FAM50A-C9ORF78-ASNS 信号通路

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卞修武院士最新Science子刊论文:老药新用,治疗乳腺癌脑转移
生物世界· 2025-06-23 04:00
Core Viewpoint - Breast cancer remains the most common malignant tumor among women globally, with brain metastasis being a significant cause of mortality and poor quality of life for patients. There is an urgent need to understand the cellular and molecular mechanisms of breast cancer brain metastasis (BCBM) to develop more effective prevention and treatment strategies [2][4]. Group 1: Research Findings - The study published in Science Advances reveals the critical regulatory role of FAM50A in breast cancer brain metastasis, where FAM50A interacts with C9ORF78 to significantly upregulate asparagine synthetase (ASNS) expression, promoting the accumulation of asparagine in tumor cells [3][4]. - Targeting the FAM50A-C9ORF78-ASNS signaling pathway can significantly slow down the progression of breast cancer brain metastasis in mouse models and extend the survival of tumor-bearing mice [4][10]. - The research indicates that L-asparaginase, a treatment for acute lymphoblastic leukemia (ALL), effectively reduces asparagine levels and significantly inhibits the occurrence of breast cancer brain metastasis [5][10]. Group 2: Mechanisms and Implications - Recent studies show that certain nutrients, particularly asparagine synthesized by ASNS, play a crucial role in the metastatic progression of breast cancer, facilitating epithelial-mesenchymal transition (EMT) [6]. - The specific role of ASNS in breast cancer brain metastasis, its upstream regulatory mechanisms, and potential therapeutic implications remain unclear, prompting further investigation [8]. - The study demonstrates that FAM50A gene upregulates ASNS and promotes asparagine biosynthesis, significantly regulating the metastatic potential of breast cancer to the brain [9][12]. Group 3: Therapeutic Strategies - From a therapeutic perspective, inhibiting FAM50A at the genetic level or using drugs to suppress asparagine synthesis can effectively combat breast cancer brain metastasis [10]. - The combination of L-asparaginase with conventional chemotherapy drugs like cisplatin can produce a synergistic effect, significantly delaying the progression of breast cancer brain metastasis and improving the survival rate of mice without brain metastasis [10][12]. - Overall, the study provides new insights into the FAM50A-C9ORF78-ASNS signaling pathway in breast cancer brain metastasis, offering potential new strategies for targeted therapy and improving patient prognosis [12].