ETV4/CDHP轴在甲状腺乳头状癌发生发展中的作用机制研究
作者:
作者单位:

1.新疆医科大学第二临床学院,新疆 乌鲁木齐 830000;2.中南大学湘雅医院 甲状腺外科,湖南 长沙 410008;3.新疆医科大学第二附属医院 肿瘤外科,新疆 乌鲁木齐 830000

作者简介:

付国德,新疆医科大学第二临床学院住院医师,主要从事甲状腺疾病基础方面的研究。

通讯作者:

白宁,Email: baining@csu.edu.cn

基金项目:

国家自然科学基金资助项目(82260585);国家青年科学基金资助项目(82203834)。


The oncogenic role of the ETV4/CDHP axis in papillary thyroid carcinoma
Author:
Affiliation:

1.The Second Clinical School, Xinjiang Medical University, Urumqi 830000, China;2.Department of Thyroid Surgery, Xiangya Hospital, Central South University, Changsha 410008, China;3.Department of Surgical Oncology, the Second Affiliated Hospital of Xinjiang Medical University, Urumqi 830000, China

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    摘要:

    背景与目的 甲状腺乳头状癌(PTC)是最常见的内分泌系统恶性肿瘤,其侵袭与转移机制尚不完全清楚。本研究旨在探讨转录因子E26转化特异性变体4(ETV4)在PTC中的作用及其与细胞黏附蛋白CDHP(CDH3)的调控关系。方法 利用TCGA与GTEx数据库分析ETV4和CDHP在PTC中的表达差异及相关性;在正常甲状腺细胞和多种PTC细胞系中检测两者的表达水平;通过siRNA构建ETV4敲低模型,采用qRT-PCR、Western blot、CCK-8、划痕及Transwell实验评估其对CDHP表达及细胞功能的影响。结果 数据库分析显示,ETV4和CDHP在PTC组织中呈高表达,癌组织与癌旁对比差异均具有统计学意义(P<0.001)。相关性分析提示ETV4与CDHP表达呈明显正相关(R2>0.5,P<0.01)。细胞实验进一步证实,四种PTC细胞系中ETV4和CDHP的mRNA及蛋白水平均高于正常甲状腺细胞(P<0.05)。在ETV4敲低模型中,CDHP表达明显下调(P<0.05),同时CCK-8法检测显示细胞增殖率下降,划痕及Transwell实验结果提示迁移和侵袭能力均明显减弱(均P<0.05)。结论 ETV4可能通过转录调控上调CDHP的表达,促进PTC细胞的增殖、迁移与侵袭。ETV4/CDHP轴有望成为PTC新的分子标志物和潜在治疗靶点。

    Abstract:

    Background and Aims Papillary thyroid carcinoma (PTC) is the most common endocrine malignancy, yet the molecular mechanisms underlying its invasion and metastasis remain unclear. This study aimed to investigate the role of the transcription factor ETV4 in PTC and its regulatory relationship with cadherin-3 (CDHP/CDH3).Methods Expression levels of ETV4 and CDHP were analyzed using TCGA and GTEx databases, and further validated in normal thyroid cells and multiple PTC cell lines by qRT-PCR and Western blot analysis. ETV4-knockdown models were established using siRNA, and changes in CDHP expression and cellular behaviors were assessed by qRT-PCR, Western blot, CCK-8, wound healing, and Transwell assays.Results Bioinformatics analysis revealed significantly higher expression of ETV4 and CDHP in PTC tissues compared to normal thyroid tissues (P<0.001). Correlation analysis demonstrated a strong positive association between ETV4 and CDHP expression (R2>0.5, P<0.01). In vitro assays confirmed that both ETV4 and CDHP were upregulated in all tested PTC cell lines at the mRNA and protein levels (all P<0.05). Knockdown of ETV4 led to marked reduction of CDHP expression (P<0.05), accompanied by decreased cell proliferation, migration, and invasion as demonstrated by CCK-8, wound healing, and Transwell assays (all P<0.05).Conclusion ETV4 may transcriptionally upregulates CDHP to promote proliferation, migration, and invasion of PTC cells. The ETV4/CDHP axis may serve as a novel biomarker and potential therapeutic target in PTC.

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引用格式: 付国德,欧阳锡武,慕世纪,桂若彤,白宁. ETV4/CDHP轴在甲状腺乳头状癌发生发展中的作用机制研究[J].中国普通外科杂志,2025,34(7):1430-1439.
DOI:10.7659/j. issn.1005-6947.250069

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