β-Catenin

β - 连环蛋白
  • 文章类型: Journal Article
    Several studies have indicated that 1α,25-hydroxyvitamin D [1α,25(OH)2D3] inhibits the proliferation and metastasis of cancer cells through suppressing epithelial-mesenchymal transition. However, its influence on the translocation of β-catenin remains unclear. In the present study, ovarian cancer stem-like cells (CSCs), including side population (SP) and CD44+/CD117+, were isolated from mouse ovarian surface epithelial (MOSE) cells with malignant transformation. The findings revealed that 1α,25(OH)2D3 obviously reduced the sphere-forming ability, as well as Notch1 and Klf levels. Moreover, the limiting dilution assay demonstrated that 1α,25(OH)2D3 effectively hindered the tumorigenesis of ovarian CSCs in vitro. Notably, treatment with 1α,25(OH)2D3 led to a substantial increase in the cell population of CD44+/CD117+ forming one tumor from ≤ 100 to 445 in orthotopic transplanted model, indicating a pronounced suppression of stemness of ovarian CSCs. Additionally, 1α,25(OH)2D3 robustly promoted the translocation of β-catenin from the nuclear to the cytoplasm through directly binding to VDR, which resulted in decreased levels of c-Myc and CyclinD1 within late MOSE cells. Taken together, these results strongly supported the role of 1α,25(OH)2D3 in inhibiting stem-like properties in ovarian cancer cells by restraining nuclear translocation of β-catenin, thereby offering a promising target for cancer therapeutics.
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  • 文章类型: Journal Article
    肝细胞癌是世界范围内广泛存在的癌症,排名第五最常见的癌症和第四大癌症相关死亡原因。根据综合研究,TLK2,一种磷酸化激酶,已经发现在促进肿瘤的发展中起着至关重要的作用。然而,TLK2对肝癌细胞和免疫微环境的预后意义和影响,保证进一步调查。本研究旨在探讨TLK2在促进肝细胞癌发生发展中的作用。
    本研究利用癌症基因组图谱(TCGA)数据库和其他数据库作为训练集来检查TLK2的表达及其预后意义。随后通过细胞增殖测定和细胞集落测定来验证发现。采用基因集富集分析(GSEA)研究肝细胞癌中与TLK2相关的肿瘤相关生物学过程,TCGA数据集分析TLK2表达与Wnt/β-catenin信号通路的关系。使用蛋白质印迹和免疫荧光测定来确认实验结果。
    TLK2在肿瘤组织中的表达水平高于正常组织。甲胎蛋白(AFP),T级,病理阶段,组织学分级与TLK2表达显著相关。高TLK2表达与较差的总生存期(OS)相关[风险比(HR)=1.62,95%置信区间(CI):1.14-2.29,P=0.007]。训练集和验证集的无进展生存期(PFS)(HR=1.88,95%CI:1.40-2.52,P<0.001)和疾病特异性生存期(DSS)(HR=1.86,95%CI:1.18-2.93,P=0.007).单因素和多因素分析均显示TLK2是独立的预后因素。GSEA显示TLK2在肿瘤相关生物过程中显著富集。TLK2诱导β-catenin信号的激活,导致肿瘤持续生长。甲基噻唑基四唑(MTT)和集落形成实验表明,TLK2可以促进肝细胞癌的进展。此外,TLK2在Wnt通路中与β-catenin显著相关。
    TLK2是肝细胞癌的独立预后因子,可通过β-catenin信号通路促进肿瘤进展。
    UNASSIGNED: Hepatocellular carcinoma is a widespread cancer worldwide, ranking as the fifth most frequent cancer and the fourth leading cause of cancer-related deaths. According to comprehensive research, TLK2, a phosphorylated kinase, has been discovered to play a crucial role in promoting tumor development. However, the prognostic significance and influence of TLK2 on hepatocellular carcinoma tumor cells and the immune microenvironment remain unexplored, warranting further investigation. The aim of this study was to investigate the role of TLK2 in promoting the development of hepatocellular carcinoma.
