Clinical Research Laboratory, Faculty of Medicine and Health, Campus USÖ, Floor 3, Örebro University Hospital, SE-701 85, Örebro, Sweden.
Department of Dermatology, Örebro University Hospital, Örebro, Sweden.
Br J Dermatol. 2019 Jan;180(1):130-140. doi: 10.1111/bjd.16905. Epub 2018 Oct 5.
The incidence of basal cell carcinoma (BCC) is increasing and the costs for care rising. Therefore, the need for simplified and cost-effective treatment choices is substantial. Aberrant signalling in several pathways, induced by ultraviolet radiation, is of importance in the development of BCC. Alterations in tumour metabolic activity are part of general carcinogenesis; however, these alterations are only partially recognized in skin cancer.
To study expression profiles in BCCs compared with individually matched nontumour skin, with a focus on finding differences associated with tumour metabolism.
Gene expression in biopsies from BCCs (n = 14) compared with biopsies from nontumour gluteal skin was analysed with microarrays (n = 4 + 4) and/or quantitative real-time polymerase chain reaction (qPCR, n = 14 + 14). Protein expression and localization was assessed using immunohistochemistry (IHC) in formalin-fixed and paraffin-embedded BCC samples.
Microarray analysis revealed increased expression of the amino acid transporters SLC7A5, SLC7A7 and SLC7A8 as well as the cytosolic enzyme tryptophan 2,3-dioxygenase (TDO) 2 in BCC. Higher expression of SLC7A5 (P < 0·001), SLC7A8 (P < 0·001) and TDO2 (P = 0·002), but not SLC7A7 (P = 0·50), was confirmed by qPCR, and IHC demonstrated correlating tumour cell protein expression of SLC7A5 and SLC7A8. Protein expression of SLC7A7 was observed in the stratum granulosum, and TDO2 in immune cells.
This study highlights the upregulation of SLC7A5, SLC7A8 and TDO2 in BCC compared with nontumour skin. Our findings imply that amino acid transporters may be further explored as potential targets for future medical treatment.
基底细胞癌(BCC)的发病率正在上升,治疗费用也在不断增加。因此,人们迫切需要简化和具有成本效益的治疗选择。紫外线辐射诱导的几条信号通路的异常在 BCC 的发生发展中起着重要作用。肿瘤代谢活性的改变是一般癌变的一部分;然而,这些改变在皮肤癌中仅部分得到认可。
研究 BCC 与个体匹配的非肿瘤皮肤的表达谱,重点寻找与肿瘤代谢相关的差异。
使用微阵列(n = 4 + 4)和/或定量实时聚合酶链反应(qPCR,n = 14 + 14)分析 BCC 活检(n = 14)与非肿瘤臀区皮肤活检的基因表达。使用福尔马林固定和石蜡包埋的 BCC 样本进行免疫组织化学(IHC)评估蛋白质表达和定位。
微阵列分析显示 BCC 中氨基酸转运蛋白 SLC7A5、SLC7A7 和 SLC7A8 以及细胞质酶色氨酸 2,3-双加氧酶(TDO)2 的表达增加。通过 qPCR 进一步证实了 SLC7A5(P < 0·001)、SLC7A8(P < 0·001)和 TDO2(P = 0·002)的表达上调,但 SLC7A7(P = 0·50)的表达无显著差异,并且 IHC 显示 SLC7A5 和 SLC7A8 的肿瘤细胞蛋白表达存在相关性。SLC7A7 的蛋白表达见于颗粒层,而 TDO2 见于免疫细胞。
本研究强调了与非肿瘤皮肤相比,BCC 中 SLC7A5、SLC7A8 和 TDO2 的上调。我们的研究结果表明,氨基酸转运蛋白可能作为未来医学治疗的潜在靶点进一步研究。