Downregulation of Annexin A1 is correlated with radioresistance in nasopharyngeal carcinoma
ONCOLOGY LETTERS
Authors: Huang, Lifang; Liao, Li; Wan, Yanping; Cheng, Ailan; Li, Meixiang; Chen, Sihan; Li, Maoyu; Tan, Xing; Zeng, Guqing
Abstract
Radiotherapy is the primary treatment for nasopharyngeal carcinoma (NPC), but radioresistance often remains an obstacle to successful treatment. In our previous study, it was demonstrated that Annexin A1 (ANXA1) was involved in the p53-mediated radioresponse in NPC cells, which suggested that it may be associated with radioresistance in NPC; however, the role of ANXA1 in NPC radioresistance is unknown. In the present study, CNE2 cells were stably transfected with pLKO.1-ANXA1-small hairpin (sh)RNAs to investigate the effects of ANXA1 on the radiosensitivity of NPC. CNE2 cells transfected with pLKO.1 were used as the control. The radiosensitivities of the cells in vitro were analyzed using the clonogenic survival assay, cell growth analysis, flow cytometry and Hoechst 33258 staining. ANXA1 downregulation significantly enhanced clonogenic survival and cell growth following treatment of CNE2 cells with ionizing radiation (IR), increased the number of cells in the S phase and decreased IR-induced apoptosis. These results suggested that the radio sensitivity of CNE2 cells transfected with ANXA1-specific shRNA was significantly lower compared with the control cells. Therefore, ANXA1 downregulation may be involved in the radioresistance of NPC, and ANXA1 may be considered a novel biomarker for predicting NPC response to radiotherapy.
Prognostic role of extracellular vesicles in squamous cell carcinoma of the lung
THORACIC CANCER
Authors: An, Hyo Jung; Kim, Min Hye; Kim, Sung Hwan; Lee, Gyeong-Won; Song, Dae Hyun
Abstract
Background Research on diagnosing recurrent non-small cell lung cancer (NSCLC) and applying target gene treatment using exosomes in a less invasive way is very important. Recently, however, it has been argued that exosomes do not contain double-stranded DNA (dsDNA) or histones. In this study, we describe the expression of extracellular vesicle (EV) markers in specimens from squamous cell carcinoma (SCC) of the lung and analyze their relationship with the prognosis of patients. Methods Clinical and pathological data were obtained from 96 patients who had undergone surgery for SCC of the lung. Tissue microarray blocks were made using representative paraffin blocks of samples from patients with SCC of the lung. Two pathologists graded the intensity of CD63, CD9, LC3A/B, P62, and ANXA1 expression as high or low expression. In addition, the authors designated the combined expression of these five independent markers as "positive EV expression" in this article. Results SCCs with low CD63 and SCCs with low EV expression showed unfavorable disease-free survival (DFS) (P-value = 0.037 and 0.006, respectively) in the survival analysis. The Kaplan-Meier survival curve confirmed that the low EV expression showed a statistically significant relationship with unfavorable DFS (P-value = 0.004). There were no statistically significant differences in DFS and disease-specific survival in each low and high expression group for CD9, LC3A/B, ANXA1, and P62 in the Cox regression analysis. Conclusions As EV expression was related to the prognosis of lung SCC patients, a broader approach using different extracellular vesicles rather than a conventional exosome-dependent one is needed.