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子宫内膜癌的DNA损伤反应(DDR)格局定义了不同的疾病亚型并揭示了治疗机会。

The DNA Damage Response (DDR) landscape of endometrial cancer defines discrete disease subtypes and reveals therapeutic opportunities.

作者信息

Zhang Xingyuan, Joseph Sayali, Wu Di, Bowser Jessica L, Vaziri Cyrus

机构信息

Department of Pathology and Laboratory Medicine, University of North Carolina at Chapel Hill, School of Medicine, Chapel Hill, NC - 27599, USA.

Department of Biostatistics, University of North Carolina at Chapel Hill, School of Dentistry, Chapel Hill, NC - 27599, USA.

出版信息

NAR Cancer. 2024 Apr 8;6(2):zcae015. doi: 10.1093/narcan/zcae015. eCollection 2024 Jun.

Abstract

Genome maintenance is an enabling characteristic that allows neoplastic cells to tolerate the inherent stresses of tumorigenesis and evade therapy-induced genotoxicity. Neoplastic cells also deploy many mis-expressed germ cell proteins termed Cancer Testes Antigens (CTAs) to promote genome maintenance and survival. Here, we present the first comprehensive characterization of the DNA Damage Response (DDR) and CTA transcriptional landscapes of endometrial cancer in relation to conventional histological and molecular subtypes. We show endometrial serous carcinoma (ESC), an aggressive endometrial cancer subtype, is defined by gene expression signatures comprising members of the Replication Fork Protection Complex (RFPC) and Fanconi Anemia (FA) pathway and CTAs with mitotic functions. DDR and CTA-based profiling also defines a subset of highly aggressive endometrioid endometrial carcinomas (EEC) with poor clinical outcomes that share similar profiles to ESC yet have distinct characteristics based on conventional histological and genomic features. Using an unbiased CRISPR-based genetic screen and a candidate gene approach, we confirm that DDR and CTA genes that constitute the ESC and related EEC gene signatures are required for proliferation and therapy-resistance of cultured endometrial cancer cells. Our study validates the use of DDR and CTA-based tumor classifiers and reveals new vulnerabilities of aggressive endometrial cancer where none currently exist.

摘要

基因组维持是一种使肿瘤细胞能够耐受肿瘤发生的内在应激并逃避治疗诱导的基因毒性的特性。肿瘤细胞还会利用许多错误表达的生殖细胞蛋白,即癌症睾丸抗原(CTA),来促进基因组维持和存活。在此,我们首次全面表征了子宫内膜癌的DNA损伤反应(DDR)和CTA转录图谱,并将其与传统组织学和分子亚型相关联。我们发现,子宫内膜浆液性癌(ESC),一种侵袭性子宫内膜癌亚型,由包含复制叉保护复合体(RFPC)和范可尼贫血(FA)途径成员以及具有有丝分裂功能的CTA的基因表达特征所定义。基于DDR和CTA的分析还定义了一部分具有不良临床结局的高侵袭性子宫内膜样腺癌(EEC),它们与ESC具有相似的特征,但基于传统组织学和基因组特征具有不同的特性。通过无偏向性的基于CRISPR的基因筛选和候选基因方法,我们证实构成ESC和相关EEC基因特征的DDR和CTA基因是培养的子宫内膜癌细胞增殖和抗治疗所必需的。我们的研究验证了基于DDR和CTA的肿瘤分类器的应用,并揭示了侵袭性子宫内膜癌目前不存在的新弱点。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3d26/11000323/89851e16e792/zcae015figgra1.jpg

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