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肥胖通过 SERPINE1 介导的三阴性乳腺癌侵袭性和 DNA 修复促进放疗抵抗。

Obesity promotes radioresistance through SERPINE1-mediated aggressiveness and DNA repair of triple-negative breast cancer.

机构信息

Department of Clinical Laboratory Sciences and Medical Biotechnology, College of Medicine, National Taiwan University, Taipei, Taiwan.

Department of Diabetes Complications & Metabolism, City of Hope, Duarte, CA, USA.

出版信息

Cell Death Dis. 2023 Jan 21;14(1):53. doi: 10.1038/s41419-023-05576-8.

Abstract

Obesity is a risk factor in various types of cancer, including breast cancer. The disturbance of adipose tissue in obesity highly correlates with cancer progression and resistance to standard treatments such as chemo- and radio-therapies. In this study, in a syngeneic mouse model of triple-negative breast cancer (TNBC), diet-induced obesity (DIO) not only promoted tumor growth, but also reduced tumor response to radiotherapy. Serpine1 (Pai-1) was elevated in the circulation of obese mice and was enriched within tumor microenvironment. In vitro co-culture of human white adipocytes-conditioned medium (hAd-CM) with TNBC cells potentiated the aggressive phenotypes and radioresistance of TNBC cells. Moreover, inhibition of both cancer cell autonomous and non-autonomous SERPINE1 by either genetic or pharmacological strategy markedly dampened the aggressive phenotypes and radioresistance of TNBC cells. Mechanistically, we uncovered a previously unrecognized role of SERPINE1 in DNA damage response. Ionizing radiation-induced DNA double-strand breaks (DSBs) increased the expression of SERPINE1 in cancer cells in an ATM/ATR-dependent manner, and promoted nuclear localization of SERPINE1 to facilitate DSB repair. By analyzing public clinical datasets, higher SERPINE1 expression in TNBC correlated with patients' BMI as well as poor outcomes. Elevated SERPINE1 expression and nuclear localization were also observed in radioresistant breast cancer cells. Collectively, we reveal a link between obesity and radioresistance in TNBC and identify SERPINE1 to be a crucial factor mediating obesity-associated tumor radioresistance.

摘要

肥胖是多种癌症的一个风险因素,包括乳腺癌。肥胖症中脂肪组织的紊乱与癌症的进展以及对化疗和放疗等标准治疗的耐药性高度相关。在这项研究中,在三阴性乳腺癌(TNBC)的同种异体小鼠模型中,饮食诱导的肥胖(DIO)不仅促进了肿瘤生长,还降低了肿瘤对放疗的反应。丝氨酸蛋白酶抑制剂 1(Pai-1)在肥胖小鼠的循环中升高,并在肿瘤微环境中富集。人白色脂肪细胞条件培养基(hAd-CM)与 TNBC 细胞的体外共培养增强了 TNBC 细胞的侵袭表型和放射抵抗性。此外,通过遗传或药理学策略抑制癌细胞自主和非自主的丝氨酸蛋白酶抑制剂 1,显著抑制了 TNBC 细胞的侵袭表型和放射抵抗性。在机制上,我们揭示了丝氨酸蛋白酶抑制剂 1在 DNA 损伤反应中的一个以前未被认识的作用。电离辐射诱导的 DNA 双链断裂(DSBs)以 ATM/ATR 依赖的方式增加了癌细胞中丝氨酸蛋白酶抑制剂 1 的表达,并促进了丝氨酸蛋白酶抑制剂 1 的核定位,以促进 DSB 修复。通过分析公共临床数据集,TNBC 中丝氨酸蛋白酶抑制剂 1的高表达与患者的 BMI 以及不良预后相关。在放射抵抗性乳腺癌细胞中也观察到丝氨酸蛋白酶抑制剂 1 的表达升高和核定位。总之,我们揭示了肥胖与 TNBC 放射抵抗之间的联系,并确定丝氨酸蛋白酶抑制剂 1是介导肥胖相关肿瘤放射抵抗的关键因素。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/fbe2/9867751/e87f1fc8c72c/41419_2023_5576_Fig1_HTML.jpg

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