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在RB1缺乏和神经内分泌前列腺癌中准DNA甲基化和B7-H3
Yasutaka Yamada1,2, Varadha Balaji Venkadakrishnan1,2, Kei Mizuno1,2
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Science translational medicine
|November 15, 2023
概括
异常的DNA甲基化驱动前列腺癌的转变. 通过抑制DNA甲基转移酶 (DNMTs) 减少神经内分泌前列腺癌 (NEPC) 的生长和增加B7-H3表达,使瘤对B7-H3向治疗敏感.
科学领域:
- 在瘤学瘤学.
- 表观遗传学 在表观遗传学中,表观遗传学是指表观遗传学.
- 分子生物学分子生物学
背景情况:
- 异常的DNA甲基化在前列腺癌 (PC) 进展中至关重要,特别是在转化为神经内分泌前列腺癌 (NEPC) 的过程中.
- 在NEPC中,DNA甲基转移酶 (DNMT) 被上调和全球失调,这表明它们在驱动谱系可塑性中的作用.
研究的目的:
- 调查针对NEPC和RB1缺陷割耐性前列腺腺癌 (CRPC) 的DNMTs的治疗潜力.
- 在先进前列腺癌的临床前模型中,评估DNMT抑制剂decitabine和DS-7300a (i-DXd),一种针对B7-H3的抗体-药物结合物的疗效.
主要方法:
- 评估了DNMT基因删除对NEPC标记物和瘤发育 in vivo的影响.
- 向缺乏NEPC和RB1的CRPC异种移植模型注射了decitabine.
- 研究了DNMT抑制对B7-H3表达的影响.
- 在先进的前列腺癌模型中测试了DS-7300a作为单一药物和与decitabine结合.
主要成果:
- DNMT基因删除降低了神经内分泌标记物,并减少了NEPC瘤生长和转移.
- 在缺少NEPC和RB1的CRPC模型中,德替丁减弱了瘤生长.
- DNMT抑制通过脱甲基化增加了B7-H3的表达.
- 在高B7-H3的CRPC和NEPC模型中,DS-7300a显示出强大的抗瘤活性.
- 在B7-H3-低的模型中,decitabine和DS-7300a的联合治疗增强了反应.
结论:
- 抑制DNMT是一种有前途的治疗策略,用于NEPC和RB1缺乏的CRPC.
- 通过抑制DNMT,可以通过上调B7-H3表达来使低B7-H3的前列腺癌对DS-7300a敏感.
- 针对缺乏NEPC和RB1的CRPC亚组的生物标志物驱动的治疗策略可能会改善患者的治疗结果.
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