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GSTM3 deficiency impedes DNA mismatch repair to promote gastric tumorigenesis via CAND1/NRF2-KEAP1 signaling

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机构: [1]Shanghai Jiao Tong Univ Affiliated Sixth Peoples H, Dept Clin Lab, Shanghai, Peoples R China [2]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Biliary Pancreat Surg, Shanghai, Peoples R China [3]Shanghai Jiao Tong Univ, Dept Pathol, Sch Med, Affiliated Tongren Hosp, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Renji Hosp, Clin Stem Cell Ctr, Sch Med, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ Affiliated Sixth Peoples H, Dept Clin Lab, 600 Yishan Rd, Shanghai 200233, Peoples R China [6]Shanghai Jiao Tong Univ, Dept Pathol, Sch Med, Affiliated Tongren Hosp, Xianxia Rd, Shanghai 200332, Peoples R China [7]Shanghai Jiao Tong Univ, Renji Hosp, Clin Stem Cell Ctr, Sch Med, Pujian Rd 160, Shanghai 200017, Peoples R China
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关键词: GSTM3 NRF2 DNA Mismatch repair CAND1 Gastric cancer

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Gastric cancer (GC) is one of the most severe gastric diseases worldwide. However, the molecular basis that drives tumorigenesis and progression is not completely understood, which hinders the efficacy and development of therapeutic options. Glutathione-S-transferases (GSTs) are a group of phase II detoxification enzymes that maintain redox homeostasis; however, their roles in cancers are not well defined. Here, we revealed that the expression of GST family members is significantly impaired in GC tissues. Glutathione-S-transferase mu 3 (GSTM3), a member of GST family, is dramatically downregulated in cancerous tissues and has been identified as an independent prognostic factor in GC associated with tumor differentiation, inhibiting GC cell proliferation and migration in vitro and in vivo. Mechanistically, GSTM3 is transcriptionally activated by NRF2/KEAP1 signaling. As a feedback loop, GSTM3 binds to Cullin-associated and neddylation-dissociated 1 protein (CAND1), an exchange factor for integrating Kelch-like ECH-associated protein 1 (KEAP1) into Cul3-RING ubiquitin ligases (CRL3), to disrupt nuclear factor-erythroid factor 2-related factor 2 (NRF2)/KEAP1 binding and prevent NRF2 ubiquitination and degradation, leading to its activation. A deficiency in glutathione S-Transferase Mu 3 (GSTM3) reduces DNA mismatch repair (MMR) gene expression and increases mutagenesis via CAND1/NRF2 binding. Importantly, GSTM3/NRF2 and KEAP1 were negatively and positively associated with the genomic signature for microsatellite instability, respectively. Clinically, GSTM3, NRF2, and MutS homolog 6 (MSH6) were positively correlated in the GC specimens. This study uncovered a reciprocal regulation between GSTM3 and NRF2 and established a functional and clinical link between GSTM3-NRF2/KEAP1 and MMR during GC cell proliferation and progression, thus providing potential therapeutic targets for GC.

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大类 | 1 区 医学
小类 | 2 区 肿瘤学
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大类 | 1 区 医学
小类 | 2 区 肿瘤学
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Q1 ONCOLOGY
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Q1 ONCOLOGY

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第一作者机构: [1]Shanghai Jiao Tong Univ Affiliated Sixth Peoples H, Dept Clin Lab, Shanghai, Peoples R China [2]Shanghai Jiao Tong Univ, Renji Hosp, Sch Med, Dept Biliary Pancreat Surg, Shanghai, Peoples R China
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通讯机构: [1]Shanghai Jiao Tong Univ Affiliated Sixth Peoples H, Dept Clin Lab, Shanghai, Peoples R China [3]Shanghai Jiao Tong Univ, Dept Pathol, Sch Med, Affiliated Tongren Hosp, Shanghai, Peoples R China [4]Shanghai Jiao Tong Univ, Renji Hosp, Clin Stem Cell Ctr, Sch Med, Shanghai, Peoples R China [5]Shanghai Jiao Tong Univ Affiliated Sixth Peoples H, Dept Clin Lab, 600 Yishan Rd, Shanghai 200233, Peoples R China [6]Shanghai Jiao Tong Univ, Dept Pathol, Sch Med, Affiliated Tongren Hosp, Xianxia Rd, Shanghai 200332, Peoples R China [7]Shanghai Jiao Tong Univ, Renji Hosp, Clin Stem Cell Ctr, Sch Med, Pujian Rd 160, Shanghai 200017, Peoples R China [*1]Department of Clinical Laboratory, Shanghai Jiao Tong University Affiliated Sixth People’s Hospital, 600 Yishan Road, 200233, Shanghai, China [*2]Department of Pathology Affiliated Tongren Hospital, School of Medicine, Shanghai Jiaotong University, Xianxia Road, Shanghai, 200332, China. [*3]Clinical Stem Cell Center, Renji Hospital, School of Medicine, Shanghai Jiao Tong University, Pujian Road, NO.160, Shanghai, 200017, China.
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