Tumour progression

肿瘤进展
  • 文章类型: Journal Article
    癌症免疫疗法通过利用免疫系统的力量来对抗恶性肿瘤,彻底改变了治疗领域。该领域最有前途的两个参与者是分化簇24(CD24)和唾液酸结合Ig样凝集素10(Siglec-10),两者都在调节免疫反应中起着关键作用。CD24,一种细胞表面糖蛋白,作为治疗干预的令人信服的基本信号转换器,鉴于其在与肿瘤进展和免疫原性逃避相关的过程中的重要意义。此外,Siglec-10是免疫受体Siglec家族中的一个重要成员,最近已经成为一个关键的兴趣点,特别是在肿瘤微环境的背景下。因此,CD24和Siglec-10的复杂相互作用在促进肿瘤生长中发挥关键作用,促进转移和协调免疫逃避。最近的研究发现了多种证据支持在癌症治疗中靶向CD24的治疗潜力。另一方面,Siglec-10,表现出免疫抑制特性,有助于肿瘤微环境内的免疫耐受。因此,我们深入研究了Siglec-10调节免疫应答和促进癌症免疫逃逸的复杂机制.Siglec-10还可以作为癌症免疫疗法的可行靶标,并为开发治疗性干预措施提供了新的途径。此外,我们研究了CD24和Siglec-10在塑造免疫抑制肿瘤微环境方面的协同作用,并讨论了联合治疗的意义.因此,了解CD24和Siglec-10在癌症免疫治疗中的作用为开发新的治疗方法开辟了令人兴奋的可能性.
    Cancer immunotherapy has revolutionized the treatment landscape by harnessing the power of the immune system to combat malignancies. Two of the most promising players in this field are cluster of differentiation 24 (CD24) and sialic acid-binding Ig-like lectin 10 (Siglec-10), and both of them play pivotal roles in modulating immune responses. CD24, a cell surface glycoprotein, emerges as a convincing fundamental signal transducer for therapeutic intervention, given its significant implication in the processes related to tumour progression and immunogenic evasion. Additionally, the immunomodulatory functions of Siglec-10, a prominent member within the Siglec family of immune receptors, have recently become a crucial point of interest, particularly in the context of the tumour microenvironment. Hence, the intricate interplay of both CD24 and Siglec-10 assumes a critical role in fostering tumour growth, facilitating metastasis and also orchestrating immune evasion. Recent studies have found multiple evidences supporting the therapeutic potential of targeting CD24 in cancer treatment. Siglec-10, on the other hand, exhibits immunosuppressive properties that contribute to immune tolerance within the tumour microenvironment. Therefore, we delve into the complex mechanisms through which Siglec-10 modulates immune responses and facilitates immune escape in cancer. Siglec-10 also acts as a viable target for cancer immunotherapy and presents novel avenues for the development of therapeutic interventions. Furthermore, we examine the synergy between CD24 and Siglec-10 in shaping the immunosuppressive tumour microenvironment and discuss the implications for combination therapies. Therefore, understanding the roles of CD24 and Siglec-10 in cancer immunotherapy opens exciting possibilities for the development of novel therapeutics.
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  • 文章类型: Journal Article
    根据经典免疫学理论,免疫球蛋白(Ig)仅由分化的B淋巴细胞产生,其表现出典型的四肽链结构并且主要存在于B细胞表面和体液中。B-Ig是特异性识别抗原并消除它们的体液免疫应答的关键效应分子之一。然而,越来越多的证据表明,Ig在非B系细胞中广泛表达,特别是恶性的(称为非B-Ig)。有趣的是,非B-Ig主要存在于细胞质和分泌中,但在某种程度上是在细胞表面。此外,非B-Ig不仅显示四肽链结构,而且显示游离重链和游离轻链(FLC)。此外,源自非B癌细胞的Ig通常表现出独特的糖基化修饰。功能上,非B-Ig表现出多样性和多功能性,显示抗体活性和细胞生物活性,如促进细胞增殖和存活,它与癌症进展和一些免疫相关疾病有关,如肾脏疾病。
    According to classical immunology theory, immunoglobulin (Ig) is exclusively produced by differentiated B lymphocytes, which exhibit a typical tetrapeptide chain structure and are predominantly present on the surface of B cells and in bodily fluids. B-Ig is one of the critical effector molecules for humoral immune responses specifically recognising antigens and eliminating them. However, mounting evidence has demonstrated that Ig is widely expressed in non B lineage cells, especially malignant ones (referred to as non B-Ig). Interestingly, non B-Ig mainly resides in the cytoplasm and secretion, but to some extent on the cell surface. Furthermore non B-Ig not only displays a tetrapeptide chain structure but also shows free heavy chains and free light chains (FLCs). Additionally, Ig derived from non B cancer cell typically displays unique glycosylation modifications. Functionally, non B-Ig demonstrated diversity and versatility, showing antibody activity and cellular biological activity, such as promoting cell proliferation and survival, and it is implicated in cancer progression and some immune-related diseases, such as renal diseases.
