TWI521207B - Method and for the determination of colon cancer and application therefor - Google Patents

Method and for the determination of colon cancer and application therefor Download PDF

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TWI521207B
TWI521207B TW103146429A TW103146429A TWI521207B TW I521207 B TWI521207 B TW I521207B TW 103146429 A TW103146429 A TW 103146429A TW 103146429 A TW103146429 A TW 103146429A TW I521207 B TWI521207 B TW I521207B
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cells
ccl5
colorectal cancer
tumor
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TW201623964A (en
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王照元
郭柏麟
甘蓉瑜
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高雄醫學大學
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大腸癌之檢測方法及其應用 Detection method of colorectal cancer and its application

本發明主要揭露一種抗人類趨化因子(C-C基序)配體5的抗體(CCL5-antibody)的用途,特別是在大腸癌之檢測及治療的應用。 The present invention mainly discloses the use of an antibody against human chemokine (C-C motif) ligand 5 (CCL5-antibody), particularly in the detection and treatment of colorectal cancer.

腫瘤的微環境包括基質細胞、免疫細胞(包含淋巴細胞、巨噬細胞和樹突細胞)、細胞外基質的組成、生長因子、細胞激素/化學激素及代謝產物(Peltekova et al.,2014),且對於腫瘤的發展及治癌藥物的化學抗性扮演一個很重要的角色(Katoh et al.,2013)。 The microenvironment of the tumor includes stromal cells, immune cells (including lymphocytes, macrophages, and dendritic cells), composition of extracellular matrices, growth factors, cytokines/chemical hormones, and metabolites (Peltekova et al., 2014), and It plays an important role in the development of tumors and the chemical resistance of cancer drugs (Katoh et al., 2013).

目前已知腫瘤的微環境與癌症的生成與進展密切相關。腫瘤周圍細胞可提供腫瘤進展的基礎支架或促進因子。 It is currently known that the microenvironment of tumors is closely related to the generation and progression of cancer. Peripheral cells provide a basic scaffold or facilitator for tumor progression.

人類化學激素(C-C基序)受質5(CCL5),已知可以調節活化正常T細胞表現與分泌(RANTES),亦被認為是多種慢性發炎性疾病的重要促進者,而且此惡性程度可歸咎於召募發炎細胞(Mackay,2001)。CCL5被認為會在多種癌症中過度表現,且與癌症擴散過程之中多個重要步驟有關,包括在活化CC趨化因子受體(CC chemokine receptor)1型、3型和5型之後,進而發生再生、遷移、入侵、血管增生和轉移增生。 Human chemical hormone (CC motif) receptor 5 (CCL5), known to regulate the activation and expression of normal T cells (RANTES), is also considered to be an important promoter of a variety of chronic inflammatory diseases, and this degree of malignancy can be attributed To recruit inflammatory cells (Mackay, 2001). CCL5 is thought to be overexpressed in a variety of cancers and is involved in several important steps in the process of cancer spread, including the activation of CC chemokine receptors type 1, 3 and 5, followed by Regeneration, migration, invasion, vascular proliferation and metastasis.

除了癌細胞生長與發展之外,CCL5亦與抵抗傳統化療藥物(比如cisplatin和tamoxifen)有關。高水平的CCL5已被認為是癌症的生物 指標,並可指導預後及治療方針。 In addition to cancer cell growth and development, CCL5 is also associated with resistance to traditional chemotherapy drugs such as cisplatin and tamoxifen. High levels of CCL5 have been considered as cancer organisms Indicators and can guide prognosis and treatment guidelines.

上皮細胞轉型成間質細胞(EMT)係癌症發展的重要因子,因其增強了腫瘤細胞的轉移能力。 The transformation of epithelial cells into mesenchymal cells (EMT) is an important factor in the development of cancer, as it enhances the ability of tumor cells to metastasize.

Snail是一鹼性螺旋-環-螺旋轉錄因子(basic helix-loop-helix transcription factor),其藉由降低附著連接蛋白,比如鈣黏著素E(E-cadherin)的表現而調節EMT。愈來愈多的證據顯示,在多個人類腫瘤組織之中,Snail的活性是提昇的,且其表現與入侵、轉移與不良預後有關。 Snail is a basic helix-loop-helix transcription factor that regulates EMT by reducing the expression of attached connexins, such as E-cadherin. Increasing evidence suggests that Snail activity is elevated in multiple human tumor tissues and that its performance is associated with invasion, metastasis, and poor prognosis.

長段非編碼RNA(超過200個核苷酸的轉錄子),被認為與基因表現和基因體組成的調節有關,或特定於細胞核之中功能性區域的一結構骨架。 Long non-coding RNAs (over 200 nucleotide transcripts) are thought to be involved in the regulation of gene expression and genome composition, or a structural backbone specific to functional regions in the nucleus.

轉移相關肺腺癌轉錄因子1(MALAT-1)屬於長段非編碼RNA,其被認為是轉移和活動的調節子。MALAT-1的訊息傳遞表現與多種人類實體腫瘤的轉移高度相關,其包括肺癌、肝癌、前列腺癌、膀胱癌和大腸癌。MALAT-1亦參與了癌症轉移的部分步驟,包括細胞活力和EMT,並可藉由增加EMT轉錄因子ZEB和Slug的表現而鼓舞上皮細胞轉型成間質表型細胞。 Metastasis-associated lung adenocarcinoma transcription factor 1 (MALAT-1) is a long-length non-coding RNA that is considered a regulator of metastasis and activity. The message delivery profile of MALAT-1 is highly correlated with the metastasis of a variety of human solid tumors, including lung cancer, liver cancer, prostate cancer, bladder cancer, and colorectal cancer. MALAT-1 is also involved in some steps in cancer metastasis, including cell viability and EMT, and can encourage the transformation of epithelial cells into mesenchymal phenotype cells by increasing the expression of the EMT transcription factors ZEB and Slug.

然而,目前尚未完全釐清何種分子會參與大腸癌及腫瘤相關樹突細胞之間的交互作用。 However, it has not yet been fully clarified which molecules are involved in the interaction between colorectal cancer and tumor-associated dendritic cells.

本發明主要目的在於提供藉由測定大腸癌細胞的訊息核糖核酸(mRNA)和蛋白質表現量的其中之一從而檢測癌症之方法。 The main object of the present invention is to provide a method for detecting cancer by measuring one of the information ribonucleic acid (mRNA) and protein expression of colorectal cancer cells.

本發明一實施例在於提出一種評估一抗體治療大腸癌效能 的方法,其中該抗體係抗受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)所分泌的一人類趨化因子(C-C基序)配體5(CCL5)。該方法包括下列步驟:將該抗體與該大腸癌細胞混合;以及評估該大腸癌細胞的一訊息傳遞的表現,其中該訊息傳遞包括轉移相關肺腺癌轉錄因子1(MALAT-1)和鹼性螺旋-環-螺旋轉錄因子(Snail)的其中之一。 An embodiment of the invention provides a method for evaluating the efficacy of an antibody for colorectal cancer treatment. The method wherein the anti-system is resistant to a human chemokine (C-C motif) ligand 5 (CCL5) secreted by a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell. The method comprises the steps of: mixing the antibody with the colorectal cancer cell; and assessing the performance of a message transmission of the colorectal cancer cell, wherein the message comprises metastasis-associated lung adenocarcinoma transcription factor 1 (MALAT-1) and alkaline One of the helix-loop-helix transcription factors (Snail).

本發明另一實施例在於提出一種抗人類趨化因子(C-C基序)配體5(CCL5)的抗體,其可用於減緩一大腸癌細胞的細胞遷移。 Another embodiment of the present invention is to propose an antibody against human chemokine (C-C motif) ligand 5 (CCL5) which can be used to slow cell migration of colorectal cancer cells.

本發明另一實施例在於提出一種抗人類趨化因子(C-C基序)配體5(CCL5)的抗體,其可用於減緩一大腸癌細胞的入侵。 Another embodiment of the present invention is to provide an antibody against human chemokine (C-C motif) ligand 5 (CCL5) which can be used to alleviate the invasion of colorectal cancer cells.

本發明另一實施例在於提出一種抗人類趨化因子(C-C基序)配體5(CCL5)的抗體,其可用於減緩一大腸癌細胞的上皮細胞轉型成間質細胞。 Another embodiment of the present invention is to provide an antibody against human chemokine (C-C motif) ligand 5 (CCL5) which can be used to slow the transformation of epithelial cells of a colorectal cancer cell into a mesenchymal cell.

