靶向SLITRK4通过调节PI3K/AKT/NFκB信号通路和肿瘤相关巨噬细胞抑制结直肠癌的增殖和肝转移。

Targeting SLITRK4 Restrains Proliferation and Liver Metastasis in Colorectal Cancer via Regulating PI3K/AKT/NFκB Pathway and Tumor-Associated Macrophage.

作者信息

Sun Xiaojiao, Zhang Junling, Dong Bingqi, Xiong Qingqing, Wang Xin, Gu Yanlun, Wang Zhiqi, Liu Huiyu, Zhang Jixin, He Xu, Liu Hongjin, Zhong Yi, Yi Chuxiao, Chi Xiaowei, Liu Zhenming, Pang Xiaocong, Cui Yimin

机构信息

State Key Laboratory of Natural and Biomimetic Drugs, School of Pharmaceutical Sciences, Peking University, Beijing, 100191, China.

Department of General Surgery, Peking University First Hospital, Xishiku Street, Beijing, Xicheng, 100034, China.

出版信息

Adv Sci (Weinh). 2025 Jan;12(1):e2400367. doi: 10.1002/advs.202400367. Epub 2024 Nov 5.

Abstract

Liver metastasis is the major cause of death in colorectal cancer (CRC) due to the lack of effective treatment. To explore novel drivers of CRC liver metastasis, the transcriptomes of primary paracancerous, colorectal tumors and metastases from human patients are profiled. It is found that SLIT- and NTRK-like family member 4 (SLITRK4) is the top upregulated gene in liver metastases and is associated with worse overall survival of CRC patients. Multiple in vitro and in vivo models suggested SLITRK4 promoted CRC tumorigenesis, invasion, migration, and angiogenesis, and inhibition of it restrained CRC tumor growth and liver metastasis with a more profound effect on the tumor microenvironment (TME). Mechanistically, SLITRK4 overexpression significantly activated the PI3K/AKT/NFκB pathway, regulated extracellular matrix organization, and multiple cytokines expression. Furthermore, the results from coculture models and single-cell RNA sequencing analyses suggested SLITRK4 promoted tumor-associated macrophages (TAMs) infiltration and polarization. In addition, macrophage depletion significantly inhibited SLITRK4-induced liver metastasis in CRC. Finally, pharmacological inhibition of SLITRK4 by using lipid-polymer hybrid nanoparticles (NPs) for systemic siRNA delivery can effectively inhibit CRC liver metastasis. Taken together, these results pinpoint that SLITRK4 regulates CRC tumorigenesis and liver metastasis, and siRNA delivering NPs agents validate the therapeutic potential of targeting SLITRK4 in CRC.

摘要

由于缺乏有效的治疗方法,肝转移是结直肠癌(CRC)患者死亡的主要原因。为了探索CRC肝转移的新驱动因素,对人类患者的原发性癌旁组织、结直肠肿瘤和转移灶的转录组进行了分析。研究发现,SLIT和NTRK样家族成员4(SLITRK4)是肝转移中上调最明显的基因,且与CRC患者较差的总生存期相关。多个体外和体内模型表明,SLITRK4促进CRC的肿瘤发生、侵袭、迁移和血管生成,抑制SLITRK4可抑制CRC肿瘤生长和肝转移,对肿瘤微环境(TME)的影响更为显著。机制上,SLITRK4过表达显著激活PI3K/AKT/NFκB通路,调节细胞外基质组织和多种细胞因子表达。此外,共培养模型和单细胞RNA测序分析结果表明,SLITRK4促进肿瘤相关巨噬细胞(TAM)浸润和极化。此外,巨噬细胞清除显著抑制SLITRK4诱导的CRC肝转移。最后,通过脂质-聚合物杂合纳米颗粒(NPs)进行全身siRNA递送对SLITRK4进行药理学抑制可有效抑制CRC肝转移。综上所述,这些结果表明SLITRK4调节CRC的肿瘤发生和肝转移,且siRNA递送NPs药物证实了靶向SLITRK4在CRC治疗中的潜力。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/34ce/11714161/c0e9212aef37/ADVS-12-2400367-g001.jpg

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