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WHO《西太平洋地区医学索引》来源期刊  
日本科学技术振兴机构数据库(JST)
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医药导报, 2017, 36(7): 727-730
doi: 10.3870/j.issn.1004-0781.2017.07.002
克唑替尼对人卵巢癌细胞系SKOV3细胞增殖的影响*
Effects of Crizotinib on Proliferation of Human Ovarian Cancer Cell Line SKOV3
邓梅君1,, 刘俊2, 李贵玲2,

摘要:

目的 探索人卵巢浆液性腺癌细胞系SKOV3中间变性淋巴瘤激酶(ALK)的表达及其对克唑替尼的反应。方法 采用蛋白免疫印迹法(Western blotting)及免疫细胞化学法检测ALK蛋白在人卵巢癌细胞系SKOV3中的表达;细胞增殖实验检测ALK抑制药克唑替尼对SKOV3细胞增殖的影响。结果 Western blotting结果显示,SKOV3细胞中有ALK蛋白表达;免疫细胞化学结果显示,ALK在SKOV3细胞质中有表达。细胞增殖实验显示,克唑替尼≤106 nmol·L-1时SKOV3细胞活力与对照组比值均接近1,达到107 nmol·L-1时SKOV3细胞活力值接近64%。结论 人卵巢癌细胞系SKOV3细胞中有ALK蛋白表达,但其对克唑替尼治疗不敏感。

关键词: 克唑替尼 ; ; 卵巢 ; SKOV3细胞 ; 间变性淋巴瘤激酶

Abstract:

Objective To explore the expression of anaplastic lymphoma kinase(ALK) in human ovarian serous adenocarcinoma cell line SKOV3 and to further investigate the effect of crizotinib on SKOV3 cells. Methods The expression of ALK in SKOV3 cells were examined by Western blotting and immunocytochemical methods,and the effect of ALK inhibitor crizotinib on proliferation of SKOV3 cells were evaluated by cell proliferation assay. Results Both Western blotting and immunocytochemical methods showed the expression of ALK in SKOV3 cells.The results of cell proliferation assay suggested that the cell viability of SKOV3 cells was close to 1 when the drug concentration was less than 106 nmol·L-1,and close to 64% when the drug concentration was up to 107nmol·L-1. Conclusion ALK is overexpressed in human ovarian serous adenocarcinoma cell line SKOV3,but SKOV3 cells were insensitive to the therapy of ALK inhibitor crizotinib.

Key words: Crizotinib ; Cancer ; ovarian ; Cell line SKOV3 ; Aanaplastic lymphoma kinase

卵巢癌是女性生殖系统常见恶性肿瘤之一。据估计,2015年我国有约5.2万例卵巢癌新发病例,近2.3万例死于该病[1]。卵巢癌严重危害女性健康,具有起病隐匿、早期不易发现、易转移、预后差等特点。尽管卵巢癌对手术和化学治疗(化疗)的初始有效率很高,但容易复发并出现化疗耐药[2]。了解卵巢癌发生的分子遗传学机制,寻找治疗的分子靶点有可能克服化疗耐药问题。分子靶向治疗选择性高,不良反应轻,已经成为恶性肿瘤治疗中越来越重要的组成部分,可能成为改善卵巢癌预后的有效方法之一。间变性淋巴瘤激酶(anaplastic lymphoma kinase,ALK)是受体酪氨酸激酶家族成员,于1994年在间变性大细胞淋巴瘤(anaplastic large cell lymphoma,ALCL)的一个亚型中被发现[3]。随后,在多种肿瘤中发现ALK基因重排,证明ALK是强力致癌驱动基因[4-5]。克唑替尼是一种小分子酪氨酸激酶抑制药,是第一个针对ALK的靶向治疗药物。目前克唑替尼已被国内外批准用于棘皮动物微管相关蛋白4/ALK(Echinoderm microtubule-associated protein-like 4/ALK,EML4-ALK)融合基因阳性的非小细胞肺癌的治疗。近年有研究报道在卵巢癌患者组织标本中检测到ALK融合基因表达[6-7]。浆液性腺癌是卵巢癌最常见的病理类型,目前笔者尚未见文献报道人卵巢浆液性腺癌细胞系SKOV3中是否存在ALK表达以及是否对ALK抑制药治疗敏感。笔者在本实验中采用免疫细胞化学法及蛋白质免疫印迹法探索ALK 蛋白在SKOV3细胞中的表达,并进一步验证该细胞是否对ALK抑制药克唑替尼治疗敏感。

