Wu Fengping, Liu Qian, Zhang Jinkang, Xu Dongkun, Jiang Xue, Zhang Kun, Chen YaZheng, Xia Xuliang, Jiang Zhiqiang, Shi Yuhong, Tu Wenling
Department of Nuclear Medicine, the second Affiliated Hospital of Chengdu Medical College, China National Nuclear Corporation 416 Hospital, Chengdu, 610051, China.
Department of Genetics, School of Bioscience and Technology, Chengdu Medical College, Chengdu, 610500, China.
Cell Death Dis. 2025 May 17;16(1):395. doi: 10.1038/s41419-025-07702-0.
Papillary thyroid cancer (PTC), the predominant thyroid cancer, exhibits different adverse outcomes. However, the underlying molecular mechanisms of PTC remain inadequately elucidated. An integrative analysis of multiple mRNA-seq datasets from Gene Expression Omnibus and The Cancer Genome Atlas reveals a crucial gene, prolyl 4-hydroxylase subunit alpha-2 (P4HA2), implicated in PTC progression. This study explored the expression pattern, functional role, and underlying molecular mechanism of P4HA2 in PTC. P4HA2 expression is significantly upregulated in PTC and correlates with aggressive clinicopathological features and a poor prognosis. P4HA2 knockdown effectively suppresses PTC cell proliferation, migration, and invasion, and induces apoptosis. Conversely, P4HA2 overexpression exerts opposing effects on these cancer cell phenotypes. In vivo assessments confirmed the tumor-promoting effects of P4HA2, including subcutaneous tumor formation and multiple-organ (lung and liver) metastasis. Multi-omics analyses identified glycolytic pathway activation as a hallmark of P4HA2-driven tumorigenesis, which was further validated by measuring the extracellular acidification rate and α-ketoglutarate level. Subsequent investigation revealed that tripartite motif-containing protein 21 (TRIM21) interacts with P4HA2 through the RING domain, promoting K48-linked and K63-linked ubiquitination followed by proteasome-dependent degradation of P4HA2. The knockdown of TRIM21 significantly enhances the proliferation, migration, and invasion of PTC cells, while also inducing apoptosis. Moreover, P4H inhibitors also displayed notable anti-tumor effects in PTC cells. These findings collectively elucidate a novel mechanism through which P4HA2 potentially contributes to PTC progression, providing a promising therapeutic target.
甲状腺乳头状癌(PTC)是最主要的甲状腺癌,具有不同的不良预后。然而,PTC的潜在分子机制仍未得到充分阐明。对来自基因表达综合数据库(Gene Expression Omnibus)和癌症基因组图谱(The Cancer Genome Atlas)的多个mRNA测序数据集进行综合分析,发现一个关键基因——脯氨酰4-羟化酶α2亚基(P4HA2)与PTC进展有关。本研究探讨了P4HA2在PTC中的表达模式、功能作用及潜在分子机制。P4HA2在PTC中显著上调,且与侵袭性临床病理特征及不良预后相关。敲低P4HA2可有效抑制PTC细胞增殖、迁移和侵袭,并诱导细胞凋亡。相反,过表达P4HA2对这些癌细胞表型具有相反作用。体内评估证实了P4HA2的促肿瘤作用,包括皮下肿瘤形成和多器官(肺和肝)转移。多组学分析确定糖酵解途径激活是P4HA2驱动肿瘤发生的标志,通过测量细胞外酸化率和α-酮戊二酸水平进一步验证了这一点。随后的研究表明,含三联基序蛋白21(TRIM21)通过RING结构域与P4HA2相互作用,促进K48连接和K63连接的泛素化,随后P4HA2通过蛋白酶体依赖性降解。敲低TRIM21可显著增强PTC细胞的增殖、迁移和侵袭,同时诱导细胞凋亡。此外,P4H抑制剂在PTC细胞中也显示出显著的抗肿瘤作用。这些发现共同阐明了一种新机制,通过该机制P4HA2可能促进PTC进展,提供了一个有前景的治疗靶点。
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