| 研究生: |
王韋然 Wang, Wei-Jan |
|---|---|
| 論文名稱: |
CEBPD 在抗藥性膀胱癌中的調控與功能探討 Investigation of CEBPD's regulation and roles in drug-resistant bladder cancers |
| 指導教授: |
王育民
Wang, Ju-Ming |
| 共同指導教授: |
張文昌
Chang, Wen-Chang |
| 學位類別: |
博士 Doctor |
| 系所名稱: |
醫學院 - 基礎醫學研究所 Institute of Basic Medical Sciences |
| 論文出版年: | 2016 |
| 畢業學年度: | 105 |
| 語文別: | 英文 |
| 論文頁數: | 74 |
| 中文關鍵詞: | 膀胱尿路上皮癌 、順鉑 、交互抗藥性 、CEBPD 、ABCB1 |
| 外文關鍵詞: | Urothelial carcinoma of urinary bladder, cisplatin, cross-resistance, CEBPD, ABCB1 |
| 相關次數: | 點閱:91 下載:3 |
| 分享至: |
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順鉑經常與紫杉醇聯合進行合併性的化學療法,以治療膀胱尿路上皮癌。然而,如同其它類癌症治療方法所面臨的問題,交叉抗藥性使得順鉑的發展受到挑戰,阻礙其成功治療膀胱尿路上皮癌的經驗。因此,當務之急是了解順鉑所誘發的對癌症治療藥物抗藥性的根本機制,以便發展出新對策。本研究利用報導基因法和in vivo DNA 結合實驗,評估ABCB1 基因和ABCC2 基因的活化是否直接受到CEBPD 的調控。本研究
也利用抑制蛋白表現和抗癌藥物的效果實驗,以釐清存在於膀胱尿路上皮癌細胞內的上皮細胞生長因子接受體 (EGFR) 以及訊息傳遞及轉錄因子3 (STAT3) 此二者與通過順鉑誘導CEBPD 的表現是否有關聯。最後,本研究進行動物異種移植實驗,以測試Gefitinib 和S31-201(Stat3 抑制劑)兩者在逆轉順鉑敏感性,達到殺死膀胱尿路上皮癌細胞的效果。CEBPD 持續性地表現在已接受化學療法治療的病患身上;CEBPD也在具有順鉑抗藥性的膀胱尿路上皮癌細胞產生反應。當接受順鉑治療時,所誘導的CEBPD 表現活化了ABCB1 基因和ABCC2 基因。上皮細胞生長因子接受體/訊息傳遞及轉入因子3 的活化有助於順鉑於膀胱尿路上皮癌細胞內,誘導CEBPD 表現。艾瑞莎和S31-201 明顯減少了CEBPD 表現,但增強了順鉑的敏感性、促進具有順鉑抗藥性的NTUB1/P 細胞對紫杉醇敏感性和NTUB1/P 異種移植腫瘤的敏感性。本研究結果呈現在具有順鉑抗藥性的膀胱尿路上皮癌細胞內,活化CEBPD 所伴隨的風險;同時,也提出藉由合併順鉑和艾瑞莎或S31-201 的策略,治療膀胱尿路上皮癌或具有順鉑抗藥性的膀胱尿路上皮癌。
Urothelial carcinoma of urinary bladder (UCUB) is the fourth most common malignancy in men, and the tenth most common in women. Anticancer drug cisplatin (CDDP) is highly used in the therapy of UCUB. In addition, CDDP is frequently combination chemotherapy with paclitaxel (PTX) used in UCUB therapies. However, as well as other types of cancers, the development of CDDP cross-resistance remains a challenge problem hindering the
successful treatment of UCUB. Therefore, elucidating the mechanisms underlying CDDP-induced anticancer drug cross-resistance to develop novel strategies is urgent. CCAAT/enhancer binding protein delta (CEBPD) is expressed at a relatively low level under normal physiological conditions and can be up-regulated by a variety of extracellular
stimuli including IL-1β, PGE2, TNFα and stress like as starvation of serum and anticancer drugs. Actually, the function of CEBPD is more than serves as a tumor suppressor; several reports suggested that CEBPD also play an oncogenic role in certain conditions. For instance, recent study have demonstrated that CDDP could induce CEBPD-mediated
anti-apoptosis pathway in UCUB cells. However, how CDDP induces cross-resistance with PTX through transcription regulation of genes involved in anti-apoptosis remains largely unexplored. In this study, we found that the ABCB1 and ABCC2 genes were activated by CEBPD upon CDDP treatment. The EGFR/STAT3 pathway contributed to the CDDP-induced CEBPD expression in the UCUB cells. Both Gefitinib and S3I-201 significantly decreased CEBPD expression and enhanced the sensitivity of CDDP or PTX
of CDDP-resistant NTUB1/P cells or NTUB1/P xenograft tumors. Taken together, our results demonstrate the risk of CEBPD activation in CDDP-resistant UCUB cells and suggest a potentially therapeutic strategy for treating patients with UCUB or UCUB with CDDP-induced PTX resistance via a combination of CDDP and Gefitinib or S3I-201.
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