1 材料与方法
1.1 实验材料

人卵巢癌细胞系SKOV3购自于中国科学院上海生命科学研究院细胞资源中心。胎牛血清(杭州四季青生物工程材料有限公司,批号:141203);改良杜氏伊格尔培养基/F12培养基营养混合物(Dulbecco's modified eagle media: nutrient mixture F-12,DMEM/F12)培养基(赛默飞世尔科技有限公司,批号:NXL0756);苯甲基磺酰氟(phenylmethanesulfonyl fluoride,PMSF,批号:G2008)、RIPA蛋白裂解液(批号:G2002)、5×SDS蛋白上样缓冲液(批号:G2013)、脱脂奶粉(批号:G2026)、增强型化学发光法(enhanced chemiluminescent,ECL)发光液(批号:G2014)、十二烷基硫酸钠聚丙烯酰胺凝胶电泳(sodium dodecyl sulfate polyacrylymide gel electropheresis,SDS-PAGE)凝胶配制试剂盒(批号:G2003)、辣根过氧化物酶(horse radish peroxidase,HRP)标记的山羊抗小鼠IgG(批号:GB23301)均购自武汉谷歌生物公司;免疫组化二抗试剂盒(丹麦Dako公司,批号:20029103);苏木精(珠海贝索生物技术有限公司,批号:716072);β-actin单克隆抗体(博士德生物公司,批号:BM0627);CCK-8试剂(Cell counting kit-8,Biosharp生物科技公司,批号:0420DCM5818);ALK单克隆抗体(美国CST公司)。克唑替尼由辉瑞公司赠送,将粉末溶解于0.9%氯化钠溶液配制成2.22×108 nmol·L-1溶液,储存于4 ℃冰箱备用。

1.2 仪器

BB15型恒温二氧化碳细胞培养箱(德国Heraeus公司);ZHJH-1112B型超净工作台(上海智诚分析仪器制造有限公司);BX41F型荧光倒置显微镜(日本Olympus株式会社);Bio-Rad M450型酶标测定仪(美国Bio-Tek公司);垂直电泳仪(北京六一公司)。

1.3 方法

1.3.1 细胞培养 将细胞用含10%胎牛血清的DMEM/F12培养基培养。置于环境条件为(37±0.3)℃、相对湿度>95%、二氧化碳(CO2)浓度(5±0.1)%细胞培养箱中培养。每1~2 d换液1次,每3~4 d传代1次。选取对数期的细胞用于实验。

1.3.2 Western blotting分析 细胞蛋白质的提取:在底面积为25 cm2的培养瓶中培养细胞至对数期并达到90%汇合率,加入细胞裂解液(PMSF:RIPA=1:100)250 μL,冰上裂解30 min,刮下细胞,连同裂解液一同转移至1.5 mL离心管,震荡5次,每次5 min。12 000 ×g低温离心15 min后,取上清液2~5 μL并测定蛋白浓度。往其余上清液中加入1/4体积的5×SDS蛋白上样缓冲液,混匀,100 ℃加热10 min,-20 ℃保存。蛋白电泳及转膜:制备8% SDS-PAGE胶,每孔加入蛋白60 μg电泳分离后,电转至聚偏氟乙烯(polyvinylidene fluoride,PVDF)膜上。抗体杂交及显色:5%脱脂奶粉室温封闭1 h后,加入ALK鼠单克隆抗体于4 ℃孵育过夜,TBST洗10 min×3次,之后用HRP标记的山羊抗小鼠IgG室温孵育2 h,TBST洗10 min×3次,最后加入ECL发光液曝光,使底物显色。

1.3.3 免疫细胞化学 分析细胞爬片制备与固定:在6孔板底放入盖玻片,将细胞培养于6孔板中,待盖玻片中细胞汇合率达70%~80%时加入4%多聚甲醛,固定10 min。破膜及封闭:在6孔板中用0.1%Triton X-100破膜10 min,TBS洗5 min×3次后,加入3%过氧化氢室温孵育15 min,阻断内源性过氧化物酶,TBS洗5 min×3次,最后用10%山羊血清封闭20 min。抗体孵育及显色:加ALK单克隆抗体[阴性对照以等量磷酸盐缓冲液(PBS)代替]于细胞上4 ℃孵育过夜,TBS洗5 min×3次后,加二抗50 μL室温孵育25 min,TBS洗5 min×3次,滴加新鲜配置的二氨基联苯胺(diaminobenzidine,DAB)50 μL,镜下观察显色,自来水冲洗。苏木精染核1 min,自来水冲洗返蓝。封片保存:爬片放置在梯度乙醇中脱水干燥,中性树胶封片,镜检。

