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针对非癌基因成瘾的 ATR/CHK1 轴治疗小细胞肺癌。

Targeting a non-oncogene addiction to the ATR/CHK1 axis for the treatment of small cell lung cancer.

机构信息

Department I of Internal Medicine, University Hospital of Cologne, Cologne, Germany.

Cologne Excellence Cluster on Cellular Stress Response in Aging-Associated Diseases, University of Cologne, Cologne, Germany.

出版信息

Sci Rep. 2017 Nov 14;7(1):15511. doi: 10.1038/s41598-017-15840-5.

Abstract

Small cell lung cancer (SCLC) is a difficult to treat subtype of lung cancer. One of the hallmarks of SCLC is its almost uniform chemotherapy sensitivity. However, chemotherapy response is typically transient and patients frequently succumb to SCLC within a year following diagnosis. We performed a transcriptome analysis of the major human lung cancer entities. We show a significant overexpression of genes involved in the DNA damage response, specifically in SCLC. Particularly CHEK1, which encodes for the cell cycle checkpoint kinase CHK1, is significantly overexpressed in SCLC, compared to lung adenocarcinoma. In line with uncontrolled cell cycle progression in SCLC, we find that CDC25A, B and C mRNAs are expressed at significantly higher levels in SCLC, compared to lung adenocarcinoma. We next profiled the efficacy of compounds targeting CHK1 and ATR. Both, ATR- and CHK1 inhibitors induce genotoxic damage and apoptosis in human and murine SCLC cell lines, but not in lung adenocarcinoma cells. We further demonstrate that murine SCLC tumors were highly sensitive to ATR- and CHK1 inhibitors, while Kras -driven murine lung adenocarcinomas were resistant against these compounds and displayed continued growth under therapy. Altogether, our data indicate that SCLC displays an actionable dependence on ATR/CHK1-mediated cell cycle checkpoints.

摘要

小细胞肺癌(SCLC)是一种难以治疗的肺癌亚型。SCLC 的一个特点是对化疗几乎普遍敏感。然而,化疗反应通常是短暂的,患者在诊断后一年内常常死于 SCLC。我们对主要的人类肺癌实体进行了转录组分析。我们显示出参与 DNA 损伤反应的基因显著过表达,特别是在 SCLC 中。特别是编码细胞周期检查点激酶 CHK1 的 CHEK1 在 SCLC 中显著过表达,与肺腺癌相比。与 SCLC 中不受控制的细胞周期进展一致,我们发现 CDC25A、B 和 C 的 mRNA 在 SCLC 中的表达水平明显高于肺腺癌。接下来,我们对靶向 CHK1 和 ATR 的化合物的疗效进行了分析。ATR 和 CHK1 抑制剂均可在人源和鼠源 SCLC 细胞系中诱导遗传毒性损伤和细胞凋亡,但在肺腺癌细胞中则不然。我们进一步证明,鼠源 SCLC 肿瘤对 ATR 和 CHK1 抑制剂高度敏感,而 Kras 驱动的鼠源肺腺癌对这些化合物具有抗性,并在治疗下继续生长。总的来说,我们的数据表明 SCLC 表现出对 ATR/CHK1 介导的细胞周期检查点的可治疗依赖性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/48d0/5686113/84c4924b8f83/41598_2017_15840_Fig1_HTML.jpg

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