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MGMT activated by Wnt pathway promotes cisplatin tolerance through inducing slow-cycling cells and nonhomologous end joining in colorectal cancer
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作者 Haowei Zhang Qixin Li +9 位作者 Xiaolong Guo Hong Wu Chenhao Hu Gaixia Liu Tianyu Yu Xiake Hu quanpeng qiu Gang Guo Junjun She Yinnan Chen 《Journal of Pharmaceutical Analysis》 SCIE CAS CSCD 2024年第6期863-877,共15页
Chemotherapy resistance plays a pivotal role in the prognosis and therapeutic failure of patients with colorectal cancer(CRC).Cisplatin(DDP)-resistant cells exhibit an inherent ability to evade the toxic chemotherapeu... Chemotherapy resistance plays a pivotal role in the prognosis and therapeutic failure of patients with colorectal cancer(CRC).Cisplatin(DDP)-resistant cells exhibit an inherent ability to evade the toxic chemotherapeutic drug effects which are characterized by the activation of slow-cycle programs and DNA repair.Among the elements that lead to DDP resistance,O^(6)-methylguanine(O^(6)-MG)-DNA-methyltransferase(MGMT),a DNA-repair enzyme,performs a quintessential role.In this study,we clarify the significant involvement of MGMT in conferring DDP resistance in CRC,elucidating the underlying mechanism of the regulatory actions of MGMT.A notable upregulation of MGMT in DDP-resistant cancer cells was found in our study,and MGMT repression amplifies the sensitivity of these cells to DDP treatment in vitro and in vivo.Conversely,in cancer cells,MGMT overexpression abolishes their sensitivity to DDP treatment.Mechanistically,the interaction between MGMT and cyclin dependent kinase 1(CDK1)inducing slow-cycling cells is attainted via the promotion of ubiquitination degradation of CDK1.Meanwhile,to achieve nonhomologous end joining,MGMT interacts with XRCC6 to resist chemotherapy drugs.Our transcriptome data from samples of 88 patients with CRC suggest that MGMT expression is co-related with the Wnt signaling pathway activation,and several Wnt inhibitors can repress drug-resistant cells.In summary,our results point out that MGMT is a potential therapeutic target and predictive marker of chemoresistance in CRC. 展开更多
关键词 Colorectal cancer MGMT Chemotherapy resistance Slow-cycling cells Nonhomologous end joining Wnt pathway
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阑尾切除改变肠道菌群对结直肠癌预后影响的临床研究 被引量:3
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作者 刘改霞 邱铨鹏 +5 位作者 任博博 张浩为 刘辉 李雯 石晨 佘军军 《中国肿瘤临床》 CAS CSCD 北大核心 2021年第24期1259-1265,共7页
目的:探究既往阑尾切除对结直肠癌预后的影响及可能存在机制。方法:回顾性收集2013年1月至2016年12月西安交通大学第一附属医院收治的763例结直肠癌患者的临床及病理信息,根据肿瘤诊断前是否存在阑尾切除史,分为阑尾切除组(89例)和非阑... 目的:探究既往阑尾切除对结直肠癌预后的影响及可能存在机制。方法:回顾性收集2013年1月至2016年12月西安交通大学第一附属医院收治的763例结直肠癌患者的临床及病理信息,根据肿瘤诊断前是否存在阑尾切除史,分为阑尾切除组(89例)和非阑尾切除组(674例),分析比较两组患者的总体生存率,以及既往阑尾切除史与结直肠癌患者预后的关系。应用阑尾切除后结直肠癌诱导小鼠模型,通过实时荧光定量聚合酶链式反应(qPCR)比较其粪便中拟杆菌属(Bacteroides)、普氏菌属(Prevotella)、布氏菌属(Blautia)相对丰度。结果:阑尾切除组患者的3、5年总体生存率均明显低于非阑尾切除组(61.8%vs.75.1%,46.4%vs.69.3%),差异具有统计学意义(χ^(2)=13.777,P<0.05);阑尾切除是结直肠癌预后独立危险因素(HR=1.475,95%CI:1.030~2.114)。阑尾切除后行氧化偶氮甲烷(AOM)+葡聚糖硫酸钠(DSS)诱导发生结直肠癌的小鼠,其粪便中显著富集拟杆菌属、普氏菌属,而布氏菌属丰度明显降低。结论:阑尾切除可能是结直肠癌不良预后的独立危险因素,其潜在机制和阑尾切除导致某些致癌致炎细菌在肠道中富集相关。 展开更多
关键词 结直肠癌 阑尾切除 预后 肠道菌群
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