首页 > 期刊杂志 > 正文

Expression of the class 1 histone deacetylases HDAC8 and 3 are associated with improved survival of patients with metastatic melanoma.

1类组蛋白去乙酰化酶HDAC8和HDAC3表达与转移性黑色素瘤患者生存改善相关

Wilmott JS,Colebatch AJ,Kakavand H,Shang P,Carlino MS,Thompson JF,Long GV,Scolyer RA,Hersey P

Abstract

Prior studies have shown that combinations of histone deacetylase (HDAC) and BRAF inhibitors (BRAFi) have synergistic effects on BRAFi-resistant melanoma through enhanced apoptosis and inhibition of the cAMP-dependent drug resistance pathway. However, little is known about the expression of various HDACs and their associations with BRAF/NRAS mutation status, clinicopathologic characteristics, and patient outcome. The present study extensively profiled HDAC class 1 and their targets/regulators utilizing immunohistochemistry in human melanoma samples from patients with stage IV melanoma, known BRAF/NRAS mutational status, and detailed clinicopatholgical data. HDAC8 was increased in BRAF-mutated melanoma (P=0.016), however, no association between expression of other HDACs and NRAS/BRAF status was identified. There was also a correlation between HDAC1, HDAC8 expression, and phosphorylated NFκb p65 immunoreactivity (P<0.001). Increased cytoplasmic HDAC8 immunoreactivity was independently associated with an improved survival from both diagnosis of primary melanoma and from first detection of stage IV disease to melanoma death on multivariate analysis (HR 0.992, 95% CI 0.987-0.996; P<0.001 and HR 0.993, 95% CI 0.988-0.998; P=0.009, respectively). These results suggest not only that HDAC8 may be a prognostic biomarker in melanoma, but also provide important data regarding the regulation of HDACs in melanoma and a rational basis for targeting them therapeutically.

摘要

前期研究已经表明,组蛋白去乙酰化酶(HDAC)和BRAF抑制剂(BRAFi)组合通过促进细胞凋亡和抑制cAMP依赖性耐药通路对BRAFi耐药性黑色素瘤产生协同效应。然而,关于不同种类HDACs表达及其与BRAF/NRAS突变状态、临床病理特征和患者预后关系的研究较少。

本研究收集IV期、已知BRAF/NRAS突变状态并有详细临床病理资料的黑色素瘤标本,用免疫组化方法详细研究1类HDAC及其下游目标因子/上游调节因子表达。BRAF突变黑色素瘤HDAC8表达增加(P = 0.016),但是,未发现其他HDACs表达和NRAS/BRAF基因状态的相关性。HDAC1、HDAC8表达和磷酸化NFκb p65免疫表达亦相关(P<0.001)。多变量分析显示,从诊断原发性黑色素瘤算起、或从首次诊断IV期疾病算起到死亡,胞浆HDAC8免疫表达都与生存改善独立相关(分别为HR 0.992,95% CI 0.987-0.996;P<0.001;HR 0.993,95% CI 0.988-0.998;P = 0.009)。

这些结果不仅表明HDAC8可能是黑色素瘤的预后标志物,也为黑色素瘤中相关HDACs调节提供了重要数据,并为针对这些位点的靶向治疗提供了理论基础。

full text

我要评论

0条评论