontaneously generated actin waves to actin reorganization in response to chemoattractant.
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  • 文章类型: Journal Article
    磷酸酶和Tensin同源基因(PTEN)在调节多种细胞过程中至关重要,包括增长,分化,扩散,和细胞存活,主要通过调节PI3K/AKT/mTOR通路。PTEN基因表达的改变与表观遗传机制有关。特别是小的非编码RNA的调控,如miRNA。已显示控制PTEN的miRNA表达水平的修饰导致其表达不足。这种减压,反过来,影响PI3K/AKT/mTOR通路,从而影响增殖和凋亡等关键机制,在前列腺癌(PCa)的发生和发展中起着重要作用。因此,我们旨在系统回顾有关miRNA在PCa中介导的PTEN调控的现有信息。
    搜索电子数据库以确定通过PCamiRNA评估PTEN调节的研究,搜索包括microRNA的组合,PTEN和前列腺肿瘤。所包括的文章的质量评估是使用SYRCLE和CASP工具的改编版本进行的。
    我们包括39篇文章,这些文章测量了PCa中miRNA的相对基因表达及其与PTEN调控的关系。据报道,共有42种miRNA通过PTEN失调参与PCa的发展和进展(34种miRNA上调,8种miRNA下调)。16个miRNAs被证明是导致癌症发生的遗传相互作用的主要调节因子。作为与PTEN下调相关的PCa中报道最多的miR-21。我们显示PTEN的沉默可以通过miR-200b和DNMT1之间的环或通过microRNA直接靶向PTEN来促进,导致PI3K/AKT/mTOR的组成型激活和与中间基因的相互作用支持凋亡抑制,扩散,入侵,和PCa的转移。
    根据我们的评论,PTEN的失调主要由miR-21、-20a、-20b,-93,-106a,和-106b上调在PCa的发展中起着核心作用,可能是诊断的潜在生物标志物,预后,和治疗目标。
    UNASSIGNED: The Phosphatase and Tensin Homolog gene (PTEN) is pivotal in regulating diverse cellular processes, including growth, differentiation, proliferation, and cell survival, mainly by modulating the PI3K/AKT/mTOR pathway. Alterations in the expression of the PTEN gene have been associated with epigenetic mechanisms, particularly the regulation by small non-coding RNAs, such as miRNAs. Modifications in the expression levels of miRNAs that control PTEN have been shown to lead to its underexpression. This underexpression, in turn, impacts the PI3K/AKT/mTOR pathway, thereby influencing crucial mechanisms like proliferation and apoptosis, playing an important role in the initiation and progression of prostate cancer (PCa). Thus, we aimed to systematically reviewed available information concerning the regulation of PTEN mediated by miRNA in PCa.
    UNASSIGNED: Electronic databases were searched to identify studies assessing PTEN regulation via PCa miRNAs, the search included combination of the words microRNAs, PTEN and prostatic neoplasms. The quality assessment of the articles included was carried out using an adapted version of SYRCLE and CASP tool.
    UNASSIGNED: We included 39 articles that measured the relative gene expression of miRNAs in PCa and their relationship with PTEN regulation. A total of 42 miRNAs were reported involved in the development and progression of PCa via PTEN dysregulation (34 miRNAs up-regulated and eight miRNAs down-regulated). Sixteen miRNAs were shown as the principal regulators for genetic interactions leading to carcinogenesis, being the miR-21 the most reported in PCa associated with PTEN down-regulation. We showed the silencing of PTEN could be promoted by a loop between miR-200b and DNMT1 or by direct targeting of PTEN by microRNAs, leading to the constitutive activation of PI3K/AKT/mTOR and interactions with intermediary genes support apoptosis inhibition, proliferation, invasion, and metastasis in PCa.
    UNASSIGNED: According to our review, dysregulation of PTEN mediated mainly by miR-21, -20a, -20b, -93, -106a, and -106b up-regulation has a central role in PCa development and could be potential biomarkers for diagnosis, prognostic, and therapeutic targets.
