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Caspase-3 基因敲除通过抑制 ATM/p53/Cox-2/PGE 通路减弱非小细胞肺癌的放射后肿瘤再增殖。

Caspase-3 knockout attenuates radiation-induced tumor repopulation via impairing the ATM/p53/Cox-2/PGE pathway in non-small cell lung cancer.

机构信息

Cancer Center, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China.

Shanghai Key Laboratory for Pancreatic Diseases, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai 201620, China.

出版信息

Aging (Albany NY). 2020 Nov 7;12(21):21758-21776. doi: 10.18632/aging.103984.

Abstract

Radiotherapy is an effective treatment for non-small cell lung cancer (NSCLC). However, irradiated, dying tumor cells generate potent growth stimulatory signals during radiotherapy that promote the repopulation of adjacent surviving tumor cells to cause tumor recurrence. We investigated the function of caspase-3 in NSCLC repopulation after radiotherapy. We found that radiotherapy induced a DNA damage response (DDR), activated caspase-3, and promoted tumor repopulation in NSCLC cells. Unexpectedly, caspase-3 knockout attenuated the ataxia-telangiectasia mutated (ATM)/p53-initiated DDR by decreasing nuclear migration of endonuclease G (EndoG), thereby reducing the growth-promoting effect of irradiated, dying tumor cells. We also identified p53 as a regulator of the Cox-2/PGE axis and its involvement in caspase-3-induced tumor repopulation after radiotherapy. In addition, injection of caspase-3 knockout NSCLC cells impaired tumor growth in a nude mouse model. Our findings reveal that caspase-3 promotes tumor repopulation in NSCLC cells by activating DDR and the downstream Cox-2/PGE axis. Thus, caspase-3-induced ATM/p53/Cox-2/PGE signaling pathway could provide potential therapeutic targets to reduce NSCLC recurrence after radiotherapy.

摘要

放射疗法是治疗非小细胞肺癌(NSCLC)的有效方法。然而,在放射治疗过程中,受照射死亡的肿瘤细胞会产生强烈的生长刺激信号,促进相邻存活肿瘤细胞的再增殖,从而导致肿瘤复发。我们研究了 Caspase-3 在放射治疗后 NSCLC 再增殖中的作用。我们发现放射治疗诱导了 DNA 损伤反应(DDR),激活了 Caspase-3,并促进了 NSCLC 细胞的肿瘤再增殖。出乎意料的是,Caspase-3 基因敲除通过减少内切核酸酶 G(EndoG)的核迁移,减弱了共济失调毛细血管扩张突变(ATM)/p53 引发的 DDR,从而降低了受照射死亡肿瘤细胞的促生长作用。我们还确定了 p53 是 Cox-2/PGE 轴的调节剂及其在放射治疗后 Caspase-3 诱导的肿瘤再增殖中的作用。此外,注射 Caspase-3 基因敲除的 NSCLC 细胞可在裸鼠模型中损害肿瘤生长。我们的研究结果表明,Caspase-3 通过激活 DDR 和下游的 Cox-2/PGE 轴促进 NSCLC 细胞的肿瘤再增殖。因此,Caspase-3 诱导的 ATM/p53/Cox-2/PGE 信号通路可能为减少放射治疗后 NSCLC 复发提供潜在的治疗靶点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3339/7695367/4c562e44461d/aging-12-103984-g001.jpg

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