Nanosize Non-Viral Gene Therapy Reverses Senescence Reprograming Driven by PBRM1 Deficiency to Suppress iCCA
Xiwen Wu1,2, Yi Zhang1,3, Yuan Ding1
1Department of Hepatic Surgery, Center of Hepato-Pancreato-Biliary Surgery, The First Affiliated Hospital of Sun Yat-sen University, Guangzhou, Guangdong, 510080, China.
Abstract:
Polybromo-1 (PBRM1) serves as a crucial regulator of gene transcription in various tumors, including intrahepatic cholangiocarcinoma (iCCA). However, the exact role of PBRM1 in iCCA and the mechanism by which it regulates downstream target genes remain unclear. This research has revealed that PBRM1 is significantly downregulated in iCCA tissues, and this reduced expression is linked to aggressive clinicopathological features and a poor prognosis. Furthermore, it is demonstrated that PBRM1 can impede iCCA progression, and a gene therapy nanomedicine is developed to treat iCCA in vivo by modulating PBRM1 expression. The heightened expression of PBRM1 induces by the nanomedicine substantially inhibited tumor growth in iCCA. Conversely, the decrease in PBRM1 results in the abnormal activation of the ERK1/2 signaling pathway, a reduction in p16, p53/p21, and cellular senescence, thereby promoting iCCA advancement. Treatment with U0126, an ERK1/2 inhibitor, effectively halted iCCA progression by regulating the PBRM1-ERK1/2-cellular senescence pathway. These findings underscore the significant role of PBRM1 in controlling iCCA progression and predicting prognosis. Targeting the PBRM1-ERK1/2-cellular senescence pathway with U0126 shows promise for clinical applications in treating iCCA.
Insights
Polybromo-1 (PBRM1) is downregulated in intrahepatic cholangiocarcinoma (iCCA), promoting tumor growth. Restoring PBRM1 expression via nanomedicine or inhibiting ERK1/2 signaling halts iCCA progression.
Area of Science:
- Oncology
- Molecular Biology
- Gene Regulation
Background:
- Polybromo-1 (PBRM1) is a key transcriptional regulator implicated in various cancers.
- Its specific function and regulatory mechanisms in intrahepatic cholangiocarcinoma (iCCA) remain largely undefined.
- Understanding PBRM1's role is crucial for developing novel iCCA therapeutic strategies.
Purpose of the Study:
- To elucidate the role of PBRM1 in iCCA pathogenesis and progression.
- To investigate the molecular mechanisms underlying PBRM1's regulation of iCCA.
- To develop and evaluate a nanomedicine-based gene therapy for iCCA targeting PBRM1 expression.
Main Methods:
- Analysis of PBRM1 expression levels in iCCA tissues and correlation with clinicopathological features.
- In vivo studies using a gene therapy nanomedicine to modulate PBRM1 expression in iCCA models.
- Investigation of the ERK1/2 signaling pathway, p16, p53/p21 expression, and cellular senescence.
- Pharmacological inhibition of ERK1/2 signaling using U0126.
Main Results:
- PBRM1 expression is significantly downregulated in iCCA, correlating with aggressive disease and poor prognosis.
- PBRM1 downregulation activates the ERK1/2 pathway, reduces senescence markers (p16, p53/p21), and promotes iCCA progression.
- Nanomedicine-mediated PBRM1 upregulation effectively inhibited iCCA tumor growth in vivo.
- Inhibition of ERK1/2 signaling with U0126 reversed iCCA progression by modulating the PBRM1-ERK1/2-cellular senescence axis.
Conclusions:
- PBRM1 acts as a tumor suppressor in iCCA, and its reduced expression is a critical driver of disease progression.
- The PBRM1-ERK1/2-cellular senescence pathway represents a novel therapeutic target for iCCA.
- Gene therapy nanomedicine targeting PBRM1 and ERK1/2 inhibition show significant therapeutic potential for iCCA treatment.
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