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食管腺癌中热休克蛋白和葡萄糖调节蛋白的预后相关表达谱的证据。

Evidence of prognostic relevant expression profiles of heat-shock proteins and glucose-regulated proteins in oesophageal adenocarcinomas.

机构信息

Institute of Pathology, Technische Universität München, Munich, Germany.

出版信息

PLoS One. 2012;7(7):e41420. doi: 10.1371/journal.pone.0041420. Epub 2012 Jul 24.

Abstract

A high percentage of oesophageal adenocarcinomas show an aggressive clinical behaviour with a significant resistance to chemotherapy. Heat-shock proteins (HSPs) and glucose-regulated proteins (GRPs) are molecular chaperones that play an important role in tumour biology. Recently, novel therapeutic approaches targeting HSP90/GRP94 have been introduced for treating cancer. We performed a comprehensive investigation of HSP and GRP expression including HSP27, phosphorylated (p)-HSP27((Ser15)), p-HSP27((Ser78)), p-HSP27((Ser82)), HSP60, HSP70, HSP90, GRP78 and GRP94 in 92 primary resected oesophageal adenocarcinomas by using reverse phase protein arrays (RPPA), immunohistochemistry (IHC) and real-time quantitative RT-PCR (qPCR). Results were correlated with pathologic features and survival. HSP/GRP protein and mRNA expression was detected in all tumours at various levels. Unsupervised hierarchical clustering showed two distinct groups of tumours with specific protein expression patterns: The hallmark of the first group was a high expression of p-HSP27((Ser15, Ser78, Ser82)) and low expression of GRP78, GRP94 and HSP60. The second group showed the inverse pattern with low p-HSP27 and high GRP78, GRP94 and HSP60 expression. The clinical outcome for patients from the first group was significantly improved compared to patients from the second group, both in univariate analysis (p = 0.015) and multivariate analysis (p = 0.029). Interestingly, these two groups could not be distinguished by immunohistochemistry or qPCR analysis. In summary, two distinct and prognostic relevant HSP/GRP protein expression patterns in adenocarcinomas of the oesophagus were detected by RPPA. Our approach may be helpful for identifying candidates for specific HSP/GRP-targeted therapies.

摘要

食管腺癌中有很大一部分表现出侵袭性的临床行为,对化疗有明显的耐药性。热休克蛋白(HSPs)和葡萄糖调节蛋白(GRPs)是分子伴侣,在肿瘤生物学中发挥着重要作用。最近,针对 HSP90/GRP94 的新型治疗方法已被引入用于治疗癌症。我们通过反相蛋白阵列(RPPA)、免疫组织化学(IHC)和实时定量 RT-PCR(qPCR)对 92 例原发性食管腺癌中 HSP 和 GRP 表达(包括 HSP27、磷酸化(p)-HSP27(Ser15)、p-HSP27(Ser78)、p-HSP27(Ser82)、HSP60、HSP70、HSP90、GRP78 和 GRP94)进行了全面研究,并将结果与病理特征和生存相关联。所有肿瘤均在不同水平检测到 HSP/GRP 蛋白和 mRNA 表达。无监督层次聚类显示两组具有特定蛋白表达模式的肿瘤:第一组的标志是 p-HSP27(Ser15、Ser78、Ser82)高表达和 GRP78、GRP94 和 HSP60 低表达。第二组表现出相反的模式,即 p-HSP27 低表达和 GRP78、GRP94 和 HSP60 高表达。与第二组相比,第一组患者的临床结果明显改善,无论是在单因素分析(p=0.015)还是多因素分析(p=0.029)中。有趣的是,这两组不能通过免疫组织化学或 qPCR 分析来区分。总之,通过 RPPA 检测到食管腺癌中存在两种不同且具有预后相关性的 HSP/GRP 蛋白表达模式。我们的方法可能有助于识别特定 HSP/GRP 靶向治疗的候选者。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b3c6/3404067/aa339c24e1a0/pone.0041420.g001.jpg

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