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Erschienen in: World Journal of Surgical Oncology 1/2023

Open Access 01.12.2023 | Research

TRIM58 functions as a tumor suppressor in colorectal cancer by promoting RECQL4 ubiquitination to inhibit the AKT signaling pathway

verfasst von: Naizhi Sun, Jiacheng Shen, Yuhua Shi, Biao Liu, Shengguo Gao, Yichuan Chen, Jinwei Sun

Erschienen in: World Journal of Surgical Oncology | Ausgabe 1/2023

Abstract

Background

This study aimed to investigate the underlying molecular mechanisms of TRIM58 in the development of colorectal cancer (CRC). CRC is one of the most common cancers of the digestive tract worldwide. The ubiquitin–proteasome system regulates many oncogenic or tumor-suppressive proteins. TRIM58, an E3 ubiquitin ligase and a member of the tripartite motif protein family, is a potential prognostic marker that indicates poor prognosis in cancer. Currently, the precise molecular mechanisms for the TRIM58-mediated CRC progression remain unclear.

Methods

To examine the effects of TRIM58 on cell viability, cell cycle progression, and apoptosis in CRC, Cell Counting Kit-8 and flow cytometry assays were employed. The AKT inhibitor LY294002 was used to examine the effects of AKT signaling on TRIM58-mediated cell viability, cell cycle progression, and apoptosis in CRC. Additionally, Co-IP and ubiquitination assays were used to examine the correlation between TRIM58 and RECQL4.

Results

TRIM58 overexpression inhibited CRC cell viability and promoted cell cycle arrest and apoptosis, in which the TRIM58 knockdown demonstrated inversed effects via the AKT signaling pathway. TRIM58 inhibited RECQL4 protein levels through its ubiquitin ligase activity, and RECQL4 overexpression inhibited TRIM58 overexpression-mediated CRC cell viability, cell cycle progression, and apoptosis. The downregulation of TRIM58 and upregulation of RECOL4 were observed in human CRC tissue, and TRIM58 demonstrated antitumor effects in CRC-induced tumor growth in a mouse model.

Conclusions

TRIM58 acts as a tumor suppressor in CRC through the promotion of RECQL4 ubiquitination and inhibition of the AKT signaling pathway and may be investigated for the successful treatment of CRC.
Hinweise

Supplementary Information

The online version contains supplementary material available at https://​doi.​org/​10.​1186/​s12957-023-03124-4.
Naizhi Sun and Jiacheng Shen are co-first author.

Publisher’s Note

Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Abkürzungen
CRC
Colorectal cancer
TRIM
Tripartite motif
GSEA
Gene set enrichment analysis
CCK-8
Cell Counting Kit-8
PI
Propidium iodide
SDS-PAGE
Sodium dodecyl sulfate polyacrylamide

