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氧化磷酸化抑制克服三阴性乳腺癌的化疗耐药性。

OXPHOS inhibition overcomes chemoresistance in triple negative breast cancer.

作者信息

Uslu Cemile, Kapan Eda, Lyakhovich Alex

机构信息

Sabanci University, Molecular Biology, Genetics and Bioengineering, Faculty of Engineering and Natural Sciences, Turkey.

Sabanci University, Molecular Biology, Genetics and Bioengineering, Faculty of Engineering and Natural Sciences, Turkey.

出版信息

Redox Biol. 2025 Jun;83:103637. doi: 10.1016/j.redox.2025.103637. Epub 2025 Apr 15.

Abstract

The hypothesis of a significant shift from oxidative phosphorylation (OXPHOS) to glycolysis in a number of solid tumors has been dominant for many years. Recently, however, evidence has begun to accumulate that OXPHOS is the major mode of energy production in many neoplasias, especially those that have undergone chemo- or radiotherapy, and especially in chemoresistant malignancies. In the present work, we demonstrated that chemoresistant triple-negative breast cancer cells prefer to obtain energy via OXPHOS to a greater extent than cells sensitive to chemotherapeutic agents, and therefore the former can be affected by some OXPHOS inhibitors. From a drug library containing several dozen antimicrobials, we selected those that inhibit OXPHOS in resistant TNBC cells and lead to mitochondrial dysfunction. We have also identified several pathways by which inhibition of growth suppression of chemoresistant cells occurs, including increased oxidative stress and mitophagy. Experiments in mice showed that selected OXPHOS inhibitors preferentially suppress tumor growth from chemoresistant but not from chemosensitive cells. The results of the present study suggest combinatorial therapy of such inhibitors and conventional anticancer drugs on resistant forms of tumors, if the latter show enhanced OXPHOS.

摘要

多年来,许多实体瘤中从氧化磷酸化(OXPHOS)向糖酵解发生显著转变的假说一直占据主导地位。然而,最近有证据开始积累,表明OXPHOS是许多肿瘤,特别是那些已经接受过化疗或放疗的肿瘤,尤其是化疗耐药性恶性肿瘤中能量产生的主要模式。在本研究中,我们证明,与对化疗药物敏感的细胞相比,化疗耐药性三阴性乳腺癌细胞更倾向于通过OXPHOS获取能量,因此前者会受到某些OXPHOS抑制剂的影响。从包含几十种抗菌药物的药物库中,我们筛选出那些能抑制耐药性三阴性乳腺癌细胞中的OXPHOS并导致线粒体功能障碍的药物。我们还确定了抑制化疗耐药细胞生长的几种途径,包括氧化应激增加和线粒体自噬。小鼠实验表明,所选的OXPHOS抑制剂优先抑制化疗耐药细胞而非化疗敏感细胞的肿瘤生长。本研究结果表明,如果耐药性肿瘤表现出增强的OXPHOS,则可将此类抑制剂与传统抗癌药物联合用于治疗耐药性肿瘤。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2a27/12023887/40f466939f78/ga1.jpg

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