ERBB2

ERBB2
  • 文章类型: Journal Article
    背景:本研究旨在探讨miR-497-5p在胃癌(GC)中的表达及其生物学作用。及其可能的机制。方法:采用实时定量PCR(RT-qPCR)检测GC和正常组织中的miR-497-5p,以及GC细胞系与正常胃粘膜细胞(GES-1)的比较。通过细胞计数试剂盒-8(CCK8)测定和溴化乙锭(EdU)测定测量miR-497-5p过表达对增殖的影响。流式细胞术用于评估细胞周期。通过划痕试验和Transwell试验评估迁移和侵袭,分别。使用“multiMiR”R包结合mirTarPathway数据库预测miR-497-5p的基因靶标。然后用荧光素酶报告基因实验评价miR-497-5p模拟物在GC细胞系中的ERBB2活性。此外,进行功能实验以验证miR-497-5p/ERBB2对GC细胞表型的影响。结果:与正常组织和黏膜细胞相比,miR-497-5p在GC组织和GC细胞系中降低。miR-497-5p显著降低增殖,迁移,和入侵能力,胃癌细胞凋亡率升高。生物信息学表明ERBB2可能是miR-497-5p的潜在靶标双荧光素酶报告基因实验表明,它对ERBB23'UTR荧光素酶活性有不利的调控作用。ERBB2在GC组织和细胞中的表达显著高于正常组织和细胞。ERBB2在胃癌细胞中的过表达显著降低miR-497-5p对胃癌细胞恶性行为的抑制作用。结论:miR-497-5p在GC组织和细胞中显著下调,通过靶向ERBB2抑制GC细胞的恶性特征。
    Background: This research aims to investigate the expression and biological roles of miR-497-5p in gastric cancer (GC), and its possible mechanisms. Methods: Real Time Quantitative PCR (RT-qPCR) was performed to detect miR-497-5p in GC and normal tissues, as well as GC cell lines versus normal gastric mucosal cells (GES-1). The effects of miR-497-5p overexpression on proliferation were measured by the cell counting kit-8 (CCK8) assay and ethidium bromide (EdU) assay. Flow cytometry was used to assess the cell cycle. The migration and invasion were evaluated by scratch assay and Transwell assay, respectively. Gene targets of miR-497-5p were predicted using \"multiMiR\" R package combined with mirTarPathway database. And then luciferase reporter experiment was used to evaluate the activity of ERBB2 by miR-497-5p mimics in GC cell line. Besides, functional experiments were performed to verify the impact of miR-497-5p /ERBB2 on phenotypes of GC cells. Results: Compared with the normal tissues and mucosal cells, miR-497-5p was reduced in GC tissues and GC cell lines. miR-497-5p significantly decreased proliferation, migration, and invasion capacity, with an elevated apoptosis ratio of gastric cancer cells. Bioinformatics indicated that ERBB2 might be the potential target of miR-497-5p Dual-luciferase reporter experiments showed it adversely regulated ERBB2 3\'UTR luciferase activity. The expression of ERBB2 in GC tissues and cells is significantly higher compared to normal tissues and cells. Over-expression of ERBB2 in gastric cancer cells significantly reduced miR-497-5p\'s inhibitory effect on the malignant behavior of GC cells. Conclusion: miR-497-5p was significantly down-regulated in GC tissues and cells, which inhibited the malignant features of GC cells by targeting ERBB2.
