CPT1A 介导结直肠癌的放射敏感性。
CPT1A mediates radiation sensitivity in colorectal cancer.
机构信息
Department of Microbiology, Guangdong Provincial Key Laboratory of Tropical Disease Research, School of Public Health, Southern Medical University, Guangzhou, China.
Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou, China.
出版信息
Elife. 2024 Nov 28;13:RP97827. doi: 10.7554/eLife.97827.
The prevalence and mortality rates of colorectal cancer (CRC) are increasing worldwide. Radiation resistance hinders radiotherapy, a standard treatment for advanced CRC, leading to local recurrence and metastasis. Elucidating the molecular mechanisms underlying radioresistance in CRC is critical to enhance therapeutic efficacy and patient outcomes. Bioinformatic analysis and tumour tissue examination were conducted to investigate the mRNA and protein levels in CRC and their correlation with radiotherapy efficacy. Furthermore, lentiviral overexpression and CRISPR/Cas9 lentiviral vectors, along with in vitro and in vivo radiation experiments, were used to explore the effect of CPT1A on radiosensitivity. Additionally, transcriptomic sequencing, molecular biology experiments, and bioinformatic analyses were employed to elucidate the molecular mechanisms by which CPT1A regulates radiosensitivity. CPT1A was significantly downregulated in CRC and negatively correlated with responsiveness to neoadjuvant radiotherapy. Functional studies suggested that CPT1A mediates radiosensitivity, influencing reactive oxygen species (ROS) scavenging and DNA damage response. Transcriptomic and molecular analyses highlighted the involvement of the peroxisomal pathway. Mechanistic exploration revealed that CPT1A downregulates the FOXM1-SOD1/SOD2/CAT axis, moderating cellular ROS levels after irradiation and enhancing radiosensitivity. CPT1A downregulation contributes to radioresistance in CRC by augmenting the FOXM1-mediated antioxidant response. Thus, CPT1A is a potential biomarker of radiosensitivity and a novel target for overcoming radioresistance, offering a future direction to enhance CRC radiotherapy.
结直肠癌(CRC)的患病率和死亡率在全球范围内呈上升趋势。辐射抗性阻碍了放疗这一先进 CRC 的标准治疗方法,导致局部复发和转移。阐明 CRC 辐射抗性的分子机制对于提高治疗效果和患者预后至关重要。本研究通过生物信息学分析和肿瘤组织检查,研究了 CRC 中 mRNA 和蛋白质水平及其与放疗疗效的相关性。此外,通过慢病毒过表达和 CRISPR/Cas9 慢病毒载体,以及体外和体内放射实验,研究了 CPT1A 对放射敏感性的影响。此外,通过转录组测序、分子生物学实验和生物信息学分析,阐明了 CPT1A 调节放射敏感性的分子机制。CPT1A 在 CRC 中显著下调,与新辅助放疗的反应性呈负相关。功能研究表明,CPT1A 介导放射敏感性,影响活性氧(ROS)清除和 DNA 损伤反应。转录组和分子分析强调了过氧化物酶体途径的参与。机制探索表明,CPT1A 通过下调 FOXM1-SOD1/SOD2/CAT 轴,调节照射后细胞内 ROS 水平,增强放射敏感性。CPT1A 的下调通过增强 FOXM1 介导的抗氧化反应促进 CRC 的放射抗性。因此,CPT1A 是放射敏感性的潜在生物标志物,也是克服放射抗性的新靶点,为提高 CRC 放疗效果提供了未来的方向。