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评估PI3K/mTOR/AKT信号通路元件作为阴茎癌生物标志物和治疗靶点的作用

Assessment of PI3K/mTOR/AKT Pathway Elements to Serve as Biomarkers and Therapeutic Targets in Penile Cancer.

作者信息

Thomas Anita, Reetz Sascha, Stenzel Philipp, Tagscherer Katrin, Roth Wilfried, Schindeldecker Mario, Michaelis Martin, Rothweiler Florian, Cinatl Jindrich, Cinatl Jaroslav, Dotzauer Robert, Vakhrusheva Olesya, Albersen Maarten, Macher-Goeppinger Stephan, Haferkamp Axel, Juengel Eva, Neisius Andreas, Tsaur Igor

机构信息

Department of Urology and Pediatric Urology, University Medicine Mainz, 55122 Mainz, Germany.

Department of Pathology, University Medicine Mainz, 55122 Mainz, Germany.

出版信息

Cancers (Basel). 2021 May 12;13(10):2323. doi: 10.3390/cancers13102323.

DOI:10.3390/cancers13102323
PMID:34066040
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8151654/
Abstract

The PI3K/mTOR/AKT pathway might represent an intriguing option for treatment of penile cancer (PeCa). We aimed to assess whether members of this pathway might serve as biomarkers and targets for systemic therapy. Tissue of primary cancer from treatment-naïve PeCa patients was used for tissue microarray analysis. Immunohistochemical staining was performed with antibodies against AKT, pAKT, mTOR, pmTOR, pS6, pPRAS, p4EBP1, S6K1 and pp70S6K. Protein expression was correlated with clinicopathological characteristics as well as overall survival (OS), disease-specific survival (DSS), recurrence-free survival (RFS) and metastasis-free survival (MFS). AKT inhibition was tested in two primarily established, treatment-naïve PeCa cell lines by treatment with capivasertib and analysis of cell viability and chemotaxis. A total of 76 patients surgically treated for invasive PeCa were included. Higher expression of AKT was significantly more prevalent in high-grade tumors and predictive of DSS and OS in the Kaplan-Meier analysis, and an independent predictor of worse OS and DSS in the multivariate regression analysis. Treatment with pan-AKT inhibitor capivasertib in PeCa cell lines induced a significant downregulation of both total AKT and pAKT as well as decreased cell viability and chemotaxis. Selected protein candidates of the mTOR/AKT signaling pathway demonstrate association with histological and survival parameters of PeCa patients, whereas AKT appears to be the most promising one.

摘要

PI3K/mTOR/AKT信号通路可能是阴茎癌(PeCa)治疗中一个引人关注的选择。我们旨在评估该信号通路的成员是否可作为生物标志物和全身治疗的靶点。从未接受过治疗的PeCa患者的原发性癌组织用于组织芯片分析。使用抗AKT、pAKT、mTOR、pmTOR、pS6、pPRAS、p4EBP1、S6K1和pp70S6K的抗体进行免疫组织化学染色。蛋白表达与临床病理特征以及总生存期(OS)、疾病特异性生存期(DSS)、无复发生存期(RFS)和无转移生存期(MFS)相关。通过用卡匹西利治疗并分析细胞活力和趋化性,在两种主要建立的、未接受过治疗的PeCa细胞系中测试了AKT抑制作用。总共纳入了76例接受手术治疗的浸润性PeCa患者。在高级别肿瘤中,AKT的高表达明显更为普遍,在Kaplan-Meier分析中可预测DSS和OS,在多变量回归分析中是OS和DSS较差的独立预测因素。在PeCa细胞系中用泛AKT抑制剂卡匹西利治疗可显著下调总AKT和pAKT,并降低细胞活力和趋化性。mTOR/AKT信号通路的选定蛋白候选物显示与PeCa患者的组织学和生存参数相关,而AKT似乎是最有前景的一个。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/c076f8203747/cancers-13-02323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/aa4405a8ce28/cancers-13-02323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/7e8d3ff8965c/cancers-13-02323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/272358097e49/cancers-13-02323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/4e3c5008b649/cancers-13-02323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/c076f8203747/cancers-13-02323-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/aa4405a8ce28/cancers-13-02323-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/7e8d3ff8965c/cancers-13-02323-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/272358097e49/cancers-13-02323-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/4e3c5008b649/cancers-13-02323-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/22f0/8151654/c076f8203747/cancers-13-02323-g005.jpg

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