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  • 文章类型: Journal Article
    尽管传统上认为V(D)J重组和免疫球蛋白(Ig)产生仅发生在B淋巴细胞和浆细胞中,Ig在非淋巴细胞中的表达,我们称之为非B细胞衍生的Ig(非BIg),已经被越来越多的研究记录了。已经证明,非B-Ig可以在大多数细胞类型中广泛表达,包括,但不限于,上皮细胞,心肌细胞,造血干/祖细胞,骨髓细胞,和免疫特权位点的细胞,如神经元和生精细胞。特别是,恶性肿瘤细胞表达高水平的IgG。此外,与主要定位于B细胞膜和血清中并主要执行免疫防御功能的B-Ig不同,已发现非B-Ig分布更广泛,在免疫防御中起关键作用,维持细胞增殖和存活,促进进步。非B-Ig的发现可能为多种免疫相关疾病的更多治疗策略提供了更富有的突破口。
    Although V(D)J recombination and immunoglobulin (Ig) production are traditionally recognised to occur only in B lymphocytes and plasma cells, the expression of Igs in non-lymphoid cells, which we call non B cell-derived Igs (non B Igs), has been documented by growing studies. It has been demonstrated that non B-Igs can be widely expressed in most cell types, including, but not limited to, epithelial cells, cardiomyocytes, hematopoietic stem/progenitor cells, myeloid cells, and cells from immune-privileged sites, such as neurons and spermatogenic cells. In particular, malignant tumour cells express high level of IgG. Moreover, different from B-Igs that mainly localised on the B cell membrane and in the serum and perform immune defence function mainly, non B-Igs have been found to distribute more widely and play critical roles in immune defence, maintaining cell proliferation and survival, and promoting progression. The findings of non B-Igs may provide a wealthier breakthrough point for more therapeutic strategies for a wide range of immune-related diseases.
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  • 文章类型: Journal Article
    皮肤鳞状细胞癌(cSCC)是第二常见的皮肤肿瘤(不包括黑色素瘤)。然而,驱动cSCC进展的分子机制仍然难以捉摸。本研究旨在研究GBP1在cSCC中的表达,并阐明其潜在的cSCC发生发展的分子机制。GBP1表达在公共数据库中进行评估,细胞系和组织样本。各种化验,包括克隆形成,CCK8和EdU用于评估细胞增殖,而伤口愈合和transwell测定确定细胞迁移和侵袭。进行皮下肿瘤测定以评估体内肿瘤增殖,通过蛋白质印迹研究了分子机制,免疫荧光和免疫沉淀。结果确定GBP1是cSCC的癌基因,在肿瘤组织和细胞中表达升高,与肿瘤分期和分级密切相关。体外和体内研究表明,增加的GBP1表达显着增强cSCC细胞增殖,移民和入侵。机械上,GBP1与SP1的相互作用促进了STAT3的激活,导致恶性行为。总之,该研究强调了GBP1/SP1/STAT3信号轴在调节cSCC肿瘤进展中的关键作用.这些发现为cSCC发展的分子机制提供了有价值的见解,并为针对cSCC的干预措施提供了潜在的治疗靶标。
    Cutaneous squamous cell carcinoma (cSCC) ranks as the second most prevalent skin tumour (excluding melanoma). However, the molecular mechanisms driving cSCC progression remain elusive. This study aimed to investigate GBP1 expression in cSCC and elucidate its potential molecular mechanisms underlying cSCC development. GBP1 expression was assessed across public databases, cell lines and tissue samples. Various assays, including clone formation, CCK8 and EdU were employed to evaluate cell proliferation, while wound healing and transwell assays determined cell migration and invasion. Subcutaneous tumour assays were conducted to assess in vivo tumour proliferation, and molecular mechanisms were explored through western blotting, immunofluorescence and immunoprecipitation. Results identified GBP1 as an oncogene in cSCC, with elevated expression in both tumour tissues and cells, strongly correlating with tumour stage and grade. In vitro and in vivo investigations revealed that increased GBP1 expression significantly enhanced cSCC cell proliferation, migration and invasion. Mechanistically, GBP1 interaction with SP1 promoted STAT3 activation, contributing to malignant behaviours. In conclusion, the study highlights the crucial role of the GBP1/SP1/STAT3 signalling axis in regulating tumour progression in cSCC. These findings provide valuable insights into the molecular mechanisms of cSCC development and offer potential therapeutic targets for interventions against cSCC.
