CHD4 作为一种重要的调节因子,在调控结直肠癌的恶性行为中发挥作用。

CHD4 as an important mediator in regulating the malignant behaviors of colorectal cancer.

机构信息

Division of Colorectal Surgery, Department of Surgery, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung, Taiwan.

Center for Shockwave Medicine and Tissue Engineering, Kaohsiung Chang Gung Memorial Hospital, Kaohsiung, Taiwan.

出版信息

Int J Biol Sci. 2021 Apr 12;17(7):1660-1670. doi: 10.7150/ijbs.56976. eCollection 2021.

Abstract

Colorectal cancer (CRC) has ranked first in terms of incidence in Taiwan. Surgical resection combined with chemo-, radio-, or targeted-therapies are the main treatments for CRC patients in current clinical practice. However, many CRC patients still respond poorly to these treatments, leading to tumor recurrence and an unacceptably high incidence of metastasis and death. Therefore, appropriate diagnosis, treatment, and drug selection are pressing issues in clinical practice. The Mi-2/nucleosome remodeling and deacetylase complex is an important epigenetic regulator of chromatin structure and gene expression. An important component of this complex is chromodomain-helicase-DNA-binding protein 4 (CHD4), which is involved in DNA repair after injury. Recent studies have indicated that CHD4 has oncogenic functions that inhibit multiple tumor suppressor genes through epigenetic regulation. However, the role of CHD4 in CRC has not yet been well investigated. In this study, we compared CHD4 expression in CRC patients from The Cancer Genome Atlas database. We found higher levels of CHD4 expression in CRC patients. In a series of experiments, we found that CHD4 affected cell motility and drug sensitivity in CRC cells. In animal models, the depletion of CHD4 affected CRC tumor growth, and the combination of a histone deacetylase 1 (HDAC1) inhibitor and platinum drugs inhibited CHD4 expression and increased the cytotoxicity of platinum drugs. Moreover, CHD4 expression was also a prognostic biomarker in CRC patients. Based on the above results, we believe that CHD4 expression is a viable biomarker for predicting metastasis CRC patients, and it has the potential to become a target for drug development.

摘要

结直肠癌 (CRC) 在台湾的发病率位居首位。手术切除结合化疗、放疗或靶向治疗是目前临床治疗 CRC 患者的主要方法。然而,许多 CRC 患者对这些治疗方法的反应仍然不佳,导致肿瘤复发和转移率高,死亡率高。因此,合适的诊断、治疗和药物选择是临床实践中的紧迫问题。Mi-2/核小体重塑和去乙酰化酶复合物是染色质结构和基因表达的重要表观遗传调节剂。该复合物的一个重要组成部分是染色质结构域螺旋酶 DNA 结合蛋白 4 (CHD4),它参与损伤后的 DNA 修复。最近的研究表明,CHD4 具有致癌功能,通过表观遗传调控抑制多种肿瘤抑制基因。然而,CHD4 在 CRC 中的作用尚未得到很好的研究。在本研究中,我们比较了癌症基因组图谱数据库中 CRC 患者的 CHD4 表达。我们发现 CRC 患者的 CHD4 表达水平较高。在一系列实验中,我们发现 CHD4 影响 CRC 细胞的运动性和药物敏感性。在动物模型中,CHD4 的耗竭影响 CRC 肿瘤的生长,组蛋白去乙酰化酶 1 (HDAC1) 抑制剂和铂类药物的联合使用抑制 CHD4 的表达并增加铂类药物的细胞毒性。此外,CHD4 表达也是 CRC 患者的预后生物标志物。基于上述结果,我们认为 CHD4 表达是预测转移性 CRC 患者的一个可行的生物标志物,并且具有成为药物开发目标的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/942c/8120460/c75afb20afa2/ijbsv17p1660g001.jpg

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