本發明另一實施例在於提出一種大腸癌之檢測方法。該檢測方法包括下列步驟:使受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)分泌一人類趨化因子(C-C基序)配體5(CCL5);以及檢測該CCL5之一表現量,以判定該大腸癌細胞之惡性程度。 Another embodiment of the present invention provides a method for detecting colorectal cancer. The detection method comprises the steps of: secreting a human chemokine (CC motif) ligand 5 (CCL5) by a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell; and detecting the expression amount of the CCL5 To determine the degree of malignancy of the colorectal cancer cells.

本發明另一實施例在於提出一種治療大腸癌之醫藥組合物。該醫藥組合物包括抗人類趨化因子(C-C基序)配體5(CCL5)的一抗體。 Another embodiment of the present invention is to provide a pharmaceutical composition for treating colorectal cancer. The pharmaceutical composition includes an antibody against human chemokine (C-C motif) ligand 5 (CCL5).

mdDC-CM‧‧‧單核細胞衍生出之樹突細胞環境的培養基 mdDC-CM‧‧‧ culture medium for dendritic cell environment derived from monocytes

TADC-CM‧‧‧腫瘤相關樹突細胞環境的培養基 TADC-CM‧‧‧ Medium for tumor-associated dendritic cell environment

SW480 SW620‧‧‧人類大腸癌細胞株 SW480 SW620‧‧‧ Human colorectal cancer cell line

N-cadherin‧‧‧鈣黏著素N N-cadherin‧‧‧Calcene N

E-cadherin‧‧‧鈣黏著素E E-cadherin‧‧‧Calcene E

SMA‧‧‧平滑肌α-肌動蛋白 SMA‧‧‧smooth muscle α-actin

Vimentin‧‧‧波形蛋白 Vimentin‧‧‧Vimentin

Claudin-3‧‧‧緊密連接蛋白3 Claudin-3‧‧‧Claudin 3

PAPDH‧‧‧甘油醛3-磷酸脫氫酶 PAPDH‧‧‧Glyceraldehyde 3-phosphate dehydrogenase

SW480-TADC-CM‧‧‧人類大腸癌細胞株SW480的腫瘤相關樹突細胞環境的培養基 SW480-TADC-CM‧‧‧ Medium for tumor-associated dendritic cell environment of human colorectal cancer cell line SW480

SW620-TADC-CM‧‧‧人類大腸癌細胞株SW620的腫瘤相關樹突細胞環境的培養基 SW620-TADC-CM‧‧‧Mechanism of tumor-associated dendritic cell environment of human colorectal cancer cell line SW620

SW620-TADC-CM+IgG‧‧‧人類大腸癌細胞株SW620的腫瘤相關樹突細胞環境的培養基加免疫球蛋白G SW620-TADC-CM+IgG‧‧‧The medium of tumor-associated dendritic cell environment of human colorectal cancer cell line SW620 plus immunoglobulin G

SW620-TADC-CM+CCL5 ab.‧‧‧人類大腸癌細胞株SW620的腫瘤相關樹突細胞環境的培養基加抗CCL5的抗體 SW620-TADC-CM+CCL5 ab.‧‧‧The medium of tumor-associated dendritic cell environment of human colorectal cancer cell line SW620 plus anti-CCL5 antibody

圖1A顯示傷口癒合檢測法的實驗結果; 圖1B-1和圖1B-2顯示通透性嵌套系統的實驗結果;圖1C-1和圖1C-2顯示細胞入侵的實驗結果;圖1D顯示上皮細胞轉型成間質細胞的實驗結果;圖2A顯示腫瘤相關樹突細胞中CCL5 mRNA的表現;圖2B顯示腫瘤相關樹突細胞中CCL5蛋白質的表現;圖2C顯示大腸癌細胞經傷口癒合檢測法的實驗結果;圖2D-1和圖2D-2顯示大腸癌細胞經通透性嵌套系統的實驗結果;圖2E-1和圖2E-2顯示大腸癌細胞經上皮細胞轉型成間質細胞的實驗結果;圖2F顯示CCL5的濃度變化對於上皮細胞指標以及纖維母細胞指標的影響;圖3A-1和圖3A-2顯示經抗體阻斷CCL5之後,大腸癌細胞的細胞遷移的實驗結果;圖3B-1和圖3B-2顯示經抗體阻斷CCL5之後,大腸癌細胞的細胞入侵的實驗結果;圖3C顯示經抗體阻斷CCL5之後,大腸癌細胞的上皮細胞轉型成間質細胞的實驗結果;圖4A、圖4B和圖4C顯示大腸癌細胞的Snail的表現量;圖4D-1、圖4D-2、圖4D-3和圖4D-4顯示抑制Snail的表現後,大腸癌細胞的細胞遷移的實驗結果;圖4E-1、圖4E-2、圖4E-3和圖4E-4顯示抑制Snail的表現後,大腸癌細胞的細胞入侵的實驗結果; 圖4F-1和圖4F-2顯示抑制Snail的表現後,大腸癌細胞的上皮細胞轉型成間質細胞的實驗結果;圖5A顯示大腸癌細胞的MALAT-1的微陣列表現量;圖5B-1和圖5B-2顯示大腸癌細胞的MALAT-1的即時聚合酶鏈式反應表現量;圖5C-1和圖5C-2顯示大腸癌細胞的MALAT-1的表現量;圖5D-1和圖5D-2顯示抑制CCL5的表現後,大腸癌細胞的MALAT-1的表現量;圖6A顯示MALAT-1小干擾RNA的作用效率;圖6B-1、圖6B-2、圖6B-3和圖6B-4顯示抑制MALAT-1的表現後,大腸癌細胞的細胞遷移的實驗結果;圖6C-1、圖6C-2、圖6C-3和圖6C-4顯示抑制MALAT-1的表現後,大腸癌細胞的細胞入侵的實驗結果;圖6D-1和圖6D-2顯示抑制MALAT-1的表現後,大腸癌細胞的Snail和E-cadherin的表現;圖7A顯示大腸癌病患的CD11c+樹突細胞中CCL5的分佈表現;圖7B顯示大腸癌病患的血清中CCL5的分佈表現;圖8顯示評估一抗體治療大腸癌效能的方法的一實施例;以及圖9顯示一種大腸癌之檢測方法的一實施例。 Figure 1A shows the experimental results of the wound healing assay; Figures 1B-1 and 1B-2 show the experimental results of the permeability nesting system; Figures 1C-1 and 1C-2 show the experimental results of cell invasion; Figure 1D shows Experimental results of transformation of epithelial cells into mesenchymal cells; Figure 2A shows the expression of CCL5 mRNA in tumor-associated dendritic cells; Figure 2B shows the expression of CCL5 protein in tumor-associated dendritic cells; Figure 2C shows the detection of colorectal cancer cells by wound healing Experimental results; Figures 2D-1 and 2D-2 show experimental results of a colony system for colorectal cancer cells; Figure 2E-1 and Figure 2E-2 show the transformation of colorectal cancer cells into mesenchymal cells via epithelial cells. Experimental results; Figure 2F shows the effect of CCL5 concentration changes on epithelial cell markers and fibroblasts; Figure 3A-1 and Figure 3A-2 show experimental results of cell migration of colorectal cancer cells after antibody blocking CCL5; 3B-1 and FIG. 3B-2 show experimental results of cell invasion of colorectal cancer cells after antibody blocking CCL5; FIG. 3C shows experimental results of transformation of epithelial cells of colon cancer cells into interstitial cells after antibody blocking CCL5 ; Figure 4A, Figure 4B and FIG. 4C show the amount of Snail expression of colorectal cancer cells; FIGS. 4D-1, 4D-2, 4D-3, and 4D-4 show experimental results of cell migration of colorectal cancer cells after inhibiting the expression of Snail; Figure 4E-1, Figure 4E-2, Figure 4E-3, and Figure 4E-4 show experimental results of cell invasion of colorectal cancer cells after inhibition of Snail performance; Figures 4F-1 and 4F-2 show inhibition of Snail performance After that, the epithelial cells of colorectal cancer cells were transformed into interstitial cells; FIG. 5A shows the microarray expression of MALAT-1 of colorectal cancer cells; FIG. 5B-1 and FIG. 5B-2 show MALAT-1 of colorectal cancer cells. Immediate polymerase chain reaction performance; Figure 5C-1 and Figure 5C-2 show the amount of MALAT-1 expression in colorectal cancer cells; Figures 5D-1 and 5D-2 show inhibition of CCL5 expression, colorectal cancer cells Figure IA shows the efficiency of action of MALAT-1 small interfering RNA; Figure 6B-1, Figure 6B-2, Figure 6B-3 and Figure 6B-4 show inhibition of MALAT-1 expression after the large intestine Experimental results of cell migration of cancer cells; Figures 6C-1, 6C-2, 6C-3, and 6C-4 show experimental results of cell invasion of colorectal cancer cells after inhibition of MALAT-1 expression; Figure 6D- 1 and FIG. 6D-2 show the expression of Snail and E-cadherin in colorectal cancer cells after inhibiting the expression of MALAT-1; FIG. 7A shows the distribution of CCL5 in CD11c + dendritic cells of colorectal cancer patients; FIG. 7B shows the large intestine. The distribution of CCL5 in the serum of cancer patients; FIG. 8 shows an embodiment of a method for evaluating the efficacy of an antibody for colorectal cancer; and FIG. 9 shows an embodiment of a method for detecting colorectal cancer.