    UNASSIGNED: The present study utilized The Cancer Genome Atlas (TCGA) database and other databases as training sets to examine the expression of TLK2 and its prognostic significance. The findings were subsequently validated through cell proliferation assays and cell colony assays. Gene set enrichment analysis (GSEA) was employed to investigate the tumor-related biological processes associated with TLK2 in hepatocellular carcinoma, while the relationship between TLK2 expression and Wnt/β-catenin signaling pathway was analyzed via TCGA dataset analysis. Western blotting and immunofluorescence assays were used to confirm the experimental results.
    UNASSIGNED: TLK2 showed higher expression levels in tumor tissues than in normal tissues. Alpha fetoprotein (AFP), T stage, pathological stage, and histological grade were significantly associated with TLK2 expression. High TLK2 expression correlated with worse overall survival (OS) [hazard ratio (HR) =1.62, 95% confidence interval (CI): 1.14-2.29, P=0.007], progression-free survival (PFS) (HR =1.88, 95% CI: 1.40-2.52, P<0.001) and disease specific survival (DSS) (HR =1.86, 95% CI: 1.18-2.93, P=0.007) in the training and validation sets. Both univariate and multivariate analyses showed that TLK2 was an independent prognostic factor. GSEA showed that TLK2 was significantly enriched in tumor-related biological processes. TLK2 induced the activation of β-catenin signaling, resulting in sustained tumor growth. Methyl thiazolyl tetrazolium (MTT) and colony formation assays demonstrated that TLK2 could promote hepatocellular carcinoma progression. Furthermore, TLK2 showed a significant association with β-catenin in the Wnt pathway.
    UNASSIGNED: TLK2 represents an independent prognostic factor in hepatocellular carcinoma and can promote cancer progression via the β-catenin signaling pathway.
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  • 文章类型: Journal Article
    暂无摘要。
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  • 文章类型: Journal Article
    目的:探讨Wnt/β-catenin信号通路在胰腺癌进展及化疗耐药中的作用,专注于识别区分正常细胞和肿瘤细胞的特定因素,从而提供潜在的治疗靶点。
    材料和方法:我们分析了胰腺癌和正常胰腺组织中总的和磷酸化的真核翻译起始因子4E(eIF4E)和β-catenin的水平。功能测定用于评估eIF4E磷酸化对β-catenin信号传导的影响,细胞增殖,和化学抗性,通过基因耗竭研究确定MNK激酶参与。评估了MNK激酶抑制剂eFT508对eIF4E磷酸化的影响,β-连环蛋白激活,和细胞活力在胰腺癌的体外和体内模型。
    结果:总的和磷酸化的eIF4E,与β-连环蛋白一起,与正常组织相比,胰腺癌组织中显著升高。eIF4E在丝氨酸209的磷酸化显示激活β-连环蛋白信号,增强细胞增殖,并有助于胰腺癌的化疗耐药。重要的是,这些作用依赖于MNK激酶活性。eIF4E的耗尽降低了胰腺癌和正常细胞的细胞活力,而MNK的消耗选择性地降低了胰腺癌细胞的活力。用eFT508处理有效抑制eIF4E磷酸化,抑制β-连环蛋白激活,并降低胰腺癌细胞的体外和体内生长和存活,对正常细胞影响最小。
    结论:MNK-eIF4E-β-catenin轴在胰腺癌进展和化疗耐药中起关键作用。区分胰腺癌细胞和正常细胞。用eFT508等抑制剂靶向MNK激酶为胰腺癌提供了一种有希望的治疗策略。具有选择性功效和降低毒性的潜力。
    Objective: The study aimed to explore the role of the Wnt/β-catenin signaling pathway in pancreatic cancer progression and chemoresistance, with a focus on identifying specific factors that distinguish between normal and tumor cells, thereby offering potential therapeutic targets.
