剪接失调:胰腺癌的标志与治疗契机

Splicing dysregulation: hallmark and therapeutic opportunity in pancreatic cancer.

作者信息

Naro Chiara, Ruta Veronica, Sette Claudio

机构信息

Department of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, 00168 Rome, Italy; Gemelli Science and Technology Park (GSTeP) Organoids Research Core Facility, Fondazione Policlinico A. Gemelli, Istituto di Ricovero e Cura a Carattere Scientifico (IRCCS), 00168 Rome, Italy.

Department of Neuroscience, Section of Human Anatomy, Catholic University of the Sacred Heart, 00168 Rome, Italy.

出版信息

Trends Mol Med. 2024 Dec 7. doi: 10.1016/j.molmed.2024.11.007.

Abstract

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive cancer characterized by dismal prognosis. Late diagnosis, resistance to chemotherapy, and lack of efficacious targeted therapies render PDAC almost untreatable. Dysregulation of splicing, the process that excises the introns from nascent transcripts, is emerging as a hallmark of PDAC and a possible vulnerability of this devastating cancer. Splicing factors are deregulated in PDAC and contribute to all steps of tumorigenesis, from inflammation-related early events to metastasis and acquisition of chemoresistance. At the same time, splicing dysregulation offers a therapeutic opportunity to target cancer-specific vulnerabilities. We discuss mounting evidence that splicing plays a key role in PDAC and the opportunities that this essential process offers for developing new targeted therapies.

摘要

胰腺导管腺癌(PDAC)是一种侵袭性癌症,预后极差。晚期诊断、对化疗的耐药性以及缺乏有效的靶向治疗使得PDAC几乎无法治疗。剪接失调,即从新生转录本中切除内含子的过程,正成为PDAC的一个标志以及这种毁灭性癌症可能的弱点。剪接因子在PDAC中失调,并促成肿瘤发生的各个阶段,从炎症相关的早期事件到转移和获得化疗耐药性。与此同时,剪接失调为靶向癌症特异性弱点提供了治疗机会。我们讨论越来越多的证据表明剪接在PDAC中起关键作用,以及这一基本过程为开发新的靶向治疗提供的机会。

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