【實施例一】 [Embodiment 1]

請參閱圖1A、1B-1、1B-2、1C-1、1C-2和1D。圖1A顯示傷 口癒合檢測法的實驗結果。圖1B-1和圖1B-2顯示通透性嵌套系統的實驗結果。圖1C-1和圖1C-2顯示細胞入侵的實驗結果。圖1D顯示上皮細胞轉型成間質細胞的實驗結果。本實施例欲證明是否腫瘤相關樹突細胞會促進大腸癌的發展。發明人經傷口癒合檢測法後發現,腫瘤相關樹突細胞環境的培養基會促進大腸癌細胞的遷移(請參圖1A);另外,在通透性嵌套(transwell)系統(請參圖1B-1和圖1B-2),入侵(請參圖1C-1和圖1C-2)和上皮細胞轉型成間質細胞的過程可有同樣結果;即上皮細胞的指標,比如鈣黏著素E(E-cadherin)和緊密連接蛋白3(Claudin-3);以及纖維母細胞的指標,比如鈣黏著素N(N-cadherin)、波形蛋白(Vimentin)和平滑肌α-肌動蛋白(α-smooth muscle actin,SMA)的不同表現(請參圖1D)。 Please refer to FIGS. 1A, 1B-1, 1B-2, 1C-1, 1C-2 and 1D. Figure 1A shows the injury Experimental results of the mouth healing test. Figures 1B-1 and 1B-2 show experimental results of a permeability nesting system. Figures 1C-1 and 1C-2 show experimental results of cell invasion. Figure 1D shows the results of an experiment in which epithelial cells are transformed into mesenchymal cells. This example is intended to demonstrate whether tumor-associated dendritic cells promote the development of colorectal cancer. After invented by the wound healing assay, the inventors found that the culture medium of the tumor-associated dendritic cell environment promoted the migration of colorectal cancer cells (see Figure 1A); in addition, in the permeability transwell system (see Figure 1B- 1 and Figure 1B-2), invasion (see Figure 1C-1 and Figure 1C-2) and the process of transformation of epithelial cells into mesenchymal cells can have the same result; that is, indicators of epithelial cells, such as cadherin E (E) -cadherin) and Claudin-3; and markers of fibroblasts such as N-cadherin, Vimentin, and α-smooth muscle actin , SMA) different performance (see Figure 1D).

在本實施例之中,特定時間下用人類大腸癌細胞株SW480的腫瘤相關樹突細胞環境的培養基(SW480-TADC-CM)去處理SW480細胞,以及用人類大腸癌細胞株SW620的腫瘤相關樹突細胞環境的培養基(SW620-TADC-CM)去處理SW620細胞,處理72小時後進行傷口癒合檢測法以及處理24小時後進行上皮細胞轉型成間質細胞過程檢測法。 In the present example, SW480 cells were treated with a tumor-associated dendritic cell environment medium (SW480-TADC-CM) of human colon cancer cell line SW480 at a specific time, and a tumor-associated tree of human colon cancer cell line SW620 was used. The cell culture medium (SW620-TADC-CM) was used to treat SW620 cells, and after 72 hours of treatment, the wound healing test was performed, and after 24 hours, the epithelial cells were transformed into a mesenchymal cell process assay.

利用QCMTM 24小孔細胞遷移及入侵檢測法來觀察SW480及SW620細胞遷移及入侵的能力。 The ability of SW480 and SW620 cells to migrate and invade was observed by QCM TM 24 small cell migration and invasion assay.

在癌細胞48小時的遷移及入侵實驗中,以體積百分濃度20的SW480腫瘤相關樹突細胞環境的培養基處理SW480細胞(SW480-TADC)、SW620腫瘤相關樹突細胞環境的培養基處理SW620細胞(SW620-TADC)及單核細胞衍生出之樹突細胞環境的培養基(mdDC-CM),作為控制組,以上培養基皆作為化學激素之來源。 In the 48-hour migration and invasion experiments of cancer cells, SW620 cells were treated with SW480 cells (SW480-TADC) and SW620 tumor-associated dendritic cell environment in a medium of SW480 tumor-associated dendritic cell environment containing 20% by volume ( SW620-TADC) and monocyte-derived dendritic cell environment medium (mdDC-CM), as a control group, the above medium is used as a source of chemical hormones.

每一個值皆為3次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在兩個測試組中具有顯著差異(P值小於0.05)。 Each value is taken after 3 experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk represents a significant difference in both test groups (P value less than 0.05).

【實施例二】 [Embodiment 2]

請參閱圖2A、2B、2C、2D-1、2D-2、2E-1、2E-2和2F。圖2A顯示腫瘤相關樹突細胞中CCL5 mRNA的表現。圖2B顯示腫瘤相關樹突細胞中CCL5蛋白質的表現。圖2C顯示大腸癌細胞經傷口癒合檢測法的實驗結果。圖2D-1和圖2D-2顯示大腸癌細胞經通透性嵌套系統的實驗結果。圖2E-1和圖2E-2顯示大腸癌細胞經上皮細胞轉型成間質細胞的實驗結果。本實施例欲確認CCL5是否會參與在腫瘤相關樹突細胞所調節的癌症的惡性發展。大腸癌細胞會增加腫瘤相關樹突細胞中CCL5 mRNA(請參圖2A)及蛋白質(請參圖2B)的表現。CCL5會增加細胞的遷移,其可見於在傷口癒合檢測法(請參圖2C)及通透性嵌套系統(請參圖2B)。CCL5會增加SW480和SW620細胞的入侵(請參圖2D-1和圖2D-2)及上皮細胞轉型成間質細胞的過程(請參圖2E-1和圖2E-2)。圖2F顯示了CCL5的濃度變化對於以下指標的影響:鈣黏著素E(E-cadherin)、緊密連接蛋白3(Claudin-3)、鈣黏著素N(N-cadherin)、波形蛋白(Vimentin)以及平滑肌α-肌動蛋白(α-smooth muscle actin,SMA)。 Please refer to Figures 2A, 2B, 2C, 2D-1, 2D-2, 2E-1, 2E-2 and 2F. Figure 2A shows the expression of CCL5 mRNA in tumor-associated dendritic cells. Figure 2B shows the expression of CCL5 protein in tumor-associated dendritic cells. Figure 2C shows the results of an experimental study of wound healing in colorectal cancer cells. Figures 2D-1 and 2D-2 show experimental results of a colorectal cancer cell through a permeability nesting system. Figure 2E-1 and Figure 2E-2 show the results of an experiment in which colorectal cancer cells are transformed into mesenchymal cells by epithelial cells. This example is intended to confirm whether CCL5 is involved in the malignant development of cancer regulated by tumor-associated dendritic cells. Colorectal cancer cells increase the expression of CCL5 mRNA (see Figure 2A) and protein (see Figure 2B) in tumor-associated dendritic cells. CCL5 increases cell migration, which can be seen in wound healing assays (see Figure 2C) and permeability nesting systems (see Figure 2B). CCL5 increases the invasion of SW480 and SW620 cells (see Figure 2D-1 and Figure 2D-2) and the process by which epithelial cells transform into mesenchymal cells (see Figure 2E-1 and Figure 2E-2). Figure 2F shows the effect of changes in CCL5 concentration on the following indicators: E-cadherin, Claudin-3, N-cadherin, Vimentin, and Smooth muscle α-actin (SMA).

利用CD14+單核細胞培養在SW480或SW620環境的培養基(體積百分濃度為20)再加入巨噬細胞集落刺激因子(GM-CSF)(20ng/ml)及白细胞介素-4(IL-4)(20ng/ml)5天就可產生出單核細胞衍生出之樹突細胞、SW480及SW620腫瘤相關樹突細胞。mRNA及蛋白質的表現量由即時聚合酶鏈式反應(qRT-PCR)及酵素免疫分析法(ELISA)來評估。SW480 及SW620癌細胞的遷移能力是用傷口癒合檢測法來評估。SW480及SW620細胞的入侵及遷移能力是由上述方式來評估。 Using CD14 + monocyte culture medium (20% by volume) in SW480 or SW620 environment, then add macrophage colony-stimulating factor (GM-CSF) (20 ng/ml) and interleukin-4 (IL-4). (20ng/ml) can produce monocyte-derived dendritic cells, SW480 and SW620 tumor-associated dendritic cells in 5 days. The mRNA and protein expression levels were assessed by real-time polymerase chain reaction (qRT-PCR) and enzyme immunoassay (ELISA). The migration ability of SW480 and SW620 cancer cells was assessed by wound healing assay. The invasion and migration ability of SW480 and SW620 cells was evaluated by the above method.