Introduction

Colorectal cancer (CRC) is one of the most common cancers of the digestive tract worldwide. As of 2020, the number of CRC cases has exceeded 1.9 million, and this number is expected to reach 3.2 million by 2040 [1]. In recent years, an increase in the incidence of CRC in young patients has been observed worldwide, especially in high-income countries [2]. Currently, the commonly used diagnostic and treatment methods include endoscopic inspection, traditional surgery, molecular targeted therapy, radiation therapy, and chemotherapy [3, 4]. At the molecular level, the development of CRC is associated with the dysregulation or dysfunction of many related genes [5]. Therefore, an in-depth understanding of the molecular mechanisms of the pathogenesis, progression, and metastasis of CRC can help in developing effective targeted treatment strategies and improving the quality of life and prognosis of patients.
The AKT signaling pathway, closely related to cell proliferation and apoptosis, represents an important pathway for intracellular regulation [6, 7]. Previous reports have revealed that AKT activation promotes cell cycle progression from the G1 phase to S phase through the regulation of its downstream cyclin D1, further promoting tumor cell proliferation [8]. Moreover, AKT phosphorylates cell cycle inhibitor p21, losing the binding and inhibiting the action of cyclin D1 [9]. Therefore, AKT signaling pathway activation can promote CRC cell proliferation, formation of new blood vessels in CRC cells, cell cycle progression, and invasive ability of CRC cells [10]. Hence, understanding the molecular network of the AKT pathway will contribute to the development of novel therapies for CRC treatment.
Recently, with the advancement of research on the tripartite motif (TRIM) protein family, the importance of the TRIM protein has become highlighted. The TRIM protein is a member of the really interesting new gene (RING) family of E3 ubiquitin ligases, which comprises RING, B-Box, Coil-coiled, and C-terminal domains, and plays a biological role in ubiquitination [11, 12]. Ubiquitination is a process in which a ubiquitin molecule covalently binds to a lysine residue of a specific protein of interest and undergoes post-transcriptional modification [13]. Current research indicates that the TRIM protein is expressed differently across different malignant tumors, mainly through the regulation of various mechanisms such as the p53 and AKT signaling pathway, modulating sensitivity to chemotherapy drugs, expressing tumor-related factors, and playing roles in promoting or suppressing cancer [14, 15]. TRIM58, a member of the E3 ubiquitin ligase TRIM protein family, is expressed in both liver and lung cancers [16]. Moreover, the downregulation of TRIM58 expression is associated with a poor patient outcome and enhanced CRC cell invasion [17]. However, in the regulation of cell proliferation and cell cycle progression of CRC, the detailed function of TRIM58 remains unclear.
RECQ helicase is a member of the DNA repair enzyme family and releases double-stranded nucleic acids, maintaining genomic integrity [18]. The RECQ helicase family includes five ATP-dependent enzymes (WRN, BLM, RECQL, RECQL4, and RECQL5), which have a conserved 3', 5' unwinding domain and two additional conserved regions, the RQC and HRDC regions [18, 19]. These enzymes modulate complexes involved in homologous recombination, replication fork migration, translocation, and structure and function of nucleoprotein filaments [20]. The RECQ helicase family has a varied expression in CRC, with RECQL5 and RECQL showing low expression, while other members of the family, including BLM and RECQL4, are highly expressed [21]. As a member of the RECQ helicase family, RECQL4 exacerbates resistance to oxaliplatin in colon adenocarcinoma via the activation of the PI3K/AKT signaling pathway [22]. However, in the context of CRC, the exact function of RECQL4 and its molecular network requires further exploration.
In this study, the role of TRIM58 in the cycle of CRC cells was investigated, and the relationship between TRIM58 and RECQL4 was determined. Our findings not only enhance the understanding of TRIM58 but also provide evidence for its role as a novel target in CRC treatment.

Materials and methods

Bioinformatics analysis

TRIM58 expression data of tumor tissues and normal tissues were obtained from the Gene Expression Profiling Interactive Analysis (GEPIA) database. Gene set enrichment analysis (GSEA) of pathways and genes was performed based on TCGA using the GSEA version 2.0. In our analysis, gene sets of < 10 genes were excluded. With 1,000 permutations, the cutoff significance level was set at a p-value of 0.01 for the most significant pathways related to TRIM58 expression. Gene sets with a distinct peak at the beginning or end of a ranked list are generally the most interesting. For this process, significant p-values calculated using 1,000 permutations determined whether the genes were enriched or not.

Study cohort

A total of 30 patients with CRC treated in the North Hospital of Yancheng Third People’s Hospital were enrolled in year 2023. The North Hospital of Yancheng Third People’s Hospital approved this study. For detecting TRIM58 and RECQL4 expressions, CRC tissue microarrays (Outdo, Shanghai) were used.

Immunohistochemistry

To perform immunohistochemistry, normal and CRC tissues were fixed with 10% formalin, embedded in a mold, sliced, conventionally dewaxed in water, sequentially operated according to immunohistochemistry, and finally photographed using a microscope to collect and analyze the relevant areas of the sample. Finally, the positive areas of TRIM58 (NBP1-88608, NOVUS, Germany) and RECQL4 (ab188125, Abcam, UK) were calculated.

Cell culture

SW480, HCT15, SW620, LOVO, SW1417, and FHC cells were cultured in an RPMI-1640 medium containing 10% fetal bovine serum and 1% double antibody (cyanin mixture) in an incubator at 37°C in a 5% CO2 atmosphere. Cells were observed as adherent cells under the microscope, and the live cell rate of trypan blue staining was > 95% in all cells used for experiments. The AKT inhibitor LY294002 (25 μmol/L; S1105, Selleck, USA) and MG132 (10 μmol/L; Selleck, USA) were dissolved in dimethyl sulfoxide (D2650, Sigma, USA) for culture with cells.

