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缺氧上调TPM4表达以增强上皮-间质转化,从而促进甲状腺乳头状癌的淋巴结转移。

Hypoxia upregulate TPM4 expression to strengthen epithelial-mesenchymal transition that promotes lymph node metastasis of papillary thyroid cancer.

作者信息

Li Zhufeng, Li Fuxin, Jiang Xunzhen, Li Yingxi, Jia Lanning, Wang Xiaoning, Liu Yuanchao, Jiang Ruoyu, Zhao Ke, Pu Guangmei, Tian Yao, Wang Yizeng, He Xianghui

机构信息

Department of General Surgery, Tianjin Key Laboratory of Precise Vascular Reconstruction and Organ Function Repair, Tianjin Medical University General Hospital, Tianjin General Surgery Institute, Tianjin, 300052, China.

Department of General Surgery, Tianjin Haihe Hospital, Tianjin, 300350, China.

出版信息

J Cancer. 2025 Jul 11;16(10):3216-3234. doi: 10.7150/jca.116524. eCollection 2025.

DOI:10.7150/jca.116524
PMID:40740237
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12305566/
Abstract

Papillary thyroid cancer (PTC) exhibits a high propensity for lymph node metastasis (LNM), significantly impacting postoperative recurrence and patient prognosis. The hypoxic microenvironment critically drives tumor progression by promoting PTC dedifferentiation. Through integrated bioinformatics analysis combining weighted gene co-expression network analysis and machine learning approaches on TCGA data, we identified TPM4 as a key hypoxia-responsive gene in PTC and validated its association with LNM using GEO datasets. Gene set enrichment analysis demonstrated that patients with high TPM4 expression in both TCGA and GEO databases showed significant enrichment in hypoxia and epithelial-mesenchymal transition (EMT) pathways. Single-cell pseudotime analysis revealed concurrent increases in hypoxia pathway enrichment, TPM4 expression, and EMT pathway activation during cell differentiation. Experimental validation using RT-qPCR and Western blot analyses confirmed that hypoxia-induced TPM4 upregulation activated EMT signaling. Functional assays demonstrated that TPM4 enhanced cellular invasion and migration capabilities. Our findings illuminate a novel mechanism whereby the hypoxic tumor microenvironment promotes lymph node metastasis in PTC through TPM4-mediated activation of EMT signaling, providing new insights into LNM of PTC.

摘要

甲状腺乳头状癌(PTC)具有较高的淋巴结转移(LNM)倾向,对术后复发和患者预后有显著影响。缺氧微环境通过促进PTC去分化,在肿瘤进展中起关键作用。通过对TCGA数据进行加权基因共表达网络分析和机器学习方法相结合的综合生物信息学分析,我们确定TPM4是PTC中关键的缺氧反应基因,并使用GEO数据集验证了其与LNM的关联。基因集富集分析表明,在TCGA和GEO数据库中TPM4高表达的患者在缺氧和上皮-间质转化(EMT)途径中显著富集。单细胞伪时间分析显示,在细胞分化过程中,缺氧途径富集、TPM4表达和EMT途径激活同时增加。使用RT-qPCR和蛋白质免疫印迹分析进行的实验验证证实,缺氧诱导的TPM4上调激活了EMT信号。功能实验表明,TPM4增强了细胞的侵袭和迁移能力。我们的研究结果揭示了一种新机制,即缺氧肿瘤微环境通过TPM4介导的EMT信号激活促进PTC中的淋巴结转移,为PTC的LNM提供了新的见解。

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