CCL5(0.1和1ng/ml)在癌細胞遷移及入侵(48小時)實驗中作為化學激素。每一個值皆為3次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在與控制組比較後具有顯著差異(P值小於0.05)。 CCL5 (0.1 and 1 ng/ml) acts as a chemical hormone in cancer cell migration and invasion (48 hours) experiments. Each value is taken after 3 experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk representative was significantly different after comparison with the control group (P value less than 0.05).

【實施例三】 [Embodiment 3]

請參閱圖3A-1、3A-2、3B-1、3B-2和3C。圖3A-1和圖3A-2顯示經抗體阻斷CCL5之後,大腸癌細胞的細胞遷移的實驗結果。圖3B-1和圖3B-2顯示經抗體阻斷CCL5之後,大腸癌細胞的細胞入侵的實驗結果;圖3C顯示經抗體阻斷CCL5之後,大腸癌細胞的上皮細胞轉型成間質細胞的實驗結果。本實施例利用特定的抗體去中和(neutralize)CCL5,可降低由腫瘤相關樹突細胞環境的培養基所促進的癌症發展。利用市售抗CCL5的抗體(Abcam/UK;請參序列表)去阻斷CCL5可以降低腫瘤相關樹突細胞環境的培養基對於細胞遷移(請參圖3A-1和圖3A-2)、入侵(請參圖3B-1和圖3B-2)和上皮細胞轉型成間質細胞過程的影響(請參圖3C)。 Please refer to Figures 3A-1, 3A-2, 3B-1, 3B-2 and 3C. 3A-1 and 3A-2 show experimental results of cell migration of colorectal cancer cells after antibody blocking CCL5. Figure 3B-1 and Figure 3B-2 show the results of experimental cell invasion of colorectal cancer cells after antibody blocking CCL5; Figure 3C shows the transformation of epithelial cells of colorectal cancer cells into interstitial cells after antibody blocking CCL5 result. This example uses a specific antibody to neutralize CCL5, which can reduce the development of cancer promoted by the culture medium of the tumor-associated dendritic cell environment. Blocking CCL5 with commercially available anti-CCL5 antibodies (Abcam/UK; see the sequence listing) can reduce the mediation of tumor-associated dendritic cell environment for cell migration (see Figure 3A-1 and Figure 3A-2), invasion (see Figure 3A-1 and Figure 3A-2) See Figure 3B-1 and Figure 3B-2) and the effect of epithelial cell transformation into a mesenchymal cell process (see Figure 3C).

利用單核細胞衍生出之樹突細胞環境的培養基(mdDC-CM)或腫瘤相關樹突細胞環境的培養基(TADC-CM)加上抗CCL5的抗體(CCL5 ab.)或免疫球蛋白G(IgG)去處理SW480和SW620細胞。將大腸癌細胞種於上方的槽內再處理抗CCL5的抗體(2μg/ml)或免疫球蛋白G(2μg/ml),腫瘤相關樹突細胞環境的培養基(體積百分濃度20)則加在下方的孔盤內做為吸引因子,共48小時。有遷移及入侵的細胞由上述方法測量 之。 Mononuclear cell-derived dendritic cell environment medium (mdDC-CM) or tumor-associated dendritic cell environment medium (TADC-CM) plus anti-CCL5 antibody (CCL5 ab.) or immunoglobulin G (IgG) ) to treat SW480 and SW620 cells. The colon cancer cells were seeded in the upper tank and the anti-CCL5 antibody (2 μg/ml) or immunoglobulin G (2 μg/ml) was treated, and the culture medium (volume percent concentration 20) of the tumor-associated dendritic cell environment was added. The bottom plate is used as an attraction factor for 48 hours. Cells with migration and invasion are measured by the above method It.

每一個值皆為3次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在兩個測試組中具有顯著差異(P值小於0.05)。 Each value is taken after 3 experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk represents a significant difference in both test groups (P value less than 0.05).

【實施例四】 [Embodiment 4]

請參閱圖4A、4B、4C、4D-1、4D-2、4D-3、4D-4、4E-1、4E-2、4E-3和4E-4。圖4A、圖4B和圖4C顯示大腸癌細胞的Snail的表現量。圖4D-1、圖4D-2、圖4D-3和圖4D-4顯示抑制Snail的表現後,大腸癌細胞的細胞遷移的實驗結果。圖4E-1、圖4E-2、圖4E-3和圖4E-4顯示抑制Snail的表現後,大腸癌細胞的細胞入侵的實驗結果。圖4F-1和圖4F-2顯示抑制Snail的表現後,大腸癌細胞的上皮細胞轉型成間質細胞的實驗結果。本實施例欲證明Snail在腫瘤相關樹突細胞所促進癌症發展的過程中是一個很重要的調節者。腫瘤相關樹突細胞環境的培養基會增加Snail的表現量(請參圖4A)。CCL5會增加Snail的表現量(請參圖4B)。抑制CCL5的表現可阻斷腫瘤相關樹突細胞環境的培養基所導致Snail的表現量上升(請參圖4C)。抑制Snail的表現可降低腫瘤相關樹突細胞環境的培養基及CCL5所促進的細胞遷移(請參圖4D-1、圖4D-2、圖4D-3和圖4D-4)、入侵(請參圖4E-1、圖4E-2、圖4E-3和圖4E-4))及上皮細胞轉型成間質細胞的過程(請參圖4F-1和圖4F-2)。 Please refer to FIGS. 4A, 4B, 4C, 4D-1, 4D-2, 4D-3, 4D-4, 4E-1, 4E-2, 4E-3, and 4E-4. 4A, 4B, and 4C show the amount of Snail expression of colorectal cancer cells. 4D-1, 4D-2, 4D-3, and 4D-4 show experimental results of cell migration of colorectal cancer cells after inhibiting the expression of Snail. 4E-1, 4E-2, 4E-3, and 4E-4 show experimental results of cell invasion of colorectal cancer cells after inhibiting the expression of Snail. Figure 4F-1 and Figure 4F-2 show the results of experiments in which epithelial cells of colorectal cancer cells are transformed into mesenchymal cells after inhibiting the expression of Snail. This example is intended to demonstrate that Snail is an important regulator in the progression of cancer-associated dendritic cells to promote cancer. The culture medium of the tumor-associated dendritic cell environment increases the amount of Snail expression (see Figure 4A). CCL5 will increase the amount of Snail's performance (see Figure 4B). Inhibition of CCL5 expression can block the expression of Snail caused by the culture medium of the tumor-associated dendritic cell environment (see Figure 4C). Inhibition of Snail performance can reduce the mediation of tumor-associated dendritic cell environment and cell migration promoted by CCL5 (see Figure 4D-1, Figure 4D-2, Figure 4D-3, and Figure 4D-4), invasion (see Figure 4E-1, Fig. 4E-2, Fig. 4E-3, and Fig. 4E-4)) and the process of transforming epithelial cells into interstitial cells (see Fig. 4F-1 and Fig. 4F-2).

SW480及SW620細胞處理CCL5、單核細胞衍生出之樹突細胞環境的培養基或腫瘤相關樹突細胞環境的培養基及抗CCL5的抗體(2μg/ml)或免疫球蛋白G(2μg/ml)24小時,接著利用免疫點墨法去評估Snail的 表現量。細胞利用轉染技術送入控制組或Snail的小干擾訊息核糖核酸(Snail siRNA),接著再加入單核細胞衍生出之樹突細胞環境的培養基或腫瘤相關樹突細胞環境的培養基。大腸癌細胞的遷移及入侵能力則由上述方法予以測量。 SW480 and SW620 cells were treated with CCL5, monocyte-derived dendritic cell environment medium or tumor-associated dendritic cell environment medium and anti-CCL5 antibody (2 μg/ml) or immunoglobulin G (2 μg/ml) for 24 hours. Then use the immunodot ink method to evaluate Snail's Performance. The cells are transfected into the control group or Snail's small interfering message ribonucleic acid (Snail siRNA), followed by the addition of a monocyte-derived dendritic cell environment medium or a tumor-associated dendritic cell environment medium. The migration and invasion ability of colorectal cancer cells is measured by the above method.

