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CDK4 调控癌症干细胞特性,是三阴性乳腺癌的新型治疗靶点。

CDK4 regulates cancer stemness and is a novel therapeutic target for triple-negative breast cancer.

机构信息

Department of Medicine, McGill University Health Center, Cancer Research Program, Montreal, Quebec, H4A 3J1, Canada.

Department of Animal Science, McGill University, Sainte-Anne-de-Bellevue, H9X 3V9, Canada.

出版信息

Sci Rep. 2016 Oct 19;6:35383. doi: 10.1038/srep35383.

Abstract

Triple negative breast cancers exhibit very aggressive features and poor patient outcomes. These tumors are enriched in cancer stem cells and exhibit resistance to most treatments and chemotherapy. In this study, we found the cyclin-dependent kinase (CDK4) to act as a cancer stem cell regulator and novel prognostic marker in triple negative breast cancers. We found CDK4 to be highly expressed in these tumors and its expression to correlate with poor overall and relapse free survival outcomes, high tumor grade and poor prognostic features of triple negative breast cancer patients. Moreover, we found that blocking CDK4 expression or kinase activity, using a pharmacological inhibitor prevented breast cancer stem cell self-renewal. Interestingly, suppression of CDK4 expression or kinase activity reversed the basal-B TNBC mesenchymal phenotype to an epithelial- and luminal-like phenotype which correlates with better clinical prognosis. Finally, blocking CDK4 activity efficiently eliminated both normal and chemotherapy-resistant cancer cells in triple negative breast cancers, highlighting CDK4 as a promising novel therapeutic target for these aggressive breast tumors.

摘要

三阴性乳腺癌表现出非常侵袭性的特征和较差的患者预后。这些肿瘤富含癌症干细胞,并对大多数治疗和化疗具有抗性。在这项研究中,我们发现细胞周期蛋白依赖性激酶 (CDK4) 可作为三阴性乳腺癌中的癌症干细胞调节剂和新型预后标志物。我们发现 CDK4 在这些肿瘤中高度表达,其表达与总生存期和无复发生存期不良、肿瘤分级高以及三阴性乳腺癌患者预后不良特征相关。此外,我们发现使用药理学抑制剂阻断 CDK4 的表达或激酶活性可防止乳腺癌干细胞自我更新。有趣的是,抑制 CDK4 的表达或激酶活性可将基底-B TNBC 间充质表型逆转至上皮和腔状样表型,这与更好的临床预后相关。最后,阻断 CDK4 的活性可有效地消除三阴性乳腺癌中的正常和化疗耐药癌细胞,突出了 CDK4 作为这些侵袭性乳腺癌肿瘤的有前途的新型治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/137b/5069501/5387c4b7061c/srep35383-f1.jpg

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