Chromosome instability

染色体不稳定性
  • 文章类型: Journal Article
    AurkA丝氨酸/苏氨酸激酶是细胞分裂控制有丝分裂进入的关键调节因子,中心体成熟,和染色体分离。微管相关蛋白TPX2控制纺锤体的组装,是AurkA的主要调节因子,有助于AurkA激活,本地化,和稳定。自从他们的身份,AurkA和TPX2已被描述为在癌症中过度表达,与高度增殖性和非整倍体肿瘤显著相关。尽管AurkA/TPX2共同过度表达在癌症中频繁发生,对它们参与肿瘤发生和癌症治疗耐药性的研究主要来自当时仅关注其中一项的研究。这里,我们回顾了现有的文献,并讨论了在AurkA条件下描述的有丝分裂表型,TPX2或AurkA/TPX2过表达,建立一张图片,可以通过诱导染色体不稳定性来帮助阐明它们的致癌潜力。我们强调了AurkA/TPX2复合物作为致癌单位的相关性,在此基础上,我们讨论了最近正在开发的策略,这些策略旨在将复合体作为有希望的治疗观点来破坏。
    The AurkA serine/threonine kinase is a key regulator of cell division controlling mitotic entry, centrosome maturation, and chromosome segregation. The microtubule-associated protein TPX2 controls spindle assembly and is the main AurkA regulator, contributing to AurkA activation, localisation, and stabilisation. Since their identification, AurkA and TPX2 have been described as being overexpressed in cancer, with a significant correlation with highly proliferative and aneuploid tumours. Despite the frequent occurrence of AurkA/TPX2 co-overexpression in cancer, the investigation of their involvement in tumorigenesis and cancer therapy resistance mostly arises from studies focusing only on one at the time. Here, we review the existing literature and discuss the mitotic phenotypes described under conditions of AurkA, TPX2, or AurkA/TPX2 overexpression, to build a picture that may help clarify their oncogenic potential through the induction of chromosome instability. We highlight the relevance of the AurkA/TPX2 complex as an oncogenic unit, based on which we discuss recent strategies under development that aim at disrupting the complex as a promising therapeutic perspective.
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  • 文章类型: Journal Article
    煤炭开采是哥伦比亚的一个重要部门,为国家经济和地区发展做出重大贡献。然而,尽管它很重要,这导致矿工和附近居民的健康状况逐渐下降。虽然在哥伦比亚和全球,露天煤矿开采对暴露个体的不利健康影响已得到充分记录,缺乏调查地下煤矿工人遗传损伤的研究。
    我们研究的目的是评估染色体和基因毒性损伤,在一组地下煤矿工人和暴露于煤炭地区的居民的外周血样本中,在萨马卡镇,Boyacá-哥伦比亚,通过使用条带和分子细胞遗传学技术,在一组未暴露的个体中,以及胞质分裂阻断微核试验。
    我们的结果表明,职业暴露于煤炭会引起地下煤矿工人体细胞的染色体和遗传毒性损伤。染色体和基因毒性损伤是癌症发生和许多其他疾病发展的重要步骤。我们的发现为煤尘暴露对染色体完整性和遗传稳定性的影响提供了有价值的见解。
    我们的初步研究表明,职业性接触煤炭会导致地下煤矿工人染色体受损,强调用更大的样本量验证这些发现的重要性。我们的结果强调了实施预防和保护措施的必要性,以及地下煤矿工人的教育计划。表征和估计暴露风险对于在职业和环境中暴露于煤炭及其衍生物的人们的安全极为重要。
    UNASSIGNED: Coal mining is a vital sector in Colombia, contributing significantly to the nation\'s economy and the development of its regions. However, despite its importance, it has led to a gradual decline in the health of mine workers and nearby residents. While the adverse health effects of open-pit coal mining on exposed individuals have been well-documented in Colombia and globally, studies investigating genetic damage in underground coal miners are lacking.
    UNASSIGNED: The aim of our study was to evaluate chromosomal and genotoxic damage, in peripheral blood samples from a group of underground coal miners and residents of areas exposed to coal, in the town of Samacá, Boyacá-Colombia, and in a group of unexposed individuals by using banding and molecular cytogenetic techniques, as well as cytokinesis block micronucleus assays.
