时钟基因ARNTL2通过上调SLC7A11抑制铁死亡来增强结肠癌对5-氟尿嘧啶的耐药性。
Clock gene ARNTL2 enhances 5-fluorouracil resistance in colon cancer by upregulating SLC7A11 to suppress ferroptosis.
作者信息
Yang Jingbang, Lin Dagui, Huang Yulin, Yin Shasha, Chen Miao, Sun Haohui, Zhu Wancui, Chen Enni, Deng Yizhang, Zhao Enen, Wang Fulong, Zhang Linjie, Deng Wuguo, Li Liren
机构信息
Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Guangzhou, China.
Sun Yat-sen University Sixth Affiliated Hospital, Guangzhou, China.
出版信息
Redox Biol. 2025 Jul 31;86:103798. doi: 10.1016/j.redox.2025.103798.
Colorectal cancer, a leading cause of global cancer-related morbidity and mortality, poses a significant challenge with its incidence rising. 5-fluorouracil (5-FU), a key chemotherapy agent, faces the challenge of drug resistance. Clock genes, which regulate circadian rhythms, are linked to tumor occurrence, progression, and treatment responses, and are often abnormally expressed in many tumors. Ferroptosis, a non-apoptotic form of cell death, plays a role in tumor drug resistance. Recent research indicates that clock genes may influence tumor cells' sensitivity to ferroptosis by regulating cellular metabolism and oxidative stress responses. Through bioinformatics analysis, we identified the clock gene ARNTL2 as a key factor associated with chemoresistance. ARNTL2 was found to be significantly overexpressed in colon cancer, and was closely correlated with poor prognosis. Experimental validation using in vitro and in vivo models demonstrated that ARNTL2 promotes resistance to 5-FU by upregulating SLC7A11, a critical regulator of ferroptosis. Mechanistically, ARNTL2 directly binds to the SLC7A11 promoter and enhances its transcription, while also influencing SLC7A11 mRNA stability through PHGDH. These findings establish the ARNTL2-SLC7A11 axis as an important mechanism driving ferroptosis resistance and chemoresistance in colon cancer. Furthermore, we explored the therapeutic potential of melatonin (Mlt), a circadian-regulating hormone, and discovered that Mlt can degrade ARNTL2 via the ubiquitination-proteasome pathway, thereby downregulating the ARNTL2-SLC7A11 axis. Our results highlight ARNTL2 as a promising biomarker for predicting chemoresistance and prognosis in colon cancer patients. Additionally, the ability of Mlt to enhance chemotherapy sensitivity by targeting the ARNTL2-SLC7A11 axis offers a novel, low-toxicity strategy for improving treatment outcomes. These findings bridge the fields of chronobiology and oncology, providing new insights for precision medicine approaches in colon cancer.
结直肠癌是全球癌症相关发病和死亡的主要原因之一,随着其发病率的上升,带来了重大挑战。5-氟尿嘧啶(5-FU)作为一种关键的化疗药物,面临着耐药性的挑战。调节昼夜节律的生物钟基因与肿瘤的发生、发展及治疗反应相关,且在许多肿瘤中常异常表达。铁死亡是一种非凋亡形式的细胞死亡,在肿瘤耐药中起作用。最近的研究表明,生物钟基因可能通过调节细胞代谢和氧化应激反应来影响肿瘤细胞对铁死亡的敏感性。通过生物信息学分析,我们确定生物钟基因ARNTL2是与化疗耐药相关的关键因素。研究发现ARNTL2在结肠癌中显著过表达,且与预后不良密切相关。使用体外和体内模型进行的实验验证表明,ARNTL2通过上调铁死亡关键调节因子SLC7A11来促进对5-FU的耐药性。机制上,ARNTL2直接与SLC7A11启动子结合并增强其转录,同时还通过PHGDH影响SLC7A11 mRNA的稳定性。这些发现确立了ARNTL2-SLC7A11轴是驱动结肠癌铁死亡耐药和化疗耐药的重要机制。此外,我们探索了昼夜调节激素褪黑素(Mlt)的治疗潜力,发现Mlt可通过泛素化-蛋白酶体途径降解ARNTL2,从而下调ARNTL2-SLC7A11轴。我们的结果突出了ARNTL2作为预测结肠癌患者化疗耐药和预后的有前景的生物标志物。此外,Mlt通过靶向ARNTL2-SLC7A11轴增强化疗敏感性的能力为改善治疗结果提供了一种新的、低毒性策略。这些发现连接了时间生物学和肿瘤学领域,为结肠癌的精准医学方法提供了新见解。