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前列腺素内过氧化物合酶-2在非小细胞肺癌化疗耐药中的作用

The Role of Prostaglandin-Endoperoxide Synthase-2 in Chemoresistance of Non-Small Cell Lung Cancer.

作者信息

Lin Xiao-Mian, Luo Wu, Wang Heng, Li Rong-Zhen, Huang Yi-Shan, Chen Lian-Kuai, Wu Xiao-Ping

机构信息

Institute of Tissue Transplantation and Immunology, Jinan University, Guangzhou, China.

出版信息

Front Pharmacol. 2019 Aug 8;10:836. doi: 10.3389/fphar.2019.00836. eCollection 2019.

Abstract

The prostaglandin-endoperoxide synthase-2 (PTGS2) plays essential roles in diverse pathological process. Although recent studies implied that PTGS2 was closely related with chemoresistance, the precise roles and the underlying mechanisms of PTGS2 in the developing process of chemoresistance in non-small cell lung cancer (NSCLC) remained elusive. In the present study, we revealed a novel molecular mechanism of PTGS2 implicated in the chemoresistance of NSCLC and proposed a model for the positive feedback regulation of PTGS2 in the process of developing resistance phenotype in NSCLC cells. Our results demonstrated that cisplatin induced PTGS2 expression through the ROS-ERK1/2-NF-κB signaling axis. The prostaglandin E2 (PGE2) derived from PTGS2 catalyzation further strengthened PTGS2 expression the PGE2-EPs-ERK1/2 positive feedback loop, which induced multidrug resistance of NSCLC cells through up-regulation of BCL2 expression and the subsequent attenuation of cell apoptosis. Consistently, high levels of both PTGS2 and BCL2 were closely associated with poor survival in NSCLC patients. Inhibition of PTGS2 significantly reversed the chemoresistance in the resistant NSCLC and . Our results suggested that PTGS2 might be employed as an adjunctive therapeutic target for improving the response to the therapeutic agents in a subset of resistant NSCLC.

摘要

前列腺素内过氧化物合酶-2(PTGS2)在多种病理过程中发挥着重要作用。尽管最近的研究表明PTGS2与化疗耐药密切相关,但PTGS2在非小细胞肺癌(NSCLC)化疗耐药发生过程中的具体作用及潜在机制仍不清楚。在本研究中,我们揭示了PTGS2参与NSCLC化疗耐药的一种新的分子机制,并提出了一个在NSCLC细胞耐药表型形成过程中PTGS2正反馈调节的模型。我们的结果表明,顺铂通过ROS-ERK1/2-NF-κB信号轴诱导PTGS2表达。PTGS2催化产生的前列腺素E2(PGE2)通过PGE2-EPs-ERK1/2正反馈环进一步增强PTGS2表达,该正反馈环通过上调BCL2表达及随后减弱细胞凋亡诱导NSCLC细胞多药耐药。同样,PTGS2和BCL2的高水平均与NSCLC患者的不良生存密切相关。抑制PTGS2可显著逆转耐药NSCLC的化疗耐药 及 。我们的结果提示,PTGS2可能作为一个辅助治疗靶点,用于改善一部分耐药NSCLC对治疗药物的反应。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb87/6694719/8191b2c9c870/fphar-10-00836-g001.jpg

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