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  • 文章类型: Journal Article
    翻译后修饰在调节蛋白质功能和稳定性中起着至关重要的作用。PTEN是一种关键的肿瘤抑制因子,参与调节细胞增殖,生存,和迁移过程。然而,PTEN的失调在各种人类癌症中很常见。在通过抑制PI3K/AKT信号通路的肿瘤发生的背景下,已经广泛研究了PTEN稳定性和活化/抑制。PTEN经历各种翻译后修饰,主要包括磷酸化,乙酰化,泛素化,SUMOylation,Neddylation,和氧化,微调其活性和稳定性。一般来说,磷酸化通过其脂质磷酸酶功能调节PTEN活性,导致信号传导途径的功率改变。乙酰化影响PTEN蛋白的稳定性和降解速率。SUMO化已经涉及PTEN定位和与其他蛋白质的相互作用,影响其整体功能。Neddylation,作为一种新的PTEN修饰,是PTEN肿瘤抑制功能丧失的关键调控机制。虽然目前的治疗方法主要集中在抑制PI3激酶,了解PTEN的翻译后修饰有助于提供新的治疗策略,恢复PTEN在PIP3依赖性肿瘤中的作用.本文综述了PTEN蛋白水平和活性调控的最新进展。我们希望这些见解将有助于更好地理解这种关键的肿瘤抑制剂及其对未来癌症治疗的潜在影响。
    Post-translational modifications play crucial roles in regulating protein functions and stabilities. PTEN is a critical tumor suppressor involved in regulating cellular proliferation, survival, and migration processes. However, dysregulation of PTEN is common in various human cancers. PTEN stability and activation/suppression have been extensively studied in the context of tumorigenesis through inhibition of the PI3K/AKT signaling pathway. PTEN undergoes various post-translational modifications, primarily including phosphorylation, acetylation, ubiquitination, SUMOylation, neddylation, and oxidation, which finely tune its activity and stability. Generally, phosphorylation modulates PTEN activity through its lipid phosphatase function, leading to altered power of the signaling pathways. Acetylation influences PTEN protein stability and degradation rate. SUMOylation has been implicated in PTEN localization and interactions with other proteins, affecting its overall function. Neddylation, as a novel modification of PTEN, is a key regulatory mechanism in the loss of tumor suppressor function of PTEN. Although current therapeutic approaches focus primarily on inhibiting PI3 kinase, understanding the post-translational modifications of PTEN could help provide new therapeutic strategies that can restore PTEN\'s role in PIP3-dependent tumors. The present review summarizes the major recent developments in the regulation of PTEN protein level and activity. We expect that these insights will contribute to better understanding of this critical tumor suppressor and its potential implications for cancer therapy in the future.
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  • 文章类型: Journal Article
    背景:男性结直肠癌(CRC)的发病率和死亡率持续高于女性。CRC恶性程度受到小的非编码RNA(miRNA)的强烈影响。此外,昼夜节律分子振荡器的失调与CRC的促进有关。为了分析上述因素对CRC进展的可能累积影响,我们关注与clock基因per2和/或cry2相关的性别偏倚miRNA的功能,这些miRNA参与细胞周期控制和DNA损伤反应.
    结果:我们鉴定了miR-24,miR-92a,miR-181a,与per2相关的miR-21在男性转化的结肠组织中上调。miR-93,miR-17,miR-20a,男性表达高于女性的miR-24与cry2相关。所有这些miRNA都具有致癌潜力,并主要通过抑制肿瘤抑制因子磷酸酶和张力蛋白同源物(PTEN)和/或p53发挥其作用。通过抑制肿瘤抑制因子per2,男性中PTEN和p53的下调得到了进一步加强。在女性的转化结肠组织中未检测到与per2或cry2相关的致癌上调miRNA。
    结论:我们得出结论,性别偏向miRNAmiR-24,miR-92a,miR-181a,miR-93,miR-17,miR-20a,与时钟基因per2和/或cry2相关的miR-21可以通过抑制PTEN和p53途径促进CRC的性别依赖性发展。
    BACKGROUND: The incidence and mortality of colorectal cancer (CRC) are persistently higher in men than in women. CRC malignancy is strongly influenced by small non-coding RNAs (miRNAs). Moreover, deregulation of the circadian molecular oscillator has been associated with CRC facilitation. To analyse possible cumulative effects of the above-mentioned factors on CRC progression, we focused on functions of sex-biased miRNAs associated with the clock genes per2 and/or cry2, which are involved in the cell cycle control and DNA damage response.