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  • 文章类型: Journal Article
    帕妥珠单抗(Perjeta®),与HER2(人表皮生长因子受体2)的二聚化臂结合的人源化抗体,作为HER2过表达的恶性肿瘤的单一治疗剂失败。由于HER2与配体结合的EGFR(表皮生长因子受体)的分子相互作用已暗示有丝分裂信号传导和恶性增殖,我们假设这种相互作用,而不是单独的HER2表达和寡聚化,可能是帕妥珠单抗治疗疗效的潜在分子靶标和预测因子。因此,我们使用Förster共振能量转移(FRET)显微镜和荧光相关和交叉相关光谱(FCS/FCCS)研究了HER2+EGFR+SK-BR-3乳腺肿瘤细胞中存在和不存在帕妥珠单抗时,EGF刺激下HER2和EGFR分子之间的静态和动态相互作用.通过蛋白质印迹和MTT测定测量信号传导的相应激活和细胞增殖的变化。HER2扩散的自相关函数最好通过校正三重态形成的三分量模型拟合,在这些成分中,缓慢扩散的膜成分揭示了EGFR配体结合诱导的聚集,如光子计数直方图和共扩散分数所证明。帕妥珠单抗治疗有效地预防了这种聚集,这也抑制了刺激后EGFR和HER2的相互作用,如通过FRET效率的变化监测。总的来说,数据表明,帕妥珠单抗,通过阻碍EGFR和HER2之间的刺激后相互作用,抑制EGFR诱发的HER2聚集和磷酸化,并导致细胞增殖的剂量依赖性降低,特别是当存在较高量的EGF时。因此,我们提出,在预测帕妥珠单抗治疗结果时,可以将HER2阳性肿瘤上的EGFR表达作为一个潜在的生物标志物加以考虑.
    Pertuzumab (Perjeta®), a humanized antibody binding to the dimerization arm of HER2 (Human epidermal growth factor receptor-2), has failed as a monotherapy agent in HER2 overexpressing malignancies. Since the molecular interaction of HER2 with ligand-bound EGFR (epidermal growth factor receptor) has been implied in mitogenic signaling and malignant proliferation, we hypothesized that this interaction, rather than HER2 expression and oligomerization alone, could be a potential molecular target and predictor of the efficacy of pertuzumab treatment. Therefore, we investigated static and dynamic interactions between HER2 and EGFR molecules upon EGF stimulus in the presence and absence of pertuzumab in HER2+ EGFR+ SK-BR-3 breast tumor cells using Förster resonance energy transfer (FRET) microscopy and fluorescence correlation and cross-correlation spectroscopy (FCS/FCCS). The consequential activation of signaling and changes in cell proliferation were measured by Western blotting and MTT assay. The autocorrelation functions of HER2 diffusion were best fitted by a three-component model corrected for triplet formation, and among these components the slowly diffusing membrane component revealed aggregation induced by EGFR ligand binding, as evidenced by photon-counting histograms and co-diffusing fractions. This aggregation has efficiently been prevented by pertuzumab treatment, which also inhibited the post-stimulus interaction of EGFR and HER2, as monitored by changes in FRET efficiency. Overall, the data demonstrated that pertuzumab, by hindering post-stimulus interaction between EGFR and HER2, inhibits EGFR-evoked HER2 aggregation and phosphorylation and leads to a dose-dependent decrease in cell proliferation, particularly when higher amounts of EGF are present. Consequently, we propose that EGFR expression on HER2-positive tumors could be taken into consideration as a potential biomarker when predicting the outcome of pertuzumab treatment.
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  • 文章类型: Journal Article
    边缘性卵巢肿瘤(BOT)显示出有趣的特征,将其与其他卵巢肿瘤区分开。系统评价的目的是分析BOT中发现的分子变化谱,并讨论其在整体治疗方法中的意义。系统评价包括2000年至2023年在数据库中发表的文章:PubMed,EMBASE,还有Cochrane.在详细分析现有出版物后,我们有资格进行系统评价:28篇关于原癌基因的出版物:BRAF,KRAS,NRAS,ERBB2和PIK3CA,20篇关于抑癌基因的出版物:BRCA1/2,ARID1A,CHEK2,PTEN,4对粘附分子:CADM1,8对蛋白质:B-catenin,糖蛋白上的claudin-1和5:E-Cadherin。此外,在系统审查的下一部分,我们纳入了8篇关于微卫星不稳定性的出版物和3篇描述BOT中杂合性丧失的出版物。在BOT中发现的分子变化可以根据具体情况而变化,通过分子分析识别致癌突变和开发靶向治疗代表了卵巢恶性肿瘤诊断和治疗的重大进展.分子研究对我们对BOT发病机制的理解做出了重要贡献,但仍需要大量研究来阐明卵巢肿瘤与外来疾病之间的关系,确定准确的预后指标,并开发有针对性的治疗方法。