Knockdown and overexpression

Short interfering RNAs targeting human TRIM58 (shTRIM58-1: 5'- GGAGGGAGCTCTTAAGGAA-3', position: 893–911; shTRIM58-2, 5'- GGACTATGAAGCCGGTGAA-3', position: 1293–1311; and shTRIM58-3 5'- GGGCATCCAGGGATCATTT-3', position: 1297–1315) and negative control shRNA (shNC, 5'-CAGTACTTTTGTGTAGTACAA-3′) were synthesized (Beyotime, Beijing, China) and inserted into a pLKO.1 vector. For TRIM58 and RECQL4 overexpression, the pLVX-puro lentiviral plasmid containing TRIM58 (oeTRIM58) or RECQL4 (oe RECQL4) were transfected with lipofectamine 2000 (Thermo Fisher Scientific, Waltham, USA), and the cells were cultured for 48 h prior to analysis. Blank pLVX-puro plasmid vector was used as a negative control (oeNC).

Quantitative real-time PCR (qRT-PCR)

Using TRIzol reagents according to the manufacturer’s instructions, total RNA was extracted from CRC tissues and cell lines. A RevertAid First Strand cDNA Synthesis Kit RNA was used to reverse transcribe RNA before quantification with spectrophotometry. qRT-PCR was conducted on the Applied Biosystems Prism 7300 sequence detection system with Maxima SYBR Green/ROX qPCR Master Mix according to the manual. The 2−ΔΔCt method was used to calculate the relative gene expression and normalized to glyceraldehyde-3-phosphate dehydrogenase (GAPDH) according to the methods indicated in a previous report [23]. Each analysis was performed three times. The primers used in this study were as follows: TRIM58, F: 5′-TGGCTGCTGAAAGGGAATG-3′, R: 5′-TGTTGTGGGTGGCAAGATAAG-3′; RECQL4, F: 5′-CCGTACAGGCTTTGGACATG-3′, R: 5′-TTCAGACGGCAATGGGTATAG-3′; GAPDH, F: 5′-AATCCCATCACCATCTTC-3′, R: 5′-AGGCTGTTGTCATACTTC-3′.

Western blotting

Cells were harvested and lysed, and the supernatants were collected. Protein (25 μg) was loaded into each well of a 10% or 15% sodium dodecyl sulfate polyacrylamide (SDS-PAGE) gel. Separated proteins were transferred onto a polyvinylidene fluoride membrane, followed by blocking for 1 h at room temperature in 5% nonfat milk. Using a primary antibody, the blots were then incubated overnight at 4°C. Thereafter, the HRP-labeled secondary antibody (diluted 1:1000) was incubated with the membrane at 37°C for 1 h according to the dosage. Finally, the membranes were washed with tris-buffered saline containing 0.5% (v/v) Tween 20 three times and incubated with electrochemiluminescence (Millipore) for image scanning. The density of each protein band was analyzed. The primary antibodies used in this study were as follows: TRIM58 (1:1000; Ab90362, Abcam, UK), RECQL4 (1:1000; Ab192375, Abcam, UK), AKT (1:1000; #4685, CST, USA), p-AKT (1:000; #4060, CST, USA), RECQL (1:500; Ab151501, Abcam, UK), Cyclin D1(1:10,000; Ab134175, Abcam, UK), P21 (1:1000; Ab109199, Abcam, UK), and GAPDH (1:2000; #5174, CST, USA).

Cell Counting Kit-8 (CCK-8) assay

To prepare a cell suspension of 3 × 104 cells/mL, cells in the logarithmic growth phase were counted under a microscope. A total of 100 µL was plated in a 96-well culture plate. Each of the cells was inoculated with three identical wells as duplicate wells, 3 × 103 cells/well, with 100 μL of the culture solution used as a blank control, and cultured at 37°C overnight. Next, 0, 24, 48, and 72 h after transfection, the CCK-8 kit and serum-free essential medium were mixed at a ratio of 1:10, and 100 μL was added per well before incubating for 1 h at 37°C in a 5% CO2 incubator. The absorbance at a 450-nm wavelength was measured using a microplate reader, and the value of each board was recorded.

