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能量代谢在放疗抵抗性直肠癌中发生改变。

Energy Metabolism Is Altered in Radioresistant Rectal Cancer.

机构信息

Department of Surgery, School of Medicine, Trinity Translational Medicine Institute, Trinity St James's Cancer Institute, Trinity College Dublin, D08 NHY1 Dublin, Ireland.

UCD School of Agriculture and Food Science, UCD Institute of Food and Health, Conway Institute, University College Dublin, D04 V1W8 Dublin, Ireland.

出版信息

Int J Mol Sci. 2023 Apr 11;24(8):7082. doi: 10.3390/ijms24087082.

DOI:10.3390/ijms24087082
PMID:37108244
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10138551/
Abstract

Resistance to neoadjuvant chemoradiation therapy is a significant clinical challenge in the management of rectal cancer. There is an unmet need to identify the underlying mechanisms of treatment resistance to enable the development of biomarkers predictive of response and novel treatment strategies to improve therapeutic response. In this study, an in vitro model of inherently radioresistant rectal cancer was identified and characterized to identify mechanisms underlying radioresistance in rectal cancer. Transcriptomic and functional analysis demonstrated significant alterations in multiple molecular pathways, including the cell cycle, DNA repair efficiency and upregulation of oxidative phosphorylation-related genes in radioresistant SW837 rectal cancer cells. Real-time metabolic profiling demonstrated decreased reliance on glycolysis and enhanced mitochondrial spare respiratory capacity in radioresistant SW837 cells when compared to radiosensitive HCT116 cells. Metabolomic profiling of pre-treatment serum samples from rectal cancer patients ( = 52) identified 16 metabolites significantly associated with subsequent pathological response to neoadjuvant chemoradiation therapy. Thirteen of these metabolites were also significantly associated with overall survival. This study demonstrates, for the first time, a role for metabolic reprograming in the radioresistance of rectal cancer in vitro and highlights a potential role for altered metabolites as novel circulating predictive markers of treatment response in rectal cancer patients.

摘要

新辅助放化疗耐药是直肠癌治疗的重大临床挑战。目前迫切需要明确治疗耐药的潜在机制,以便开发预测反应的生物标志物和改善治疗反应的新治疗策略。本研究鉴定并表征了一种固有放射抵抗的直肠癌体外模型,以确定直肠癌放射抵抗的潜在机制。转录组学和功能分析表明,多个分子途径发生了显著改变,包括放射抵抗的 SW837 直肠癌细胞中的细胞周期、DNA 修复效率和氧化磷酸化相关基因的上调。与放射敏感的 HCT116 细胞相比,实时代谢组学分析显示放射抵抗的 SW837 细胞对糖酵解的依赖性降低,线粒体备用呼吸能力增强。对 52 例直肠癌患者新辅助放化疗前的血清样本进行代谢组学分析,鉴定出 16 种与新辅助放化疗后病理反应显著相关的代谢物。其中 13 种代谢物与总生存期也显著相关。本研究首次证明代谢重编程在直肠癌体外放射抵抗中的作用,并强调了改变的代谢物作为直肠癌患者治疗反应的新型循环预测标志物的潜在作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/610c8e873ca2/ijms-24-07082-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/79e1e9f98d74/ijms-24-07082-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/19f72fd610da/ijms-24-07082-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/b871fc6ec40a/ijms-24-07082-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/6b5ff0659c39/ijms-24-07082-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/cb6551dc0e37/ijms-24-07082-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/9ad2edd6375c/ijms-24-07082-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/610c8e873ca2/ijms-24-07082-g007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/79e1e9f98d74/ijms-24-07082-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/19f72fd610da/ijms-24-07082-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/b871fc6ec40a/ijms-24-07082-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/6b5ff0659c39/ijms-24-07082-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/cb6551dc0e37/ijms-24-07082-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/9ad2edd6375c/ijms-24-07082-g006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a5ae/10138551/610c8e873ca2/ijms-24-07082-g007.jpg

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本文引用的文献

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Front Immunol. 2022 Feb 15;13:768606. doi: 10.3389/fimmu.2022.768606. eCollection 2022.
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