1.3.4 细胞增殖实验 取生长良好的对数生长期SKOV3细胞,胰酶消化、培养基重悬后调整细胞浓度分别为4×104,3×104,2×104个·mL-1,各自加入到3块96孔板中,每孔100 μL。放入培养箱培养24 h后,每块96孔板分别设7个实验组,分别更换培养基为含克唑替尼浓度为10,102,103,104,105,106,107 nmol·L-1的培养基继续培养,并设置空白对照组(更换的培养基不含克唑替尼)和调零组(只含培养基而无细胞),每组设置6个复孔。初始细胞浓度分别为4×103,3×103,2×103个·孔-1的96孔板分别再培养24,48,72 h,迅速加入细胞增殖检测试剂盒(cell counting kit-8,CCK-8)试剂,每孔10 μL,培养箱中继续孵育2 h,在酶标仪450 nm波长处测量各孔吸光度(A)值并计算细胞活力。细胞活力(%)=(加药组A-空白组A)/(对照组A-空白组A)×100%。

2 结果
2.1 Western blotting结果

SKOV3卵巢癌细胞蛋白在相对分子质量(100~130)×103处有一特异性条带,且该条带相对分子质量不同于野生型ALK蛋白,提示在SKOV3细胞中有ALK蛋白表达,且可能为ALK融合蛋白。见图1。

图1 Western blotting检测ALK蛋白在SKOV3细胞中的表达

Fig.1 Expression of ALK protein in SKOV3 cells detected by Western blotting

2.2 免疫细胞化学结果

在SKOV3细胞胞质中有棕黄色颗粒,即免疫细胞化学呈阳性反应,提示SKOV3细胞中有ALK蛋白表达,且主要位于细胞质。见图2。

图2 免疫细胞化学法检测ALK蛋白在SKOV3细胞中的表达

Fig.2 Expression of ALK protein in SKOV3 cells detected by immunocytochemical method

2.3 细胞增殖实验结果

在克唑替尼浓度为10 nmol·L-1~106 nmol·L-1时,作用24,48,72 h后,细胞活力值均接近100%,提示其对细胞增殖无明显影响。在药物浓度为107 nmol·L-1时,细胞活力值接近64%,提示当克唑替尼达到107 nmol·L-1时对SKOV3细胞的增殖有一定抑制作用。见图3。

图3 不同浓度克唑替尼对人SKOV3细胞增殖的影响

Fig.3 Effect of different concentrations of crizotinib on cell proliferation of SKOV3 cells

3 讨论

上皮性卵巢癌是卵巢癌的主要病理类型,占卵巢恶性肿瘤的80%以上。可分为4种不同的类别:浆液性、黏液性、子宫内膜样和透明细胞。其中浆液性腺癌占上皮性卵巢癌的60%[8-9]。由于卵巢癌早期无症状且易扩散,手术时多数病例已不能完全清除病灶,因此术后辅助治疗对卵巢癌显得尤为重要,目前主要为以铂类为基础的化疗。但是卵巢癌容易反复复发,并出现对化疗耐药。在过去的30年中,卵巢癌患者的生存率基本没有明显改善。随着对卵巢癌基因和分子生物学水平认识的增加,分子靶向治疗可能克服化疗耐药的问题并对患者预后改善起重要作用[10-12]

ALK蛋白由位于2号染色体p23上的ALK基因编码[13],属于酪氨酸激酶受体家族。生理状态下,配体与受体相结合后引起ALK二聚化,继而胞内酪氨酸残基磷酸化,活化下游信号通路[14]。MORRIS等[3]报道在非霍奇金淋巴瘤中ALK的激酶区域与核磷酸蛋白的融合导致ALK的组成性激活与肿瘤的形成相关,随后在炎性肌纤维母细胞瘤[15]、非小细胞肺癌[16]、神经母细胞瘤[17-19]、肾癌[20- 21]发现了ALK融合基因。ALK融合基因异常表达能激活下游PI3K/AKT、RAS/Raf/MEK/ERK和 JAK/STAT3 等信号通路,参与肿瘤的发生发展[22]。PEJOVIC等[23]报道在卵巢上皮性癌中有ALK 转录体。REN等[6]发现在卵巢癌组织中存在ALK异常表达,并发现了融合基因FN1-ALK,证实了其有致瘤性。笔者在本实验通过蛋白免疫印迹及免疫细胞化学方法首次发现在卵巢浆液性腺癌细胞系SKOV3中存在ALK异常表达,提示其可能为ALK融合基因产物。

