Wang Pan, Liao Bin, Gong Sheng, Guo HaiYan, Zhao Lu, Liu Jie, Wu Nan
Department of Neurosurgery, Chongqing Research Center for Glioma Precision Medicine, Chongqing General Hospital, Chongqing University, Chongqing, China.
Chongqing Medical University, Chongqing, China.
Cell Death Dis. 2025 Apr 19;16(1):317. doi: 10.1038/s41419-025-07617-w.
A critical challenge in glioblastoma multiforme (GBM) treatment is that tumors recurring after temozolomide (TMZ) therapy become more malignant, exhibiting increased invasiveness and stemness compared to the primary tumor. However, the underlying mechanisms remain unclear. While the majority of GBM cells are eradicated by TMZ, a subset enters cell cycle arrest, adopts a senescence-associated secretory phenotype (SASP), and activates senescence-related signaling pathways. These cells eventually escape senescence, re-enter the cell cycle, and form aggregates exhibiting stem-like characteristics such as elevated stemness marker expression, enhanced colony formation, increased invasiveness, and resistance to chemotherapy. Furthermore, these aggregates promote the invasion and chemotherapy resistance of surrounding cells. Gene Set Enrichment Analysis (GSEA) and KEGG pathway analysis of miRNA and mRNA sequences revealed activation of hallmark hypoxia and HIF1 signaling pathways. The study demonstrated that HIF1α and HIF2α expression fluctuates during and after TMZ treatment. Knockout of HIF1α and HIF2α in GBM cells exposed to TMZ reduced the formation of senescent cells and stem-like aggregates. These findings challenge the efficacy of TMZ therapy by highlighting its role in inducing the process of cellular senescence, thereby contributing to the enhanced stemness and malignancy of recurrent GBM. The regulatory roles of HIF1α and HIF2α are emphasized, underscoring the necessity of preventing senescent cell formation and inhibiting HIF1α/HIF2α expression to improve therapeutic outcomes.
多形性胶质母细胞瘤(GBM)治疗中的一个关键挑战是,替莫唑胺(TMZ)治疗后复发的肿瘤会变得更具恶性,与原发性肿瘤相比,其侵袭性和干性增加。然而,其潜在机制仍不清楚。虽然大多数GBM细胞被TMZ根除,但一小部分进入细胞周期停滞,呈现衰老相关分泌表型(SASP),并激活衰老相关信号通路。这些细胞最终逃脱衰老,重新进入细胞周期,并形成具有干细胞样特征的聚集体,如干性标志物表达升高、集落形成增强、侵袭性增加和对化疗耐药。此外,这些聚集体促进周围细胞的侵袭和化疗耐药。对miRNA和mRNA序列进行基因集富集分析(GSEA)和KEGG通路分析,发现标志性缺氧和HIF1信号通路被激活。该研究表明,在TMZ治疗期间和之后,HIF1α和HIF2α的表达会发生波动。在暴露于TMZ的GBM细胞中敲除HIF1α和HIF2α可减少衰老细胞和干细胞样聚集体的形成。这些发现通过强调TMZ在诱导细胞衰老过程中的作用,对TMZ治疗的疗效提出了挑战,从而导致复发性GBM的干性和恶性增强。强调了HIF1α和HIF2α的调节作用,突出了预防衰老细胞形成和抑制HIF1α/HIF2α表达以改善治疗效果的必要性。
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