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  • 文章类型: Journal Article
    背景:一系列研究表明转移RNA(tRNA)加工在肿瘤进展过程中的出现。然而,tRNA加工基因在神经母细胞瘤(NB)中的作用和调控机制,儿童脑外常见的恶性肿瘤,还未知。
    方法:对多组学结果进行分析,以确定下游tRNA加工基因的关键调节因子。使用免疫共沉淀和质谱方法来测量蛋白质之间的相互作用。通过双荧光素酶报告基因检测转录调节因子对下游基因表达的影响,染色质免疫沉淀,蛋白质印迹和实时定量逆转录聚合酶链反应(RT-PCR)方法。已经进行了研究以揭示转录调节因子对NB生物学过程的影响和机制。使用对数秩检验分析生存差异。
    结果:c-Myc被鉴定为在NB细胞中驱动tRNA加工基因表达和随后的苹果酸-天冬氨酸穿梭(MAS)的转录因子。机械上,c-Myc直接促进谷氨酰-氨酰-tRNA合成酶(EPRS)和亮氨酰-tRNA合成酶(LARS)的表达,通过抑制一般控制未抑制的2或激活雷帕霉素信号的机制靶标,导致谷氨酸-草酰乙酸转氨酶1(GOT1)和苹果酸脱氢酶1(MDH1)的翻译上调。同时,层粘连蛋白A(LMNA)通过物理相互作用抑制c-Myc反式激活,导致对MAS的压制,有氧糖酵解,肿瘤发生和侵略性。临床前,洛贝林被发现是一种LMNA结合化合物,以促进其与c-Myc的相互作用,抑制氨酰tRNA合成酶的表达,MAS与NB的肿瘤进展,以及来自c-Myc敲入小鼠的类器官的生长。低水平的LMNA或c-Myc表达升高,EPRS,LARS,GOT1或MDH1与临床NB患者的预后较差和生存时间较短有关。
    结论:这些结果表明,LMNA靶向c-Myc转录激活抑制了MAS和肿瘤进展所必需的tRNA加工。
    BACKGROUND: A series of studies have demonstrated the emerging involvement of transfer RNA (tRNA) processing during the progression of tumours. Nevertheless, the roles and regulating mechanisms of tRNA processing genes in neuroblastoma (NB), the prevalent malignant tumour outside the brain in children, are yet unknown.
    METHODS: Analysis of multi-omics results was conducted to identify crucial regulators of downstream tRNA processing genes. Co-immunoprecipitation and mass spectrometry methods were utilised to measure interaction between proteins. The impact of transcriptional regulators on expression of downstream genes was measured by dual-luciferase reporter, chromatin immunoprecipitation, western blotting and real-time quantitative reverse transcription-polymerase chain reaction (RT-PCR) methods. Studies have been conducted to reveal impact and mechanisms of transcriptional regulators on biological processes of NB. Survival differences were analysed using the log-rank test.
    RESULTS: c-Myc was identified as a transcription factor driving tRNA processing gene expression and subsequent malate-aspartate shuttle (MAS) in NB cells. Mechanistically, c-Myc directly promoted the expression of glutamyl-prolyl-tRNA synthetase (EPRS) and leucyl-tRNA synthetase (LARS), resulting in translational up-regulation of glutamic-oxaloacetic transaminase 1 (GOT1) as well as malate dehydrogenase 1 (MDH1) via inhibiting general control nonrepressed 2 or activating mechanistic target of rapamycin signalling. Meanwhile, lamin A (LMNA) inhibited c-Myc transactivation via physical interaction, leading to suppression of MAS, aerobic glycolysis, tumourigenesis and aggressiveness. Pre-clinically, lobeline was discovered as a LMNA-binding compound to facilitate its interaction with c-Myc, which inhibited aminoacyl-tRNA synthetase expression, MAS and tumour progression of NB, as well as growth of organoid derived from c-Myc knock-in mice. Low levels of LMNA or elevated expression of c-Myc, EPRS, LARS, GOT1 or MDH1 were linked to a worse outcome and a shorter survival time of clinical NB patients.
