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miR-15a 相关多态性通过改变 ERCC1 修复来影响 NSCLC 对铂类化疗的反应。

A miR-15a related polymorphism affects NSCLC prognosis via altering ERCC1 repair to platinum-based chemotherapy.

机构信息

Department of Toxicology, School of Public Health, China Medical University, Shenyang, China.

Department of Thoracic Surgery Ward 2, The First Hospital of China Medical University, Shenyang, China.

出版信息

J Cell Mol Med. 2022 Nov;26(21):5439-5451. doi: 10.1111/jcmm.17566. Epub 2022 Sep 30.

Abstract

Platinum-based chemotherapy is regarded as a preferential curative-intent option for non-small cell lung cancer (NSCLC), while the acquired drug resistance has become a major obstacle that limits its clinical application. Since the repair efficiency of tumour cells to platinum-DNA adducts plays a crucial role in chemotherapy resistance, we aimed to explore whether several meaningful polymorphisms of DNA repair genes were associated with the benefits of platinum-based chemotherapy in NSCLC patients. Firstly, six single nucleotide polymorphisms (SNPs) located in the 3'untranslated region (3'UTR) of three DNA repair genes were detected in 246 NSCLC patients receiving platinum-based chemotherapy and analysed the correlation of these candidate SNPs with the overall survival. Cox proportional hazard model showed that NSCLC patients carrying ERCC1 rs3212986 AA genotype had a shorter overall survival compared to those with CC. Mechanistically, we performed tumour chemosensitivity assay to observe the convincing linkage of rs3212986 polymorphism with ERCC1 expression and cisplatin sensitivity. The subsequent in vitro experiments identified that rs3212986 polymorphism altered the post-transcriptional regulation of ERCC1 via affecting the binding of miR-15a, and further changed the sensitivity to platinum analogue. It reminded that patients carrying ERCC1 rs3212986 CC homozygote were expected to respond better to platinum-based chemotherapy due to a lower expression of ERCC1. Compared with previous studies, our current comprehensive study suggested that rs3212986, a 3'UTR polymorphism in ERCC1, might have clinical relevance in predicting the prognosis of NSCLC patients receiving platinum-based chemotherapy.

摘要

铂类化疗被视为非小细胞肺癌(NSCLC)的首选治疗方法,而获得性耐药已成为限制其临床应用的主要障碍。由于肿瘤细胞对铂-DNA 加合物的修复效率在化疗耐药中起着至关重要的作用,我们旨在探讨几种有意义的 DNA 修复基因多态性是否与 NSCLC 患者接受铂类化疗的益处相关。首先,在接受铂类化疗的 246 名 NSCLC 患者中检测了三个 DNA 修复基因 3'UTR 中六个单核苷酸多态性(SNP),并分析了这些候选 SNP 与总生存期的相关性。Cox 比例风险模型显示,携带 ERCC1 rs3212986 AA 基因型的 NSCLC 患者的总生存期明显短于 CC 基因型。从机制上讲,我们进行了肿瘤化疗敏感性测定,观察到 rs3212986 多态性与 ERCC1 表达和顺铂敏感性之间的明确联系。随后的体外实验表明,rs3212986 多态性通过影响 miR-15a 的结合,改变了 ERCC1 的转录后调控,从而改变了对铂类似物的敏感性。这表明,携带 ERCC1 rs3212986 CC 纯合子的患者由于 ERCC1 表达较低,预计对铂类化疗的反应更好。与之前的研究相比,我们目前的综合研究表明,ERCC1 中的 3'UTR 多态性 rs3212986 可能与预测接受铂类化疗的 NSCLC 患者的预后具有临床相关性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7fb9/9639052/6739dc6f8734/JCMM-26-5439-g006.jpg

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