Cell cycle assay

To determine the DNA content within cells, propidium iodide (PI) staining was used. Briefly, cells with or without treatment were harvested and resuspended in phosphate buffered saline. Then, the cells were fixed with 70% ethanol and placed at − 20°C for 2 h. Following incubation, all groups were treated with RNase A (Solarbio, China) at 37°C for 15 min. Then, PI (7 Sea Biotech, China) was added to the cells, before incubating in the dark at room temperature for 30 min. A flow cytometer (BD Biosciences, San Jose, CA, USA) was used to analyze the DNA content. Using FlowJo cell cycle analysis program, the percentage of cells at G1, S, and G2 phases was analyzed.

Cell apoptosis

Cells were seeded at 3 × 105 per well in a 6-well plate and maintained until a confluence of 50% was reached. Then, the cells were subjected to transduction or drug treatment as above. The cells were treated for 48 h and then collected. The staining procedure was performed in two steps: (1) 5 µL of Annexin-V-FITC solution was added and incubated at 4°C for 15 min and (2) 5 µL PI was added and incubated for 15 min. All reagents were purchased from Beyotime Biotechnology (Shanghai, China). A flow cytometer was used to examine the proportion of apoptosis.

Coimmunoprecipitation and ubiquitination assay

The above groups of cells were lysed on ice and treated with protein A/G PLUS-Agarose (Santa Cruz Biotechnology, sc-2003) for 1 h, followed by incubation with 1 μg of rabbit IgG (sc-2027, Santa Cruz Biotechnology, USA) or rabbit anti-RECQL4 antibody (PA5-55263, Thermo Fisher, USA) at 4°C overnight. Following incubation, the samples were incubated with 30 μL of immuno-protein A/G PLUS-Agarose at 4°C for 2 h to form an immune complex. After centrifugation at 3000 rpm for 5 min at 4°C, the supernatant was discarded, and the protein A/G Plus-Agarose beads were washed four times, boiled in SDS-PAGE loading buffer, and subjected to SDS-PAGE electrophoresis and western blot. Using anti-RECQL4 antibody (ab192375, Abcam, UK) and anti-ubiquitin antibody (ab7780, Abcam, UK), Western blotting was performed.

Human xenograft tumor models

Twelve nude mice were randomized into two groups: the oeNC group, with 100 μL (5 × 106) of blank vector-transduced SW620 cells inoculated, and the TRIM58 overexpression group, in which TRIM58-overexpressing SW620 cells were inoculated with 100 μL (5 × 106). Simulated transfected cells were subcutaneously inoculated into the armpits of nude mice (Shanghai Experimental Animal Center; Chinese Academy of Sciences, Shanghai, China). The tumor sizes were measured every 3 days using a vernier caliper after tumor formation. Following tumor growth, the nude mouse was sacrificed and photographed, and the tumor was removed for weighing and then recorded. All animal procedures were approved by the Animal Care and Use Committee of Shanghai Rat@Mouse Biotech Co., Ltd., China (approval number: 20210405).

Statistical analysis

Prism 8.4.2 (La Jolla, CA) was used for data analysis. Data are presented as the mean ± standard deviation. Statistical analysis between the two groups was performed using either a paired t-test or independent samples t-test. One-way analysis of variance (ANOVA) was employed for comparisons among multiple groups, and after ANOVA analysis, Tukey’s post-hoc test was utilized for pairwise comparison. Statistical significance was set at p < 0.05.

Results

TRIM58 expression was decreased in CRC and negatively regulated cell cycle progression and AKT signaling pathway