    Borderline ovarian tumours (BOTs) show intriguing characteristics distinguishing them from other ovarian tumours. The aim of the systematic review was to analyse the spectrum of molecular changes found in BOTs and discuss their significance in the context of the overall therapeutic approach. The systematic review included articles published between 2000 and 2023 in the databases: PubMed, EMBASE, and Cochrane. After a detailed analysis of the available publications, we qualified for the systematic review: 28 publications on proto-oncogenes: BRAF, KRAS, NRAS, ERBB2, and PIK3CA, 20 publications on tumour suppressor genes: BRCA1/2, ARID1A, CHEK2, PTEN, 4 on adhesion molecules: CADM1, 8 on proteins: B-catenin, claudin-1, and 5 on glycoproteins: E-Cadherin. In addition, in the further part of the systematic review, we included eight publications on microsatellite instability and three describing loss of heterozygosity in BOT. Molecular changes found in BOTs can vary on a case-by-case basis, identifying carcinogenic mutations through molecular analysis and developing targeted therapies represent significant advancements in the diagnosis and treatment of ovarian malignancies. Molecular studies have contributed significantly to our understanding of BOT pathogenesis, but substantial research is still required to elucidate the relationship between ovarian neoplasms and extraneous disease, identify accurate prognostic indicators, and develop targeted therapeutic approaches.
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  • 文章类型: Published Erratum
    [这更正了文章DOI:10.3389/fncel.202.1096872。].
    [This corrects the article DOI: 10.3389/fncel.2022.1096872.].
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  • 文章类型: Case Reports
    背景:乳腺外Paget病(EMPD)是一种罕见的癌症,发生在皮肤上皮内,主要出现在高顶分泌腺浓度的区域,如外阴,阴囊,阴茎和肛周区域。这里,我们的目标是将临床病理数据与侵袭性基因组分析相结合,快速进展的从头转移性EMPD响应HER2定向治疗与其他药物联合治疗,以更全面地了解疾病景观。
    方法:阴囊壁肿瘤和骨髓转移的免疫组织化学染色显示HER2过表达。对肿瘤和匹配的血液进行全基因组测序。
    结果:在染色体7和8上检测到显著的拷贝数增加(log2FC>0.9)(n=81),这些独特的基因中有92.6%专门位于8号染色体上。突出的癌症相关基因包括ZNF703、HOOK3、DDHD2、LSM1、NSD3、ADAM9、BRF2、KAT6A和FGFR1。有趣的是,ERBB2基因没有表现出高拷贝数增加(log2FC=0.4),尽管90%的肿瘤细胞染色HER2阳性。检测到与转化生长因子β(TGFβ)(FDR=0.0376,富集比=8.12)和成纤维细胞生长因子受体(FGFR1)信号传导(FDR=0.0082,富集比=2.3)相关的途径的富集。扩增子结构分析揭示这是简单线性扩增事件。
    结论:全基因组测序揭示了HER2阳性转移性EMPD中潜在的拷贝数变异。替代信号通路和遗传变异的存在表明与HER2信号的潜在相互作用,这可能是HER2过表达的原因,并且在综合治疗方案中观察到HER2定向治疗联合其他药物的反应.
    BACKGROUND: Extramammary Paget\'s disease (EMPD) is a rare cancer that occurs within the epithelium of the skin, arising predominantly in areas with high apocrine gland concentration such as the vulva, scrotum, penis and perianal regions. Here, we aim to integrate clinicopathological data with genomic analysis of aggressive, rapidly-progressing de novo metastatic EMPD responding to HER2-directed treatment in combination with other agents, to attain a more comprehensive understanding of the disease landscape.
    METHODS: Immunohistochemical staining on the scrotal wall tumor and bone marrow metastasis demonstrated HER2 overexpression. Whole genome sequencing of the tumor and matched blood was performed.
