Graduate Institute of Biomedical Informatics, College of Medical Science and Technology, Taipei Medical University, Taipei 11031, Taiwan.
Department of Neurosurgery, Wan Fang Hospital, Taipei Medical University, No.111, Sec. 3, Xinglong Rd., Taipei 11696, Taiwan.
Int J Mol Sci. 2023 Nov 16;24(22):16396. doi: 10.3390/ijms242216396.
Glioblastoma multiforme (GBM) is the most aggressive and lethal primary brain tumor whose median survival is less than 15 months. The current treatment regimen comprising surgical resectioning, chemotherapy with Temozolomide (TMZ), and adjuvant radiotherapy does not achieve total patient cure. Stem cells' presence and GBM tumor heterogeneity increase their resistance to TMZ, hence the poor overall survival of patients. A dysregulated cell cycle in glioblastoma enhances the rapid progression of GBM by evading senescence or apoptosis through an over-expression of cyclin-dependent kinases and other protein kinases that are the cell cycle's main regulatory proteins. Herein, we identified and validated the biomarker and predictive properties of a chemoradio-resistant oncogenic signature in GBM comprising CDK1, PBK, and CHEK1 through our comprehensive in silico analysis. We found that CDK1/PBK/CHEK1 overexpression drives the cell cycle, subsequently promoting GBM tumor progression. In addition, our Kaplan-Meier survival estimates validated the poor patient survival associated with an overexpression of these genes in GBM. We used in silico molecular docking to analyze and validate our objective to repurpose Dapagliflozin against CDK1/PBK/CHEK1. Our results showed that Dapagliflozin forms putative conventional hydrogen bonds with CDK1, PBK, and CHEK1 and arrests the cell cycle with the lowest energies as Abemaciclib.
多形性胶质母细胞瘤(GBM)是最具侵袭性和致命性的原发性脑肿瘤,其中位生存期不到 15 个月。目前的治疗方案包括手术切除、替莫唑胺(TMZ)化疗和辅助放疗,但并不能完全治愈所有患者。干细胞的存在和 GBM 肿瘤异质性增加了它们对 TMZ 的耐药性,因此患者的总体生存率较差。GBM 中细胞周期失调会通过过度表达细胞周期蛋白依赖性激酶和其他蛋白激酶等细胞周期的主要调节蛋白来逃避衰老或凋亡,从而加速 GBM 的快速进展。在此,我们通过全面的计算机分析,确定并验证了包括 CDK1、PBK 和 CHEK1 在内的致瘤性化学放射抵抗标志物和预测特性。我们发现 CDK1/PBK/CHEK1 的过表达驱动细胞周期,进而促进 GBM 肿瘤的进展。此外,我们的 Kaplan-Meier 生存估计验证了这些基因在 GBM 中的过表达与患者预后不良相关。我们使用计算机分子对接来分析和验证我们将达格列净重新用于针对 CDK1/PBK/CHEK1 的目标。我们的结果表明,达格列净与 CDK1、PBK 和 CHEK1 形成假定的常规氢键,并以与 Abemaciclib 最低的能量阻止细胞周期。