每一個值皆為3次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在兩個測試組中具有顯著差異(P值小於0.05)。 Each value is taken after 3 experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk represents a significant difference in both test groups (P value less than 0.05).

【實施例五】 [Embodiment 5]

請參閱圖5A、5B-1、5B-2、5C-1、5C-2、5D-1和5D-2。圖5A顯示大腸癌細胞的MALAT-1的微陣列表現量。圖5B-1和圖5B-2顯示大腸癌細胞的MALAT-1的即時聚合酶鏈式反應表現量。圖5C-1和圖5C-2顯示大腸癌細胞的MALAT-1的表現量。圖5D-1和圖5D-2顯示抑制CCL5的表現後,大腸癌細胞的MALAT-1的表現量。本實施例主要說明了腫瘤相關樹突細胞所分泌CCL5會增加大腸癌細胞中長段非編碼RNA MALAT-1的表現量上升。CCL5會提升MALAT-1的表現量可由微陣列(請參圖5A)及即時聚合酶鏈式反應(請參圖5B-1和圖5B-2)來測量。SW480及SW620腫瘤相關樹突細胞環境的培養基會增加SW480及SW620細胞中MALAT-1的表現量(請參圖5C-1和圖5C-2)。抑制CCL5的表現可阻斷腫瘤相關樹突細胞環境的培養基所導致MALAT-1的表現量上升(請參圖5D-1和圖5D-2)。 Please refer to Figures 5A, 5B-1, 5B-2, 5C-1, 5C-2, 5D-1 and 5D-2. Figure 5A shows the microarray performance of MALAT-1 of colorectal cancer cells. Figures 5B-1 and 5B-2 show the instantaneous polymerase chain reaction performance of MALAT-1 of colorectal cancer cells. Figures 5C-1 and 5C-2 show the amount of MALAT-1 expression in colorectal cancer cells. Figures 5D-1 and 5D-2 show the amount of MALAT-1 expression in colorectal cancer cells after inhibition of CCL5 expression. This example mainly illustrates that CCL5 secreted by tumor-associated dendritic cells increases the expression of long-length non-coding RNA MALAT-1 in colorectal cancer cells. The amount of CCL5 that enhances the performance of MALAT-1 can be measured by a microarray (see Figure 5A) and an instant polymerase chain reaction (see Figures 5B-1 and 5B-2). The culture medium of SW480 and SW620 tumor-associated dendritic cell environment increased the expression of MALAT-1 in SW480 and SW620 cells (see Figure 5C-1 and Figure 5C-2). Inhibition of CCL5 expression can block the expression of MALAT-1 by the culture medium of the tumor-associated dendritic cell environment (see Figures 5D-1 and 5D-2).

細胞處理腫瘤相關樹突細胞環境的培養基或CCL5及抗CCL5的抗體(2μg/ml)或免疫球蛋白G(2μg/ml)6小時,接著利用即時聚合酶鏈式反應測量MALAT-1的表現量。 Cells were treated with media for tumor-associated dendritic cell environment or CCL5 and anti-CCL5 antibodies (2 μg/ml) or immunoglobulin G (2 μg/ml) for 6 hours, followed by measurement of MALAT-1 expression by real-time polymerase chain reaction .

每一個值皆為三次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在兩個測試組中具有顯著差異(P值小於0.05)。 Each value is taken after three experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk represents a significant difference in both test groups (P value less than 0.05).

【實施例六】 [Embodiment 6]

請參閱圖6A、6B-1、6B-2、6B-3、6B-4、6C-1、6C-2、6C-3、6C-4、6D-1和6D-2。圖6A顯示MALAT-1小干擾RNA的作用效率。圖6B-1、圖6B-2、圖6B-3和圖6B-4顯示抑制MALAT-1的表現後,大腸癌細胞的細胞遷移的實驗結果。圖6C-1、圖6C-2、圖6C-3和圖6C-4顯示抑制MALAT-1的表現後,大腸癌細胞的細胞入侵的實驗結果。圖6D-1和圖6D-2顯示抑制MALAT-1的表現後,大腸癌細胞的Snail和E-cadherin的表現。本實施例探討MALAT-1如何調節Snail的表現。MALAT-1小干擾RNA的作用效率(請參圖6A)。抑制MALAT-1的表現可降低腫瘤相關樹突細胞環境的培養基及CCL5所促進的細胞遷移(請參圖6B)、入侵(請參圖6C-1、圖6C-2、圖6C-3和圖6C-4),及降低大腸癌細胞中Snail和E-cadherin的表現量(請參圖6D-1和圖6D-2)。 Please refer to FIGS. 6A, 6B-1, 6B-2, 6B-3, 6B-4, 6C-1, 6C-2, 6C-3, 6C-4, 6D-1 and 6D-2. Figure 6A shows the efficiency of action of MALAT-1 small interfering RNA. 6B-1, 6B-2, 6B-3, and 6B-4 show experimental results of cell migration of colorectal cancer cells after inhibiting the expression of MALAT-1. 6C-1, 6C-2, 6C-3, and 6C-4 show experimental results of cell invasion of colorectal cancer cells after inhibiting the expression of MALAT-1. Figures 6D-1 and 6D-2 show the expression of Snail and E-cadherin in colorectal cancer cells after inhibition of the expression of MALAT-1. This example explores how MALAT-1 regulates the performance of Snail. The efficiency of MALAT-1 small interfering RNA (see Figure 6A). Inhibition of MALAT-1 expression reduces the mediation of tumor-associated dendritic cell environment and cell migration promoted by CCL5 (see Figure 6B), invasion (see Figure 6C-1, Figure 6C-2, Figure 6C-3 and Figure) 6C-4), and reduce the amount of Snail and E-cadherin in colorectal cancer cells (see Figure 6D-1 and Figure 6D-2).

細胞利用轉染技術送入MALAT-1的小干擾RNA(MALAT-1 siRNA),細胞的生物活性及E-cadherin的表現量則由上述方法測量之。 The cells were transfected with small interfering RNA (MALAT-1 siRNA) of MALAT-1, and the biological activity of the cells and the expression of E-cadherin were measured by the above method.

每一個值皆為三次實驗後取平均數在加減標準誤差。在經過學生t統計法(Student's t test)分析後,星號代表在兩個測試組中具有顯著差異(P值小於0.05)。 Each value is taken after three experiments and the average is added or subtracted from the standard error. After analysis by Student's t test, the asterisk represents a significant difference in both test groups (P value less than 0.05).

【實施例七】 [Embodiment 7]

請參閱圖7A和。圖7A顯示大腸癌病患的CD11c+樹突細胞中 CCL5的分佈表現。圖7B顯示大腸癌病患的血清中CCL5的分佈表現。本實施例證實了大腸癌病患的CD11c+樹突細胞中CCL5的含量是很高的。在腫瘤切片中有很多會表現大量CCL5的CD11c+樹突細胞(請參圖7A)。腫瘤與非腫瘤區域(樣本數為10)被切下及染色,並且利用共軛焦顯微鏡(10倍及40倍)去分析。利用大腸癌病患的血清來評估CCL5的含量(請參圖7B)。 Please refer to Figure 7A and. Figure 7A shows the distribution of CCL5 in CD11c + dendritic cells in colorectal cancer patients. Figure 7B shows the distribution of CCL5 in the serum of patients with colorectal cancer. This example demonstrates that the content of CCL5 in CD11c + dendritic cells of patients with colorectal cancer is very high. There are many CD11c + dendritic cells that display large amounts of CCL5 in tumor sections (see Figure 7A). Tumor and non-tumor areas (10 samples) were excised and stained and analyzed using a conjugated focus microscope (10x and 40x). The serum of patients with colorectal cancer was used to assess the content of CCL5 (see Figure 7B).

利用酵素免疫分析法來測量大腸癌病患(樣本數為60)及健康捐贈者(樣本數為15)的血清中CCL5的含量。 Enzyme immunoassay was used to measure the level of CCL5 in serum of patients with colorectal cancer (60 samples) and healthy donors (15 samples).

【實施例八】 [Embodiment 8]

請參閱圖8,其顯示評估一抗體治療大腸癌效能的方法的一實施例。在步驟S801之中,限定該抗體係抗受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)所分泌的一人類趨化因子(C-C基序)配體5(CCL5);在步驟S802之中,將該抗體與該大腸癌細胞混合;以及在步驟S803之中,評估該大腸癌細胞的一訊息傳遞的表現,其中該訊息傳遞包括轉移相關肺腺癌轉錄因子1(MALAT-1)和鹼性螺旋-環-螺旋轉錄因子(Snail)的其中之一。 Please refer to Figure 8, which shows an embodiment of a method for assessing the efficacy of an antibody in the treatment of colorectal cancer. In step S801, the anti-system is defined to be a human chemokine (CC motif) ligand 5 (CCL5) secreted by a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell; The antibody is mixed with the colorectal cancer cell; and in step S803, the expression of a message transmission of the colorectal cancer cell is evaluated, wherein the message transmission includes a metastasis-associated lung adenocarcinoma transcription factor 1 (MALAT-1) And one of the basic helix-loop-helix transcription factors (Snail).