    CONCLUSIONS: These results suggest that targeting c-Myc transactivation by LMNA inhibits tRNA processing essential for MAS and tumour progression.
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  • 文章类型: Journal Article
    血管生成素(ANG)是一种特殊的分泌型核糖核酸酶,也称为RNase5,在脊椎动物中广泛表达。ANG失调与乳房发育密切相关,鼻咽,和肺癌。近年来,研究发现,ANG不仅通过激活内皮细胞诱导新生血管形成,而且在癌细胞的可塑性中也起着调节作用。细胞可塑性在癌症发生中起关键作用,programming,迁移,治疗抗性,和复发。因此,它是癌症诊断的一种有前途的生物标志物,预后评估,和治疗。这篇综述总结了关于ANG在癌症发生发展中的作用和临床应用的最新知识。
    Angiogenin (ANG) is a specialised secreted ribonuclease, also known as RNase5, that is widely expressed in vertebrates. ANG dysregulation is closely associated with the development of breast, nasopharyngeal, and lung cancers. In recent years, studies have found that ANG not only induces neovascularisation by activating endothelial cells, but also plays a regulatory role in the plasticity of cancer cells. Cellular plasticity plays pivotal roles in cancer initiation, progression, migration, therapeutic resistance, and relapse. Therefore, it is a promising biomarker for cancer diagnosis, prognostic evaluation, and therapy. This review summarises the current knowledge regarding the roles and clinical applications of ANG in cancer development and progression.
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  • 文章类型: Journal Article
    乳腺癌(BC)是目前女性最常见的恶性肿瘤,也是全球女性死亡的主要原因之一。在过去的几十年中,新的和越来越个性化的诊断和治疗工具已经被引入。随着与BC相关的研究和知识的重大进展。肿瘤微环境(TME)是指肿瘤细胞相关的细胞和分子环境,其可以影响影响肿瘤发展和进展的条件。TME由免疫细胞组成,基质细胞,细胞外基质(ECM)和这些不同细胞类型分泌的信号分子。对肿瘤发展和进展过程中TME组成变化的更深入的了解将使新的和更具创新性的治疗策略能够在其进化的特定阶段被开发用于靶向肿瘤。这篇综述总结了与BC相关的TME成分的作用及其对肿瘤进展和对治疗耐药性发展的影响。
    Breast cancer (BC) is currently the most common malignant tumour in women and one of the leading causes of their death around the world. New and increasingly personalised diagnostic and therapeutic tools have been introduced over the last few decades, along with significant advances regarding the study and knowledge related to BC. The tumour microenvironment (TME) refers to the tumour cell-associated cellular and molecular environment which can influence conditions affecting tumour development and progression. The TME is composed of immune cells, stromal cells, extracellular matrix (ECM) and signalling molecules secreted by these different cell types. Ever deeper understanding of TME composition changes during tumour development and progression will enable new and more innovative therapeutic strategies to become developed for targeting tumours during specific stages of its evolution. This review summarises the role of BC-related TME components and their influence on tumour progression and the development of resistance to therapy. In addition, an account on the modifications in BC-related TME components associated with therapy is given, and the completed or ongoing clinical trials related to this topic are presented.
