Jiang Aimin, Liu Wenqiang, Liu Ying, Hu Junyi, Zhu Baohua, Fang Yu, Zhao Xuenan, Qu Le, Lu Juan, Liu Bing, Qi Lin, Cai Chen, Luo Peng, Wang Linhui
Department of Urology, Changhai Hospital, Naval Medical University (Second Military Medical University), Shanghai, China.
Department of Urology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
J Natl Cancer Cent. 2024 Jun 17;4(3):263-279. doi: 10.1016/j.jncc.2024.06.003. eCollection 2024 Sep.
BACKGROUND: Emerging evidence suggests that cell deaths are involved in tumorigenesis and progression, which may be treated as a novel direction of cancers. Recently, a novel type of programmed cell death, disulfidptosis, was discovered. However, the detailed biological and clinical impact of disulfidptosis and related regulators remains largely unknown. METHODS: In this work, we first enrolled pancancer datasets and performed multi-omics analysis, including gene expression, DNA methylation, copy number variation and single nucleic variation profiles. Then we deciphered the biological implication of disulfidptosis in clear cell renal cell carcinoma (ccRCC) by machine learning. Finally, a novel agent targeting at disulfidptosis in ccRCC was identified and verified. RESULTS: We found that disulfidptosis regulators were dysregulated among cancers, which could be explained by aberrant DNA methylation and genomic mutation events. Disulfidptosis scores were depressed among cancers and negatively correlated with epithelial mesenchymal transition. Disulfidptosis regulators could satisfactorily stratify risk subgroups in ccRCC, and a novel subtype, DCS3, owning with disulfidptosis depression, insensitivity to immune therapy and aberrant genome instability were identified and verified. Moreover, treating DCS3 with NU1025 could significantly inhibit ccRCC malignancy. CONCLUSION: This work provided a better understanding of disulfidptosis in cancers and new insights into individual management based on disulfidptosis.
背景:新出现的证据表明,细胞死亡参与肿瘤发生和进展,这可能被视为癌症治疗的一个新方向。最近,一种新型的程序性细胞死亡——二硫化物诱导的细胞焦亡被发现。然而,二硫化物诱导的细胞焦亡及其相关调节因子的详细生物学和临床影响在很大程度上仍然未知。 方法:在这项研究中,我们首先纳入泛癌数据集并进行多组学分析,包括基因表达、DNA甲基化、拷贝数变异和单核苷酸变异谱。然后,我们通过机器学习解读二硫化物诱导的细胞焦亡在透明细胞肾细胞癌(ccRCC)中的生物学意义。最后,鉴定并验证了一种针对ccRCC中细胞焦亡的新型药物。 结果:我们发现细胞焦亡调节因子在癌症中失调,这可以用异常的DNA甲基化和基因突变事件来解释。细胞焦亡评分在癌症中降低,且与上皮-间质转化呈负相关。细胞焦亡调节因子能够令人满意地将ccRCC患者分层为不同风险亚组,并且鉴定并验证了一种新的亚型——DCS3,其具有细胞焦亡抑制、对免疫治疗不敏感和异常基因组不稳定的特征。此外,用NU1025治疗DCS3可显著抑制ccRCC的恶性程度。 结论:这项工作加深了我们对癌症中细胞焦亡的理解,并为基于细胞焦亡的个体化治疗提供了新的见解。
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