克唑替尼是小分子ATP 模拟化合物,化学名为3-[(1R)-1-(2,6-二氯-3-氟苯基)乙氧基]-5-[1-(4-哌啶基)-1H-吡唑-4-基]-2-氨基吡啶,目前已被FDA批准用于ALK阳性非小细胞肺癌的临床治疗并取得良好疗效。克唑替尼的主要作用靶点为ALK、c-MET以及ROS1,它可能通过抑制ALK和c-MET磷酸化等过程阻断肿瘤细胞生长和存活。在本研究中,CCK-8细胞增殖实验发现克唑替尼的浓度在≤106 nmol·L-1时对SKOV3细胞的增殖无明显影响,只有在克唑替尼浓度达到107nmol·L-1时才对SKOV3细胞增殖有一定的抑制作用。而在ALK表达阳性的肺癌H2228细胞中,克唑替尼的半抑制浓度为334.5 nmol·L-1[24]。提示SKOV3细胞对克唑替尼作用不敏感,即对克唑替尼表现为原发耐药。在对ALK阳性肺癌患者的临床研究(PROFILE 1005)中,克唑替尼初始治疗的客观反应率为50%,提示一部分患者存在原发耐药。其耐药机制可能有ALK激酶区域突变、信号传导旁路的激活、ALK融合基因拷贝数目增益等[25]。SKOV3细胞对克唑替尼耐药的具体机制以及对其他ALK抑制药是否敏感还有待进一步研究。

The authors have declared that no competing interests exist.

