Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Collaborative Innovation Center of Cancer Medicine, Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, 651 Dongfeng Road East, Guangzhou, Guangdong, 510060, China.
Adv Sci (Weinh). 2024 Sep;11(36):e2403262. doi: 10.1002/advs.202403262. Epub 2024 Jul 8.
Despite docetaxel combined with cisplatin and 5-fluorouracil (TPF) being the established treatment for advanced nasopharyngeal carcinoma (NPC), there are patients who do not respond positively to this form of therapy. However, the mechanisms underlying this lack of benefit remain unclear. DCAF7 is identified as a chemoresistance gene attenuating the response to TPF therapy in NPC patients. DCAF7 promotes the cisplatin resistance and metastasis of NPC cells in vitro and in vivo. Mechanistically, DCAF7 serves as a scaffold protein that facilitates the interaction between USP10 and G3BP1, leading to the elimination of K48-linked ubiquitin moieties from Lys76 of G3BP1. This process helps prevent the degradation of G3BP1 via the ubiquitin‒proteasome pathway and promotes the formation of stress granule (SG)-like structures. Moreover, knockdown of G3BP1 successfully reversed the formation of SG-like structures and the oncogenic effects of DCAF7. Significantly, NPC patients with increased levels of DCAF7 showed a high risk of metastasis, and elevated DCAF7 levels are linked to an unfavorable prognosis. The study reveals DCAF7 as a crucial gene for cisplatin resistance and offers further understanding of how chemoresistance develops in NPC. The DCAF7-USP10-G3BP1 axis contains potential targets and biomarkers for NPC treatment.
尽管多西他赛联合顺铂和 5-氟尿嘧啶(TPF)是治疗晚期鼻咽癌(NPC)的标准治疗方法,但仍有部分患者对此种治疗方法反应不佳。然而,其具体机制尚不清楚。DCAF7 被鉴定为一种化疗耐药基因,可降低 NPC 患者对 TPF 治疗的反应。DCAF7 促进 NPC 细胞在体外和体内对顺铂的耐药性和转移。在机制上,DCAF7 作为一种支架蛋白,促进 USP10 和 G3BP1 之间的相互作用,导致 G3BP1 的 Lys76 上的 K48 连接的泛素部分被消除。这一过程有助于防止 G3BP1 通过泛素蛋白酶体途径降解,并促进应激颗粒(SG)样结构的形成。此外,敲低 G3BP1 成功逆转了 SG 样结构的形成和 DCAF7 的致癌作用。重要的是,DCAF7 水平升高的 NPC 患者有较高的转移风险,并且 DCAF7 水平升高与预后不良相关。该研究揭示了 DCAF7 是顺铂耐药的关键基因,并进一步了解 NPC 中化疗耐药的发展机制。DCAF7-USP10-G3BP1 轴包含 NPC 治疗的潜在靶点和生物标志物。