Department of Gynecology, The Third Xiangya Hospital of Central South University, Central South University, Changsha, Hunan, China.
Department of Assisted Reproductive Centre, Zhuzhou Central Hospital, Xiangya Hospital Zhuzhou Central South University, Central South University, Zhuzhou, Hunan, China.
Int Immunopharmacol. 2024 Aug 20;137:112461. doi: 10.1016/j.intimp.2024.112461. Epub 2024 Jun 18.
Ovarian cancer (OC) is a gynecological malignancy that results in a global threat to women's lives. Lactic acid, a key metabolite produced from the glycolytic metabolism of glucose molecules, is correlated with tumor immune infiltration and platinum resistance. In our previous study, we found that endothelial cell-specific molecule 1 (ESM1) plays a key role in OC progression. This study revealed that lactate could upregulate ESM1, which enhances SCD1 to attenuate the antitumor CD8 T-cell response. ESM1 and SCD1 expression levels were significantly greater in OC patients with high lactic acid levels than in those with low lactic acid levels. Further mechanistic studies suggested that the Wnt/β-catenin pathway was inactivated after ESM1 knockdown and rescued by SCD1 overexpression. IC50 analysis indicated that the ESM1-SCD1 axis induces the resistance of OC cells to platinum agents, including cisplatin, carboplatin, and oxaliplatin, by upregulating P-gp. In conclusion, our study indicated that the induction of SCD1 by lactic acid-induced ESM1 can impede the CD8 T-cell response against tumors and promote resistance to cisplatin by activating the Wnt/β-catenin pathway in ovarian cancer. Consequently, targeting ESM1 may have considerable therapeutic potential for modulating the tumor immune microenvironment and enhancing drug sensitivity in OC patients.
卵巢癌(OC)是一种妇科恶性肿瘤,对全球女性的生命构成威胁。乳酸是葡萄糖分子糖酵解代谢产生的关键代谢物,与肿瘤免疫浸润和铂类耐药相关。在我们之前的研究中,发现内皮细胞特异性分子 1(ESM1)在 OC 进展中起关键作用。本研究表明,乳酸可以上调 ESM1,增强 SCD1 以减弱抗肿瘤 CD8 T 细胞反应。OC 患者中乳酸水平较高者的 ESM1 和 SCD1 表达水平明显高于乳酸水平较低者。进一步的机制研究表明,ESM1 敲低后 Wnt/β-catenin 通路失活,SCD1 过表达可挽救该通路。IC50 分析表明,ESM1-SCD1 轴通过上调 P-gp 诱导 OC 细胞对铂类药物(包括顺铂、卡铂和奥沙利铂)产生耐药性。总之,我们的研究表明,乳酸诱导的 ESM1 诱导的 SCD1 可以通过激活 Wnt/β-catenin 通路来抑制肿瘤 CD8 T 细胞反应,并促进卵巢癌对顺铂的耐药性。因此,靶向 ESM1 可能具有调节肿瘤免疫微环境和增强 OC 患者药物敏感性的巨大治疗潜力。
Front Endocrinol (Lausanne). 2025-7-4
Funct Integr Genomics. 2025-3-12