【實施例九】 [Embodiment 9]

請參閱圖9,其顯示一種大腸癌之檢測方法的一實施例。在步驟S901之中,使受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)分泌一人類趨化因子(C-C基序)配體5(CCL5);以及在步驟S902之中,檢測該CCL5之一表現量,以判定該大腸癌細胞之惡性程度。 Please refer to FIG. 9, which shows an embodiment of a method for detecting colorectal cancer. In step S901, a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell secretes a human chemokine (CC motif) ligand 5 (CCL5); and in step S902, the detection is performed One of CCL5 is expressed in order to determine the degree of malignancy of the colorectal cancer cells.

【結果與討論】【Results and discussion】

腫瘤相關樹突細胞會促進大腸癌細胞的遷移、入侵及上皮細胞轉型成間質細胞的過程Tumor-associated dendritic cells promote the migration, invasion and transformation of epithelial cells into interstitial cells

為了了解腫瘤相關樹突細胞對於大腸癌發展的重要性,在一實施例中,發明人利用腫瘤相關樹突細胞環境的培養基去探討對於大腸癌細胞的遷移、入侵及上皮細胞轉型成間質細胞的過程有何影響。經傷口癒合檢測法後發現,SW480及SW620之腫瘤相關樹突細胞環境的培養基(20%)會提升大腸癌細胞SW480及SW620之遷移。除此之外,SW480及SW620之腫瘤相關樹突細胞環境的培養基也會提升SW480及SW620細胞之入侵的能力。再者,SW480及SW620之腫瘤相關樹突細胞環境的培養基會使SW480及SW620細胞走向上皮細胞轉型成間質細胞的過程,該過程包括上皮細胞的指標(鈣黏著素E(E-cadherin)和緊密連接蛋白3(Claudin-3))表現量下降,以及纖維母細胞的指標(鈣黏著素N(N-cadherin)、波形蛋白(Vimentin)和平滑肌α-肌動蛋白(α-smooth muscle actin,SMA))表現量上升。 In order to understand the importance of tumor-associated dendritic cells for the development of colorectal cancer, in one embodiment, the inventors used a medium of tumor-associated dendritic cell environment to explore migration, invasion, and transformation of epithelial cells into mesenchymal cells. What is the impact of the process. After the wound healing test, it was found that the culture medium (20%) of the tumor-associated dendritic cell environment of SW480 and SW620 increased the migration of colorectal cancer cells SW480 and SW620. In addition, the culture medium of the tumor-associated dendritic cell environment of SW480 and SW620 also enhances the invasion ability of SW480 and SW620 cells. Furthermore, the culture medium of the tumor-associated dendritic cell environment of SW480 and SW620 causes SW480 and SW620 cells to transform into epithelial cells into interstitial cells, which includes indicators of epithelial cells (E-cadherin and The expression of Claudin-3 is decreased, and the indicators of fibroblasts (N-cadherin, Vimentin, and α-smooth muscle actin, SMA)) The amount of performance increased.

CCL5在腫瘤相關樹突細胞所調控的癌症發展中扮演重要的角色CCL5 plays an important role in the development of cancer regulated by tumor-associated dendritic cells

為了找出是哪種因子參與在腫瘤相關樹突細胞調節大腸癌發展的過程,在一實施例之中,利用微陣列來評估SW480之腫瘤相關樹突細胞的基因檔案。結果顯示,SW480之腫瘤相關樹突細胞中有幾個可溶性因子表現量會提升相較於單核細胞衍生出之樹突細胞。在表現量有上升的基因當中,即時聚合酶鏈式反應實驗結果顯示過敏性細胞激素在SW480及SW620之腫瘤相關樹突細胞中表現量分別上升8.18和21.02倍。酶聯免疫吸附試驗結果顯示CCL5的蛋白質表現量在SW480及SW620之腫瘤相關樹突細胞中也有上升的趨勢。 In order to find out which factor is involved in the process of tumor-associated dendritic cells regulating the development of colorectal cancer, in one embodiment, a microarray is used to evaluate the gene profile of tumor-associated dendritic cells of SW480. The results showed that the expression of several soluble factors in tumor-associated dendritic cells of SW480 increased compared to monocyte-derived dendritic cells. Among the genes with increased expression, the results of real-time polymerase chain reaction showed that the expression levels of allergic cytokines in tumor-associated dendritic cells of SW480 and SW620 increased by 8.18 and 21.02 times, respectively. The results of enzyme-linked immunosorbent assay showed that the protein expression of CCL5 also increased in tumor-associated dendritic cells of SW480 and SW620.

接著,評估CCL5蛋白質對於SW480及SW620細胞遷移、入 侵及上皮細胞轉型成間質細胞過程的影響。CCL5會提升SW480及SW620細胞遷移及入侵的能力。此外,CCL5會降低E-cadherin、claudin-3的表現及提升N-cadherin、α-smooth muscle actin的表現。結果指出:CCL5會促進SW480及SW620細胞上皮細胞轉型成間質細胞的過程。 Next, evaluate the migration and entry of CCL5 protein for SW480 and SW620 cells. Invasion of epithelial cells into the process of interstitial cell processes. CCL5 will enhance the ability of SW480 and SW620 cells to migrate and invade. In addition, CCL5 reduced the performance of E-cadherin and claudin-3 and enhanced the performance of N-cadherin and α-smooth muscle actin. The results indicated that CCL5 promoted the transformation of epithelial cells into interstitial cells in SW480 and SW620 cells.

為了釐清CCL5所扮演的角色,在一實施例中,發明人利用具有專一性的中和抗體去阻斷CCL5所造成的影響,然後去評估腫瘤相關樹突細胞環境的培養基對於SW480及SW620癌症發展的影響。實驗結果指出,在抗CCL5的抗體處理下,SW480及SW620之腫瘤相關樹突細胞環境的培養基對於大腸癌細胞SW480及SW620之遷移的影響就被中和了。 In order to clarify the role of CCL5, in one embodiment, the inventors used specific neutralizing antibodies to block the effects of CCL5, and then evaluated the culture of tumor-associated dendritic cell environment for SW480 and SW620 cancer development. Impact. The results of the experiment indicated that the effect of the culture medium of tumor-associated dendritic cell environment of SW480 and SW620 on the migration of colorectal cancer cells SW480 and SW620 was neutralized under the treatment of anti-CCL5 antibody.

同樣地,中和抗CCL5的抗體也會降低SW480及SW620之腫瘤相關樹突細胞環境的培養基對於大腸癌細胞SW480及SW620之入侵及上皮細胞轉型成間質細胞過程的影響。 Similarly, neutralizing anti-CCL5 antibodies also reduced the effects of SW480 and SW620 tumor-associated dendritic cell culture media on invasion of colorectal cancer cells SW480 and SW620 and transformation of epithelial cells into interstitial cells.

Snail會參與在腫瘤相關樹突細胞所衍生出的CCL5所調控癌症發展的過程Snail participates in the process of cancer development regulated by CCL5 derived from tumor-associated dendritic cells

由於Snail在癌症演化中是一個很重要的調節者,因此發明人推測Snail會參與在腫瘤相關樹突細胞環境的培養基及CCL5所調節的大腸癌發展過程中。實驗結果指出,腫瘤相關樹突細胞環境的培養基及CCL5會提升SW480及SW620細胞中Snail的表現量。 Since Snail is a very important regulator in the evolution of cancer, the inventors speculated that Snail would be involved in the development of mediators in tumor-associated dendritic cells and in the development of colorectal cancer regulated by CCL5. The experimental results indicated that the culture medium and CCL5 of tumor-associated dendritic cell environment increased the expression of Snail in SW480 and SW620 cells.

除此之外,利用中和抗體去阻斷CCL5也會降低表現量有上升的Snail,指出CCL5在腫瘤相關樹突細胞所調節Snail的表現量上升過程中扮演很重要的角色。 In addition, the use of neutralizing antibodies to block CCL5 also reduced Snail with increased expression, suggesting that CCL5 plays an important role in the increase in the amount of Snail regulated by tumor-associated dendritic cells.

