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癌症相关的基因畸变与精准医学

Cancer-Associated Genetic Aberrations and Precision Medicine.

作者信息

Xie Huan, Li Yirong, Li Xinran

机构信息

Department of Laboratory Medicine, Zhongnan Hospital of Wuhan University, Wuhan, Hubei, China.

Hubei Provincial Clinical Research Center for Molecular Diagnostics, Wuhan, China.

出版信息

Int J Med Sci. 2025 Jun 12;22(12):2932-2943. doi: 10.7150/ijms.109506. eCollection 2025.

DOI:10.7150/ijms.109506
PMID:40657399
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12243862/
Abstract

The gene encodes the class IA PI3K regulatory subunit p85α, which is frequently altered in cancer. functions as a tumor suppressor by stabilizing and inhibiting the catalytic activity of p110, and it directly binds to and enhances the activity of the PTEN lipid phosphatase. Aberrations in the gene are associated with poor prognosis in cancer; available data underscore the significant role of mutations in mediating tumorigenesis by promoting the signaling of the PI3K/AKT/mTOR pathway. Moreover, copy number variations, driver mutations, and epigenetic alterations in contribute to tumorigenesis and progression through distinct mechanisms. This article reviews the cancer-promoting effects of gene aberrations across major cancer types and elucidates their underlying mechanisms. It also discusses the targeted therapies for related aberrations, aiming to provide a comprehensive understanding of the dynamic interplay of in cancer, thereby advancing precision medicine and the development of targeted interventions.

摘要

该基因编码IA类PI3K调节亚基p85α,其在癌症中经常发生改变。它通过稳定和抑制p110的催化活性发挥肿瘤抑制作用,并且直接结合并增强PTEN脂质磷酸酶的活性。该基因的异常与癌症预后不良相关;现有数据强调了该基因突变在通过促进PI3K/AKT/mTOR信号通路介导肿瘤发生中的重要作用。此外,该基因的拷贝数变异、驱动突变和表观遗传改变通过不同机制促进肿瘤发生和进展。本文综述了该基因异常在主要癌症类型中的促癌作用,并阐明了其潜在机制。还讨论了针对相关异常的靶向治疗,旨在全面了解该基因在癌症中的动态相互作用,从而推动精准医学和靶向干预的发展。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/396a/12243862/d2c3cdbf3fe2/ijmsv22p2932g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/396a/12243862/339ab0bf99b9/ijmsv22p2932g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/396a/12243862/d2c3cdbf3fe2/ijmsv22p2932g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/396a/12243862/339ab0bf99b9/ijmsv22p2932g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/396a/12243862/d2c3cdbf3fe2/ijmsv22p2932g002.jpg

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Global isonicotinylome analysis identified SMAD3 isonicotinylation promotes liver cancer cell epithelial-mesenchymal transition and invasion.全球异烟酰化组分析表明,SMAD3异烟酰化促进肝癌细胞上皮-间质转化和侵袭。
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Chemotherapy-induced acetylation of ACLY by NAT10 promotes its nuclear accumulation and acetyl-CoA production to drive chemoresistance in hepatocellular carcinoma.
NAT10 通过诱导 ACLY 乙酰化促进其核积累和乙酰辅酶 A 生成,从而驱动肝癌的化疗耐药性。
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A p85 isoform switch enhances PI3K activation on endosomes by a MAP4- and PI3P-dependent mechanism.p85 同工型转换通过 MAP4 和 PI3P 依赖性机制增强内体上的 PI3K 激活。
Cell Rep. 2024 May 28;43(5):114119. doi: 10.1016/j.celrep.2024.114119. Epub 2024 Apr 16.
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Akt Inhibitor Advancements: From Capivasertib Approval to Covalent-Allosteric Promises.Akt 抑制剂的进展:从卡培他滨的批准到共价变构的承诺。
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