Department of Pharmacy, Huashan Hospital, Fudan University, Shanghai, China.
Department of Surgery, Huashan Hospital, Fudan University, Shanghai, China.
Pharmacol Res. 2024 Mar;201:107097. doi: 10.1016/j.phrs.2024.107097. Epub 2024 Feb 13.
As the world's fourth most deadly cancer, colorectal cancer (CRC) still needed the novel therapeutic drugs and target urgently. Although cyclin-dependent kinase 12 (CDK12) has been shown to be implicated in the malignancy of several types of cancer, its functional role and mechanism in CRC remain largely unknown. Here, we found that suppression of CDK12 inhibited tumor growth in CRC by inducing apoptosis. And CDK12 inhibition triggered autophagy by upregulating autophagy related gene 7 (ATG7) expression. Inhibition of autophagy by ATG7 knockdown and chloroquine (CQ) further decreased cell viability induced by CDK12 inhibition. Further mechanism exploration showed that CDK12 interacted with protein kinase B (AKT) regulated autophagy via AKT/forkhead box O3 (AKT/FOXO3) pathway. FOXO3 transcriptionally upregulated ATG7 expression and autophagy when CDK12 inhibition in CRC. Level of CDK12 and p-FOXO3/FOXO3 ratio were correlated with survival in CRC patients. Moreover, CDK12 inhibition improved the efficacy of anti-programmed cell death 1(PD-1) therapy in CRC murine models by enhancing CD8 + T cells infiltration. Thus, our study founded that CDK12 inhibition upregulates ATG7 triggering autophagy via AKT/FOXO3 pathway and enhances anti-PD-1 efficacy in CRC. We revealed the roles of CDK12/FOXO3/ATG7 in regulating CRC progression, suggesting potential biomarkers and therapeutic target for CRC.
作为全球第四大致命癌症,结直肠癌(CRC)仍然迫切需要新的治疗药物和靶点。尽管细胞周期蛋白依赖性激酶 12(CDK12)已被证明与多种类型癌症的恶性有关,但它在 CRC 中的功能作用和机制在很大程度上仍不清楚。在这里,我们发现抑制 CDK12 通过诱导细胞凋亡抑制 CRC 中的肿瘤生长。CDK12 抑制通过上调自噬相关基因 7(ATG7)的表达引发自噬。通过 ATG7 敲低和氯喹(CQ)抑制自噬进一步降低了 CDK12 抑制诱导的细胞活力。进一步的机制探索表明,CDK12 通过 AKT/FOXO3 通路与蛋白激酶 B(AKT)相互作用调节自噬。在 CRC 中抑制 CDK12 时,AKT/FOXO3 转录上调 ATG7 表达和自噬。CDK12 水平和 p-FOXO3/FOXO3 比值与 CRC 患者的生存相关。此外,CDK12 抑制通过增强 CD8+T 细胞浸润来提高 CRC 小鼠模型中抗程序性细胞死亡 1(PD-1)治疗的疗效。因此,我们的研究发现 CDK12 抑制通过 AKT/FOXO3 通路上调 ATG7 触发自噬,并增强 CRC 中的抗 PD-1 疗效。我们揭示了 CDK12/FOXO3/ATG7 在调节 CRC 进展中的作用,为 CRC 提供了潜在的生物标志物和治疗靶点。
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