    UNASSIGNED: Our results suggest that occupational exposure to coal induces chromosomal and genotoxic damage in somatic cells of underground coal miners. Chromosomal and genotoxic damage is an important step in carcinogenesis and the development of many other diseases. Our findings provide valuable insights into the effects of coal dust exposure on chromosomal integrity and genetic stability.
    UNASSIGNED: Our pilot study suggests that occupational exposure to coal induces chromosomal damage in underground coal miners, highlighting the importance of validating these findings with a larger sample size. Our results highlight the need to implement prevention and protection measures, as well as educational programs for underground coal miners. Characterizing and estimating exposure risks are extremely important for the safety of people exposed occupationally and environmentally to coal and its derivatives.
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  • 文章类型: Journal Article
    六价铬[Cr(VI)]是一种公认的人肺致癌物,但是对致癌机理了解甚少。染色体不稳定,肺癌的标志,被认为是Cr(VI)诱导的肺癌的主要驱动因素。未修复的DNA双链断裂是根本原因,同源重组修复是防止Cr(VI)诱导的DNA断裂引起染色体不稳定的主要机制。细胞培养研究表明,急性Cr(VI)暴露会导致DNA双链断裂并增加同源重组修复活性。然而,Cr(VI)诱导的DNA断裂和修复影响的能力仅在细胞培养研究中报道。因此,我们研究了急性Cr(VI)暴露是否可以诱导大鼠肺的断裂和同源重组修复。雄性和雌性Wistar大鼠通过口咽抽吸急性暴露于盐溶液中的铬酸锌颗粒或单独的盐水中。这种暴露途径导致每个肺叶中的Cr水平增加。我们发现Cr(VI)以浓度依赖的方式诱导DNA双链断裂,女性比男性更容易受到影响,并在两种性别中以相似的水平诱导同源重组修复。因此,这些数据表明,在细胞培养中发现的这种驱动机制确实在体内转化为肺组织。
    Hexavalent chromium [Cr(VI)] is an established human lung carcinogen, but the carcinogenesis mechanism is poorly understood. Chromosome instability, a hallmark of lung cancer, is considered a major driver of Cr(VI)-induced lung cancer. Unrepaired DNA double-strand breaks are the underlying cause, and homologous recombination repair is the primary mechanism preventing Cr(VI)-induced DNA breaks from causing chromosome instability. Cell culture studies show acute Cr(VI) exposure causes DNA double-strand breaks and increases homologous recombination repair activity. However, the ability of Cr(VI)-induced DNA breaks and repair impact has only been reported in cell culture studies. Therefore, we investigated whether acute Cr(VI) exposure could induce breaks and homologous recombination repair in rat lungs. Male and female Wistar rats were acutely exposed to either zinc chromate particles in a saline solution or saline alone by oropharyngeal aspiration. This exposure route resulted in increased Cr levels in each lobe of the lung. We found Cr(VI) induced DNA double-strand breaks in a concentration-dependent manner, with females being more susceptible than males, and induced homologous recombination repair at similar levels in both sexes. Thus, these data show this driving mechanism discovered in cell culture indeed translates to lung tissue in vivo.
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  • 文章类型: Journal Article
    胃癌前病变(PLGC)的诊断在临床实践中具有挑战性。我们通过分析TCGA数据库中相关染色体拷贝数变异(CNV)的信息,然后使用UCAD技术进行临床研究,以评估染色体不稳定(CIN)测定在PLGC诊断中的价值。
    基于TCGA数据库中胃癌相关数据的筛选,进行CNV分析以探索与胃癌相关的染色体CNV信息。根据胃镜病理结果,用UCAD技术筛选12例重度萎缩患者的胃黏膜石蜡标本,并探讨相关因素对其的影响。
    TCGA数据库中的CNV结果表明,胃癌患者的7、8和17号染色体扩增明显。UCAD结果证实,在12例病理诊断为严重萎缩的患者中,其中五个有CIN阳性结果,阳性检出率为41.7%,主要表现在染色体7段和染色体8段扩增。我们还发现肠化和HP感染与CIN的相关性较低。CIN测量结果的敏感性明显优于肿瘤指标。
    研究结果表明,可以通过UCAD对CIN的检测来辅助PLGC的诊断,其中Chr7和Chr8可能与PLGC密切相关。
    UNASSIGNED: The diagnosis of Precancerous Lesions of Gastric Cancer (PLGC) is challenging in clinical practice. We conducted a clinical study by analyzing the information of relevant chromosome copy number variations (CNV) in the TCGA database followed by the UCAD technique to evaluate the value of Chromosomal Instability (CIN) assay in the diagnosis of PLGC.