    Materials and Methods: We analyzed levels of total and phosphorylated eukaryotic translation initiation factor 4E (eIF4E) and β-catenin in pancreatic cancer and normal pancreatic tissues. Functional assays were used to assess the impact of eIF4E phosphorylation on β-catenin signaling, cell proliferation, and chemoresistance, with MNK kinase involvement determined through gene depletion studies. The MNK kinase inhibitor eFT508 was evaluated for its effects on eIF4E phosphorylation, β-catenin activation, and cell viability in both in vitro and in vivo models of pancreatic cancer.
    Results: Both total and phosphorylated eIF4E, along with β-catenin, were significantly elevated in pancreatic cancer tissues compared to normal tissues. Phosphorylation of eIF4E at serine 209 was shown to activate β-catenin signaling, enhance cell proliferation, and contribute to chemoresistance in pancreatic cancer. Importantly, these effects were dependent on MNK kinase activity. Depletion of eIF4E reduced cell viability in both pancreatic cancer and normal cells, while depletion of MNK selectively decreased viability in pancreatic cancer cells. Treatment with eFT508 effectively inhibited eIF4E phosphorylation, suppressed β-catenin activation, and reduced pancreatic cancer cell growth and survival in vitro and in vivo, with minimal impact on normal cells.
    Conclusions: The MNK-eIF4E-β-catenin axis plays a critical role in pancreatic cancer progression and chemoresistance, distinguishing pancreatic cancer cells from normal cells. Targeting MNK kinases with inhibitors like eFT508 presents a promising therapeutic strategy for pancreatic cancer, with potential for selective efficacy and reduced toxicity.
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  • 文章类型: Journal Article
    有机阴离子转运多肽(OATPs)在胆汁酸和胆红素的转运中起着至关重要的作用。在我们之前的研究中,白细胞介素6(IL-6)降低胆汁淤积性疾病中的OATP1B3水平。然而,目前尚不清楚IL-6是否抑制胆汁淤积性疾病中OATP1B1的表达.本研究旨在研究IL-6能否抑制OATP1B1的表达并探讨其作用机制。
    使用RT-qPCR和酶联免疫吸附测定在胆汁淤积小鼠模型中研究了干扰素基因刺激因子(STING)信号传导对炎症因子的影响。探讨炎症因子对肝细胞癌中OATP1B1表达的影响,我们用TNF-α处理PLC/PRF/5细胞后,通过RT-qPCR和WesternBlot分析OATP1B1的表达,IL-1β,IL-6为了阐明IL-6抑制OATP1B1表达的机制,我们使用RT-qPCR和Western印迹检测了OATP1B1调节因子TCF4在PLC/PRF/5和HepG2细胞中的表达。通过siRNA转染敲低β-catenin/TCF4,研究了β-catenin/TCF4与OATP1B1之间的相互作用机制。
    STING抑制剂降低胆汁淤积小鼠模型的炎症因子水平,IL-6对OATP1B1表现出最有效的抑制作用。IL-6下调β-catenin/TCF4,导致OATP1B1表达降低。敲低β-连环蛋白/TCF4抵消了β-连环蛋白/TCF4介导的OATP1B1抑制。
    STING介导的IL-6上调可抑制OATP1B1,导致OATP1B1对胆汁酸和胆红素的转运减少。这可能有助于改变患有与IL-6产生增加相关的疾病的患者的药代动力学。
    UNASSIGNED: Organic anion-transporting polypeptides (OATPs) play a crucial role in the transport of bile acids and bilirubin. In our previous study, interleukin 6 (IL-6) reduced OATP1B3 levels in cholestatic disease. However, it remains unclear whether IL-6 inhibits OATP1B1 expression in cholestatic diseases. This study aimed to investigate whether IL-6 can inhibit OATP1B1 expression and explore the underlying mechanisms.