    RESULTS: We identified miR-24, miR-92a, miR-181a, and miR-21 associated with per2 that are up-regulated in transformed colon tissue of men. miR-93, miR-17, miR-20a, and miR-24 with higher expression in males compared to females were linked to cry2. All these miRNAs possess oncogenic potential and exert their effects mainly via inhibition of the tumour suppressors phosphatase and tensin homolog (PTEN) and/or p53. Down-regulation of PTEN and p53 in men was further strengthened by inhibition of tumour suppressor per2. Oncogenic up-regulated miRNAs associated with per2 or cry2 in the transformed colon tissue of women were not detected.
    CONCLUSIONS: We conclude that the cancer-promoting, sex-biased miRNAs miR-24, miR-92a, miR-181a, miR-93, miR-17, miR-20a, and miR-21 associated with clock genes per2 and/or cry2 can contribute to the sex-dependent development of CRC via inhibition of the PTEN and p53 pathways.
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  • 文章类型: Journal Article
    结直肠癌(CRC)是全球第三常见的癌症,也是癌症相关死亡的第二主要原因。因此,我们试图确定CRC患者中磷酸酶和张力蛋白同源物(PTEN)的基因型和等位基因频率以及免疫组织化学PTEN表达与临床病理特征之间的关系.在这项横断面随机病例对照研究中,将150名患者分为两组:第一组包括100例经组织病理学证实的不同阶段的CRC患者。第二组:50名健康志愿者。PTEN(rs701848T/C)单核苷酸多态性(SNP)的遗传分析使用TaqManTM测定和实时PCR,而PTEN的表达使用免疫组织化学染色进行评估。PTNSNP基因型和等位基因在CRC患者和对照组之间没有显着差异。28%的CRC患者PTEN表达丢失,而所有健康对照均表现出PTEN表达。PTEN阴性表达存在于16例(80%)IV期CRC病例中,9例(23.7%)的III期病例,3例(37.5%)II期病例,也没有第一阶段的案子.结果表明,PTEN表达呈弱阳性,适度积极,在15、10和9例(分别)CRCI期病例中呈强阳性。然而,4例(20%)IV期患者的表达仅每周呈阳性.在第四阶段组,未发现中度或强阳性PTEN表达。所以,在埃及人中,结直肠癌的发生或病程与PTEN基因突变无关.然而,CRC的形成和进展可能受到PTEN表达减弱或缺失的影响。
    Colorectal cancer (CRC) is the third most frequent cancer worldwide and the second major cause of cancer-related death. Thus, we attempted to ascertain the relationship between the genotype and allele frequencies of phosphatase and tensin homolog (PTEN) and immunohistochemical PTEN expression with clinicopathological characteristics in patients with CRC. 150 individuals were allocated into two groups for this cross-sectional randomized case-control study: Group I consisted of 100 patients with histopathologically proven CRC of various stages. Group II: Fifty healthy volunteers. Genetic analysis of PTEN (rs701848 T / C) single nucleotide polymorphism (SNP) was performed using TaqManTM assays and real-time PCR, while PTEN expressions were assessed using immunohistochemical staining. PTN SNP genotypes and alleles did not significantly differ between CRC patients and controls. PTEN expression was lost in 28% of CRC patients, while all healthy controls exhibited PTEN expression. Negative PTEN expression was present in 16 (80%) of stage IV CRC cases, 9 (23.7%) of stage III cases, 3 (37.5%) of stage II cases, and none of stage I cases. It was shown that PTEN expression was weakly positive, moderately positive, and strongly positive in 15, 10, and 9 (respectively) cases of CRC stage I. However, the expression was only weekly positive in 4 (20%) of the patients in stage IV. In the stage IV group, neither moderately nor strongly positive PTEN expressions were found. So, Among Egyptians, the emergence or course of colorectal cancer is unrelated to the PTEN gene mutation. However, the formation and progression of CRC may be influenced by weak or lost PTEN expression.