    UNASSIGNED: Based on the screening of gastric cancer related data in TCGA database, CNV analysis was performed to explore the information of chromosome CNV related to gastric cancer. Based on the gastroscopic pathology results, 12 specimens of patients with severe atrophy were screened to analyze the paraffin specimens of gastric mucosa by UCAD technology, and to explore the influence of related factors on them.
    UNASSIGNED: The results of CNV in TCGA database suggested that chromosome 7, 8, and 17 amplification was obvious in patients with gastric cancer. UCAD results confirmed that in 12 patients with pathologic diagnosis of severe atrophy, five of them had positive results of CIN, with a positive detection rate of 41.7%, which was mainly manifested in chromosome seven and chromosome eight segments amplification. We also found that intestinalization and HP infection were less associated with CIN. And the sensitivity of CIN measurement results was significantly better than that of tumor indicators.
    UNASSIGNED: The findings suggest that the diagnosis of PLGC can be aided by UCAD detection of CIN, of which Chr7 and 8 may be closely related to PLGC.
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  • 文章类型: Journal Article
    驱动蛋白马达是一大家族的分子马达,它们沿着微管行走,在细胞内运输中发挥许多作用,微管组织,和染色体排列。Kinesin-7CENP-E(着丝粒蛋白E)是一种染色体支架相关蛋白,位于着丝粒的电晕层中,参与动粒-微管附着,染色体排列,和主轴装配检查点。在过去的30年里,CENP-E作为癌症治疗和药物开发的有希望的新的有丝分裂靶标引起了极大的兴趣。在这次审查中,我们描述了CENP-E在多种肿瘤中的表达模式,并强调了CENP-E在癌细胞增殖中的功能。我们总结了结构领域的最新进展,角色,和CENP-E在细胞分裂中的功能。值得注意的是,我们描述了CENP-E在抑制和促进肿瘤发生中的双重功能。我们总结了CENP-E通过染色体不稳定性和纺锤体组装检查点影响肿瘤发生的机制。最后,我们概述并总结了CENP-E特异性抑制剂,耐药机制及其应用。
    Kinesin motors are a large family of molecular motors that walk along microtubules to fulfill many roles in intracellular transport, microtubule organization, and chromosome alignment. Kinesin-7 CENP-E (Centromere protein E) is a chromosome scaffold-associated protein that is located in the corona layer of centromeres, which participates in kinetochore-microtubule attachment, chromosome alignment, and spindle assembly checkpoint. Over the past 3 decades, CENP-E has attracted great interest as a promising new mitotic target for cancer therapy and drug development. In this review, we describe expression patterns of CENP-E in multiple tumors and highlight the functions of CENP-E in cancer cell proliferation. We summarize recent advances in structural domains, roles, and functions of CENP-E in cell division. Notably, we describe the dual functions of CENP-E in inhibiting and promoting tumorigenesis. We summarize the mechanisms by which CENP-E affects tumorigenesis through chromosome instability and spindle assembly checkpoints. Finally, we overview and summarize the CENP-E-specific inhibitors, mechanisms of drug resistances and their applications.