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  • 文章类型: Journal Article
    类固醇受体共激活因子-1(SRC-1,也称为NCOA1)通常通过直接与转录因子结合并募集到靶基因启动子以通过增加染色质可及性和促进转录复合物的形成来促进基因转录而发挥转录共激活因子的作用。近几十年来,已经报道了SRC-1的各种生物学和病理学功能,特别是在肿瘤发生的背景下。SRC-1是多种癌症进展的促进者,包括乳腺癌,前列腺癌,胃肠道癌,神经癌症,女性生殖系统癌症.SRC-1的新出现的多器官致癌作用仍在研究中,可能不仅限于产生类固醇激素的组织。越来越多的证据表明,SRC-1通过直接结合转录因子促进靶基因表达,这可能构成一种独立于AR或ER的新型共激活模式。此外,已经报道了用包括各种小分子或天然活性化合物的药物抑制SRC-1的抗肿瘤作用,但是它们在临床癌症治疗中的实际应用非常有限。对于这篇评论,我们收集了SRC-1致癌作用的典型证据,强调了它的主要合作者和调控基因,并绘制了SRC-1促进原发性肿瘤进展的潜在机制。
    Steroid receptor coactivator-1 (SRC-1, also known as NCOA1) frequently functions as a transcriptional coactivator by directly binding to transcription factors and recruiting to the target gene promoters to promote gene transcription by increasing chromatin accessibility and promoting the formation of transcriptional complexes. In recent decades, various biological and pathological functions of SRC-1 have been reported, especially in the context of tumorigenesis. SRC-1 is a facilitator of the progression of multiple cancers, including breast cancer, prostate cancer, gastrointestinal cancer, neurological cancer, and female genital system cancer. The emerging multiorgan oncogenic role of SRC-1 is still being studied and may not be limited to only steroid hormone-producing tissues. Growing evidence suggests that SRC-1 promotes target gene expression by directly binding to transcription factors, which may constitute a novel coactivation pattern independent of AR or ER. In addition, the antitumour effect of pharmacological inhibition of SRC-1 with agents including various small molecules or naturally active compounds has been reported, but their practical application in clinical cancer therapy is very limited. For this review, we gathered typical evidence on the oncogenic role of SRC-1, highlighted its major collaborators and regulatory genes, and mapped the potential mechanisms by which SRC-1 promotes primary tumour progression.
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  • 文章类型: Preprint
    实体肿瘤通常在进展过程中忍受营养不足。肿瘤细胞如何适应时间和空间营养不足尚不清楚。我们先前通过转录组筛选将STC2鉴定为暴露于营养不足的细胞中最上调的基因之一。表明STC2在细胞适应营养不足方面的潜力。然而,营养不足和随后的适应引起STC2诱导的分子机制仍然难以捉摸。这里,我们报道STC2蛋白显著增加并通过Gln-/Glc-剥夺分泌到培养基中。STC2启动子含有ATF4和p65/RelA激活的顺式元件,两种转录因子被多种细胞应激激活。生物学,STC2诱导和分泌促进细胞存活,但在营养不足时减弱细胞增殖,从而将癌细胞的优先级从增殖转变为存活。STC2的缺失通过诱导小鼠异种移植物中的细胞凋亡和坏死而损害肿瘤生长。机械上,在营养不足的条件下,细胞的活性氧(ROS)水平升高,STC2的缺乏进一步升高了导致细胞凋亡增加的ROS水平。RNA-Seq分析显示STC2诱导抑制单胺氧化酶B(MAOB)的表达,产生ROS的线粒体膜酶。此外,在人肿瘤样品中还鉴定出STC2和MAOB水平之间的负相关。重要的是,重组STC2对培养基的给药有效地抑制MAOB表达以及细胞凋亡,提示STC2以自分泌/旁分泌方式起作用。一起来看,我们的发现表明营养不足诱导STC2表达,反过来通过维持氧化还原稳态来控制癌细胞对营养不足的适应,强调STC2作为癌症治疗的治疗靶标的潜力。
    Solid tumours often endure nutrient insufficiency during progression. How tumour cells adapt to temporal and spatial nutrient insufficiency remains unclear. We previously identified STC2 as one of the most upregulated genes in cells exposed to nutrient insufficiency by transcriptome screening, indicating the potential of STC2 in cellular adaptation to nutrient insufficiency. However, the molecular mechanisms underlying STC2 induction by nutrient insufficiency and subsequent adaptation remain elusive. Here, we report that STC2 protein is dramatically increased and secreted into the culture media by Gln-/Glc-deprivation. STC2 promoter contains cis-elements that are activated by ATF4 and p65/RelA, two transcription factors activated by a variety of cellular stress. Biologically, STC2 induction and secretion promote cell survival but attenuate cell proliferation during nutrient insufficiency, thus switching the priority of cancer cells from proliferation to survival. Loss of STC2 impairs tumour growth by inducing both apoptosis and necrosis in mouse xenografts. Mechanistically, under nutrient insufficient conditions, cells have increased levels of reactive oxygen species (ROS), and lack of STC2 further elevates ROS levels that lead to increased apoptosis. RNA-Seq analyses reveal STC2 induction suppresses the expression of monoamine oxidase B (MAOB), a mitochondrial membrane enzyme that produces ROS. Moreover, a negative correlation between STC2 and MAOB levels is also identified in human tumour samples. Importantly, the administration of recombinant STC2 to the culture media effectively suppresses MAOB expression as well as apoptosis, suggesting STC2 functions in an autocrine/paracrine manner. Taken together, our findings indicate that nutrient insufficiency induces STC2 expression, which in turn governs the adaptation of cancer cells to nutrient insufficiency through the maintenance of redox homeostasis, highlighting the potential of STC2 as a therapeutic target for cancer treatment.