    UNASSIGNED: The effect of stimulator of interferon genes (STING) signaling on inflammatory factors was investigated in a cholestatic mouse model using RT-qPCR and enzyme-linked immunosorbent assay. To assess the impact of inflammatory factors on OATP1B1 expression in hepatocellular carcinoma, we analyzed OATP1B1 expression by RT-qPCR and Western Blot after treating PLC/PRF/5 cells with TNF-α, IL-1β, and IL-6. To elucidate the mechanism by which IL-6 inhibits OATP1B1 expression, we examined the expression of the OATP1B1 regulator TCF4 in PLC/PRF/5 and HepG2 cells using RT-qPCR and Western Blot. The interaction mechanism between β-catenin/TCF4 and OATP1B1 was investigated by knocking down β-catenin/TCF4 through siRNA transfection.
    UNASSIGNED: The STING inhibitor decreased inflammatory factor levels in the cholestatic mouse model, with IL-6 exhibiting the most potent inhibitory effect on OATP1B1. IL-6 downregulated β-catenin/TCF4, leading to decreased OATP1B1 expression. Knocking-down β-catenin/TCF4 counteracted the β-catenin/TCF4-mediated repression of OATP1B1.
    UNASSIGNED: STING-mediated IL-6 up-regulation may inhibit OATP1B1, leading to reduced transport of bile acids and bilirubin by OATP1B1. This may contribute to altered pharmacokinetics in patients with diseases associated with increased IL-6 production.
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  • 文章类型: Journal Article
    背景:α-晶体蛋白B(CRYAB)是HSPs家族的伴侣成员,可保护与其相互作用的蛋白质免于降解。本研究旨在探讨CRYAB对结直肠癌(CRC)进展的影响及其机制。
    方法:在CRC组织中评估CRYAB的表达。通过CCK-8试剂盒测试细胞生长。脂质活性氧(ROS)测定,脂质过氧化测定,谷胱甘肽测定用于评估CRC细胞的细胞脂质过氧化程度。通过Westernblot(WB)和免疫沉淀(Co-IP)分析和验证CRYAB的潜在信号通路。
    结果:CRYAB在CRC组织中表达升高,在预测CRC时表现出敏感性和特异性。功能上,CRYAB敲低诱导CRC细胞中的铁凋亡。机械上,CRYAB结合阻止β-catenin与TRIM55相互作用,导致β-catenin蛋白稳定性增加,它使CRC细胞对铁凋亡脱敏并最终加速癌症进展。
    结论:靶向CRYAB可能是一种有希望的策略,以增强铁细胞凋亡并提高CRC治疗的疗效。
    BACKGROUND: α-Crystallin B (CRYAB) is a chaperone member of the HSPs family that protects proteins with which it interacts from degradation. This study aims to investigate the effect of CRYAB on the progression of colorectal cancer (CRC) and its underlying mechanism.
    METHODS: CRYAB expression was evaluated in CRC tissues. Cell growth was tested by CCK-8 kit. Lipid reactive oxygen species (ROS) assays, lipid peroxidation assays, glutathione assays were used to assess the degree of cellular lipid peroxidation of CRC cells. The potential signal pathways of CRYAB were analyzed and verified by Western blot (WB) and immunoprecipitation (Co-IP).
    RESULTS: CRYAB expression was elevated in CRC tissues and exhibited sensitivity and specificity in predicting CRC. Functionally, knockdown of CRYAB induced ferroptosis in CRC cells. Mechanistically, CRYAB binding prevented from β-catenin interacting with TRIM55, leading to an increase in β-catenin protein stability, which desensitized CRC cells to ferroptosis and ultimately accelerated cancer progression.
    CONCLUSIONS: Targeting CRYAB might be a promising strategy to enhance ferroptosis and improve the efficacy of CRC therapy.