為了探討Snail在腫瘤相關樹突細胞及CCL5所促進細胞的遷 移及入侵過程中是否是一個很重要的調節者,在一實施例中,利用小干擾RNA(siRNA)的轉染技術去抑制Snail的表現。抑制Snail表現的效率則透過即時聚合酶鏈式反應及西方點墨法去評估。 To investigate the migration of Snail in tumor-associated dendritic cells and CCL5-promoted cells Whether it is a very important regulator during migration and invasion, in one embodiment, transfection techniques using small interfering RNA (siRNA) are used to inhibit the performance of Snail. The efficiency of inhibition of Snail performance was assessed by real-time polymerase chain reaction and Western blotting.

結果顯示,Snail可以在SW480及SW620細胞中有效率地被抑制,並且在Snail被抑制後也可降低腫瘤相關樹突細胞及CCL5所促進細胞的遷移及入侵。Snail被抑制後也可回復腫瘤相關樹突細胞環境的培養基及CCL5處理下大腸癌細胞中E-cadherin的表現。 The results showed that Snail can be efficiently inhibited in SW480 and SW620 cells, and can also reduce the migration and invasion of tumor-associated dendritic cells and CCL5-promoted cells after Snail is inhibited. After Snail is inhibited, it can also restore the expression of E-cadherin in the culture medium of tumor-associated dendritic cells and CCL5-treated colorectal cancer cells.

在大腸癌中CCL5所造成的影響包括使MALAT-1的表現量上升The effects of CCL5 in colorectal cancer include an increase in the performance of MALAT-1

為了釐清CCL5所調節癌症發展的分子機制,在一實施例中,發明人利用微陣列來評估在CCL5的處理下SW480細胞之基因檔案。實驗結果指出在CCL5處理下SW480細胞的MALAT-1表現量上升3.53倍。即時聚合酶鏈式反應實驗結果顯示,在CCL5處理下會使MALAT-1表現量上升,此與用腫瘤相關樹突細胞環境的培養基處理大腸細胞是相似的結果。 To clarify the molecular mechanisms by which CCL5 regulates cancer development, in one embodiment, the inventors used microarrays to evaluate gene profiles of SW480 cells under treatment with CCL5. The experimental results indicated that the MALAT-1 expression of SW480 cells increased by 3.53 times under CCL5 treatment. The results of real-time polymerase chain reaction experiments showed that the expression of MALAT-1 increased under CCL5 treatment, which is similar to the treatment of large intestine cells with a medium of tumor-associated dendritic cell environment.

相似的結果同樣可在SW480及SW620之腫瘤相關樹突細胞環境的培養基處理SW480及SW620細胞下看到。利用中和抗體去抑制CCL5的表現也可同時降低表現量上升的MALAT-1,指出CCL5在腫瘤相關樹突細胞所調節的MALAT-1表現量上升中扮演很重要的角色。 Similar results were also observed in SW480 and SW620 cells treated with SW480 and SW620 tumor-associated dendritic cell culture media. The use of neutralizing antibodies to inhibit the expression of CCL5 also reduced MALAT-1, which increased the amount of expression, indicating that CCL5 plays an important role in the increase in the amount of MALAT-1 regulated by tumor-associated dendritic cells.

MALAT-1是Snail的上游調控者MALAT-1 is the upstream regulator of Snail

為了去了解在大腸癌中MALAT-1對於腫瘤相關樹突細胞所衍生出的CCL5會造成何種影響,在一實施例中,發明人利用小干擾RNA的轉染技術去降低Snail的表現,然後去評估腫瘤相關樹突細胞環境的培養基 或CCL5會對於癌症的發展產生什麼影響。利用轉染技術將MALAT-1的小干擾RNA送入SW480及SW620細胞中來降低MALAT-1的表現量。在SW480及SW620細胞中皆可觀察到抑制MALAT-1的表現量可減少腫瘤相關樹突細胞環境的培養基及CCL5調節的遷移及入侵。此外,有轉染MALAT-1小干擾RNA的SW480及SW620細胞可完全抵消由SW480、SW620腫瘤相關樹突細胞環境的培養基及CCL5所造成的Snail的表現。 In order to understand the effect of MALAT-1 on CCL5 derived from tumor-associated dendritic cells in colorectal cancer, in one embodiment, the inventors used small interfering RNA transfection techniques to reduce the performance of Snail, and then Medium for evaluating tumor-associated dendritic cell environment Or what effect CCL5 will have on the development of cancer. The small interfering RNA of MALAT-1 was transfected into SW480 and SW620 cells by transfection technique to reduce the expression of MALAT-1. Inhibition of MALAT-1 expression in SW480 and SW620 cells reduced the media and CCL5 regulated migration and invasion of tumor-associated dendritic cell environment. In addition, SW480 and SW620 cells transfected with MALAT-1 small interfering RNA completely abolished the performance of Snail caused by SW480, SW620 tumor-associated dendritic cell environment and CCL5.

相似的結果也可在有表現MALAT-1小干擾RNA的SW480及SW620細胞中觀察到,MALAT-1小干擾RNA會防止因腫瘤相關樹突細胞環境的培養基及CCL5的作用所導致的E-cadherin表現量下降。 Similar results were also observed in SW480 and SW620 cells expressing MALAT-1 small interfering RNA, which prevents E-cadherin caused by the media of tumor-associated dendritic cell environment and the action of CCL5. The amount of performance has decreased.

腫瘤浸潤的樹突細胞會增進大腸癌細胞的轉移及入侵能力Tumor infiltrating dendritic cells enhance the metastasis and invasion of colorectal cancer cells

由於旁分泌而來的CCL5,TADC增加了大腸癌細胞的遷移、入侵和EMT之表現。這顯示出源自TADC的CCL5或可促進大腸癌發展。 Due to paracrine CCL5, TADC increases the migration, invasion and EMT of colorectal cancer cells. This suggests that CCL5 derived from TADC may promote the development of colorectal cancer.

實驗顯示,病患體內升高水平的CCL5不僅源自癌症細胞,亦可來自腫瘤相關樹突細胞(TADC)。TADC分泌高水平的CCL5,並以此與癌症細胞溝通,而且隨後增加了癌症細胞的遷移、入侵和EMT之表現。再者,中和CCL5可減少TADC促進子(promoter)在癌症進展中的活性,包括細胞遷移、入侵和EMT。 Experiments have shown that elevated levels of CCL5 in patients are not only derived from cancer cells, but also from tumor-associated dendritic cells (TADC). TADC secretes high levels of CCL5 and communicates with cancer cells, which in turn increases the migration, invasion and EMT performance of cancer cells. Furthermore, neutralizing CCL5 reduces the activity of the TADC promoter in cancer progression, including cell migration, invasion, and EMT.

CCL5可作為預防大腸癌進展的另一治療標的CCL5 can be used as another therapeutic target to prevent the progression of colorectal cancer

實驗數據顯示,相較於非腫瘤區域,人類大腸癌組織中的CD11c+樹突細胞亦產生大量的CCL5。從實驗細胞的研究和臨床病患的切片皆強烈顯示,CCL5是一重要的作用物,其可透過TADC而增加大腸癌的發展。在本案,發明人提出經TADC-CM或CCL5處理後的SW480和SW620細 胞皆呈現了巨幅增加的Snail的表現。TADC-CM或CCL5的誘發效應源自於抑制表型標記物E-cadherin的表現。 Experimental data show that CD11c + dendritic cells in human colorectal cancer tissue also produce large amounts of CCL5 compared to non-tumor regions. Both experimental cell and clinical patient sections strongly suggest that CCL5 is an important agent that increases the development of colorectal cancer through TADC. In this case, the inventors suggest that both SW480 and SW620 cells treated with TADC-CM or CCL5 exhibited a dramatic increase in Snail performance. The evoked effect of TADC-CM or CCL5 is derived from the inhibition of the expression of the phenotypic marker E-cadherin.

進而言之,利用siRNA的選擇性抑制Snail亦可降低TADC-CM或CCL5對於細胞遷移和入侵的效應,這便暗示了由TADC所引發的大腸癌表型轉形包括了由CCL5中介,對於Snail上行調節以及隨後的E-cadherin下行調節。 Furthermore, the selective inhibition of Snail by siRNA can also reduce the effect of TADC-CM or CCL5 on cell migration and invasion, suggesting that the colorectal cancer phenotype transformation triggered by TADC involves mediation by CCL5, for Snail Up-regulation and subsequent E-cadherin down regulation.

發明人發現SW480和SW620細胞經TADC-CM或CCL5處理之後將導致MALAT-1和Snail表現增加。利用特定siRNA抑制MALAT-1的表現暗示了MALAT-1是Snail的上游分子。 The inventors found that SW480 and SW620 cells treated with TADC-CM or CCL5 would result in increased MALAT-1 and Snail performance. Inhibition of MALAT-1 expression by specific siRNAs suggests that MALAT-1 is an upstream molecule of Snail.

