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NFAT2 高表达促进肺癌对卡铂耐药。

High expression of NFAT2 contributes to carboplatin resistance in lung cancer.

机构信息

Thoracic Surgery, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, PR China.

Department of Oncology, Jiangxi Cancer Hospital, Nanchang, Jiangxi 330029, PR China.

出版信息

Exp Mol Pathol. 2019 Oct;110:104290. doi: 10.1016/j.yexmp.2019.104290. Epub 2019 Jul 27.

Abstract

Carboplatin is a platinum-based chemotherapy drug in lung cancer treatment. However, its efficacy is frequently limited by intrinsic and acquired drug resistance. Recently, nucleus factor of activated T cells, cytoplasmic 1 (NFAT2) has been recognized as an oncogene and involved in disease progression and drug resistance in various cancers. In the current study, we found that overexpression of NFAT2 was associated with poor prognosis in lung cancer patients, and is observed in a carboplatin resistant lung cancer cell line, indicative of its role in regulating drug response. We further showed that NFAT2 played a critical role in promoting cell proliferation and overcome carboplatin-induced DNA damage and cell cycle arrest. NFAT2 knockdown or inhibition of its nucleus translation via cyclosporine A largely restored the sensitivity to carboplatin in the resistant line by inducing DNA damage, blocking cell cycle progression and activating apoptotic cell death. We thus suggest that NFAT2 is a putative therapeutic target to overcome carboplatin resistance in lung cancers.

摘要

卡铂是一种用于肺癌治疗的铂类化疗药物。然而,其疗效常常受到内在和获得性药物耐药性的限制。最近,激活 T 细胞核因子,细胞质 1(NFAT2)已被认为是一种癌基因,并参与各种癌症的疾病进展和耐药性。在本研究中,我们发现 NFAT2 的过表达与肺癌患者的不良预后相关,并且在卡铂耐药的肺癌细胞系中观察到,表明其在调节药物反应中起作用。我们进一步表明,NFAT2 通过促进细胞增殖并克服卡铂诱导的 DNA 损伤和细胞周期阻滞,在促进细胞增殖方面发挥关键作用。通过环孢素 A 抑制 NFAT2 的核翻译或抑制其核翻译,通过诱导 DNA 损伤、阻断细胞周期进程和激活凋亡性细胞死亡,在耐药系中对卡铂的敏感性得到了很大恢复。因此,我们认为 NFAT2 是克服肺癌中卡铂耐药性的潜在治疗靶点。

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