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[6] REN H,TAN Z P,ZHU X,et al.Identification of anaplastic lymphoma kinase as a potential therapeutic target in ovarian cancer[J].Cancer Res,2012,72(13):3312-3323.
ABSTRACT Ovarian cancer is the leading cause of death from gynecologic cancer. Improvement in the clinical outcome of patients is likely to be achieved by the identification of molecular events that underlie the oncogenesis of ovarian cancer. Here we show that the anaplastic lymphoma kinase (ALK) is aberrantly activated in ovarian cancer. Using an unbiased and global phosphoproteomic approach, we profiled 69 Chinese primary ovarian tumor tissues and found ALK to be aberrantly expressed and phosphorylated in 4 tumors. Genetic characterization of these ALK-positive tumors indicated that full-length ALK expression in two serous carcinoma patients is consistent with ALK gene copy number gain, whereas a stromal sarcoma patient carries a novel transmembrane ALK fusion gene: FN1-ALK. Biochemical and functional analysis showed that both full-length ALK and FN1-ALK are oncogenic, and tumors expressing ALK or FN1-ALK are sensitive to ALK kinase inhibitors. Furthermore, immunohistochemical analysis of ovarian tumor tissue microarray detected aberrant ALK expression in 2% to 4% serous carcinoma patients. Our findings provide new insights into the pathogenesis of ovarian cancer and identify ALK as a potential therapeutic target in a subset of serous ovarian carcinoma and stromal sarcoma patients.
DOI:10.1158/0008-5472.CAN-11-3931      PMID:22570254      URL    
[本文引用:2]
[7] 印永祥,杨清海,赵华,.间变性淋巴瘤激酶基因在上皮性卵巢癌上的初步研究[J].中国妇幼保健,2015,30(11):1763-1765.
目的:探讨间变性淋巴瘤激酶(ALK)基因在卵巢癌组织中的表达.方法:选取61例卵巢上皮性癌组织和 10例良性卵巢上皮性肿瘤组织、10例正常卵巢组织,应用免疫组织化学方法检测ALK蛋白,ALK阳性者用FISH进行进一步的确认.结果:卵巢良性上皮 性肿瘤组织及正常卵巢组织不表达ALK蛋白,ALK基因在卵巢癌组织中的表达阳性率为1.64%.在61例卵巢上皮性癌中,只发现1例年龄超过50岁、临 床Ⅰ期和无腹膜转移的ALK蛋白阳性,经FISH确认为EML4-ALK基因阳性.结论:ALK基因可能在卵巢癌的发生发展过程中发挥着协同作用,提示 EML4.-ALK有可能成为卵巢癌的一种亚型,作为新的靶向治疗指标.
[本文引用:1]
[8] 郭艳萍,赵静.上皮性卵巢癌的研究进展[J].临床合理用药杂志,2015,8(1):178-179.
正上皮性卵巢癌是卵巢癌最主要 的病理分型,占卵巢癌发病率的80%以上,因其发病隐匿、恶性程度高、生存率低而成为女性生殖系统肿瘤致死率最高的疾病[1]。虽然Ⅰ、Ⅱ期(早期)上皮 性卵巢癌预后较好,但在发病早期,临床诊断极为困难。大部分患者就诊时,已处于Ⅲ、Ⅳ期(晚期),病死率极高。故目前的5年生存率仍30%[2],究其原 因是由于人们对浆液性卵巢癌的起源、发病机制等领域的认识不足,不能选择针对性最
[本文引用:1]
[9] 汪向明,张帆,顾倩,.卵巢浆液性癌病理发病机制研究进展[J].中国实用妇科与产科杂志,2013,29(3):236-240.
[本文引用:1]
[10] VAUGHAN S,COWARD J I,BAST R J,et al.Rethinking ovarian cancer:recommendations for improving outcomes[J].Nat Rev Cancer,2011,11(10):719-725.
There have been major advances in our understanding of the cellular and molecular biology of the human malignancies that are collectively referred to as ovarian cancer. At a recent Helene Harris Memorial Trust meeting, an international group of researchers considered actions that should be taken to improve the outcome for women with ovarian cancer. Nine major recommendations are outlined in this Opinion article.
DOI:10.1038/nrc3144      PMID:3380637      URL    
[本文引用:1]
[11] WILLMOTT L J,FRUEHAUF J P.Targeted therapy in ovarian cancer[J].J Oncol,2010,2010(4):1-9.
[本文引用:0]
[12] SCHMID B C,OEHLER M K.New perspectives in ovarian cancer treatment[J].Maturitas,2014,77(2):128-136.
Ovarian cancer (OC) is increasingly understood as a heterogeneous disease comprising distinct subtypes of different origin that vary significantly with regard to molecular biology and clinical behaviour. Despite some limited progress in its treatment over the last decade, currently there are few therapeutic options and overall survival remains poor. Increasing knowledge about the molecular biology of ovarian cancer has led to the development of targeted therapies which promise to be more effective and to provide the basis for personalized treatment. The most successful strategies so far are employing anti-angiogenics (VEGF antibodies, tyrosine kinase inhibitors and angiopoietin antagonists) and polyadenosine diphosphate-ribose polymerase (PARP) inhibitors. Other approaches target aberrant OC signalling such as the PI3K/Akt/mTOR network, the epidermal growth factor receptor, the WEE1 tyrosine kinase and the folate receptor alpha. Immunotherapy is another promising new approach against ovarian cancer. In this area, immunotherapeutic modulation by administering autologous immune cells, such as dendritic cells (DCs), to stimulate antitumour host responses is of special interest. Finally, there is now growing evidence from clinical studies showing a survival advantage for intraperitoneal (IP) chemotherapy when compared to conventional intravenous treatment in the adjuvant setting. New strategies such as pressurized IP aerosol chemotherapy might further improve the efficacy of this approach.
DOI:10.1016/j.maturitas.2013.11.009      PMID:24380827      URL    
[本文引用:1]
[13] MOURALI J,BENARD A,LOURENCO F C,et al.Anaplastic lymphoma kinase is a dependence receptor whose proapoptotic functions are activated by caspase cleavage[J].Mol Cell Biol,2006,26(16):6209-6222.