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  • 文章类型: Journal Article
    糖尿病肾病(DKD)是糖尿病的严重微血管并发症,可导致终末期肾病。Colquhounia根片(CRT)已显示出治疗DKD的潜力,但其功效和潜在机制仍有待阐明。
    对61例DKD患者进行了一项随机对照临床试验。治疗组除接受标准治疗外还接受CRT,而对照组仅接受标准治疗。治疗3个月后评价疗效和不良反应。此外,使用人肾小管上皮细胞(HK-2)进行了体外实验,以研究CRT对高糖(HG)诱导的上皮间质转化(EMT)的影响以及PTEN/PI3K/AKT信号通路的参与。与对照组相比,
    CRT治疗可明显改善DKD患者的蛋白尿并提高有效治疗率,不良事件无显著差异。此外,CRT逆转HG诱导的HK-2细胞EMT,如在mRNA和蛋白质水平上α-SMA的下调和E-钙黏着蛋白的上调所证明的。机械上,CRT增加PTEN表达并抑制PI3K/AKT通路,与PI3K抑制剂LY29400的效果相似。CRT和LY29400的组合在HG条件下进一步增强PTENmRNA表达。
    CRT可有效改善DKD患者的蛋白尿,并改善HG诱导的HK-2细胞EMT。潜在的机制可能涉及PTEN的上调和随后的PI3K/AKT信号通路的抑制。这些发现为CRT治疗DKD的治疗潜力提供了新的见解。
    UNASSIGNED: Diabetic kidney disease (DKD) is a severe microvascular complication of diabetes mellitus that can lead to end-stage renal disease. Colquhounia root tablet (CRT) has shown therapeutic potential in treating DKD, but its efficacy and underlying mechanisms remain to be elucidated.
    UNASSIGNED: A randomized controlled clinical trial was conducted on 61 DKD patients. The treatment group received CRT in addition to standard therapy, while the control group received standard therapy alone. Treatment efficacy and adverse events were evaluated after 3 months. Additionally, in vitro experiments using human renal tubular epithelial cells (HK-2) were performed to investigate the effect of CRT on high glucose (HG)-induced epithelial-mesenchymal transition (EMT) and the involvement of the PTEN/PI3K/AKT signaling pathway.
    UNASSIGNED: CRT treatment significantly improved proteinuria and increased the effective treatment rate in DKD patients compared to the control group, with no significant difference in adverse events. Moreover, CRT reversed HG-induced EMT in HK-2 cells, as evidenced by the downregulation of α-SMA and upregulation of E-cadherin at both mRNA and protein levels. Mechanistically, CRT increased PTEN expression and inhibited the PI3K/AKT pathway, similar to the effects of the PI3K inhibitor LY29400. The combination of CRT and LY29400 further enhanced PTEN mRNA expression under HG conditions.
    UNASSIGNED: CRT effectively improves proteinuria in DKD patients and ameliorates HG-induced EMT in HK-2 cells. The underlying mechanism may involve the upregulation of PTEN and subsequent inhibition of the PI3K/AKT signaling pathway. These findings provide new insights into the therapeutic potential of CRT for DKD treatment.
