Department of Translational Medicine Research Center, Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Affiliated Hangzhou First People's Hospital, Zhejiang Chinese Medical University, Hangzhou, 310006, China; Department of Oncology, Affiliated Hangzhou First People's Hospital, Zhejiang University School of Medicine, Cancer Center, Zhejiang University, Hangzhou, 310006, China.
Department of Translational Medicine Research Center, Key Laboratory of Clinical Cancer Pharmacology and Toxicology Research of Zhejiang Province, Affiliated Hangzhou First People's Hospital, Zhejiang Chinese Medical University, Hangzhou, 310006, China.
Cancer Lett. 2022 Jan 1;524:268-283. doi: 10.1016/j.canlet.2021.10.001. Epub 2021 Oct 11.
Although the DNA damage response (DDR) is associated with the radioresistance characteristics of lung cancer cells, the specific regulators and underlying mechanisms of the DDR are unclear. Here, we identified the serine proteinase inhibitor clade E member 2 (SERPINE2) as a modulator of radiosensitivity and the DDR in lung cancer. Cells exhibiting radioresistance after ionizing radiation show upregulation of SERPINE2, and SERPINE2 knockdown improves tumor radiosensitivity in vitro and in vivo. Functionally, SERPINE2 deficiency causes a reduction in homologous recombination repair, rapid recovery of cell cycle checkpoints, and suppression of migration and invasion. Mechanistically, SERPINE2 knockdown inhibits the accumulation of p-ATM and the downstream repair protein RAD51 during DNA repair, and RAD51 can restore DNA damage and radioresistance phenotypes in lung cancer cells. Furthermore, SERPINE2 can directly interact with MRE11 and ATM to facilitate its phosphorylation in HR-mediated DSB repair. In addition, high SERPINE2 expression correlates with dismal prognosis in lung adenocarcinoma patients, and a high serum SERPINE2 concentration predicts a poor response to radiotherapy in non-small cell lung cancer patients. In summary, these findings indicate a novel regulatory mechanism by which SERPINE2 modulates the DDR and radioresistance in lung cancer.
虽然 DNA 损伤反应(DDR)与肺癌细胞的放射抵抗特性有关,但 DDR 的具体调节因子和潜在机制尚不清楚。在这里,我们鉴定出丝氨酸蛋白酶抑制剂 E 族成员 2(SERPINE2)是肺癌中放射敏感性和 DDR 的调节剂。在电离辐射后表现出放射抗性的细胞中 SERPINE2 上调,并且 SERPINE2 敲低可提高体外和体内肿瘤的放射敏感性。功能上,SERPINE2 缺陷导致同源重组修复减少、细胞周期检查点快速恢复以及迁移和侵袭抑制。从机制上讲,SERPINE2 敲低可抑制 ATM 及其下游修复蛋白 RAD51 在 DNA 修复过程中的积累,并且 RAD51 可以恢复肺癌细胞中的 DNA 损伤和放射抵抗表型。此外,SERPINE2 可以直接与 MRE11 和 ATM 相互作用,促进其在 HR 介导的 DSB 修复中的磷酸化。此外,高 SERPINE2 表达与肺腺癌患者的预后不良相关,而血清中 SERPINE2 浓度高预示着非小细胞肺癌患者对放疗的反应不佳。总之,这些发现表明 SERPINE2 通过调节肺癌中的 DDR 和放射抵抗具有新的调节机制。