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  • 文章类型: Journal Article
    自从在小鼠和果蝇中初步鉴定致癌Wnt,对Wnt信号通路进行了深入和广泛的研究。Wnt信号的持续激活发挥了不同的癌症特征,包括肿瘤起始,肿瘤生长,细胞衰老,细胞死亡,分化,和转移。在这里,我们回顾了主要的信号传导机制以及途径内在和外在激酶对癌症进展的调节影响。此外,我们强调了规范和非规范Wnt信号通路的差异和复杂的相互作用,以及它们在癌症病理生理学中的关键影响,在不同类型的癌症中表现出促进生长和抑制生长的作用。
    Since the initial identification of oncogenic Wnt in mice and Drosophila, the Wnt signaling pathway has been subjected to thorough and extensive investigation. Persistent activation of Wnt signaling exerts diverse cancer characteristics, encompassing tumor initiation, tumor growth, cell senescence, cell death, differentiation, and metastasis. Here we review the principal signaling mechanisms and the regulatory influence of pathway-intrinsic and extrinsic kinases on cancer progression. Additionally, we underscore the divergences and intricate interplays of the canonical and non-canonical Wnt signaling pathways and their critical influence in cancer pathophysiology, exhibiting both growth-promoting and growth-suppressing roles across diverse cancer types.
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  • 文章类型: Journal Article
    背景:肺纤维化(PF)是一种进行性和严重的呼吸系统疾病,除了肺移植外,还缺乏令人满意的治疗方法。月见草(EP)被广泛应用于中国民间药材中,尤其是肺部相关疾病的治疗。然而,月见草对PF的保护作用尚未有报道。
    目的:本研究从肺功能的角度探讨EP及其可能的活性成分对PF的药理作用,组织病理学染色,和分子生物学分析。
    方法:使用博莱霉素建立大鼠肺纤维化模型,检测肺功能,病理变化,和胶原蛋白沉积。TGF-β1用于建立BEAS-2B细胞中PF的体外模型,并筛选了月见草中的活性成分。然后,在博来霉素诱导的PF的体内模型中观察到源自EP的1-oxohederagenin(C1)和remangiloneC(C2)的治疗效果,用转录组测序法筛选C1和C2处理组与模型组的差异表达基因。最后,TGF-β1对HFL1细胞的损伤被用来探讨C1和C2减轻PF的具体机制以及β-catenin信号传导的参与。
    结果:月见草提取物对博莱霉素诱导的大鼠PF有一定的改善作用,表现为减少病理损伤和减少胶原沉积。C1和C2的化学成分可有效改善BLM诱导的动物PF,并通过干扰β-catenin信号传导有效抑制成纤维细胞活化。
    结论:月见草提取物对PF有一定的改善作用。作为补充,C1和C2可能与通过抑制β-catenin信号抑制成纤维细胞活化有关。
    BACKGROUND: Pulmonary fibrosis (PF) is a progressive and severe respiratory disease for which there is still a lack of satisfactory treatment methods other than lung transplantation. Evening primrose (EP) is widely used in Chinese folk medicinal herbs, especially for the treatment of lung-related diseases. However, the protective effect of evening primrose against PF has yet to be reported.
    OBJECTIVE: This study explores the pharmacological effect of EP and its possible active components against PF from the perspectives of lung function, histopathological staining, and molecular biology assays.
    METHODS: Establishing a rat pulmonary fibrosis model using bleomycin to detect lung function, pathological changes, and collagen deposition. TGF-β1 was used to establish an in vitro model of PF in BEAS-2B cells, and the active ingredients in evening primrose were screened. Then, the therapeutic effects of 1-Oxohederagenin (C1) and remangilone C (C2) derived from EP were observed in an in vivo model of bleomycin-induced PF, and the differentially expressed genes between the C1 and C2 treatment groups and the model group were screened with transcriptome sequencing. Finally, TGF-β1-induced damage to HFL1 cell was used to explore the specific mechanisms by which C1 and C2 alleviate PF and the involvement of β-catenin signaling.
    RESULTS: Evening primrose extract showed some ameliorative effects on bleomycin-induced PF in rats, manifested as reduced pathological damage and reduced collagen deposition. The chemical components of C1 and C2 potently ameliorated BLM-induced PF in animals and effectively inhibited fibroblast activation by interfering with β-catenin signaling.
