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EVI1 靶向的 PBK 通过诱导高级别浆液性卵巢癌中的自噬促进转移并赋予顺铂耐药性。

PBK, targeted by EVI1, promotes metastasis and confers cisplatin resistance through inducing autophagy in high-grade serous ovarian carcinoma.

机构信息

Department of Obstetrics and Gynecology, Qilu Hospital, Shandong University, 250012, Jinan, China.

Gynecologic Oncology Key Laboratory of Shandong Province, Qilu Hospital, Shandong University, 250012, Jinan, China.

出版信息

Cell Death Dis. 2019 Feb 18;10(3):166. doi: 10.1038/s41419-019-1415-6.

Abstract

High-grade serous ovarian carcinoma (HGSOC) is the most lethal type of gynecologic malignancy. Chemoresistance is the main reason for the poor prognosis of HGSOC. PDZ-binding kinase (PBK) promotes the malignant progression of various carcinomas. However, the roles and clinical significance of PBK in HGSOC remain unclear. Here, we reported that PBK was overexpressed in HGSOC tissues and cell lines. High PBK expression was associated with a poor prognosis, metastasis, and cisplatin resistance of HGSOC. Overexpression of PBK promoted autophagy and enhanced cisplatin resistance via the ERK/mTOR signaling pathway. Further study showed that inhibition of autophagy by chloroquine or bafilomycin A1 reversed PBK-induced cisplatin resistance. Overexpression of PBK decreased ovarian cancer responsiveness to cisplatin treatment through inducing autophagy in vivo. We also demonstrated that the PBK inhibitor OTS514 augmented the growth inhibition effect of cisplatin in vitro and in vivo. Moreover, ecotropic viral integration site-1 (EVI1) could regulate PBK expression through directly targeting the PBK promoter region. In conclusion, high PBK expression was correlated with a poor prognosis, metastasis, and cisplatin resistance through promoting autophagy in HGSOC. PBK might be a promising target for the early diagnosis and individual treatment of ovarian cancer.

摘要

高级别浆液性卵巢癌(HGSOC)是最致命的妇科恶性肿瘤。化疗耐药是 HGSOC 预后不良的主要原因。PDZ 结合激酶(PBK)促进各种癌的恶性进展。然而,PBK 在 HGSOC 中的作用和临床意义尚不清楚。在这里,我们报道 PBK 在 HGSOC 组织和细胞系中过表达。高 PBK 表达与 HGSOC 的预后不良、转移和顺铂耐药有关。PBK 的过表达通过 ERK/mTOR 信号通路促进自噬并增强顺铂耐药性。进一步的研究表明,氯喹或巴弗洛霉素 A1 抑制自噬可逆转 PBK 诱导的顺铂耐药性。通过诱导体内自噬,PBK 的过表达降低了卵巢癌细胞对顺铂治疗的敏感性。我们还证明,PBK 抑制剂 OTS514 增强了顺铂在体外和体内的生长抑制作用。此外,EVI1 可以通过直接靶向 PBK 启动子区域来调节 PBK 的表达。总之,高 PBK 表达与 HGSOC 中的不良预后、转移和顺铂耐药性相关,通过促进自噬。PBK 可能是卵巢癌早期诊断和个体化治疗的有希望的靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dce1/6379381/46a9062d1e72/41419_2019_1415_Fig1_HTML.jpg

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