    RESULTS: Notable copy number gains (log2FC > 0.9) on chromosomes 7 and 8 were detected (n = 81), with 92.6% of these unique genes specifically located on chromosome 8. Prominent cancer-associated genes include ZNF703, HOOK3, DDHD2, LSM1, NSD3, ADAM9, BRF2, KAT6A and FGFR1. Interestingly, ERBB2 gene did not exhibit high copy number gain (log2FC = 0.4) although 90% of tumor cells stained HER2-positive. Enrichment in pathways associated with transforming growth factor-beta (TGFβ) (FDR = 0.0376, Enrichment Ratio = 8.12) and fibroblast growth factor receptor (FGFR1) signaling (FDR = 0.0082, Enrichment Ratio = 2.3) was detected. Amplicon structure analysis revealed that this was a simple-linear amplification event.
    CONCLUSIONS: Whole genome sequencing revealed the underlying copy number variation landscape in HER2-positive metastatic EMPD. The presence of alternative signalling pathways and genetic variants suggests potential interactions with HER2 signalling, which possibly contributed to the HER2 overexpression and observed response to HER2-directed therapy combined with other agents in a comprehensive treatment regimen.
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  • 文章类型: Journal Article
    急性肺损伤(ALI)及其严重表现,急性呼吸窘迫综合征(ARDS),代表具有多因素起源的关键临床综合征,特别是源于重症监护病房(ICU)内的败血症。尽管他们的死亡率很高,除了通气支持之外,没有选择性治疗。细胞凋亡在急性肺损伤的病理生理过程中起着复杂而关键的作用。肺泡上皮细胞和微血管内皮细胞的过度凋亡可导致肺上皮屏障完整性的破坏,损害身体交换血液和气体的能力。同时,受损或功能失调的细胞凋亡,包括内皮细胞和上皮细胞,可以帮助保持组织的完整性和加速从器官促炎应激恢复。肺损伤中促存活和促凋亡信号之间的平衡决定了患者的预后,使细胞凋亡的调节成为寻求更有效疗法的深入研究领域。在这里,我们发现蛋白酪氨酸磷酸酶受体O型(PTPRO),一种鲜为人知的受体样蛋白酪氨酸磷酸酶,在脓毒症条件下和肺泡上皮细胞中,在多种组织类型的小鼠中始终上调。PTPRO通过其选择性短干扰RNA(siRNA)减少导致肺泡上皮细胞过度凋亡,而不影响细胞增殖。通过DNA构建体的一致的PTPRO过表达减弱由LPS诱导的凋亡信号传导。PTPTO对细胞凋亡的这些作用依赖于ErbB2/PI3K/Akt/NFκB信号通路。在这里,我们揭示了脓毒症期间通过PTPRO在肺泡上皮细胞中的细胞凋亡的新调节途径。
    Acute lung injury (ALI) and its severe manifestation, acute respiratory distress syndrome (ARDS), represent critical clinical syndromes with multifactorial origins, notably stemming from sepsis within intensive care units (ICUs). Despite their high mortality rates, no selective cure is available beside ventilation support. Apoptosis plays a complex and pivotal role in the pathophysiology of acute lung injury. Excessive apoptosis of alveolar epithelial and microvascular endothelial cells can lead to disruption of lung epithelial barrier integrity, impairing the body\'s ability to exchange blood and gas. At the same time, apoptosis of damaged or dysfunctional cells, including endothelial and epithelial cells, can help maintain tissue integrity and accelerate recovery from organ pro-inflammatory stress. The balance between pro-survival and pro-apoptotic signals in lung injury determines patient outcomes, making the modulation of apoptosis an area of intense research in the quest for more effective therapies. Here we found that protein tyrosine phosphatase receptor type O (PTPRO), a poorly understood receptor-like protein tyrosine phosphatase, is consistently upregulated in multiple tissue types of mice under septic conditions and in the lung alveolar epithelial cells. PTPRO reduction by its selective short-interfering RNA (siRNA) leads to excessive apoptosis in lung alveolar epithelial cells without affecting cell proliferation. Consistently PTPRO overexpression by a DNA construct attenuates apoptotic signaling induced by LPS. These effects of PTPTO on cellular apoptosis are dependent on an ErbB2/PI3K/Akt/NFκB signaling pathway. Here we revealed a novel regulatory pathway of cellular apoptosis by PTPRO in lung alveolar epithelial cells during sepsis.