再者,敲落(knockdown)MALAT-1降低了TADC-CM和CCL5對於大腸癌細胞SW480及SW620的細胞遷移、入侵和EMT的效應,這便暗示了活化MALAT-1一事在大腸癌生長及轉移的重要性。 Furthermore, knockdown of MALAT-1 reduced the effects of TADC-CM and CCL5 on cell migration, invasion and EMT of colorectal cancer cells SW480 and SW620, suggesting that activation of MALAT-1 is involved in colorectal cancer growth and metastasis. The importance of it.

TADC提昇大腸癌進展,其中源於TADC的CCL5造成表型轉形並促進癌症進程。CCL5促進MALAT-1的表現並隨後增加Snail的表現,此促進了大腸癌的進展。樹突細胞與癌症之間存在交互作用。使用抗CCL5策略(比如抗人類趨化因子(C-C基序)配體5(CCL5)的抗體等醫藥組合物)以鎖定侵犯性大腸癌,去抑制CCL5或CCL5相關的訊息傳遞可望成為一個新的大腸癌病患的治療標靶。 TADC enhances colorectal cancer progression, in which CCL5 derived from TADC causes phenotypic transformation and promotes cancer progression. CCL5 promotes the performance of MALAT-1 and subsequently increases the performance of Snail, which promotes the progression of colorectal cancer. There is an interaction between dendritic cells and cancer. Using anti-CCL5 strategy (such as anti-human chemokine (CC motif) ligand 5 (CCL5) antibody and other pharmaceutical composition) to lock invasive colorectal cancer, to inhibit CCL5 or CCL5-related message transmission is expected to become a new Targets for the treatment of colorectal cancer patients.

總之,本案發明人探討腫瘤相關樹突細胞所分泌的過敏細胞激素會促進大腸癌細胞的遷移、入侵及上皮細胞轉型成間質細胞的過程。利用會大量表現在大腸癌腫瘤相關樹突細胞周圍的人類化學激素(C-C基序)受質5(CCL5),去模仿在腫瘤相關樹突細胞環境的培養基所促進大腸癌細胞 的遷移、入侵及上皮細胞轉型成間質細胞的過程。 In summary, the inventors of the present invention investigated that allergic cytokines secreted by tumor-associated dendritic cells promote the migration, invasion, and transformation of epithelial cells into interstitial cells. Human chemical hormone (C-C motif) receptor 5 (CCL5), which is abundantly expressed in colorectal cancer tumor-associated dendritic cells, is used to mimic colorectal cancer cells in a medium associated with tumor-associated dendritic cell environment. Migration, invasion, and transformation of epithelial cells into interstitial cells.

另外,在人類大腸癌切片發現腫瘤浸潤的CD11c+樹突細胞會分泌出CCL5。腫瘤相關樹突細胞所分泌的CCL5不僅會促進大腸癌的發展,也伴隨會提升非編碼RNA的轉移相關肺腺癌轉錄因子1(MALAT-1)的表現,接著MALAT-1會再提升下游Snail的表現。 In addition, tumor-infiltrating CD11c + dendritic cells were found to secrete CCL5 in human colorectal cancer sections. CCL5 secreted by tumor-associated dendritic cells not only promotes the development of colorectal cancer, but also promotes the expression of non-coding RNA-associated lung adenocarcinoma transcription factor 1 (MALAT-1), and then MALAT-1 will increase downstream. Performance.

因此,阻斷MALAT-1,進而顯著降低Snail的表現,降低腫瘤相關樹突細胞環境的培養基及CCL5所調節的遷移、入侵。這顯示MALAT-1/Snail的機制在腫瘤相關樹突細胞所調節的癌症發展當中扮演一個很重要的角色。 Therefore, blocking MALAT-1, thereby significantly reducing the performance of Snail, reducing the culture and CCL5-mediated migration and invasion of tumor-associated dendritic cell environment. This suggests that the mechanism of MALAT-1/Snail plays an important role in the development of cancer regulated by tumor-associated dendritic cells.

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Peltekova VD, Lemire M, Qazi AM, Zaidi SH, Trinh QM, Bielecki R, Rogers M, Hodgson L, Wang M, D'Souza DJ, Zandi S, Chong T, Kwan JY, Kozak K, De Borja R, Timms L, Rangrej J, Volar M, Chan-Seng-Yue M, Beck T, Ash C, Lee S, Wang J, Boutros PC, Stein LD, Dick JE, Gryfe R, McPherson JD, Zanke BW, Pollett A, Gallinger S, Hudson TJ. Identification of genes expressed by immune cells of the colon that are regulated by colorectal cancer-associated variants. 2014. Int J Cancer 134(10):2330-2341. Peltekova VD, Lemire M, Qazi AM, Zaidi SH, Trinh QM, Bielecki R, Rogers M, Hodgson L, Wang M, D'Souza DJ, Zandi S, Chong T, Kwan JY, Kozak K, De Borja R, Timms L , Rangrej J, Volar M, Chan-Seng-Yue M, Beck T, Ash C, Lee S, Wang J, Boutros PC, Stein LD, Dick JE, Gryfe R, McPherson JD, Zanke BW, Pollett A, Gallinger S, Hudson TJ. Identification of genes expressed by immune cells of the colon that are regulated by colorectal cancer-associated variants. 2014. Int J Cancer 134(10):2330-2341.

<110> 高雄醫學大學 <110> Kaohsiung Medical University

<120> 大腸癌之檢測方法及其應用 <120> Detection method of colorectal cancer and its application

<211> 91 <211> 91

<212> PRT <212> PRT

<213> Human <213> Human

<223> CCL5抗體之抗原 <223> Antigen of CCL5 antibody

<400> 1 <400> 1

Claims (6)

一種評估一抗體治療大腸癌效能的方法,其中該抗體係抗受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)所分泌的一人類趨化因子(C-C基序)配體5(CCL5),包括下列步驟:將該抗體與該大腸癌細胞混合;以及評估該大腸癌細胞的一訊息傳遞的表現,其中該訊息傳遞包括轉移相關肺腺癌轉錄因子1(MALAT-1)和鹼性螺旋-環-螺旋轉錄因子(Snail)的至少其中之一,且該抗體阻斷MALAT-1及Snail的表現量上升。 A method for evaluating the efficacy of an antibody for treating colorectal cancer, wherein the anti-system is resistant to a human chemokine (CC motif) ligand 5 (CCL5) secreted by a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell. ), comprising the steps of: mixing the antibody with the colorectal cancer cell; and assessing the performance of a message transmission of the colorectal cancer cell, wherein the message comprises metastasis-associated lung adenocarcinoma transcription factor 1 (MALAT-1) and alkaline At least one of a helix-loop-helix transcription factor (Snail), and the antibody blocks the increase in the expression of MALAT-1 and Snail. 如申請專利範圍第1項所述之方法,更包括下列步驟:評估該大腸癌細胞的細胞遷移的表現。 The method of claim 1, further comprising the step of assessing the performance of cell migration of the colorectal cancer cell. 如申請專利範圍第2項所述之方法,更包括下列步驟:評估該大腸癌細胞的入侵的表現。 The method of claim 2, further comprising the step of assessing the performance of the invasion of the colorectal cancer cells. 如申請專利範圍第3項所述之方法,更包括下列步驟:評估該大腸癌細胞的上皮細胞轉型成間質細胞的表現。 The method of claim 3, further comprising the step of assessing the transformation of the epithelial cells of the colorectal cancer cells into interstitial cells. 一種大腸癌之檢測方法,包括下列步驟:使受一大腸癌細胞浸潤的一腫瘤相關樹突細胞(TADC)分泌一人類趨化因子(C-C基序)配體5(CCL5);以及檢測該CCL5之一表現量,以判定該大腸癌細胞之惡性程度,其中該CCL5之該表現量與該大腸癌細胞之惡性程度成正比。 A method for detecting colorectal cancer, comprising the steps of: secreting a human chemokine (CC motif) ligand 5 (CCL5) by a tumor-associated dendritic cell (TADC) infiltrated by a large intestine cancer cell; and detecting the CCL5 One of the expression amounts to determine the degree of malignancy of the colorectal cancer cell, wherein the amount of expression of the CCL5 is proportional to the degree of malignancy of the colorectal cancer cell. 如申請專利範圍第5項所述之檢測方法,其中該表現量選自該CCL5的訊息核糖核酸(mRNA)和蛋白質表現量的其中之一。 The method of detecting according to claim 5, wherein the amount of expression is selected from one of a message ribonucleic acid (mRNA) and a protein expression amount of the CCL5.
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