Zhao Zhijing, Ma Junfeng, Hu Baoquan, Zhang Yi, Wang Shushu
Thyroid-Breast Surgery Department, The Second Affiliated Hospital of Kunming Medical University, Kunming, Yunnan 650101, P.R. China.
Breast Disease Center, Southwest Hospital, Third Military Medical University, Chongqing 400038, P.R. China.
Exp Ther Med. 2018 Jun;15(6):5007-5016. doi: 10.3892/etm.2018.6054. Epub 2018 Apr 12.
Thyroid carcinoma is characterized by an aggressive behavior, lack of effective targeted therapies and a high rate of relapse. Sphingosine kinase 1 (SPHK1) has been reported to be a critical regulatory factor in the progression of thyroid carcinoma, but the correlation between SPHK1 and clinical prognosis of patients with thyroid carcinoma has remained to be fully elucidated. The present study aimed to systematically assess the roles of SPHK1 in thyroid carcinoma metastasis and further investigate the possible underlying mechanisms. First, the expression of SPHK1 was detected in tissue samples from 53 thyroid carcinoma patients and in thyroid carcinoma cell lines by reverse transcription-quantitative polymerase chain reaction analysis. Furthermore, the level of phospho-(p)-SPHK1 was immunohistochemically detected in human thyroid carcinoma tissue samples. The activity of SPHK1 was measured with a commercial SPHK1 Activity Assay kit. A sphingosine-1-phosphate (S1P) competitive ELISA kit was used to determine the extracellular S1P levels. The metastatic potential was assessed by a Transwell assay. In addition, the association between SPHK1 and clinicopathological features of the patients was analyzed. The results indicated that the expression of SPHK1 in thyroid carcinoma samples was significantly higher than in paired adjacent normal thyroid tissues. High levels of SPHK1 were positively correlated with poor overall survival and progression-free survival. Downregulation of SPHK1 by lentiviral vector expressing SPHK1 small interfering (si)RNA evidently repressed Notch signaling and reduced the migration and invasion of thyroid carcinoma cells and in a NOD/SCID mouse model. Furthermore, inhibition of SPHK1 by siRNA or treatment with SPHK1 inhibitor 5C sensitized thyroid carcinoma to cisplatin and doxorubicin. In addition, it was demonstrated that silencing of SPHK1 effectively inhibits processes associated with thyroid carcinoma metastasis through the Notch signaling pathway, and SPHK1 may therefore represent a potential therapeutic target in thyroid carcinoma. In conclusion, the present study indicated that high levels of p-SPHK1 were positively correlated with high levels of S1P which in turn promoted thyroid carcinoma metastasis via the S1P/S1P receptor 3/Notch signaling pathway, suggesting possible prognostic markers and therapeutic targets.
甲状腺癌具有侵袭性、缺乏有效的靶向治疗方法且复发率高的特点。据报道,鞘氨醇激酶1(SPHK1)是甲状腺癌进展中的关键调节因子,但SPHK1与甲状腺癌患者临床预后之间的相关性仍有待充分阐明。本研究旨在系统评估SPHK1在甲状腺癌转移中的作用,并进一步探究其潜在机制。首先,通过逆转录-定量聚合酶链反应分析检测了53例甲状腺癌患者组织样本及甲状腺癌细胞系中SPHK1的表达。此外,采用免疫组织化学方法检测人甲状腺癌组织样本中磷酸化(p)-SPHK1的水平。使用商业SPHK1活性检测试剂盒测定SPHK1的活性。采用鞘氨醇-1-磷酸(S1P)竞争性酶联免疫吸附测定试剂盒测定细胞外S1P水平。通过Transwell实验评估转移潜能。此外,分析了SPHK1与患者临床病理特征之间的关联。结果表明,甲状腺癌样本中SPHK1的表达显著高于配对的相邻正常甲状腺组织。高水平的SPHK1与较差的总生存期和无进展生存期呈正相关。通过表达SPHK1小干扰(si)RNA的慢病毒载体下调SPHK1,明显抑制了Notch信号通路,并在NOD/SCID小鼠模型中降低了甲状腺癌细胞的迁移和侵袭能力。此外,siRNA抑制SPHK1或用SPHK1抑制剂5C处理使甲状腺癌对顺铂和阿霉素敏感。此外,研究表明,沉默SPHK1可通过Notch信号通路有效抑制与甲状腺癌转移相关的过程,因此SPHK1可能是甲状腺癌的一个潜在治疗靶点。总之,本研究表明,高水平的p-SPHK1与高水平的S1P呈正相关,而S1P又通过S1P/S1P受体3/Notch信号通路促进甲状腺癌转移,提示其可能作为预后标志物和治疗靶点。