TRIM58 expression was analyzed using the GEPIA database (http://​gepia2.​cancer-pku.​cn/​). In the GEPIA database, 275 colon adenocarcinoma tissues and 349 normal tissues were retrieved. As shown in Fig. 1A, TRIM58 expression was significantly lower in colon adenocarcinoma tissues than in normal tissues. To further explore the correlation between TRIM58 expression and clinical characteristics of CRC, mRNA and protein expression data of CRC tissues and normal tissues from the hospital cohort and CRC tissue microarrays were collected for analysis, respectively. As shown in Figs. 1B–D, TRIM58 expression was significantly lower in colon adenocarcinoma tissues than in normal tissues. Kaplan–Meier analysis revealed that TRIM58 downregulation was associated with poor prognosis in patients with CRC (Fig. 1E). Bioinformatics analysis indicated that TRIM58 was correlated with the genes involved in cell cycle and AKT signaling pathway (Figs. 1F and G). Moreover, the expression of TRIM58 in five CRC cell lines, including SW480, HCT15, SW620, LOVO, and SW1417, and human colon epithelial cell line FHC was examined. As shown in Fig. 1H and I, both the relative mRNA and protein levels of TRIM58 were significantly lower in CRC cells than in FHC cells.

TRIM58 overexpression inhibited cell viability and cell cycle progression in CRC

Next, CCK-8 assay was used to examine the cell viability of SW620 transduced with oeNC and oeTRIM58 (Figure S1A and B). Interestingly, TRIM58 overexpression significantly inhibited the cell viability of SW620 (Fig. 2A). Moreover, SW620 cells showed cell cycle arrest at G1 phase following TRIM58 overexpression (Fig. 2B and C). Importantly, overexpression of TRIM58 also inhibited the protein levels of phosphorylation of AKT (p-AKT) and cyclin D1 and promoted p21 expression (Fig. 2D).

The AKT inhibitor LY294002 rescued the function of TRIM58 in CRC cells

As the functional enrichment analyses suggest that TRIM58 is correlated with the genes involved in the AKT pathway in CRC (Fig. 1G), the AKT inhibitor LY294002 was used to rescue the function of TRIM58. To further examine this relationship between TRIM58 and AKT, TRIM58 was silenced by specific shRNA (Figure S1C and D), and LY294002 was used to inhibit the endogenous activity of AKT. Knockdown of TRIM58 markedly promoted cell viability and cell cycle progression and inhibited cell apoptosis of LOVO (Figs. 3A–C, Figure S2A). However, silenced or overexpressed TRIM58 had no effect on the viability, cell cycle progression, and apoptosis of FHC cells (Figure S1E–I). Moreover, LY294002 significantly inhibited cell viability, cell cycle progression, and apoptosis inhibition induced by TRIM58 knockdown (Figs. 3A–C, Figure S2A). Interestingly, knockdown of TRIM58 significantly promoted cyclin D1 expression and AKT phosphorylation, while inhibiting the expression of p21. Conversely, LY294002 reversed the role of TRIM58 knockdown (Fig. 3D). Altogether, these results suggest that TRIM58 regulates cell viability, cell cycle, and apoptosis in CRC via the AKT signaling pathway.

TRIM58 interacts with RECQL4 and enhances its ubiquitination in CRC cells

RECQL4 is predicated as a target for TRIM58 ubiquitination (http://​ubibrowser.​bio-it.​cn/​ubibrowser). Previous studies have demonstrated that RECQL4 expression is increased in CRC [21]. Moreover, it exacerbates resistance to oxaliplatin in colon adenocarcinoma via the activation of the PI3K/AKT signaling pathway [22], suggesting its important role in colon cancer. Our results indicate that the relative mRNA levels of RECQL4 were not significantly different between oeNC- and oeTRIM58-transduced SW620 cells. Hence, TRIM58 overexpression did not affect the transcription of RECQL4 (Fig. 4A). However, the protein level of RECQL4 was strongly inhibited in oeTRIM58-transduced SW620 cells, which was abolished by the proteasome inhibitor MG132 (Fig. 4B). Importantly, results from Co-IP and ubiquitination assays suggested that TRIM58 interacted with RECQL4 and enhanced its ubiquitination in CRC cells (Figs. 4C and D). Moreover, immunohistochemistry staining revealed that the expression of RECQL4 presented an opposite pattern to that of TRIM58 in CRC or paracancerous tissues (Fig. 4E).