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  • 文章类型: Journal Article
    已经确定microRNA-21(miR-21)靶向磷酸酶和张力蛋白同源物(PTEN),促进上皮间质转化(EMT)和癌症耐药性。最近的证据表明,PTEN激活其假基因衍生的长链非编码RNA,PTENP1,进而抑制miR-21。然而,PTEN的动力学,miR-21和PTENP1在DNA损伤反应(DDR)中的作用尚不清楚。因此,我们通过整合各种癌症的已发表文献提出了一个动态布尔网络模型。我们的模型与乳腺癌的实验结果吻合良好,肝细胞癌(HCC),和口腔鳞状细胞癌(OSCC),阐明DDR激活如何从S内阶段过渡到G2检查点,导致一系列细胞反应,如细胞周期停滞,衰老,自噬,凋亡,耐药性,EMT。模型验证强调了PTENP1,miR-21和PTEN在调节EMT和耐药性中的作用。此外,我们的分析揭示了九个新颖的反馈回路,八正一负,由PTEN介导并参与DDR细胞命运决定,包括与耐药和EMT相关的通路。我们的工作提出了一个全面的框架,用于研究DDR后的细胞反应,强调靶向PTEN的治疗潜力,miR-21和PTENP1在癌症治疗中的应用。
    It is well established that microRNA-21 (miR-21) targets phosphatase and tensin homolog (PTEN), facilitating epithelial-to-mesenchymal transition (EMT) and drug resistance in cancer. Recent evidence indicates that PTEN activates its pseudogene-derived long non-coding RNA, PTENP1, which in turn inhibits miR-21. However, the dynamics of PTEN, miR-21, and PTENP1 in the DNA damage response (DDR) remain unclear. Thus, we propose a dynamic Boolean network model by integrating the published literature from various cancers. Our model shows good agreement with the experimental findings from breast cancer, hepatocellular carcinoma (HCC), and oral squamous cell carcinoma (OSCC), elucidating how DDR activation transitions from the intra-S phase to the G2 checkpoint, leading to a cascade of cellular responses such as cell cycle arrest, senescence, autophagy, apoptosis, drug resistance, and EMT. Model validation underscores the roles of PTENP1, miR-21, and PTEN in modulating EMT and drug resistance. Furthermore, our analysis reveals nine novel feedback loops, eight positive and one negative, mediated by PTEN and implicated in DDR cell fate determination, including pathways related to drug resistance and EMT. Our work presents a comprehensive framework for investigating cellular responses following DDR, underscoring the therapeutic potential of targeting PTEN, miR-21, and PTENP1 in cancer treatment.
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  • 文章类型: Journal Article
    晚期内体/溶酶体接头,MAPK和mTOR,或者拉姆托,是一种能感知营养并整合生长因子信号的支架蛋白复合物。LAMTOR4在肿瘤发生中的作用尚不清楚。然而,LAMTOR4有相当大的可能直接参与肿瘤细胞的增殖和转移。在目前的研究中,我们调查了314名男性中LAMTOR4的蛋白表达,这些男性正在接受经尿道前列腺电切术(TURP),晚期和抗去势病例。我们还将数据与ERG和PTEN基因组状态以及临床病理特征(包括Gleason评分和患者预后)相关联。此外,我们在前列腺细胞系中利用LAMTOR4敲低进行了体外实验,我们使用TCGA前列腺腺癌(TCGA-PRAD)进行mRNA表达评估,以探索PCa患者中与LAMTOR4过表达相关的潜在差异表达基因和途径。我们的数据表明,高LAMTOR4蛋白表达与不良总生存期(OS)(HR:1.44,CI:1.01-2.05,p=0.047)和不良原因特异性生存期(CSS)(HR:1.71,CI:1.06-2.77,p=0.028)显着相关。此外,当LAMTOR4高表达与PTEN阴性病例(评分0)相结合时,我们发现显著较差的OS(HR:2.22,CI:1.37-3.59,p=0.001)和CSS(HR:3.46,CI:1.86-6.46,p<0.0001)。此外,具有高LAMTOR4的ERG阳性病例表现出更低的OS(HR:1.98,CI:1.18-3.31,p=0.01)和CSS(HR:2.54,CI:1.32-4.87,p=0.005)。体外评估显示敲低LAMTOR4降低PCa细胞增殖,迁移,和入侵。我们的数据进一步表明,LNCaP细胞系中LAMTOR4的敲低显著失调βcatenin/mTOR途径和肿瘤发生相关途径。抑制mTOR途径的成分,包括LAMTOR4在内,可能提供一种抑制前列腺癌肿瘤进展和转移的策略.