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  • 文章类型: Journal Article
    染色体不稳定,肺癌的标志,是人类六价铬[Cr(VI)]致癌作用的驱动机制。Cr(VI)通过诱导DNA双链断裂和抑制同源重组修复并引起纺锤体组装检查点(SAC)旁路和中心体扩增来诱导人肺细胞的结构和数字染色体不稳定性。大鲸鱼是长寿物种,长期暴露于Cr(VI)并在其组织中积累Cr,但癌症发病率低。数据显示,急性Cr(VI)暴露后,Cr(VI)在鲸鱼细胞中诱导的染色体畸变较少,表明鲸鱼细胞可以逃避Cr(VI)诱导的染色体不稳定性。尚不清楚鲸鱼是否逃避了Cr(VI)诱导的染色体不稳定性。因此,我们检验了以下假设:鲸鱼细胞抵抗Cr(VI)诱导的同源重组修复活性的丧失以及SAC旁路和中心体扩增的增加。我们发现Cr(VI)在鲸鱼肺细胞中急性(24小时)和长时间(120小时)暴露后诱导相似量的DNA双链断裂,但不抑制同源重组修复,SAC旁路,或中心体扩增,并且不会诱导染色体不稳定。这些数据表明鲸鱼肺细胞抵抗Cr(VI)诱导的染色体不稳定性,Cr(VI)在细胞水平上致癌的主要驱动因素,与鲸鱼对癌症有抵抗力的观察结果一致。
    Chromosome instability, a hallmark of lung cancer, is a driving mechanism for hexavalent chromium [Cr(VI)] carcinogenesis in humans. Cr(VI) induces structural and numerical chromosome instability in human lung cells by inducing DNA double-strand breaks and inhibiting homologous recombination repair and causing spindle assembly checkpoint (SAC) bypass and centrosome amplification. Great whales are long-lived species with long-term exposures to Cr(VI) and accumulate Cr in their tissue, but exhibit a low incidence of cancer. Data show Cr(VI) induces fewer chromosome aberrations in whale cells after acute Cr(VI) exposure suggesting whale cells can evade Cr(VI)-induced chromosome instability. However, it is unknown if whales can evade Cr(VI)-induced chromosome instability. Thus, we tested the hypothesis that whale cells resist Cr(VI)-induced loss of homologous recombination repair activity and increased SAC bypass and centrosome amplification. We found Cr(VI) induces similar amounts of DNA double-strand breaks after acute (24 h) and prolonged (120 h) exposures in whale lung cells, but does not inhibit homologous recombination repair, SAC bypass, or centrosome amplification, and does not induce chromosome instability. These data indicate whale lung cells resist Cr(VI)-induced chromosome instability, the major driver for Cr(VI) carcinogenesis at a cellular level, consistent with observations that whales are resistant to cancer.
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  • 文章类型: Journal Article
    弓形虫是一种全球存在的尖丛寄生虫,感染人类和动物。全球范围内,弓形虫的不同典型和非典型单倍型在宿主中诱导不同的病理。作为一种专性的细胞内原生动物,弓形虫被证明会干扰宿主细胞周期进程,导致有丝分裂纺锤体改变,染色体分离错误和胞质分裂失败,所有这些都可能反映染色体不稳定。关于毒株依赖性毒力,我们在这里研究了不同弓形虫菌株的潜力(RH,Me49和NED)驱动原代内皮宿主细胞中的DNA损伤。利用微观分析,彗星测定和γ-H2AX定量,我们证明了双核宿主细胞的菌株依赖性诱导,DNA损伤和DNA双链断裂,分别,在弓形虫感染的细胞中,RH菌株的驱动作用最为突出。有趣的是,只有NED菌株显著触发了弓形虫感染细胞的微核形成。关注RH应变,我们进一步证明,弓形虫感染的原代宿主细胞通过激活ATM依赖性同源重组(HR)途径显示DNA损伤反应。相比之下,非同源DNA末端连接(NHEJ)途径的关键分子在RH感染的宿主细胞中不受影响或下调,这表明这条途径不会被感染激活。总之,目前的发现表明,弓形虫感染通过引起DNA损伤和染色体不稳定,以菌株依赖的方式影响宿主细胞基因组的完整性。
    Toxoplasma gondii is a globally occurring apicomplexan parasite that infects humans and animals. Globally, different typical and atypical haplotypes of T. gondii induce varying pathologies in hosts. As an obligate intracellular protozoon, T. gondii was shown to interfere with host cell cycle progression, leading to mitotic spindle alteration, chromosome segregation errors and cytokinesis failure which all may reflect chromosomal instability. Referring to strain-dependent virulence, we here studied the potential of different T. gondii strains (RH, Me49 and NED) to drive DNA damage in primary endothelial host cells. Utilizing microscopic analyses, comet assays and γ-H2AX quantification, we demonstrated a strain-dependent induction of binucleated host cells, DNA damage and DNA double strand breaks, respectively, in T. gondii-infected cells with the RH strain driving the most prominent effects. Interestingly, only the NED strain significantly triggered micronuclei formation in T. gondii-infected cells. Focusing on the RH strain, we furthermore demonstrated that T. gondii-infected primary host cells showed a DNA damage response by activating the ATM-dependent homologous recombination (HR) pathway. In contrast, key molecules of the nonhomologous DNA end joining (NHEJ) pathway were either not affected or downregulated in RH-infected host cells, suggesting that this pathway is not activated by infection. In conclusion, current finding suggests that T. gondii infection affects the host cell genome integrity in a strain-dependent manner by causing DNA damage and chromosomal instability.