Anaplastic lymphoma kinase (ALK) is a receptor tyrosine kinase, initially discovered as part of the NPM-ALK fusion protein, resulting from the t(2;5) translocation that is frequently associated with anaplastic large-cell lymphomas. The native ALK protein is normally expressed in the developing and, at a weaker level, adult nervous system. We recently demonstrated that the oncogenic, constitutively kinase-activated NPM-ALK protein was antiapoptotic when expressed in Jurkat lymphoblastic cells treated with cytotoxic drugs. In contrast, we now show that Jurkat cells overexpressing the wild-type ALK receptor are more sensitive to doxorubicin-induced apoptosis than parental cells. Moreover, the ALK protein is cleaved during apoptosis in a caspase-dependent manner. Mutation of aspartic residues to asparagine allowed us to map the caspase cleavage site in the juxtamembrane region of ALK. In order to assess the role of ALK in neural cell-derived tissue, we transiently expressed ALK in the 13.S.1.24 rat neuroblast immortalized cell line. ALK expression led to apoptotic cell death of the neuroblasts. ALK ligation by specific activating antibodies decreased ALK-facilitated apoptosis in both lymphoid and neuronal cell lines. Moreover, ALK transfection reduced the survival of primary cultures of cortical neurons. Thus, ALK has a proapoptotic activity in the absence of ligand, whereas it is antiapoptotic in the presence of its ligand and when the kinase is intrinsically activated. These properties place ALK in the growing family of dependence receptors.
DOI:10.1128/MCB.01515-05      PMID:1592804      URL    
[本文引用:1]
[14] PULFORD K,MORRIS S W,TURTURRO F.Anaplastic lymphoma kinase proteins in growth control and cancer[J].J Cell Physiol,2004,199(3):330-358.
Abstract Top of page Abstract ANAPLASTIC LYMPHOMA KINASE AS A RECEPTOR TYROSINE KINASE IDENTIFICATION OF ALK FULL-LENGTH ALK ALK FUSION PROTEINS ONCOGENIC MECHANISMS EMPLOYED BY ALK FUSION PROTEINS RELEVANCE OF EXPRESSION OF ALK PROTEIN FOR PATIENTS POTENTIAL FUTURE THERAPEUTIC APPROACHES FOR ALK-POSITIVE MALIGNANCIES LITERATURE CITED The normal functions of full-length anaplastic lymphoma kinase (ALK) remain to be completely elucidated. Although considered to be important in neural development, recent studies in Drosophila also highlight a role for ALK in gut muscle differentiation. Indeed, the Drosophila model offers a future arena for the study of ALK, its ligands and signalling cascades. The discovery of activated fusion forms of the ALK tyrosine kinase in anaplastic large cell lymphoma (ALCL) has dramatically improved our understanding of the pathogenesis of these lymphomas and enhanced the pathological diagnosis of this subtype of non-Hodgkin's lymphoma (NHL). Likewise, the realisation that a high percentage of inflammatory myofibroblastic tumours express activated-ALK fusion proteins has clarified the causation of these mesenchymal neoplasms and provided for their easier discrimination from other mesenchymal-derived inflammatory myofibroblastic tumour (IMT) mimics. Recent reports of ALK expression in a range of carcinoma-derived cell lines together with its apparent role as a receptor for PTN and MK, both of which have been implicated in tumourigenesis, raise the possibility that ALK-mediated signalling could play a role in the development and/or progression of a number of common solid tumours. The therapeutic targeting of ALK may prove to have efficacy in the treatment of many of these neoplasms. 2004 Wiley-Liss, Inc.
DOI:10.1002/jcp.10472      PMID:15095281      URL    
[本文引用:1]
[15] LAWRENCE B,PEREZ-ATAYDE A,HIBBARD M K,et al.TPM3-ALK and TPM4-ALK oncogenes in inflammatory myofibroblastic tumors[J].Am J Pathol,2000,157(2):377-384.
Inflammatory myofibroblastic tumors (IMTs) are neoplastic mesenchymal proliferations featuring an inflammatory infiltrate composed primarily of lymphocytes and plasma cells. The myofibroblastic cells in some IMTs contain chromosomal rearrangements involving the ALK receptor tyrosine-kinase locus region (chromosome band 2p23). ALK-which is normally restricted in its expression to neural tissues-is expressed strikingly in the IMT cells with 2p23 rearrangements. We now report a recurrent oncogenic mechanism, in IMTs, in which tropomyosin (TPM) N-terminal coiled-coil domains are fused to the ALK C-terminal kinase domain. We have cloned two ALK fusion genes, TPM4-ALK and TPM3-ALK, which encode approximately 95-kd fusion oncoproteins characterized by constitutive kinase activity and tyrosylphosphorylation. Immunohistochemical and molecular correlations, in other IMTs, implicate non-TPM ALK oncoproteins that are predominantly cytoplasmic or pre- dominantly nuclear, presumably depending on the subcellular localization of the ALK fusion partner. Notably, a TPM3-ALK oncogene was reported recently in anaplastic lymphoma, and TPM3-ALK is thereby the first known fusion oncogene that transforms, in vivo, both mesenchymal and lymphoid human cell lineages.
DOI:10.1016/S0002-9440(10)64550-6      PMID:10934142      URL    
[本文引用:1]
[16] SODA M,CHOI Y L,ENOMOTO M,et al.Identification of the transforming EML4-ALK fusion gene in non-small-cell lung cancer[J].Nature,2007,448(7153):561-566.
Elsevier’s Scopus, the largest abstract and citation database of peer-reviewed literature. Search and access research from the science, technology, medicine, social sciences and arts and humanities fields.
DOI:10.1038/nature05945      PMID:17625570      URL    
[本文引用:1]
[17] GEORGE R E,SANDA T,HANNA M,et al.Activating mutations in ALK provide a therapeutic target in neuroblastoma[J].Nature,2008,455(7215):975-978.
