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PTEN的NEDDylation加重乳腺癌对CDK4/6抑制剂的耐药性。

PTEN neddylation aggravates CDK4/6 inhibitor resistance in breast cancer.

作者信息

Liu Fan, Liu Weixiao, Tan Yawen, Shang Yaxin, Ling Sihui, Jiang Xiaokun, Zhang Zhen, Sun Shiyao, Xie Ping

机构信息

Department of Cell Biology, Laboratory for Clinical Medicine, Capital Medical University, Beijing, 100069, China.

Beijing lnstitute of Hepatology, Beijing Youan Hospital, Capital Medical University, Beijing, 100069, China.

出版信息

Oncogene. 2025 Jun 18. doi: 10.1038/s41388-025-03468-z.

DOI:10.1038/s41388-025-03468-z
PMID:40533484
Abstract

The gradual emergence of a novel therapeutic approach lies in the restoration of tumor suppressive machinery. PTEN is a crucial negative regulator of the PI3K/Akt signaling pathway. Protein neddylation modification contributes to PTEN inactivation and fuels breast cancer progression. Here, we highlight that an elevated level of PTEN neddylation is markedly associated with resistance to palbociclib, a CDK4/6 inhibitor used in luminal subtype breast cancer patients. Mechanistically, PTEN neddylation activates the PI3K/Akt signaling pathway, and more notably, upregulates the activity of the AP-1 transcription factor. Our data showed that PTEN neddylation stabilizes JUND, a transcription factor involved in the AP-1 complex, by disrupting its interaction with the E3 ubiquitin ligase ITCH. Consequently, activated JUND leads to the release of cytokines and chemokines, which in turn may drive an inflammatory tumor microenvironment, potentially contributing to drug resistance. Then, we identified Echinacoside as a potent inhibitor of PTEN neddylation both in vivo and in vitro by disrupting its interaction with XIAP, the E3 ligase responsible for PTEN neddylation. Combination of Echinacoside effectively overcome resistance to palbociclib in breast cancer treatment. These findings highlight targeting PTEN neddylation as a promising strategy for restoring tumor suppressor activity and overcoming resistance.

摘要

一种新的治疗方法的逐渐出现在于恢复肿瘤抑制机制。PTEN是PI3K/Akt信号通路的关键负调节因子。蛋白质NEDDylation修饰导致PTEN失活并促进乳腺癌进展。在这里,我们强调PTEN NEDDylation水平升高与对palbociclib(一种用于管腔亚型乳腺癌患者的CDK4/6抑制剂)的耐药性显著相关。机制上,PTEN NEDDylation激活PI3K/Akt信号通路,更值得注意的是,上调AP-1转录因子的活性。我们的数据表明,PTEN NEDDylation通过破坏其与E3泛素连接酶ITCH的相互作用来稳定JUND(一种参与AP-1复合物的转录因子)。因此,激活的JUND导致细胞因子和趋化因子的释放,这反过来可能驱动炎症性肿瘤微环境,潜在地导致耐药性。然后,我们通过破坏紫锥菊苷与负责PTEN NEDDylation的E3连接酶XIAP的相互作用,确定紫锥菊苷在体内和体外都是PTEN NEDDylation的有效抑制剂。紫锥菊苷联合用药有效地克服了乳腺癌治疗中对palbociclib的耐药性。这些发现突出了靶向PTEN NEDDylation作为恢复肿瘤抑制活性和克服耐药性的一种有前景的策略。

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本文引用的文献

1
Long-term breast cancer response to CDK4/6 inhibition defined by TP53-mediated geroconversion.由 TP53 介导的衰老转化定义 CDK4/6 抑制的长期乳腺癌反应。
Cancer Cell. 2024 Nov 11;42(11):1919-1935.e9. doi: 10.1016/j.ccell.2024.09.009. Epub 2024 Oct 10.
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The CDK4/6 inhibitor revolution - a game-changing era for breast cancer treatment.CDK4/6 抑制剂革命——乳腺癌治疗的变革时代。
Nat Rev Clin Oncol. 2024 Feb;21(2):89-105. doi: 10.1038/s41571-023-00840-4. Epub 2023 Dec 11.
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Echinacoside regulates PI3K/AKT/HIF-1α/VEGF cross signaling axis in proliferation and apoptosis of breast cancer.
松果菊苷调节乳腺癌增殖和凋亡过程中 PI3K/AKT/HIF-1α/VEGF 交叉信号通路。
Anal Biochem. 2024 Jan 1;684:115360. doi: 10.1016/j.ab.2023.115360. Epub 2023 Oct 19.
4
Echinacoside: A promising active natural products and pharmacological agents.松果菊苷:一种有前途的天然活性产物和药物制剂。
Pharmacol Res. 2023 Nov;197:106951. doi: 10.1016/j.phrs.2023.106951. Epub 2023 Oct 5.
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Targeting NEDD8-activating enzyme for cancer therapy: developments, clinical trials, challenges and future research directions.针对 NEDD8-激活酶的癌症治疗:进展、临床试验、挑战和未来研究方向。
J Hematol Oncol. 2023 Jul 31;16(1):87. doi: 10.1186/s13045-023-01485-7.
6
Echinacoside inhibits colorectal cancer metastasis via modulating the gut microbiota and suppressing the PI3K/AKT signaling pathway.松果菊苷通过调节肠道微生物群和抑制 PI3K/AKT 信号通路抑制结直肠癌转移。
J Ethnopharmacol. 2024 Jan 10;318(Pt A):116866. doi: 10.1016/j.jep.2023.116866. Epub 2023 Jul 8.
7
Cyclin-Dependent Kinase 4/6 Inhibitors for Treatment of Hormone Receptor-Positive, ERBB2-Negative Breast Cancer: A Review.细胞周期蛋白依赖性激酶 4/6 抑制剂治疗激素受体阳性、HER2 阴性乳腺癌:综述。
JAMA Oncol. 2023 Sep 1;9(9):1273-1282. doi: 10.1001/jamaoncol.2023.2000.
8
Preclinical evaluation of the CDK4/6 inhibitor palbociclib in combination with a PI3K or MEK inhibitor in colorectal cancer.在结直肠癌中评估 CDK4/6 抑制剂帕博西尼联合 PI3K 或 MEK 抑制剂的临床前效果。
Cancer Biol Ther. 2023 Dec 31;24(1):2223388. doi: 10.1080/15384047.2023.2223388.
9
Deciphering breast cancer: from biology to the clinic.解读乳腺癌:从生物学到临床
Cell. 2023 Apr 13;186(8):1708-1728. doi: 10.1016/j.cell.2023.01.040. Epub 2023 Mar 16.
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