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  • 文章类型: Journal Article
    染色体不稳定性(CIN)是驱动间变性甲状腺癌(ATC)形成和进展的常见因素,但其机制尚不清楚。BUB1有丝分裂检查点丝氨酸/苏氨酸激酶(BUB1)负责有丝分裂染色体的排列,尚未在ATC中进行彻底研究。我们的研究表明,BUB1显著上调,并与更差的无进展生存期密切相关。敲低BUB1减弱细胞活力,入侵,迁移和诱导细胞周期停滞,而BUB1的过表达促进甲状腺乳头状癌细胞的细胞周期进程。在斑马鱼异种移植模型中,BUB1敲低可显着抑制带有ATC异种移植物的裸鼠的肿瘤生长和肿瘤形成,并抑制肿瘤转移。其抑制剂BAY-1816032对BUB1的抑制也显示出相当大的抗肿瘤活性。进一步的研究表明,BUB1的强制表达在ATC细胞中引起CIN。BUB1通过在serine1292(Ser1292)处磷酸化KIF14诱导CIN。与野生型相比,KIF14ΔSer1292突变体的过表达无法促进ATC细胞的侵袭性。总的来说,这些发现表明,BUB1/KIF14复合物通过诱导CIN驱动ATC的攻击性。
    Chromosome instability (CIN) is a common contributor driving the formation and progression of anaplastic thyroid cancer (ATC), but its mechanism remains unclear. The BUB1 mitotic checkpoint serine/threonine kinase (BUB1) is responsible for the alignment of mitotic chromosomes, which has not been thoroughly studied in ATC. Our research demonstrated that BUB1 was remarkably upregulated and closely related to worse progression-free survival. Knockdown of BUB1 attenuated cell viability, invasion, migration and induced cell cycle arrests, whereas overexpression of BUB1 promoted the cell cycle progression of papillary thyroid cancer cells. BUB1 knockdown remarkably repressed tumour growth and tumour formation of nude mice with ATC xenografts and suppressed tumour metastasis in a zebrafish xenograft model. Inhibition of BUB1 by its inhibitor BAY-1816032 also exhibited considerable anti-tumour activity. Further studies showed that enforced expression of BUB1 evoked CIN in ATC cells. BUB1 induced CIN through phosphorylation of KIF14 at serine1292 (Ser1292 ). Overexpression of the KIF14ΔSer1292 mutant was unable to facilitate the aggressiveness of ATC cells when compared with that of the wild type. Collectively, these findings demonstrate that the BUB1/KIF14 complex drives the aggressiveness of ATC by inducing CIN.
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  • 文章类型: Journal Article
    背景:有丝分裂驱动蛋白,KIF18A,是表现出染色体不稳定性(CIN)的癌细胞增殖所必需的,暗示它是治疗一部分侵袭性肿瘤类型的有希望的靶标。确定KIF18A蛋白的靶向抑制区域对于设计和优化有效的小分子抑制剂将是重要的。方法:在本研究中,我们使用培养的细胞模型来研究KIF18A的α-4螺旋内突变S284的影响,先前被鉴定为磷酸化残基。结果:S284中的突变导致KIF18A从纺锤体微管的正端重新定位到纺锤体极。此外,KIF18AS284突变体显示KIF18A功能丧失,无法支持CIN肿瘤细胞的增殖。有趣的是,在用KIF18A抑制性化合物处理CIN细胞后,观察到对KIF18A定位和功能的类似影响,这些化合物预计与α-4螺旋内的残基相互作用.结论:这些数据暗示KIF18Aα-4螺旋作为有效的抑制靶标,并证明靶向KIF18A的小分子选择性地限制肿瘤细胞增殖,并导致与遗传扰动相比在单细胞水平上对有丝分裂的表型相似的作用。
    Background: The mitotic kinesin, KIF18A, is required for proliferation of cancer cells that exhibit chromosome instability (CIN), implicating it as a promising target for treatment of a subset of aggressive tumor types. Determining regions of the KIF18A protein to target for inhibition will be important for the design and optimization of effective small molecule inhibitors. Methods: In this study, we used cultured cell models to investigate the effects of mutating S284 within the alpha-4 helix of KIF18A, which was previously identified as a phosphorylated residue. Results: Mutations in S284 cause relocalization of KIF18A from the plus-ends of spindle microtubules to the spindle poles. Furthermore, KIF18A S284 mutants display loss of KIF18A function and fail to support proliferation in CIN tumor cells. Interestingly, similar effects on KIF18A localization and function were seen after treatment of CIN cells with KIF18A inhibitory compounds that are predicted to interact with residues within the alpha-4 helix. Conclusion: These data implicate the KIF18A alpha-4 helix as an effective target for inhibition and demonstrate that small molecules targeting KIF18A selectively limit CIN tumor cell proliferation and result in phenotypically similar effects on mitosis at the single cell level compared to genetic perturbations.
