Purpose: Abnormal activation of the NF-κB pathway induces a more aggressive phenotype of cutaneous melanoma. Understanding the mechanisms involved in melanoma NF-κB activation may identify novel targets for this pathway. KPC1, an E3 ubiquitin ligase, is a regulator of the NF-κB pathway. The objective of this study was to investigate the mechanisms regulating KPC1 expression and its clinical impact in melanoma.Experimental Design: The clinical impact of KPC1 expression and its epigenetic regulation were assessed in large cohorts of clinically well-annotated melanoma tissues (tissue microarrays; n = 137, JWCI cohort; n = 40) and The Cancer Genome Atlas database (TCGA cohort, n = 370). Using melanoma cell lines, we investigated the functional interactions between KPC1 and NF-κB, and the epigenetic regulations of KPC1, including DNA methylation and miRNA expression.Results: We verified that KPC1 suppresses melanoma proliferation by processing NF-κB1 p105 into p50, thereby modulating NF-κB target gene expression. Concordantly, KPC1 expression was downregulated in American Joint Committee on Cancer stage IV melanoma compared with early stages (stage I/II P = 0.013, stage III P = 0.004), and low KPC1 expression was significantly associated with poor overall survival in stage IV melanoma (n = 137; HR 1.810; P = 0.006). Furthermore, our data showed that high miR-155-5p expression, which is controlled by DNA methylation at its promoter region (TCGA; Pearson's r -0.455; P < 0.001), is significantly associated with KPC1 downregulation (JWCI; P = 0.028, TCGA; P = 0.003).Conclusions: This study revealed novel epigenetic regulation of KPC1 associated with NF-κB pathway activation, promoting metastatic melanoma progression. These findings suggest the potential utility of KPC1 and its epigenetic regulation as theranostic targets. Clin Cancer Res; 23(16); 4831-42. ©2017 AACR.

译文

目的:NF-κB途径的异常激活引起皮肤黑色素瘤更具侵略性的表型。了解黑色素瘤NF-κB激活所涉及的机制可能会确定该途径的新靶标。 KPC1是E3泛素连接酶,是NF-κB途径的调节剂。本研究的目的是研究调节KPC1表达的机制及其在黑色素瘤中的临床影响。实验设计:在大量临床上注明正确的黑素瘤组织(组织芯片; n)中评估了KPC1表达的临床影响及其表观遗传学调控。 = 137,JWCI队列; n = 40)和《癌症基因组图集》数据库(TCGA队列,n = 370)。我们使用黑色素瘤细胞系研究了KPC1和NF-κB之间的功能相互作用,以及KPC1的表观遗传调控,包括DNA甲基化和miRNA表达。调节NF-κB靶基因表达。一致地,与早期阶段相比,美国癌症四期黑色素瘤联合委员会中的KPC1表达下调了(I / II P = 0.013,III P = 0.004),而低的KPC1表达与IV期黑素瘤的总体生存率低显着相关。 (n = 137; HR 1.810; P = 0.006)。此外,我们的数据显示,miR-155-5p高表达受KPC1下调(JWCI; P = 0.028, TCGA; P = 0.003)。结论:这项研究揭示了KPC1的新表观遗传调控与NF-κB途径激活有关,促进了转移性黑色素瘤的进展。这些发现表明,KPC1及其表观遗传调控可能成为治疗诊断的靶标。临床癌症研究; 23(16); 4831-42。 ©2017 AACR。

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