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  • 文章类型: Journal Article
    人表皮受体(HER)2阳性晚期胃癌是胃癌的主要亚型之一,约占所有病例的20%。尽管曲妥珠单抗和化疗的联合治疗提供了有意义的生存益处,针对HER2的临床试验未能证明一线或后续一线治疗的临床获益.曲妥珠单抗deruxtecan,抗体-药物偶联物,即使在后期治疗中也显示出积极的结果,并已成为新的标准治疗方法。在一线治疗中,派姆单抗和曲妥珠单抗联合化疗的联合治疗显示出显著的缓解率.因此,FDA迅速批准了它,而无需等待生存时间的结果。包括使用HER2靶向剂的免疫疗法的联合疗法的出现以及使用或不使用免疫疗法的HER2靶向剂的开发已经在治疗HER2阳性胃癌方面取得了进展。在这次审查中,我们将讨论HER2阳性胃癌的治疗发展现状和未来前景.
    Human epidermal receptor (HER) 2-positive advanced gastric cancer is one of the major subtypes of gastric cancer, accounting for ~20% of all cases. Although combination therapy with trastuzumab and chemotherapy provides meaningful survival benefit, clinical trials targeting HER2 have failed to demonstrate clinical benefits in first- or subsequent-line treatment. Trastuzumab deruxtecan, an antibody-drug conjugate, has shown positive results even in later-line treatment and has become new standard treatment. In first-line therapy, combination therapy with pembrolizumab and trastuzumab plus chemotherapy demonstrated a dramatic response rate. Therefore, the FDA rapidly approved it without waiting for the results of survival time. The emergence of combination therapy including immunotherapy with HER2-targeting agents and the development of HER2 targeting agents with or without immunotherapy have been advancing for treating HER2-positive gastric cancer. In this review, we will discuss the current status of treatment development and future perspectives for HER2-positive gastric cancer.
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  • 文章类型: Journal Article
    DBF4锌指(DBF4)是参与DNA复制和细胞增殖的关键成分。它充当细胞分裂周期7激酶的正调节剂。在这项研究中,我们的研究包括DBF4对肝细胞癌(HCC)进展的影响,并探讨了潜在的机制.我们利用TCGA和GEO等开放访问数据库来分析DBF4与33种不同肿瘤类型之间的关联。我们还进行了免疫组织化学实验以验证DBF4在HCC中的表达。STAD,COAD,READ,PAAD,LGG。此外,我们采用慢病毒转导在HLF和SMMC细胞中敲低DBF4,以及在Huh7细胞中过表达DBF4。随后,我们评估了DBF4对增殖的影响,迁移,和肝癌细胞的侵袭。还进行了RNA测序和KEGG途径富集分析,以确定潜在的途径,通过WB实验进一步验证。最后,途径抑制剂用于挽救实验,以确认DBF4是否通过相关途径对肿瘤细胞发挥其作用.我们的发现表明,DBF4在几乎所有检查的肿瘤中都表现出显着的表达水平,免疫组织化学分析的结果进一步证实了这一点。高DBF4表达与低总生存期(OS)相关,疾病特异性生存率(DSS),无进展间隔(PFI),无病间隔(DFI),大多数肿瘤类型的无复发间隔(RFI),特别是在HCC患者中。体外实验表明,抑制DBF4会损害增殖,迁徙,和肝癌细胞的侵袭能力,而DBF4的过表达促进了这些表型。测序结果表明,DBF4可能通过ERBB信号通路诱导这些变化。进一步的实验验证表明,DBF4激活了ERBB信号通路,导致JNK/STAT的改变,MAPK,和PI3K/AKT信号通路,从而影响增殖,迁徙,和肿瘤细胞的侵袭能力。最后,用ERBB2抑制剂达克替尼处理过表达DBF4的Huh7细胞证明了ERBB2抑制逆转DBF4过表达对增殖的促进作用的能力,迁徙,和肝癌细胞的侵袭能力。DBF4通过促进ERBB信号通路和激活其下游PI3K/AKT在HCC中发挥重要的致癌作用,JNK/STAT3和MAPK信号通路。DBF4可作为HCC患者的预后生物标志物。
    DBF4 zinc finger (DBF4) is a critical component involved in DNA replication and cell proliferation. It acts as a positive regulator of the cell division cycle 7 kinase. In this study, our investigation encompassed the impact of DBF4 on hepatocellular carcinoma (HCC) progression and delved into the potential mechanisms. We utilized open-access databases like TCGA and GEO to analyze the association between DBF4 and 33 different tumor types. We also conducted immunohistochemistry experiments to validate the expression of DBF4 in HCC, STAD, COAD, READ, PAAD, and LGG. Furthermore, we employed lentiviral transduction to knockdown DBF4 in HLF and SMMC cells, as well as to overexpress DBF4 in Huh7 cells. Subsequently, we evaluated the impact of DBF4 on proliferation, migration, and invasion of hepatocellular