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半胱氨酰白三烯受体 1 促进结肠癌细胞对 5-氟尿嘧啶的耐药性和耐药性源性干性。

Cysteinyl leukotriene receptor 1 promotes 5-fluorouracil resistance and resistance-derived stemness in colon cancer cells.

机构信息

Cell and Experimental Pathology, Department of Translational Medicine, Lund University, Skåne University Hospital, Malmö, Sweden.

Cell and Experimental Pathology, Department of Translational Medicine, Lund University, Skåne University Hospital, Malmö, Sweden.

出版信息

Cancer Lett. 2020 Sep 28;488:50-62. doi: 10.1016/j.canlet.2020.05.023. Epub 2020 May 28.

Abstract

Colon cancer is a therapy-resistant cancer with a low 5-year survival frequency. The drug 5-fluorouracil (5-FU) has been used as a first-line therapy in metastatic colon cancer in combination with leucovorin or oxaliplatin with a >40% resistance rate. High CysLTR expression in tumors is associated with poor survival of colon cancer patients. We sought to examine the role of CysLTR in 5-FU resistance and established 5-FU-resistant (5-FU-R) colon cancer cells. These 5-FU-R-cells expressed increased levels of CysLTR and showed increased survival and migration compared to nonresistant cells. Increases in thymidylate synthase and active β-catenin were also observed in the 5-FU-R-cells. LTD/CysLTR signaling was further increased and abolished after CYSLTR1 CRISPR-Cas9-knockdown and reduced in CysLTR-doxycycline-knockdown experiments and CysLTR-antagonist montelukast/5-FU-treated cells. Montelukast and 5-FU resulted in synergistic effects by reducing HT-29 cell and 5-FU-R-HT-29 cell migration and zebrafish xenograft metastasis. An increase in the stem cell markers in 5-FU-R-cells and 5-FU-R-cell-derived colonospheres and in CysLTR-Dox-knockdown cells increased colonosphere formation and stem cell markers was noticed after 5-FU treatment. IL-4-mediated stemness in both HT-29-colonospheres and 5-FU-R-cell derived colonospheres was abolished by montelukast or montelukast + 5-FU-treatment. Targeting CysLTR signaling by montelukast might reverse drug resistance and decrease resistance-derived stemness in colon cancer patients.

摘要

结肠癌是一种治疗耐药性癌症,5 年生存率低。药物 5-氟尿嘧啶(5-FU)已与亚叶酸或奥沙利铂联合用于转移性结肠癌的一线治疗,耐药率>40%。肿瘤中高 CysLTR 表达与结肠癌患者预后不良相关。我们试图研究 CysLTR 在 5-FU 耐药中的作用,并建立 5-FU 耐药(5-FU-R)结肠癌细胞。这些 5-FU-R 细胞表达增加的 CysLTR 水平,与非耐药细胞相比,存活率和迁移率增加。在 5-FU-R 细胞中还观察到胸苷酸合成酶和活性 β-连环蛋白增加。在 CYSLTR1 CRISPR-Cas9 敲低后,LTD/CysLTR 信号进一步增加并被消除,并且在 CysLTR-多西环素敲低实验和 CysLTR 拮抗剂孟鲁司特/5-FU 处理的细胞中减少。孟鲁司特和 5-FU 通过减少 HT-29 细胞和 5-FU-R-HT-29 细胞迁移和斑马鱼异种移植转移,产生协同作用。在 5-FU-R 细胞和 5-FU-R 细胞衍生的类器官以及 CysLTR-Dox 敲低细胞中,干细胞标志物增加,并且在用 5-FU 处理后观察到类器官形成和干细胞标志物增加。IL-4 介导的 HT-29 类器官和 5-FU-R 细胞衍生的类器官中的干性被孟鲁司特或孟鲁司特+5-FU 治疗消除。通过孟鲁司特靶向 CysLTR 信号可能逆转耐药性并减少结肠癌患者耐药衍生的干性。

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