Neuroblastoma, an embryonal tumour of the peripheral sympathetic nervous system, accounts for approximately 15% of all deaths due to childhood cancer. High-risk neuroblastomas are rapidly progressive; even with intensive myeloablative chemotherapy, relapse is common and almost uniformly fatal. Here we report the detection of previously unknown mutations in the ALK gene, which encodes a receptor tyrosine kinase, in 8% of primary neuroblastomas. Five non-synonymous sequence variations were identified in the kinase domain of ALK, of which three were somatic and two were germ line. The most frequent mutation, F1174L, was also identified in three different neuroblastoma cell lines. ALK complementary DNAs encoding the F1174L and R1275Q variants, but not the wild-type ALK cDNA, transformed interleukin-3-dependent murine haematopoietic Ba/F3 cells to cytokine-independent growth. Ba/F3 cells expressing these mutations were sensitive to the small-molecule inhibitor of ALK, TAE684 (ref. 4). Furthermore, two human neuroblastoma cell lines harbouring the F1174L mutation were also sensitive to the inhibitor. Cytotoxicity was associated with increased amounts of apoptosis as measured by TdT-mediated dUTP nick end labelling (TUNEL). Short hairpin RNA (shRNA)-mediated knockdown of ALK expression in neuroblastoma cell lines with the F1174L mutation also resulted in apoptosis and impaired cell proliferation. Thus, activating alleles of the ALK receptor tyrosine kinase are present in primary neuroblastoma tumours and in established neuroblastoma cell lines, and confer sensitivity to ALK inhibition with small molecules, providing a molecular rationale for targeted therapy of this disease.
DOI:10.1038/nature07397      PMID:2587486      URL    
[本文引用:1]
[18] JANOUEIX-LEROSEY I,LEQUIN D,BRUGIERES L,et al.Somatic and germline activating mutations of the ALK kinase receptor in neuroblastoma[J].Nature,2008,455(7215):967-970.
Neuroblastoma, a tumour derived from the peripheral sympathetic nervous system, is one of the most frequent solid tumours in childhood. It usually occurs sporadically but familial cases are observed, with a subset of cases occurring in association with congenital malformations of the neural crest being linked to germline mutations of the PHOX2B gene. Here we conducted genome-wide comparative genomic hybridization analysis on a large series of neuroblastomas. Copy number increase at the locus encoding the anaplastic lymphoma kinase (ALK) tyrosine kinase receptor was observed recurrently. One particularly informative case presented a high-level gene amplification that was strictly limited to ALK, indicating that this gene may contribute on its own to neuroblastoma development. Through subsequent direct sequencing of cell lines and primary tumour DNAs we identified somatic mutations of the ALK kinase domain that mainly clustered in two hotspots. Germline mutations were observed in two neuroblastoma families, indicating that ALK is a neuroblastoma predisposition gene. Mutated ALK proteins were overexpressed, hyperphosphorylated and showed constitutive kinase activity. The knockdown of ALK expression in ALK-mutated cells, but also in cell lines overexpressing a wild-type ALK, led to a marked decrease of cell proliferation. Altogether, these data identify ALK as a critical player in neuroblastoma development that may hence represent a very attractive therapeutic target in this disease that is still frequently fatal with current treatments.
DOI:10.1038/nature07398      PMID:18923523      URL    
[本文引用:0]
[19] CHEN Y,TAKITA J,CHOI Y L,et al.Oncogenic mutations of ALK kinase in neuroblastoma[J].Nature,2008,455(7215):971-974.
Nature is the international weekly journal of science: a magazine style journal that publishes full-length research papers in all disciplines of science, as well as News and Views, reviews, news, features, commentaries, web focuses and more, covering all branches of science and how science impacts upon all aspects of society and life.
DOI:10.1038/nature07399      PMID:18923524      URL    
[本文引用:1]
[20] DEBELENKO L V,RAIMONDI S C,DAW N,et al.Renal cell carcinoma with novel VCL-ALK fusion:new representative of ALK-associated tumor spectrum[J].Mod Pathol,2011,24(3):430-442.
Renal cell carcinoma represents a model for contemporary classification of solid tumors; however, unusual and unclassifiable cases exist and are not rare in children and young adults. The anaplastic lymphoma kinase (ALK) gene has recently been implicated in subsets of pulmonary, esophageal, breast, and colon cancers. These findings strengthen the importance of molecular classification of carcinomas across different organ sites, especially considering the evolving targeted anticancer therapies with ALK inhibitors. In the current study of six pediatric renal cell carcinomas, two cases exhibited structural karyotypic abnormalities involving the ALK locus on chromosomal band 2p23. Fluorescence in situ hybridization (FISH) studies were positive for an ALK rearrangement in one case, and subsequent 5' rapid amplification of cDNA ends analysis of this tumor revealed that the 3' portion of the ALK transcript encoding for the kinase domain was fused in frame to the 5' portion of vinculin (VCL, NM_003373). The new fusion gene is predicted