carcinoma cells. RNA sequencing and KEGG pathway enrichment analysis were also conducted to identify potential pathways, which were further validated through WB experiments. Finally, pathway inhibitor was utilized in rescue experiments to confirm whether DBF4 exerts its effects on tumor cells via the implicated pathway. Our findings revealed that DBF4 exhibited significant expression levels in nearly all examined tumors, which were further substantiated by the results of immunohistochemistry analysis. High DBF4 expression was correlated with poor overall survival (OS), disease-specific survival (DSS), progression-free interval (PFI), disease-free interval (DFI), relapse-free interval (RFI) in majority of tumor types, particularly in patients with HCC. In vitro experiments demonstrated that inhibition of DBF4 impaired the proliferative, migratory, and invasive abilities of HCC cells, whereas overexpression of DBF4 promoted these phenotypes. Sequencing results indicated that DBF4 may induce these changes through the ERBB signaling pathway. Further experimental validation revealed that DBF4 activates the ERBB signaling pathway, leading to alterations in the JNK/STAT, MAPK, and PI3K/AKT signaling pathways, thereby impacting the proliferative, migratory, and invasive abilities of tumor cells. Lastly, treatment of Huh7 cells overexpressing DBF4 with the ERBB2 inhibitor dacomitinib demonstrated the ability of ERBB2 inhibition to reverse the promoting effect of DBF4 overexpression on the proliferative, migratory, and invasive abilities of HCC cells. DBF4 plays a pivotal oncogenic role in HCC by promoting the ERBB signaling pathway and activating its downstream PI3K/AKT, JNK/STAT3, and MAPK signaling pathways. DBF4 may serve as a prognostic biomarker for patients with HCC.
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  • 文章类型: Journal Article
    一个重要的公共卫生负担是周围神经损伤(PNI),这通常是由创伤引起的。巨噬细胞对神经的有效再生和功能恢复至关重要。在髓鞘再生过程中,巨噬细胞和雪旺氏细胞在损伤后如何相互作用仍未完全理解。这里,我们建立了骨髓源性巨噬细胞(BMDMs)炎症模型和大鼠坐骨神经损伤模型,以研究脂多糖(LPS)诱导的雪旺细胞外泌体(LPSSC-Exos)与周围神经修复之间的可能关系。通过LPSSC-Exos将促炎巨噬细胞变成促再生巨噬细胞。值得注意的是,发现SC-Exos富含Otulin。OTULIN是LPSSC-Exos通过去泛素化ERBB2并阻止其降解的调节作用的关键介质。将SC-Exos局部注射到神经损伤部位导致更快的功能恢复,轴突再生和髓鞘再生,和增加的M2巨噬细胞极化,而OTULIN敲低在体内逆转了这些作用。我们的结果表明,LPSSC-Exos可以通过OTULIN的穿梭和ERBB2的去泛素化来促进巨噬细胞向M2表型的极化,从而为周围神经再生提供治疗途径。
    A significant public health burden is peripheral nerve damage (PNI), which is frequently brought on by trauma. Macrophages were essential to the effective regeneration of nerves and restoration of function. It is still not entirely understood how macrophages and Schwann cells interact after damage during remyelination. Here, we established an inflammatory model in bone marrow-derived macrophages (BMDMs) and a rat sciatic nerve damage model to investigate the possible relationship between lipopolysaccharides (LPS)-induced exosomes derived from Schwann cells (LPS SCs-Exos) and peripheral nerve repair. The pro-inflammatory macrophage was changed into a pro-regeneration macrophage by LPS SC-Exos. Notably, it was discovered that SC-Exos had a substantial enrichment of OTULIN. OTULIN was a key mediator in the regulatory effects of LPS SC-Exos by deubiquitinating ERBB2 and preventing its degradation. The