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BRAF突变促进了结直肠癌的生长和化疗耐药性。

BRAF mutation promoted the growth and chemoresistance of colorectal cancer.

作者信息

Ma Zenghui, Qi Zhenguang, Gu Chaofeng, Yang Zhou, Ding Yue, Zhou Yichan, Wang Wei, Zou Qi

机构信息

Department of General Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center Shanghai 201399, China.

Department of Gastroenterology, Qingdao Eighth People's Hospital Qingdao 266100, Shandong, China.

出版信息

Am J Cancer Res. 2023 Apr 15;13(4):1486-1497. eCollection 2023.

Abstract

BRAF mutation occurs frequently in colorectal cancer (CRC), which is associated with poor prognosis. Numerous clinical studies have indicated the undesirable effect of BRAF mutation in CRC patients; however, in vitro studies on the role and functional mechanism of BRAF mutation in CRC are limited. Here, we analyzed the association between BRAF mutation and the clinical features of CRC by using data deposited in the TCGA database. We found that BRAF mutation was closely related to the age and the pathological stage of CRC patients. Additionally, BRAF mutation also indicated poor overall survival in stage II CRC patients. Furthermore, we experimentally explored the function of BRAF mutation by generating a series of HCT116 stable cell lines expressing mutant BRAF, wildtype BRAF, and vector control (NC). We found that BRAF mutation promoted not only the invasion of HCT116 cells through inducing epithelial-mesenchymal transition (EMT), but also cell proliferation as well as the chemoresistance to 5-Fluorouracil (5-FU) and oxaliplatin. Moreover, we confirmed our in vitro findings in mouse xenograft model, in which tumors derived from BRAF expressing HCT116 cells showed significantly increased growth compared with that from HCT116-BRAF and HCT116-NC cells. Consistently, HCT116-BRAF tumors also showed significantly increased resistance to 5-FU compared with HCT116-BRAF and HCT116-NC tumors. Taken together, our study revealed that BRAF mutation not only promoted the progression of CRC via enhancing EMT but also enhanced chemoresistance.

摘要

BRAF突变在结直肠癌(CRC)中频繁发生,这与预后不良相关。大量临床研究表明BRAF突变对CRC患者有不良影响;然而,关于BRAF突变在CRC中的作用和功能机制的体外研究有限。在此,我们通过使用TCGA数据库中存储的数据,分析了BRAF突变与CRC临床特征之间的关联。我们发现BRAF突变与CRC患者的年龄和病理分期密切相关。此外,BRAF突变还表明II期CRC患者的总生存期较差。此外,我们通过生成一系列表达突变型BRAF、野生型BRAF和载体对照(NC)的HCT116稳定细胞系,对BRAF突变的功能进行了实验探索。我们发现BRAF突变不仅通过诱导上皮-间质转化(EMT)促进HCT116细胞的侵袭,还促进细胞增殖以及对5-氟尿嘧啶(5-FU)和奥沙利铂的化疗耐药性。此外,我们在小鼠异种移植模型中证实了我们的体外研究结果,其中源自表达BRAF的HCT116细胞的肿瘤与源自HCT116-BRAF和HCT116-NC细胞的肿瘤相比,生长显著增加。一致地,与HCT116-BRAF和HCT116-NC肿瘤相比,HCT116-BRAF肿瘤对5-FU的耐药性也显著增加。综上所述,我们的研究表明BRAF突变不仅通过增强EMT促进CRC的进展,还增强了化疗耐药性。

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