    CONCLUSIONS: Evening primrose extract has certain ameliorative effects on PF. In addation, C1 and C2 might be related with the suppression of fibroblast activation by inhibiting β-catenin signaling.
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  • 文章类型: Journal Article
    泛素化,一种普遍且高度动态的可逆翻译后修饰,受到去泛素化酶(DUBs)超家族的严格调控。其中,含OTU结构域的泛素醛结合蛋白1(OTUB1)是OTU去泛素家族的关键成员,在各种癌症中作为肿瘤调节剂发挥关键作用。然而,其在BLCA(BLCA)中的具体参与及其临床意义仍然不明确。本研究旨在阐明OTUB1在BLCA中的生物学功能及其对临床预后的影响。我们的调查显示,BLCA中OTUB1的表达增加,与不利的临床结果相关。通过体内和体外实验,我们证明,增加OTUB1水平促进BLCA肿瘤发生和进展,同时赋予顺铂治疗耐药性。值得注意的是,我们建立了一个涉及OTUB1、β-catenin、坏死,BLCA,描述它们之间的监管相互作用。机械上,我们发现OTUB1通过去泛素化和稳定β-catenin发挥其影响,导致其核易位。随后,核β-catenin增强c-myc和cyclinD1的转录活性,同时抑制RIPK3和MLKL的表达,从而促进BLCA进展和顺铂耐药。重要的是,我们的临床数据提示OTUB1/β-catenin/RIPK3/MLKL轴有望成为BLCA的潜在生物标志物.
    Ubiquitination, a prevalent and highly dynamic reversible post-translational modification, is tightly regulated by the deubiquitinating enzymes (DUBs) superfamily. Among them, OTU Domain-Containing Ubiquitin Aldehyde-Binding Protein 1 (OTUB1) stands out as a critical member of the OTU deubiquitinating family, playing a pivotal role as a tumor regulator across various cancers. However, its specific involvement in BLCA (BLCA) and its clinical significance have remained ambiguous. This study aimed to elucidate the biofunctions of OTUB1 in BLCA and its implications for clinical prognosis. Our investigation revealed heightened OTUB1 expression in BLCA, correlating with unfavorable clinical outcomes. Through in vivo and in vitro experiments, we demonstrated that increased OTUB1 levels promote BLCA tumorigenesis and progression, along with conferring resistance to cisplatin treatment. Notably, we established a comprehensive network involving OTUB1, β-catenin, necroptosis, and BLCA, delineating their regulatory interplay. Mechanistically, we uncovered that OTUB1 exerts its influence by deubiquitinating and stabilizing β-catenin, leading to its nuclear translocation. Subsequently, nuclear β-catenin enhances the transcriptional activity of c-myc and cyclin D1 while suppressing the expression of RIPK3 and MLKL, thereby fostering BLCA progression and cisplatin resistance. Importantly, our clinical data suggest that the OTUB1/β-catenin/RIPK3/MLKL axis holds promise as a potential biomarker for BLCA.
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  • 文章类型: Journal Article
    背景:大约25-30%的急性髓性白血病(AML)患者存在FMS样受体酪氨酸激酶-3(FLT3)突变,这些突变导致疾病进展和不良预后。长期暴露于FLT3酪氨酸激酶抑制剂(TKIs)通常由于不同的代偿生存信号而导致有限的临床反应。因此,迫切需要阐明FLT3TKI耐药的潜在机制.异常调节的鞘脂代谢经常导致癌症进展和不良的治疗反应。然而,在FLT3突变的AML中,其与TKI敏感性的关系尚不清楚.因此,我们旨在评估AML中FLT3TKI耐药的机制.