local injection of SC-Exos into the nerve damage site led in a faster functional recovery, axon regeneration and remyelination, and an increased M2 macrophage polarization, whereas OTULIN knockdown reversed these effects in vivo. Our results indicate that LPS SC-Exos may offer a therapeutic avenue for peripheral nerve regeneration by promoting macrophage polarization toward an M2 phenotype through the shuttling of OTULIN and deubiquitination of ERBB2. SIGNIFICANCE STATEMENT: OTULIN protein from SC-Exos mediated the macrophages polarization and axonal growth in BMDMs through promoting ubiquitination of ERBB2 and triggering the degradation of ERBB2. The findings offered prospective therapeutic hints for PNI therapy approaches that target axonal regrowth.
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  • 文章类型: Journal Article
    背景:Wilm\'s肿瘤(WT)是最常见的儿童泌尿系统肿瘤之一,小儿腹部肿瘤发病率排名第二。WT的发展与各种因素有关,与自噬的相关性目前尚不清楚。
    目的:建立一种新的自噬相关基因(ATG)的WT预后模型。
    方法:使用治疗上适用的研究来生成有效治疗(TARGET)数据库,以筛选WT和正常组织中差异表达的ATG。使用单向和多因素Cox回归分析筛选ATG与WT的预后相关性,并构建预后模型。根据模型计算风险评分,用ROC(受试者工作特征)曲线分析所构建模型的预测能力,验证模型对WT预后的意义。
    结果:通过单变量Cox回归分析确定了68个差异表达的ATGs,通过多变量Cox回归分析确定了两个关键预后ATG(CXCR4和ERBB2)。根据这两种ATG的差异表达将患者分为高危和低危组。Kaplan-Meier(KM)曲线显示两组生存时间差异有统计学意义。关键的预后ATG与种族相结合,年龄,在多因素回归分析中,并将最终的预后模型制作为折线图。
    结论:由CXCR4基因和ERBB2基因组成的自噬相关基因的预后模型对WT的预后具有特异性预测价值。本研究为未来生物标志物和治疗靶点的研究提供了明确的基础。
    BACKGROUND: Wilm\'s tumor (WT) is one of the most common childhood urological tumors, ranking second in the incidence of pediatric abdominal tumors. The development of WT is associated with various factors, and the correlation with autophagy is currently unclear.
    OBJECTIVE: To develop a new prognostic model of autophagy-related genes (ATG) for WT.
    METHODS: Using the Therapeutically applicable research to generate effective treatments (TARGET) database to screen for differentially expressed ATGs in WT and normal tissues. ATGs were screened for prognostic relevance to WT using one-way and multifactorial Cox regression analyses and prognostic models were constructed. The risk score was calculated according to the model, and the predictive ability of the constructed model was analyzed using the ROC (receiver operating characteristic) curve to verify the significance of the model for the prognosis of WT.
    RESULTS: Sixty-eight differentially expressed ATGs were identified by univariate Cox regression analysis, and two critical prognostic ATGs (CXCR4 and ERBB2) were identified by multivariate Cox regression analysis. Patients were divided into high-risk and low-risk groups according to the differential expression of these two ATGs. Kaplan-Meier (KM) curves showed a significant difference in survival time between the two groups. The critical prognostic ATGs were combined with race, age, and stage in a multifactorial regression analysis, and the final prognostic model was produced as a line graph.
    CONCLUSIONS: The prognostic model of autophagy-related genes composed of the CXCR4 gene and ERBB2 gene has a specific predictive value for the prognosis of WT, and the present study provides a clear basis for future research on biomarkers and therapeutic targets.
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