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患者来源的肿瘤类器官模拟胶质母细胞瘤中治疗诱导的DNA损伤反应。

Patient-derived tumor organoids mimic treatment-induced DNA damage response in glioblastoma.

作者信息

Majc Bernarda, Habič Anamarija, Malavolta Marta, Vittori Miloš, Porčnik Andrej, Bošnjak Roman, Mlakar Jernej, Matjašič Alenka, Zupan Andrej, Vidmar Marija Skoblar, Turnšek Tamara Lah, Sadikov Aleksander, Breznik Barbara, Novak Metka

机构信息

Department of Genetic Toxicology and Cancer Biology, National Institute of Biology, 1000 Ljubljana, Slovenia.

Jožef Stefan International Postgraduate School, Nanosciences and Nanotechnologies, 1000 Ljubljana, Slovenia.

出版信息

iScience. 2024 Jul 31;27(9):110604. doi: 10.1016/j.isci.2024.110604. eCollection 2024 Sep 20.

Abstract

Glioblastoma (GB) is the most common primary malignant brain tumor, characterized by resistance to therapy. Despite aggressive treatment options, GB remains an incurable disease. Invasiveness and heterogeneity are key GB features that cannot be studied in preclinical models. In this study, we investigated the effects of standard therapy using patient-derived GB organoids (GBOs). GBOs reflect the complexity and heterogeneity of the original tumor tissue. No significant effect on GBO viability or invasion was observed after irradiation and temozolomide treatment. E3 ubiquitin-protein ligase (MDM2), cyclin-dependent kinase inhibitor 1A (CDKN1A), and the serine/threonine kinases ATM and ATR were upregulated at the gene and protein levels after treatment. Our results show that the p53 pathway and DNA-damage response mechanisms were triggered, suggesting that GBOs recapitulate GB therapy resistance. GBOs thus provide a highly efficient platform to assess the specific responses of GB patients to therapy and to further explore therapy resistance.

摘要

胶质母细胞瘤(GB)是最常见的原发性恶性脑肿瘤,其特征是对治疗具有抗性。尽管有积极的治疗方案,但GB仍然是一种无法治愈的疾病。侵袭性和异质性是GB的关键特征,而这些特征无法在临床前模型中进行研究。在本研究中,我们使用患者来源的GB类器官(GBO)研究了标准治疗的效果。GBO反映了原始肿瘤组织的复杂性和异质性。在放疗和替莫唑胺治疗后,未观察到对GBO活力或侵袭的显著影响。治疗后,E3泛素蛋白连接酶(MDM2)、细胞周期蛋白依赖性激酶抑制剂1A(CDKN1A)以及丝氨酸/苏氨酸激酶ATM和ATR在基因和蛋白水平上均上调。我们的结果表明,p53途径和DNA损伤反应机制被触发,这表明GBO概括了GB的治疗抗性。因此,GBO提供了一个高效的平台,用于评估GB患者对治疗的特异性反应,并进一步探索治疗抗性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f3dd/11381849/e001097791fb/fx1.jpg

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