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持续气道正压通气(CPAP)增强并维持肝细胞的慢性炎症,从而促进肝癌的发生。

CPAP enhances and maintains chronic inflammation in hepatocytes to promote hepatocarcinogenesis.

机构信息

Department of Biotechnology and Bioindustry Sciences, College of Bioscience and Biotechnology, National Cheng Kung University, Tainan, Taiwan.

Department of Oncology, Tainan, Taiwan.

出版信息

Cell Death Dis. 2021 Oct 22;12(11):983. doi: 10.1038/s41419-021-04295-2.

Abstract

Chronic and persistent inflammation is a well-known carcinogenesis promoter. Hepatocellular carcinoma (HCC) is one of the most common inflammation-associated cancers; most HCCs arise in the setting of chronic inflammation and hepatic injury. Both NF-κB and STAT3 are important regulators of inflammation. Centrosomal P4.1-associated protein (CPAP), a centrosomal protein that participates primarily in centrosome functions, is overexpressed in HCC and can increase TNF-α-mediated NF-κB activation and IL-6-induced STAT3 activation. A transgenic (Tg) mouse model with hepatocyte-specific CPAP expression was established to investigate the physiological role of CPAP in hepatocarcinogenesis. Obvious inflammatory cell accumulation and fatty change were observed in the livers of CPAP Tg mice. The alanine aminotransferase (ALT) level and the expression levels of inflammatory genes, such as IL-6, IL-1β and TNF-α, were higher in CPAP Tg mice than in wild type (WT) mice. High-dose/short-term treatment with diethylnitrosamine (DEN) increased the ALT level, proinflammatory gene expression levels, and STAT3 and NF-κB activation in CPAP Tg mice; low-dose/long-term DEN treatment induced more severe liver tumor formation in CPAP Tg mice than in WT mice. CPAP can increase the expression of chemokine (C-C motif) ligand 16 (CCL-16), an important chemotactic cytokine, in human hepatocytes. CCL-16 expression is positively correlated with CPAP and TNF-α mRNA expression in the peritumoral part of HCC. In summary, these results suggest that CPAP may promote hepatocarcinogenesis through enhancing the inflammation pathway via increasing the expression of CCL-16.

摘要

慢性和持续性炎症是众所周知的致癌促进剂。肝细胞癌(HCC)是最常见的与炎症相关的癌症之一;大多数 HCC 是在慢性炎症和肝损伤的背景下发生的。NF-κB 和 STAT3 都是炎症的重要调节因子。中心体 P4.1 相关蛋白(CPAP)是一种主要参与中心体功能的中心体蛋白,在 HCC 中过表达,可增加 TNF-α 介导的 NF-κB 激活和 IL-6 诱导的 STAT3 激活。建立了肝细胞特异性 CPAP 表达的转基因(Tg)小鼠模型,以研究 CPAP 在肝癌发生中的生理作用。CPAP Tg 小鼠肝脏中观察到明显的炎症细胞积聚和脂肪变性。CPAP Tg 小鼠的丙氨酸氨基转移酶(ALT)水平以及炎症基因(如 IL-6、IL-1β 和 TNF-α)的表达水平均高于野生型(WT)小鼠。大剂量/短时间用二乙基亚硝胺(DEN)处理可增加 CPAP Tg 小鼠的 ALT 水平、促炎基因表达水平以及 STAT3 和 NF-κB 的激活;低剂量/长时间 DEN 处理可导致 CPAP Tg 小鼠比 WT 小鼠形成更严重的肝肿瘤。CPAP 可增加人肝细胞中趋化因子(C-C 基序)配体 16(CCL-16)的表达,CCL-16 是一种重要的趋化因子。CCL-16 的表达与 HCC 肿瘤周围部分 CPAP 和 TNF-α mRNA 的表达呈正相关。综上所述,这些结果表明 CPAP 可能通过增加 CCL-16 的表达来增强炎症途径,从而促进肝癌的发生。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9bc5/8536685/c4909a094973/41419_2021_4295_Fig1_HTML.jpg

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