Department of Gastroenterology and Hepatology, The Second Affiliated Hospital, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
Department of Pathogen Biology and Immunology, School of Basic Medical Sciences, Jiangxi Medical College, Nanchang University, Nanchang 330006, China.
Aging (Albany NY). 2024 Jun 17;16(12):10512-10538. doi: 10.18632/aging.205945.
BACKGROUND: Cuproptosis is a type of cell death characterized by excessive copper-lipid reactions in the tricarboxylic acid cycle, resulting in protein toxicity stress and cell death. Although known as a cuproptosis inhibitor through CRISPR-Cas9 screening, the role of cyclin-dependent kinase inhibitor 2A (CDKN2A) in cuproptosis resistance and its connection to tumor development remains unclear. METHODS: In this study, we combined single-cell sequencing, spatial transcriptomics, pathological image analysis, TCGA multi-omics analysis and experimental validation to comprehensively investigate CDKN2A distribution, expression, epigenetic modification, regulation and genomic features in colorectal cancer cells. We further explored the associations between CDKN2A and cellular pathway, immune infiltration and spatial signal communication. RESULTS: Our findings showed an increasing trend in cuproptosis in the trajectory of tumor progression, accompanied by an upward trend of CDKN2A. CDKN2A underwent transcriptional activation by MEF2D and via the SNHG7/miR-133b axis, upregulating glycolysis, copper metabolism and copper ion efflux. CDKN2A likely drives epithelial-mesenchymal transition (EMT) and progression by activating Wnt signaling. CDKN2A is associated with high genomic instability and sensitivity to radiation and chemotherapy. Tumor regions expressing CDKN2A exhibit distinctive SPP1+ tumor-associated macrophage (TAM) infiltration and MMP7 enrichment, along with unique signaling crosstalk with adjacent areas. CONCLUSIONS: CDKN2A mediates cuproptosis resistance through regulating glycolysis and copper homeostasis, accompanied by a malignant phenotype and pro-tumor niche. Radiation and chemotherapy are expected to potentially serve as therapeutic approaches for cuproptosis-resistant colorectal cancer with high CDKN2A expression.
背景:铜死亡是一种细胞死亡方式,其特征是三羧酸循环中铜-脂质反应过度,导致蛋白质毒性应激和细胞死亡。虽然通过 CRISPR-Cas9 筛选被称为铜死亡抑制剂,但细胞周期蛋白依赖性激酶抑制剂 2A(CDKN2A)在铜死亡抵抗中的作用及其与肿瘤发展的关系尚不清楚。
方法:在这项研究中,我们结合单细胞测序、空间转录组学、病理图像分析、TCGA 多组学分析和实验验证,全面研究了 CDKN2A 在结直肠癌细胞中的分布、表达、表观遗传修饰、调控和基因组特征。我们进一步探讨了 CDKN2A 与细胞通路、免疫浸润和空间信号通讯之间的关联。
结果:我们的研究结果表明,在肿瘤进展轨迹中,铜死亡呈上升趋势,同时 CDKN2A 呈上升趋势。MEF2D 通过 SNHG7/miR-133b 轴激活 CDKN2A 的转录,上调糖酵解、铜代谢和铜离子外排。CDKN2A 通过激活 Wnt 信号驱动上皮-间充质转化(EMT)和进展。CDKN2A 与高基因组不稳定性和对辐射及化疗的敏感性相关。表达 CDKN2A 的肿瘤区域表现出独特的 SPP1+肿瘤相关巨噬细胞(TAM)浸润和 MMP7 富集,以及与相邻区域的独特信号串扰。
结论:CDKN2A 通过调节糖酵解和铜稳态介导铜死亡抵抗,同时伴有恶性表型和促进肿瘤微环境。辐射和化疗有望成为 CDKN2A 高表达的铜死亡抵抗结直肠癌的潜在治疗方法。
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