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  • 文章类型: Journal Article
    背景:细胞外囊泡(EV)通过细胞与细胞的通讯参与癌症的发展。长链非编码RNA(lncRNA),电动汽车的一个组成部分,可以通过EV介导的递送在非小细胞肺癌(NSCLC)中发挥重要作用。
    方法:通过lncRNA微阵列分析鉴定了EV中NSCLC相关的lncRNAAL139294.1。在体外和体内检查了AL139294.1在NSCLC中的作用。使用共聚焦显微镜观察AL139294.1在EV中的包封及其向受体细胞的转运。使用共培养装置来检查运输的AL139294.1对受体细胞的致癌行为的影响。进行双荧光素酶报告基因测定以验证miR-204-5p与AL139294.1和含溴结构域蛋白4(BRD4)的直接相互作用。使用定量聚合酶链反应对电动汽车中的AL139294.1和miR-204-5p进行定量。进行了接收器工作特性分析以评估诊断效率。
    结果:EV中的lncRNAAL139294.1在体外和体内促进NSCLC进展。将AL139294.1封装到EV中并转运到受体细胞后,它促进了细胞的增殖,迁移,和侵袭能力通过与miR-204-5p竞争性结合来调节BRD4,导致Wnt和NF-κB2途径的激活。此外,血清lncRNAAL139294.1在电动汽车中的表达增加,而miR-204-5p在EV中在NSCLC中降低。EV中高水平的lncRNAAL139294.1和低水平的miR-204-5p与晚期病理分期相关,淋巴结转移,和远处转移,强调了它们在区分疾病的严重表现方面的有希望的效用。
    结论:这项研究揭示了与NSCLC相关的EV中的一种新型lncRNA,即,AL139294.1,为NSCLC的发展提供了有价值的见解,并为NSCLC引入了潜在的诊断生物标志物。
    BACKGROUND: Extracellular vesicles (EVs) participate in cancer development via cell-to-cell communication. Long non-coding RNAs (lncRNAs), one component of EVs, can play an essential role in non-small-cell lung cancer (NSCLC) through EV-mediated delivery.
    METHODS: The NSCLC-associated lncRNA AL139294.1 in EVs was identified via lncRNA microarray analysis. The role of AL139294.1 in NSCLC was examined in vitro and in vivo. Confocal microscopy was used to observe the encapsulation of AL139294.1 into EVs and its transport to recipient cells. A co-culture device was used to examine the effects of transported AL139294.1 on the oncogenic behaviour of recipient cells. Dual-luciferase reporter assay was performed to verify the direct interaction of miR-204-5p with AL139294.1 and bromodomain-containing protein 4 (BRD4). AL139294.1 and miR-204-5p in EVs were quantified using quantitative polymerase chain reaction. Receiver operating characteristic analyses were conducted to evaluate the diagnostic efficiency.
    RESULTS: The lncRNA AL139294.1 in EVs promoted NSCLC progression in vitro and in vivo. After AL139294.1 was encapsulated into EVs and transported to recipient cells, it promoted the cells\' proliferation, migration, and invasion abilities by competitively binding with miR-204-5p to regulate BRD4, leading to the activation of the Wnt and NF-κB2 pathways. Additionally, the expression of serum lncRNA AL139294.1 in EVs was increased, whereas miR-204-5p in EVs was decreased in NSCLC. High levels of lncRNA AL139294.1 and low levels of miR-204-5p in EVs were associated with advanced pathological staging, lymph node metastasis, and distant metastasis, underscoring their promising utility for distinguishing between more and less severe manifestations of the disease.
    CONCLUSIONS: This study reveals a novel lncRNA in EVs associated with NSCLC, namely, AL139294.1, providing valuable insights into the development of NSCLC and introducing potential diagnostic biomarkers for NSCLC.
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