Department of Biochemistry, Molecular Cancer Research Center, School of Medicine, Sun Yat-sen University, Shenzhen, 518107, China.
Nanhai Translational Innovation Center of Precision Immunology, Sun Yat-sen Memorial Hospital, Foshan, 528200, China.
Sci China Life Sci. 2023 Nov;66(11):2451-2465. doi: 10.1007/s11427-022-2329-7. Epub 2023 Aug 31.
Breast cancer is one of the most common malignant tumors with high mortality and poor prognosis in women. There is an urgent need to discover new therapeutic targets for breast cancer metastasis. Herein, we identified that Apolipoprotein C1 (APOC1) was up-regulated in primary tumor of breast cancer patient that recurrence and metastasis by immunohistochemistry (IHC). Kaplan-Meier Plotter database showed that high levels of APOC1 in breast cancer patients were strongly associated with worse overall survival (OS) and relapse-free survival (RFS). Mechanistically, APOC1 silencing significantly inhibits MAPK/ERK kinase pathway and restrains the NF-κB to decrease the transcription of target genes related to growth and metastasis in vitro. Based on this regulatory mechanism, we developed these findings into potential therapeutic drugs, glutathione (GSH) responsive nano-particles (NPs) were used for systemic APOC1 siRNA delivery, NPs (siAPOC1) silenced APOC1 expression, and subsequently resulted in positive anti-tumor effects in orthotopic and liver metastasis models in vivo. Taken together, GSH responsive NP-mediated siAPOC1 delivery was proved to be effective in regulating growth and metastasis in multiple tumor models. These findings show that APOC1 could be a potential biomarker to predict the prognosis of breast cancer patients and NP-mediated APOC1 silencing could be new strategies for exploration of new treatments for breast cancer metastasis.
乳腺癌是女性中最常见的恶性肿瘤之一,死亡率和预后较差。迫切需要发现乳腺癌转移的新治疗靶点。在此,我们通过免疫组织化学(IHC)发现载脂蛋白 C1(APOC1)在乳腺癌患者的原发肿瘤中上调,导致复发和转移。Kaplan-Meier Plotter 数据库显示,乳腺癌患者中 APOC1 水平较高与总生存期(OS)和无复发生存期(RFS)较差密切相关。从机制上讲,APOC1 沉默显著抑制 MAPK/ERK 激酶通路,并抑制 NF-κB 减少与体外生长和转移相关的靶基因的转录。基于这种调节机制,我们将这些发现开发成潜在的治疗药物,使用谷胱甘肽(GSH)响应纳米颗粒(NPs)进行全身 APOC1 siRNA 递送,NPs(siAPOC1)沉默 APOC1 表达,随后在体内原位和肝转移模型中产生了积极的抗肿瘤作用。总之,GSH 响应 NP 介导的 siAPOC1 递送被证明在多种肿瘤模型中有效调节生长和转移。这些发现表明 APOC1 可以作为预测乳腺癌患者预后的潜在生物标志物,NP 介导的 APOC1 沉默可能是探索乳腺癌转移新治疗方法的新策略。