Chen Kuen-Feng, Yen Chueh-Chuan, Lin Jen-Kou, Chen Wei-Shone, Yang Shung-Haur, Jiang Jeng-Kai, Lan Yuan-Tzu, Lin Chun-Chi, Yu Hui-Chuan, Hsu Hui-Mei, Lin Wen-Ling, Teng Hao-Wei
Department of Medical Research, National Taiwan University Hospital, Taipei, Taiwan.
National Center of Excellence for Clinical Trial and Research, National Taiwan University Hospital, Taipei, Taiwan.
BMC Cancer. 2015 Apr 17;15:301. doi: 10.1186/s12885-015-1300-3.
The impact of KRAS signaling on cancerous inhibitor of protein phosphatase 2A (CIP2A) expression has not yet been explored. We investigated the impact of KRAS on CIP2A expression in colorectal cancer patients after colorectal liver metastasectomy.
We examined CIP2A expression by immunohistochemistry (IHC) and used direct sequencing to identify the mutational status of KRAS exon 2 (codon 12 and 13). The association between CIP2A expression, KRAS genotype, clinicopathological parameters and survival were examined by the Kaplan-Meier method and the Cox proportional hazards model. A combination of immunoblotting and proliferation assays were employed to elucidate the role of CIP2A in signal transduction pathways in wild-type KRAS Caco-2 cells.
A total of 220 colorectal cancer patients who had undergone colorectal liver metastasectomy were included in the study. The mutant KRAS genotype was associated with CIP2A overexpression. CIP2A expression was an independent prognostic marker in patients with wild-type KRAS metastatic colorectal cancer after colorectal liver metastasectomy (relative risk = 1.873, P = 0.019). Targeted silencing of CIP2A in Caco-2 cells (wild-type KRAS) led to decreased expression of pERK/ERK and decreased cell proliferation. Overexpression of mutant KRAS G12D in Caco-2 cells led to an increase in CIP2A expression and cell proliferation. In Caco-2 cells with the KRAS G12D, KRAS overexpression preserved the regulation effect of CIP2A in KRAS and abrogated the impact of CIP2A regulation on pERK/ERK and cell proliferation. CIP2A inhibition also increased the efficacy of cetuximab in Caco-2 cells.
CIP2A is an independent prognostic marker in patients with wild-type KRAS metastatic colorectal cancer after colorectal liver metastasectomy.
KRAS信号传导对蛋白磷酸酶2A癌性抑制剂(CIP2A)表达的影响尚未得到研究。我们调查了KRAS对结直肠癌肝转移切除术后患者CIP2A表达的影响。
我们通过免疫组织化学(IHC)检测CIP2A表达,并使用直接测序法确定KRAS外显子2(密码子12和13)的突变状态。采用Kaplan-Meier法和Cox比例风险模型研究CIP2A表达、KRAS基因型、临床病理参数与生存率之间的关联。采用免疫印迹和增殖试验相结合的方法,阐明CIP2A在野生型KRAS Caco-2细胞信号转导通路中的作用。
本研究共纳入220例接受了结直肠癌肝转移切除术的患者。KRAS突变基因型与CIP2A过表达相关。在结直肠癌肝转移切除术后的野生型KRAS转移性结直肠癌患者中,CIP2A表达是一个独立的预后标志物(相对风险=1.873,P=0.019)。在Caco-2细胞(野生型KRAS)中靶向沉默CIP2A导致pERK/ERK表达降低和细胞增殖减少。在Caco-2细胞中过表达突变型KRAS G12D导致CIP2A表达增加和细胞增殖。在具有KRAS G12D的Caco-2细胞中,KRAS过表达保留了CIP2A对KRAS的调节作用,并消除了CIP2A调节对pERK/ERK和细胞增殖的影响。CIP2A抑制还增强了西妥昔单抗在Caco-2细胞中的疗效。
CIP2A是结直肠癌肝转移切除术后野生型KRAS转移性结直肠癌患者的独立预后标志物。