to have an open reading frame of 4122 bp encoding for a 1374-aa oncoprotein; its expression was shown by immunoblotting with anti-VCL and anti-ALK antibodies in tumor tissue lysates. Immunohistochemistry with the same antibodies demonstrated cytoplasmic and subplasmalemmal localization of the oncoprotein determined by its N-terminal VCL portion. FISH with a custom-designed VCL-ALK dual-fusion probe set confirmed the presence of the fusion in neoplastic cells and demonstrated the potential clinical utility of this approach for detecting VCL-ALK in routinely processed tissue. The five remaining pediatric renal cell carcinomas did not show ALK rearrangement by FISH or ALK expression by immunohistochemistry. The data identify the kidney as a new organ site for ALK-associated carcinomas and VCL as a novel ALK fusion partner. The results should prompt further studies to advance the molecular classification of renal cell carcinoma and help to select patients who would benefit from appropriate targeted therapies.
DOI:10.1038/modpathol.2010.213      PMID:21076462      URL    
[本文引用:1]
[21] MARINO-ENRIQUEZ A,OU W B,WELDON C B,et al.ALK rearrangement in sickle cell trait-associated renal medullary carcinoma[J].Genes Chromosomes Cancer,2011,50(3):146-153.
Abstract Renal Medullary Carcinoma (RMC) is an aggressive malignancy that affects young black individuals with sickle cell trait. No effective treatment is available, resulting in an ominous clinical course, with overall survival averaging less than four months. We report rearrangement of the ALK receptor tyrosine kinase in a pediatric case of RMC harboring a t(2;10)(p23;q22) translocation. Mass spectrometry-based proteomic evaluation identified a novel ALK oncoprotein in which the cytoskeletal protein vinculin (VCL) was fused to the ALK kinase domain. The resulting VCL-ALK fusion does not contain known self-association domains, but includes the talin binding domains of vinculin. We demonstrate coprecipitation of strongly tyrosine phosphorylated talins with the VCL-ALK oncoprotein, suggesting that ALK oncogenic crossphosphorylation is mediated by interactions between neighboring VCL-ALK proteins on a talin scaffold. This report widens the spectrum of ALK-related tumors and ALK fusion partners, and provides a rationale for treating RMC with targeted ALK inhibitors. 2010 Wiley-Liss, Inc.
DOI:10.1002/gcc.20839      PMID:21213368      URL    
[本文引用:1]
[22] CHIARLE R,VOENA C,AMBROGIO C,et al.The anaplastic lymphomakinase in the pathogenesis of cancer[J].Nat Rev Cancer,2008,8(1):11-23.
Tyrosine kinases are involved in the pathogenesis of most cancers. However, few tyrosine kinases have been shown to have a well-defined pathogenetic role in lymphomas. The anaplastic lymphoma kinase (ALK) is the oncogene of most anaplastic large cell lymphomas (ALCL), driving transformation through many molecular mechanisms. In this Review, we will analyse how translocations or deregulated expression of ALK contribute to oncogenesis and how recent genetic or pharmacological tools, aimed at neutralizing its activity, can represent the basis for the design of powerful combination therapies.
DOI:10.1038/nrc2291      PMID:18097461      URL    
[本文引用:1]
[23] PEJOVIC T,PANDE N T,MORI M,et al.Expression profiling of the ovarian surface kinome reveals candidate genes for early neoplastic changes[J].Transl Oncol,2009,2(4):341-349.
OBJECTIVES: We tested the hypothesis that co-coordinated up-regulation or down-regulation of several ovarian cell surface kinases may provide clues for better understanding of the disease and help in rational design of therapeutic targets. STUDY DESIGN: We compared the expression signature of 69 surface kinases in normal ovarian surface epithelial cells (OSE), with OSE from patients at high risk and with ovarian cancer. RESULTS: Seven surface kinases, ALK, EPHA5, EPHB1, ERBB4, INSRR, PTK, and TGF尾R1 displayed a distinctive linear trend in expression from normal, highrisk, and malignant epithelium. We confirmed these results using semiquantitative reverse transcription-polymerase chain reaction and tissue array of 202 ovarian cancer samples. A strong correlate was shown between disease-free survival and the expression of ERBB4. DNA sequencing revealed two novel mutations in ERBB4 in two cancer samples. CONCLUSIONS: A distinct subset of the ovarian surface kinome is altered in the transition from high risk to invasive cancer and genetic mutation is not a dominant mechanism for these modifications. These results have significant implications for early detection and targeted therapeutic approaches for women at high risk of developing ovarian cancer.
DOI:10.1593/tlo.09199      PMID:19956396      URL    
[本文引用:1]
[24] 苏翠云. 克唑替尼、TAE684对EML4-ALK阳性肺癌细胞株H2228作用的研究[D].南宁:广西医科大学,2013:19-20.
[本文引用:1]
[25] 吴荻,于鸿,李佳美.EML4-ALK抑制剂在非小细胞肺癌中发生耐药的机制[J].中国肺癌杂志,2013,16(1):48-53.
正非小细胞肺癌(non- small cell lung cancer,NSCLC)约占肺癌总数的80%-85%,是最常见的恶性肿瘤之一。继表皮生长因子受体(epithelial growth factor receptor,EGFR)基因突变在NSCLC发生过程中的机制逐渐明晰后,NSCLC的靶向治疗已经成为临床实践的热点[1]。近年来的研究[2] 发现了一种新的癌基因,棘皮动物微管相
[本文引用:1]
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关键词(key words)
克唑替尼
卵巢
SKOV3细胞
间变性淋巴瘤激酶

Crizotinib
Cancer
ovarian
Cell line SKOV3
Aanaplastic lymphoma kina...

作者
邓梅君
刘俊
李贵玲

DENG Meijun
LIU Jun
LI Guiling