Department of Pediatric Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
Clinical Center of Human Genomic Research, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei Province, China.
EMBO Mol Med. 2019 Dec;11(12):e10835. doi: 10.15252/emmm.201910835. Epub 2019 Nov 11.
Aerobic glycolysis is a hallmark of metabolic reprogramming in tumor progression. However, the mechanisms regulating glycolytic gene expression remain elusive in neuroblastoma (NB), the most common extracranial malignancy in childhood. Herein, we identify that CUT-like homeobox 1 (CUX1) and CUX1-generated circular RNA (circ-CUX1) contribute to aerobic glycolysis and NB progression. Mechanistically, p110 CUX1, a transcription factor generated by proteolytic processing of p200 CUX1, promotes the expression of enolase 1, glucose-6-phosphate isomerase, and phosphoglycerate kinase 1, while circ-CUX1 binds to EWS RNA-binding protein 1 (EWSR1) to facilitate its interaction with MYC-associated zinc finger protein (MAZ), resulting in transactivation of MAZ and transcriptional alteration of CUX1 and other genes associated with tumor progression. Administration of an inhibitory peptide blocking circ-CUX1-EWSR1 interaction or lentivirus mediating circ-CUX1 knockdown suppresses aerobic glycolysis, growth, and aggressiveness of NB cells. In clinical NB cases, CUX1 is an independent prognostic factor for unfavorable outcome, and patients with high circ-CUX1 expression have lower survival probability. These results indicate circ-CUX1/EWSR1/MAZ axis as a therapeutic target for aerobic glycolysis and NB progression.
有氧糖酵解是肿瘤进展中代谢重编程的标志。然而,在神经母细胞瘤(NB)中,调节糖酵解基因表达的机制仍不清楚,NB 是儿童期最常见的颅外恶性肿瘤。在此,我们发现 CUT 样同源盒 1(CUX1)和 CUX1 产生的环状 RNA(circ-CUX1)有助于有氧糖酵解和 NB 的进展。从机制上讲,p110 CUX1 是 p200 CUX1 蛋白水解加工产生的转录因子,可促进烯醇酶 1、葡萄糖-6-磷酸异构酶和磷酸甘油酸激酶 1 的表达,而 circ-CUX1 与 EWS RNA 结合蛋白 1(EWSR1)结合,促进其与 MYC 相关锌指蛋白(MAZ)相互作用,导致 MAZ 的反式激活和 CUX1 及其他与肿瘤进展相关基因的转录改变。用抑制性肽阻断 circ-CUX1-EWSR1 相互作用或用介导 circ-CUX1 敲低的慢病毒处理可抑制 NB 细胞的有氧糖酵解、生长和侵袭性。在临床 NB 病例中,CUX1 是预后不良的独立预后因素,circ-CUX1 高表达的患者生存率较低。这些结果表明 circ-CUX1/EWSR1/MAZ 轴是有氧糖酵解和 NB 进展的治疗靶点。
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