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性别相关的老年黑色素瘤肿瘤微环境影响侵袭和对靶向治疗的耐药性。

Sex-dependent effects in the aged melanoma tumor microenvironment influence invasion and resistance to targeted therapy.

机构信息

Department of Biochemistry and Molecular Biology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; Cancer Signaling and Microenvironment, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.

Department of Biochemistry and Molecular Biology, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA; Cancer Signaling and Microenvironment, Fox Chase Cancer Center, Philadelphia, PA 19111, USA.

出版信息

Cell. 2024 Oct 17;187(21):6016-6034.e25. doi: 10.1016/j.cell.2024.08.013. Epub 2024 Sep 6.


DOI:10.1016/j.cell.2024.08.013
PMID:39243764
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11580838/
Abstract

There is documented sex disparity in cutaneous melanoma incidence and mortality, increasing disproportionately with age and in the male sex. However, the underlying mechanisms remain unclear. While biological sex differences and inherent immune response variability have been assessed in tumor cells, the role of the tumor-surrounding microenvironment, contextually in aging, has been overlooked. Here, we show that skin fibroblasts undergo age-mediated, sex-dependent changes in their proliferation, senescence, ROS levels, and stress response. We find that aged male fibroblasts selectively drive an invasive, therapy-resistant phenotype in melanoma cells and promote metastasis in aged male mice by increasing AXL expression. Intrinsic aging in male fibroblasts mediated by EZH2 decline increases BMP2 secretion, which in turn drives the slower-cycling, highly invasive, and therapy-resistant melanoma cell phenotype, characteristic of the aged male TME. Inhibition of BMP2 activity blocks the emergence of invasive phenotypes and sensitizes melanoma cells to BRAF/MEK inhibition.

摘要

有文献记载,皮肤黑色素瘤的发病率和死亡率存在性别差异,且这种差异随着年龄的增长和男性性别而不成比例地增加。然而,其潜在机制尚不清楚。虽然已经评估了肿瘤细胞中的生物学性别差异和固有免疫反应变异性,但肿瘤周围微环境在衰老背景下的作用却被忽视了。在这里,我们表明,皮肤成纤维细胞在增殖、衰老、ROS 水平和应激反应方面发生了年龄介导的、依赖于性别的变化。我们发现,衰老的雄性成纤维细胞选择性地驱动黑色素瘤细胞产生侵袭性、耐药性表型,并通过增加 AXL 的表达促进老年雄性小鼠的转移。EZH2 下降介导的雄性成纤维细胞内在衰老增加了 BMP2 的分泌,进而驱动了具有侵袭性、耐药性的黑色素瘤细胞表型,其特征是老年雄性 TME 中的特征。抑制 BMP2 活性可以阻止侵袭性表型的出现,并使黑色素瘤细胞对 BRAF/MEK 抑制敏感。

相似文献

[1]
Sex-dependent effects in the aged melanoma tumor microenvironment influence invasion and resistance to targeted therapy.

Cell. 2024-10-17

[2]
Low MITF/AXL ratio predicts early resistance to multiple targeted drugs in melanoma.

Nat Commun. 2014-12-15

[3]
AXL and CAV-1 play a role for MTH1 inhibitor TH1579 sensitivity in cutaneous malignant melanoma.

Cell Death Differ. 2020-7

[4]
Human cutaneous melanomas lacking MITF and melanocyte differentiation antigens express a functional Axl receptor kinase.

J Invest Dermatol. 2011-7-28

[5]
Abl kinase regulation by BRAF/ERK and cooperation with Akt in melanoma.

Oncogene. 2017-8-10

[6]
Resistance to BRAF Inhibitors: EZH2 and Its Downstream Targets as Potential Therapeutic Options in Melanoma.

Int J Mol Sci. 2023-1-19

[7]
Reversible and adaptive resistance to BRAF(V600E) inhibition in melanoma.

Nature. 2014-3-26

[8]
Inhibition of the Rho/MRTF pathway improves the response of BRAF-resistant melanoma to PD1/PDL1 blockade.

Int J Cancer. 2024-10-1

[9]
Paradoxical Role for Wild-Type p53 in Driving Therapy Resistance in Melanoma.

Mol Cell. 2019-12-11

[10]
Retraction: Acquired resistance to BRAFi reverses senescence-like phenotype in mutant BRAF melanoma.

Oncotarget. 2024-6-3

引用本文的文献

[1]
Unravelling the genetics and epigenetics of the ageing tumour microenvironment in cancer.

Nat Rev Cancer. 2025-9-8

[2]
Ageing, immune fitness and cancer.

Nat Rev Cancer. 2025-8-14

[3]
Plasticity and Functional Heterogeneity of Cancer-Associated Fibroblasts.

Cancer Res. 2025-7-29

[4]
Tumor Microenvironment in Melanoma-Characteristic and Clinical Implications.

Int J Mol Sci. 2025-7-15

[5]
Bone morphogenetic proteins (BMPs) at the forefront of ocular diseases and therapeutics.

Eye Vis (Lond). 2025-7-23

[6]
Modelling the ageing dependence of cancer evolutionary trajectories.

Nat Rev Cancer. 2025-7-10

[7]
Overexpression of CTLA-4 and fibronectin, and lower expression of CD137 (4-1BB) is associated with brain metastasis of primary skin melanomas. An analysis of local immune response by digital spatial profiling.

Front Immunol. 2025-6-20

[8]
Single-Cell RNA Sequencing Identifies MMP11 Cancer-Associated Fibroblasts as Drivers of Angiogenesis and Bladder Cancer Progression.

Adv Sci (Weinh). 2025-8

[9]
Gender and sex interactions are intrinsic components of cancer phenotypes.

Nat Rev Cancer. 2025-5-19

[10]
Desmosome mutations in keratinocytes fuel melanoma development.

Nat Genet. 2025-5

本文引用的文献

[1]
Fibroblasts in cancer: Unity in heterogeneity.

Cell. 2023-4-13

[2]
Improved outcomes in women with BRAF-mutant melanoma treated with BRAF/MEK-targeted therapy across randomized clinical trials. A systematic review and meta-analysis.

Semin Oncol. 2023

[3]
Sex-Related Differences in Metastatic Melanoma Patients Treated with Immune Checkpoint Inhibition.

Cancers (Basel). 2022-10-20

[4]
Female mice exhibit less overall variance, with a higher proportion of structured variance, than males at multiple timescales of continuous body temperature and locomotive activity records.

Biol Sex Differ. 2022-7-23

[5]
Androgen receptor blockade promotes response to BRAF/MEK-targeted therapy.

Nature. 2022-6

[6]
Stromal changes in the aged lung induce an emergence from melanoma dormancy.

Nature. 2022-6

[7]
The Predictive Value of Tumor Mutation Burden on Clinical Efficacy of Immune Checkpoint Inhibitors in Melanoma: A Systematic Review and Meta-Analysis.

Front Pharmacol. 2022-3-9

[8]
Androgen receptor activity in T cells limits checkpoint blockade efficacy.

Nature. 2022-6

[9]
The spectrum of sex differences in cancer.

Trends Cancer. 2022-4

[10]
Association Between Sex and Immune Checkpoint Inhibitor Outcomes for Patients With Melanoma.

JAMA Netw Open. 2021-12-1

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