    Late endosomal/lysosomal adaptor, MAPK and mTOR, or LAMTOR, is a scaffold protein complex that senses nutrients and integrates growth factor signaling. The role of LAMTOR4 in tumorigenesis is still unknown. However, there is a considerable possibility that LAMTOR4 is directly involved in tumor cell proliferation and metastasis. In the current study, we investigated the protein expression of LAMTOR4 in a cohort of 314 men who were undergoing transurethral resection of prostate (TURP) consisting of incidental, advanced and castration-resistant cases. We also correlated the data with ERG and PTEN genomic status and clinicopathological features including Gleason score and patients\' outcome. Additionally, we performed in vitro experiments utilizing knockdown of LAMTOR4 in prostate cell lines, and we performed mRNA expression assessment using TCGA prostate adenocarcinoma (TCGA-PRAD) to explore the potential differentially expressed genes and pathways associated with LAMTOR4 overexpression in PCa patients. Our data indicate that high LAMTOR4 protein expression was significantly associated with poor overall survival (OS) (HR: 1.44, CI: 1.01-2.05, p = 0.047) and unfavorable cause-specific survival (CSS) (HR: 1.71, CI: 1.06-2.77, p = 0.028). Additionally, when high LAMTOR4 expression was combined with PTEN-negative cases (score 0), we found significantly poorer OS (HR: 2.22, CI: 1.37-3.59, p = 0.001) and CSS (HR: 3.46, CI: 1.86-6.46, p < 0.0001). Furthermore, ERG-positive cases with high LAMTOR4 exhibited lower OS (HR: 1.98, CI: 1.18-3.31, p = 0.01) and CSS (HR: 2.54, CI: 1.32-4.87, p = 0.005). In vitro assessment showed that knockdown of LAMTOR4 decreases PCa cell proliferation, migration, and invasion. Our data further showed that knockdown of LAMTOR4 in the LNCaP cell line significantly dysregulated the β catenin/mTOR pathway and tumorigenesis associated pathways. Inhibiting components of the mTOR pathway, including LAMTOR4, might offer a strategy to inhibit tumor progression and metastasis in prostate cancer.
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  • 文章类型: Journal Article
    Neddylation(NAE)抑制,影响翻译后蛋白质的功能和周转,是一种很有前途的癌症治疗方法。我们报告了胶质母细胞瘤(GBM)临床前模型的一部分对NAE抑制剂的细胞毒性脆弱性,并确定了差异反应的遗传改变和生物学过程。
    GBMDNA测序和转录组数据查询与NAE抑制反应相关的基因;候选物通过分子技术验证。多组学和功能测定揭示了与NAE抑制反应有关的过程。
    转录组学和shot弹枪蛋白质组学描绘了PTEN信号传导,DNA复制,和DNA修复途径作为敏感和抗性模型之间的显著差异。MLN4924,NAE抑制剂的脆弱性,与S期种群升高有关,DNA再复制,和DNA损伤。在一组GBM模型中,WTPTEN的缺失与对不同NAE抑制剂的抗性相关。NAE抑制应答基因集合可以分离对MLN4924最具抗性的GBM细胞系。
    WTPTEN的丧失与对GBM中抑制NAE的3种不同化合物的不敏感性有关。主要由DNA复制基因组成的NAE抑制反应基因集可以分离对NAEi最具抗性的GBM细胞系,并且可能是未来在精确医学范式中开发脆弱性和临床试验招募的NAE抑制特征的基础。
    UNASSIGNED: Neddylation (NAE) inhibition, affecting posttranslational protein function and turnover, is a promising therapeutic approach to cancer. We report the cytotoxic vulnerability to NAE inhibitors in a subset of glioblastoma (GBM) preclinical models and identify genetic alterations and biological processes underlying differential response.
