Department of Gastroenterology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, China.
Department of Gastroenterology, Zhongnan Hospital of Wuhan University, Wuhan, 430071, China.
Curr Med Sci. 2023 Jun;43(3):526-538. doi: 10.1007/s11596-023-2755-0. Epub 2023 Jun 8.
OBJECTIVE: Cuproptosis is a novel cell death pathway that was newly discovered in early 2022. However, cuproptosis is still in its infancy in many respects and warrants further research in hepatocellular carcinoma (HCC). This study aimed to analyze the mechanism of cuprptosis in HCC. METHODS: Herein, the tumor microenvironment infiltration landscape of molecular subtypes was illustrated using GSVA, ssGSEA, TIMER, CIBERSORT, and ESTIMATE algorithms based on the expression profile of cuproptosis-related genes (CRGs) from TCGA and GEO databases. Then, the least absolute shrinkage and selection operator regression method was applied to construct a cuproptosis signature to quantify the cuproptosis profile of HCC. Further, we explored the expression of three hub CRGs in cell lines and clinical patient tissues of HCC by Western blotting, qRT-PCR and immunohistochemistry. Finally, we examined the function of dihydrolipoamide S-acetyltransferase (DLAT) in cuproptosis in HCC by loss-of-function strategy, Western blotting and CCK8 assay. RESULTS: Three distinct molecular subtypes were identified. Cluster 2 had the greatest infiltration of immune cells with best prognosis. The cuproptosis signature was indicative of tumor subtype, immunity, and prognosis for HCC, and specifically, a low cuproptosis score foreshadowed good prognosis. DLAT was highly expressed in liver cancer cell lines and HCC tissues and positively correlated with clinical stage and grade. We also found that potent copper ionophore elesclomol could induce cuproptosis in a copper-dependent manner. Selective Cu chelator ammonium tetrathiomolybdate and downregulating DLAT expression by siRNA could effectively inhibit cuproptosis. CONCLUSION: Cuproptosis and DLAT as a promising biomarker could help to determine the prognosis of HCC and may offer novel insights for effective treatment.
目的:铜死亡是一种新发现的细胞死亡途径,于 2022 年初被发现。然而,铜死亡在许多方面仍处于起步阶段,需要进一步研究肝细胞癌(HCC)。本研究旨在分析铜死亡在 HCC 中的机制。
方法:基于 TCGA 和 GEO 数据库中铜死亡相关基因(CRGs)的表达谱,采用 GSVA、ssGSEA、TIMER、CIBERSORT 和 ESTIMATE 算法,描绘了分子亚型的肿瘤微环境浸润图谱。然后,应用最小绝对收缩和选择算子回归方法构建铜死亡特征,以量化 HCC 的铜死亡特征。进一步,我们通过 Western blot、qRT-PCR 和免疫组化检测了 HCC 细胞系和临床患者组织中三个关键 CRGs 的表达。最后,通过失活策略、Western blot 和 CCK8 测定,检测了二氢硫辛酰胺 S-乙酰转移酶(DLAT)在 HCC 铜死亡中的功能。
结果:鉴定出三个不同的分子亚型。簇 2 具有最强的免疫细胞浸润,预后最好。铜死亡特征可提示 HCC 的肿瘤亚型、免疫和预后,具体来说,低铜死亡评分预示着良好的预后。DLAT 在肝癌细胞系和 HCC 组织中高表达,与临床分期和分级呈正相关。我们还发现,强效铜离子载体 elesclomol 可以以铜依赖的方式诱导铜死亡。选择性铜螯合剂四硫钼酸铵和 siRNA 下调 DLAT 表达可以有效抑制铜死亡。
结论:铜死亡和 DLAT 作为有前途的生物标志物,可以帮助确定 HCC 的预后,并为有效治疗提供新的思路。
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