Cheng Shun-Wen, Chen Po-Chih, Ger Tzong-Rong, Chiu Hui-Wen, Lin Yuan-Feng
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.
J Pers Med. 2021 Mar 12;11(3):197. doi: 10.3390/jpm11030197.
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.
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。