    UNASSIGNED: GBM DNA sequencing and transcriptomic data were queried for genes associated with response to NAE inhibition; candidates were validated by molecular techniques. Multi-omics and functional assays revealed processes implicated in NAE inhibition response.
    UNASSIGNED: Transcriptomics and shotgun proteomics depict PTEN signaling, DNA replication, and DNA repair pathways as significant differentiators between sensitive and resistant models. Vulnerability to MLN4924, a NAE inhibitor, is associated with elevated S-phase populations, DNA re-replication, and DNA damage. In a panel of GBM models, loss of WT PTEN is associated with resistance to different NAE inhibitors. A NAE inhibition response gene set could segregate the GBM cell lines that are most resistant to MLN4924.
    UNASSIGNED: Loss of WT PTEN is associated with non-sensitivity to 3 different compounds that inhibit NAE in GBM. A NAE inhibition response gene set largely consisting of DNA replication genes could segregate GBM cell lines most resistant to NAEi and may be the basis for future development of NAE inhibition signatures of vulnerability and clinical trial enrollment within a precision medicine paradigm.
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  • 文章类型: Journal Article
    背景:结直肠癌已经成为一个令人担忧的健康问题,在男性和女性中排名第三的最常见的癌症形式。磷酸酶和张力蛋白同源物(PTEN)蛋白作为磷脂酰肌醇3激酶/蛋白激酶B/哺乳动物雷帕霉素靶蛋白(PI3K/Akt/mTOR)途径的抑制剂而广为人知,发挥主要作用抑制肿瘤的发展。先前的研究调查了该蛋白在PI3K途径中的作用以及它如何影响结直肠癌。然而,PTEN表达的标准化截断值尚未建立.
    方法:采用免疫组化法检测PTEN。然后将从0到3的染色等级乘以计数的100个癌细胞的数量,总分在0到300之间。在这项研究中,受试者工作特征(ROC)曲线用于确定PTEN在结直肠癌中的表达截止值。
    结果:本研究通过使用截断值为199.0的ROC曲线,在肿瘤或非肿瘤组织中显示出统计学上显著的结果(P<0.001)。这项研究还揭示了PTEN淋巴结状态(P=0.008)和PTEN分期(P=0.019)之间的显着相关性,敏感性为0.753,特异性为0.728。
    结论:用细胞计数乘以颜色强度进行半定量评估是确定PTEN表达的良好方法。使用免疫组织化学染色强度和ROC截止的细胞评分可有效阐明PTEN在结直肠癌中的作用(PTEN值>199.0被分类为强,≤199.0被分类为弱)。
    BACKGROUND: Colorectal cancer has emerged as a concerning health problem, ranking the third most common form of cancer in both men and women. The phosphatase and tensin homologue (PTEN) protein is widely known for its role as an inhibitor of the phosphatidylinositol 3-kinase/protein kinase-B/mammalian target of rapamycin (PI3K/Akt/mTOR) pathway, playing a major role inhibiting tumor development. Previous studies investigated the role of this protein in the PI3K pathway and how it affected colorectal cancer. However, a standardized cut-off value for PTEN expression has not been established.
    METHODS: Immunohistochemistry was used in examining PTEN. The staining grade ranging from 0 to 3 was then multiplied by the number of 100 cancer cells counted, with total score between 0 and 300. In this study, receiver operating characteristic (ROC) curve was employed to determine the expression cut-off value for PTEN in colorectal cancer.
    RESULTS: This study showed statistically significant results (P < 0.001) in either tumor or non-tumor tissues by using the ROC curve with a cut-off value of 199.0. This study also revealed significant correlation between nodal status with PTEN (P = 0.008) and stage with PTEN (P = 0.019) with sensitivity 0.753 and specificity 0.728.
    CONCLUSIONS: Semiquantitative assessment with cell counting multiplied by color intensity is a good method in determining PTEN expression. The use of immunohistochemical staining intensity and cell scoring with ROC cut-off is effective to elaborate the effects of PTEN in colorectal cancer (PTEN value > 199.0 was classified as strong and ≤ 199.0 as weak).
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