    方法:我们进行了脂质组学分析,RNA-seq,qRT-PCR,和酶联免疫吸附试验,以确定索拉非尼耐药的潜在驱动因素。FLT3信号被索拉非尼或奎扎替尼抑制,通过使用拮抗剂或通过敲除抑制SPHK1。通过细胞计数试剂盒-8,PI染色,在FLT3突变和野生型AML细胞系中评估细胞生长和凋亡,和膜联蛋白-V/7AAD测定。采用蛋白质印迹和免疫荧光分析,通过使用SPHK1过表达和外源S1P的拯救实验来探索潜在的分子机制。以及S1P2,β-连环蛋白的抑制剂,PP2A,和GSK3β。异种移植鼠模型,患者样本,和公开可用的数据进行了分析,以证实我们的体外结果。
    结果:我们证明长期索拉非尼治疗可上调SPHK1/1-磷酸鞘氨醇(S1P)信号传导,它又通过S1P2受体积极调节β-连环蛋白信号传导以抵消TKI介导的对FLT3突变的AML细胞的抑制。SPHK1的遗传或药理学抑制在体外有效增强了TKI介导的FLT3突变的AML细胞的增殖抑制和凋亡诱导。SPHK1敲低增强索拉非尼功效并改善AML异种移植小鼠的存活率。机械上,靶向SPHK1/S1P/S1P2信号与FLT3TKIs协同作用,通过激活蛋白磷酸酶2A(PP2A)-糖原合酶激酶3β(GSK3β)途径来抑制β-catenin活性。
    结论:这些发现确立了鞘脂代谢酶SPHK1作为TKI敏感性的调节因子,并表明将SPHK1抑制与TKIs结合可能是治疗FLT3突变的AML的有效方法。
    BACKGROUND: Approximately 25-30% of patients with acute myeloid leukemia (AML) have FMS-like receptor tyrosine kinase-3 (FLT3) mutations that contribute to disease progression and poor prognosis. Prolonged exposure to FLT3 tyrosine kinase inhibitors (TKIs) often results in limited clinical responses due to diverse compensatory survival signals. Therefore, there is an urgent need to elucidate the mechanisms underlying FLT3 TKI resistance. Dysregulated sphingolipid metabolism frequently contributes to cancer progression and a poor therapeutic response. However, its relationship with TKI sensitivity in FLT3-mutated AML remains unknown. Thus, we aimed to assess mechanisms of FLT3 TKI resistance in AML.
    METHODS: We performed lipidomics profiling, RNA-seq, qRT-PCR, and enzyme-linked immunosorbent assays to determine potential drivers of sorafenib resistance. FLT3 signaling was inhibited by sorafenib or quizartinib, and SPHK1 was inhibited by using an antagonist or via knockdown. Cell growth and apoptosis were assessed in FLT3-mutated and wild-type AML cell lines via Cell counting kit-8, PI staining, and Annexin-V/7AAD assays. Western blotting and immunofluorescence assays were employed to explore the underlying molecular mechanisms through rescue experiments using SPHK1 overexpression and exogenous S1P, as well as inhibitors of S1P2, β-catenin, PP2A, and GSK3β. Xenograft murine model, patient samples, and publicly available data were analyzed to corroborate our in vitro results.
    RESULTS: We demonstrate that long-term sorafenib treatment upregulates SPHK1/sphingosine-1-phosphate (S1P) signaling, which in turn positively modulates β-catenin signaling to counteract TKI-mediated suppression of FLT3-mutated AML cells via the S1P2 receptor. Genetic or pharmacological inhibition of SPHK1 potently enhanced the TKI-mediated inhibition of proliferation and apoptosis induction in FLT3-mutated AML cells in vitro. SPHK1 knockdown enhanced sorafenib efficacy and improved survival of AML-xenografted mice. Mechanistically, targeting the SPHK1/S1P/S1P2 signaling synergizes with FLT3 TKIs to inhibit β-catenin activity by activating the protein phosphatase 2 A (PP2A)-glycogen synthase kinase 3β (GSK3β) pathway.
    CONCLUSIONS: These findings establish the sphingolipid metabolic enzyme SPHK1 as a regulator of TKI sensitivity and suggest that combining SPHK1 inhibition with TKIs could be an effective approach for treating FLT3-mutated AML.
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