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  • 文章类型: Journal Article
    中心体参与间期的细胞质微管组织和细胞分裂过程中的有丝分裂纺锤体组装。已经在几种类型的癌症和癌前病症中观察到中心体扩增(中心体数目的异常增殖)。因此,阐明中心体扩增的机制对了解癌变的早期阶段具有重要意义。原代细胞可以用来更好地了解癌变的早期阶段,而不是永生化的细胞,往往有各种遗传和表观遗传变化。以前,我们证明了聚(ADP-核糖)聚合酶(PARP)抑制剂,3-氨基苯甲酰胺(3AB),已知无毒且无诱变,可以诱导CHO-K1细胞的中心体扩增和染色体非整倍体。在这项研究中,我们使用3AB比较了原代小鼠胚胎成纤维细胞(MEF)和永生化MEF。尽管在永生化MEF中用3AB处理诱导了中心体扩增,更有效的PARP抑制剂,主要MEF需要AG14361。然而,中心体扩增后,永生化MEF中的3AB和原发性MEF中的AG14361均不引起染色体非整倍性,这表明需要进一步的遗传和/或表观遗传变化才能表现出非整倍性。DNA损伤剂阿霉素和γ射线照射可在实验动物中引起癌症和中心体扩增。尽管阿霉素和γ辐射诱导了中心体扩增并导致永生化MEF和原发性MEF中p27Kip蛋白水平降低,核蛋白磷酸化率(Thr199)在永生化MEF中增加,而在原发性MEF中下降。这些结果表明,存在一个尚未确定的途径,不同于核磷蛋白磷酸化途径,这可能导致主要MEF中的中心体扩增。
    The centrosome is involved in cytoplasmic microtubule organization during interphase and in mitotic spindle assembly during cell division. Centrosome amplification (abnormal proliferation of centrosome number) has been observed in several types of cancer and in precancerous conditions. Therefore, it is important to elucidate the mechanism of centrosome amplification in order to understand the early stage of carcinogenesis. Primary cells could be used to better understand the early stage of carcinogenesis rather than immortalized cells, which tend to have various genetic and epigenetic changes. Previously, we demonstrated that a poly(ADP-ribose) polymerase (PARP) inhibitor, 3-aminobenzamide (3AB), which is known to be nontoxic and nonmutagenic, could induce centrosome amplification and chromosomal aneuploidy in CHO-K1 cells. In this study, we compared primary mouse embryonic fibroblasts (MEF) and immortalized MEF using 3AB. Although centrosome amplification was induced with 3AB treatment in immortalized MEF, a more potent PARP inhibitor, AG14361, was required for primary MEF. However, after centrosome amplification, neither 3AB in immortalized MEF nor AG14361 in primary MEF caused chromosomal aneuploidy, suggesting that further genetic and/or epigenetic change(s) are required to exhibit aneuploidy. The DNA-damaging agents doxorubicin and γ-irradiation can cause cancer and centrosome amplification in experimental animals. Although doxorubicin and γ-irradiation induced centrosome amplification and led to decreased p27Kip protein levels in immortalized MEF and primary MEF, the phosphorylation ratio of nucleophosmin (Thr199) increased in immortalized MEF, whereas it decreased in primary MEF. These results suggest that there exists a yet unidentified pathway, different from the nucleophosmin phosphorylation pathway, which can cause centrosome amplification in primary MEF.
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