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作为预测接受紫杉烷类化疗的三阴性乳腺癌患者良好反应的潜在标志物。

Serves as a Potential Marker to Predict a Favorable Response in Triple-Negative Breast Cancer Patients Receiving a Taxane-Based Chemotherapy.

作者信息

Cheng Shun-Wen, Chen Po-Chih, Ger Tzong-Rong, Chiu Hui-Wen, Lin Yuan-Feng

机构信息

Department of Biomedical Engineering, Chung Yuan Christian University, Taoyuan City 32023, Taiwan.

Neurology Department, Shuang-Ho Hospital, Taipei Medical University, New Taipei City 235, Taiwan.

出版信息

J Pers Med. 2021 Mar 12;11(3):197. doi: 10.3390/jpm11030197.

Abstract

Pre-operative (neoadjuvant) or post-operative (adjuvant) taxane-based chemotherapy is still commonly used to treat patients with triple-negative breast cancer (TNBC). However, there are still no effective biomarkers used to predict the responsiveness and efficacy of taxane-based chemotherapy in TNBC patients. Here we find that guanylate-binding protein 5 (GBP5), compared to other GBPs, exhibits the strongest prognostic significance in predicting TNBC recurrence and progression. Whereas GBP5 upregulation showed no prognostic significance in non-TNBC patients, a higher GBP5 level predicted a favorable recurrence and progression-free condition in the TNBC cohort. Moreover, we found that GBP5 expression negatively correlated with the 50% inhibitory concentration (IC) of paclitaxel in a panel of TNBC cell lines. The gene knockdown of GBP5 increased the IC of paclitaxel in the tested TNBC cells. In TNBC patients receiving neoadjuvant or adjuvant chemotherapy, a higher GBP5 level strongly predicted a good responsiveness. Computational simulation by the Gene Set Enrichment Analysis program and cell-based assays demonstrated that GBP5 probably enhances the cytotoxic effectiveness of paclitaxel via activating the Akt/mTOR signaling axis and suppressing autophagy formation in TNBC cells. These findings suggest that GBP5 could be a good biomarker to predict a favorable outcome in TNBC patients who decide to receive a taxane-based neoadjuvant or adjuvant therapy.

摘要

术前(新辅助)或术后(辅助)基于紫杉烷的化疗仍然是治疗三阴性乳腺癌(TNBC)患者的常用方法。然而,目前仍没有有效的生物标志物可用于预测TNBC患者对基于紫杉烷化疗的反应性和疗效。在此,我们发现,与其他鸟苷酸结合蛋白(GBP)相比,鸟苷酸结合蛋白5(GBP5)在预测TNBC复发和进展方面具有最强的预后意义。虽然GBP5上调在非TNBC患者中没有预后意义,但在TNBC队列中,较高的GBP5水平预示着较好的复发和无进展情况。此外,我们发现GBP5表达与一组TNBC细胞系中紫杉醇的50%抑制浓度(IC)呈负相关。在测试的TNBC细胞中,敲低GBP5基因会增加紫杉醇的IC。在接受新辅助或辅助化疗的TNBC患者中,较高的GBP5水平强烈预示着良好的反应性。通过基因集富集分析程序进行的计算模拟和基于细胞的试验表明,GBP5可能通过激活Akt/mTOR信号轴和抑制TNBC细胞中的自噬形成来增强紫杉醇的细胞毒性作用。这些发现表明,GBP5可能是一个很好的生物标志物,可用于预测决定接受基于紫杉烷的新辅助或辅助治疗的TNBC患者的良好预后。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d30/8001168/65f1e1cc4160/jpm-11-00197-g001.jpg

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