Yong Xiang, Xu Xifeng, Zhang Xiaoping, Song Rui, Hu Huaiyuan, Li Zhen, Qin Yanzi
Department of Pathology, Wanbei Coal-Electricity Group General Hospital, No. 125, Huaihe West Road, Suzhou City, 234000, Anhui Province, China.
Suzhou City Key Laboratory of Tumor Pathology, Suzhou City, Anhui Province, China.
Naunyn Schmiedebergs Arch Pharmacol. 2025 May 15. doi: 10.1007/s00210-025-04246-0.
Cervical squamous cell carcinoma (CESC) is the fourth most common malignancy and the fourth leading cause of cancer deaths in women worldwide. Despite advances in treatment, cisplatin-based radiotherapy remains the primary treatment option. However, cisplatin resistance is a major challenge, leading to poor prognosis. Therefore, understanding the molecular mechanisms underlying cisplatin resistance is crucial for developing novel therapeutic strategies. Through bioinformatics analysis, we investigated the expression of CDKN2A in the CESC database. WB, IHC, qPCR, and CCK-8 were used for clinical analysis of CDKN2A expression and its correlation with CESC cell proliferation. Through qPCR, CCK-8, ROS, MDA, Fe and WB, we explored how CDKN2A promotes cisplatin resistance by inhibiting ferroptosis. In nude mouse tumor experiments, we investigated how CDKN2A participates in ferroptosis and cisplatin resistance in CESC through the JAK2/STAT3 pathway. Furthermore, we explored CDKN2A as a target of METTL3 and how YTHDF1 enhances the stability of m6A-modified CDKN2A. We investigated the role of CDKN2A in CESC and its involvement in cisplatin resistance. We found that CDKN2A expression was associated with CESC cell ferroptosis and cisplatin resistance. Mechanistically, CDKN2A was identified as a target of METTL3, and YTHDF1 enhanced the stability of m6A-modified CDKN2A. Furthermore, METTL3 inhibited ferroptosis through m6A modification of YTHDF1/CDKN2A, influencing cisplatin resistance in CESC. Our findings provide new insights into the molecular mechanisms of cisplatin resistance in CESC and suggest that targeting the METTL3/YTHDF1/CDKN2A axis may be a promising strategy to overcome this resistance and improve treatment outcomes.
宫颈鳞状细胞癌(CESC)是全球女性中第四常见的恶性肿瘤,也是癌症死亡的第四大主要原因。尽管治疗取得了进展,但基于顺铂的放疗仍是主要的治疗选择。然而,顺铂耐药是一个主要挑战,导致预后不良。因此,了解顺铂耐药的分子机制对于开发新的治疗策略至关重要。通过生物信息学分析,我们在CESC数据库中研究了CDKN2A的表达。采用蛋白质免疫印迹法(WB)、免疫组化法(IHC)、实时荧光定量聚合酶链反应(qPCR)和细胞计数试剂盒-8(CCK-8)对CDKN2A的表达及其与CESC细胞增殖的相关性进行临床分析。通过qPCR、CCK-8、活性氧(ROS)、丙二醛(MDA)、铁离子(Fe)和WB,我们探讨了CDKN2A如何通过抑制铁死亡来促进顺铂耐药。在裸鼠肿瘤实验中,我们研究了CDKN2A如何通过Janus激酶2/信号转导和转录激活因子3(JAK2/STAT3)途径参与CESC中的铁死亡和顺铂耐药。此外,我们探讨了CDKN2A作为甲基转移酶样3(METTL3)的靶点以及YTH结构域家族蛋白1(YTHDF1)如何增强N6-甲基腺苷(m6A)修饰的CDKN2A的稳定性。我们研究了CDKN2A在CESC中的作用及其与顺铂耐药的关系。我们发现CDKN2A的表达与CESC细胞铁死亡和顺铂耐药相关。机制上,CDKN2A被确定为METTL3的靶点,YTHDF1增强了m6A修饰的CDKN2A的稳定性。此外,METTL3通过对YTHDF1/CDKN2A进行m6A修饰来抑制铁死亡,影响CESC中的顺铂耐药。我们的研究结果为CESC中顺铂耐药的分子机制提供了新的见解,并表明靶向METTL3/YTHDF1/CDKN2A轴可能是克服这种耐药性并改善治疗效果的有前景的策略。