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肝癌的辅助治疗

发表于:2015年12月20日 访问人数:5828人

       最新一期的英国自然杂志系列子刊Cancer Gene Therapy 发表了山东大学齐鲁医院普外科李涛副教授与复旦大学中山医院肝脏外科合作研究结果。该研究发现小剂量阿斯匹林可以显著提高干扰素-α对肝细胞肝癌的促进凋亡及抑制肝癌生长的作用,其机制是通过激活JAK1/STAT1通路实现的。该研究对于减少肝癌对干扰素-α的耐药性,提高干扰素-α对肝癌的治疗效果具有积极意义,为临床提高肝癌的疗效提供了新的治疗策略。
 
Cancer Gene Ther. 2013 Jun;20(6):366-74. doi: 10.1038/cgt.2013.29. Epub 2013 May 24.

Aspirin enhances IFN-α-induced growth inhibition and apoptosis of hepatocellular carcinoma via JAK1/STAT1 pathway.

Li T, Dong ZR, Guo ZY, Wang CH, Tang ZY, Qu SF, Chen ZT, Li XW, Zhi XT.

Source

       Department of General Surgery, Qilu Hospital, Shandong University, Jinan, China.

Abstract

       STAT1 has a key role in exerting the antiproliferative and proapoptotic effects of interferon (IFN)-α on tumors, and its defects in expression is associated with IFN-α resistance. In this study we want to investigate whether aspirin can improve the antitumor efficiency of IFN-α on hepatocellularcarcinoma (HCC) through the activation of STAT1. We found that aspirin not only significantly enhanced IFN-α-induced antiproliferation and apoptosisof HCC in vitro study but also enhanced tumor growth inhibition in nude mice. Although IFN-α alone resulted in significant phosphorylation of both STAT1 and STAT3, aspirin only prompted the IFN-α-induced phosphorylation of STAT1. Further study revealed that aspirin-prompted phosphorylation of STAT1 was activated through phosphorylation of JAK1. Furthermore, aspirin-activated STAT1 upregulated the transcription of proapoptotic IFN-stimulated gene (ISG) of X-linked inhibitor of apoptosis-associated factor-1 and downregulated the transcription of antiapoptotic ISG of G1P3, which in turn promoted the expression of Bax and activation of caspase-9 and caspase-3, thereby sensitizing HCC cells to IFN-α-induced apoptosis. Taken together, our findings suggest a novel strategy of using aspirin to overcome tumor resistance and enhance the effectiveness of IFN-α in HCC treatment through activating STAT1 gene, and have potential implications for improving future IFN-α protein and gene therapy.

PMID: 23703473 [PubMed - in process]

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