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雌激素上调 TWIST1 表达并通过 p53 促进子宫内膜癌细胞上皮间质转化。

Is Upregulated by Estrogen and Promotes Epithelial-Mesenchymal Transition via p53 in Endometrial Cancer.

机构信息

Department of Obstetrics and Gynecology, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

Cancer Center, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.

出版信息

Mol Cancer Res. 2020 Feb;18(2):204-215. doi: 10.1158/1541-7786.MCR-19-0561. Epub 2019 Oct 29.

Abstract

Ubiquitin-conjugating enzyme E2C () plays important roles in tumor progression; nevertheless, its function in endometrial cancer remains unclear. This study elucidated the impact of on endometrial cancer and its underlying mechanism. Human endometrial cancer and normal endometrial tissues were acquired from patients at Wuhan Union Hospital and expression was detected by Western blotting and qRT-PCR. Endometrial cancer cells were transfected with a overexpression plasmid or -specific short hairpin RNA (shRNA) to up- or downregulate expression, respectively. CCK8 and transwell assays were applied to assess the effects of on cell proliferation, migration, and invasion. We found a significant elevation of expression in patients with endometrial cancer, and that upregulation was associated with advanced histologic grade, FIGO stage, recurrence, and shorter overall survival. knockdown inhibited endometrial cancer cell proliferation, migration, invasion, and epithelial-mesenchymal transition (EMT), whereas overexpression exerted the opposite effects. downregulation increased p53 and its downstream p21 expression, with p53 overexpression reversing the EMT-promoting effects of . enhanced p53 ubiquitination to facilitate its degradation in endometrial cancer cells. Estradiol (E2) induced expression via estrogen receptor α, which binds directly to the promoter element. Silencing of inhibited E2-promoted migration, invasion, and EMT and . IMPLICATIONS: -mediated tumor EMT promotion by estrogen is a novel mechanism for the progression of estrogen-induced endometrial cancer, which could offer new biomarkers for diagnosis and therapy of endometrial cancer in the future.

摘要

泛素连接酶 E2C () 在肿瘤进展中发挥重要作用;然而,其在子宫内膜癌中的作用尚不清楚。本研究阐明了在子宫内膜癌中的作用及其潜在机制。从武汉协和医院的患者中获得人子宫内膜癌和正常子宫内膜组织,并通过 Western blot 和 qRT-PCR 检测的表达。用过表达质粒或 -特异性短发夹 RNA (shRNA)转染子宫内膜癌细胞,分别上调或下调的表达。CCK8 和 Transwell 测定分别用于评估对细胞增殖、迁移和侵袭的影响。我们发现子宫内膜癌患者中表达显著升高,而上调与高级组织学分级、FIGO 分期、复发和总生存期缩短有关。 敲低抑制子宫内膜癌细胞增殖、迁移、侵袭和上皮-间充质转化 (EMT),而过表达则产生相反的效果。 下调增加了 p53 及其下游 p21 的表达,而过表达 p53 逆转了 的 EMT 促进作用。 在子宫内膜癌细胞中, 增强了 p53 的泛素化,从而促进其降解。雌二醇 (E2) 通过雌激素受体 α 诱导表达,其直接结合到的启动子元件上。 沉默抑制了 E2 促进的迁移、侵袭和 EMT 以及 。 意义: - 介导的雌激素诱导的肿瘤 EMT 促进是雌激素诱导的子宫内膜癌进展的一种新机制,它可能为未来子宫内膜癌的诊断和治疗提供新的生物标志物。

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