Overexpression of RECQL4 abolished the effect of TRIM58 overexpression in CRC cells

To investigate the role of RECQL4 in CRC cells, RECQL4 was overexpressed in CRC cells (Figure S1J and K). As shown in Fig. 5A, CRC cell viability was significantly upregulated in oeRECQL4-transduced cells, and oeRECQL4 promoted cell cycle progression and apoptosis inhibition in SW620 cells (Fig. 5B and C, Figure S2B). The AKT phosphorylation and cyclin D1 expression were also enhanced in oeRECQL4-transduced cells, while the expression of p21 was inhibited (Fig. 5D). Moreover, RECQL4 overexpression also inhibited TRIM58 overexpression-mediated CRC cell viability, cell cycle, and apoptosis (Fig. 5B and C, Figure S2B). These results suggested that TRIM58 mediates CRC cell viability, cell cycle, and apoptosis by inhibiting RECQL4.

TRIM58 inhibited tumor growth in vivo

To confirm the inhibitory effect of TRIM58 on CRC tumor growth in vivo, a xenograft mouse model was generated using oeNC- and oeTRIM58-transduced SW620 cells. Clearly, both oeNC- and oeTRIM58-transduced cells could form tumors in vivo. The tumor weight and volume were significantly reduced in the oeTRIM58 tumor compared to that of the oeNC group (Figs. 6A and B). Moreover, western blotting of the tumor showed that TRIM58 inhibited the expression of RECQL4 (Fig. 6C). These results are consistent with our previous findings in vitro.

Discussion

Previous reports have elucidated that TRIM58 is associated with poor prognosis in human cancers [24, 25]. Furthermore, TRIM58 has also been reported to be associated with DNA methylation in hepatocellular carcinoma, and hypermethylation of TRIM58 is strongly associated with worse survival in patients with hepatocellular carcinoma after hepatectomy [26]. Moreover, TRIM58 dysregulation stimulates early stage human lung adenocarcinoma, regardless of the presence or absence of tobacco smoking-induced epigenetic field defects. Hence, TRIM58 methylation may represent a possible early diagnostic target for cancer. Recently, it has been reported that TRIM58 expression is associated with poor survival in several human cancers [27]. Moreover, the downregulation of TRIM58 expression is associated with poor patient outcomes and enhances CRC cell invasion [17]. However, the detailed molecular network of TRIM58 in CRC remains unclear.
Members of the TRIM family are closely associated with the progression of certain human tumors. Indeed, TRIML2 silencing has been shown to decrease cellular proliferation and induce cell cycle arrest at the G1 phase in human oral squamous cell carcinoma [28]. Moreover, the downregulation of TRIM29 has potent antitumor activity and chemosensitizing effects in human lung squamous cell carcinoma [29]. TRIM47 has been identified as a prognostic indicator for patients with prostate cancer and was significantly correlated with worse cancer-specific survival rates in multivariate regression analyses [30]. Here, we discovered that TRIM58 was downregulated in human CRC tissues and cells. TRIM58 overexpression suppressed cell viability and cell cycle, induced apoptosis of CRC in vitro, and reduced its tumorigenesis in vivo. Together, our findings illustrate that TRIM58 functions as an anti-oncogene in the pathogenesis of CRC.
E3 ligases transfer ubiquitin to their protein substrates and result in protein degradation, which is vital in the regulation of tumorigenesis [31]. Previous studies have shown that TRIM58, a member of the E3 ubiquitin ligase TRIM protein family, mediates polyubiquitination and multimonoubiquitinylation of protein substrates and alters their stability [32, 33]. Here, we confirmed that TRIM58 increases RECQL4 degradation by enhancing its polyubiquitination in CRC cells. This is consistent with the observation that RECQL4 is polyubiquitinylated by RNF8 [34] and DDB1-CUL4A E3 ubiquitin ligase [35]. Further work is required to examine the possible ubiquitination sites in RECQL4. RECQL4 is associated with various DNA repair pathways and contributes to the pathogenicity of various human cancers [36]. Moreover, it has been reported that RECQL4 expression is increased in CRC [21] and it exacerbates resistance to oxaliplatin in colon adenocarcinoma via the activation of the PI3K/AKT signaling pathway [22]. PI3K/AKT is a classical signaling pathway that is involved in a variety of biological processes, such as regulating cellular metabolism, autophagy, cell cycle, cell proliferation, apoptosis, and metastasis [37, 38]. Therefore, it plays a crucial role in the occurrence and development of CRC. In the present study, we identified that the overexpression of RECQL4 and inhibition of the PI3K/AKT signaling pathway abolished the function of TRIM58 overexpression and knockdown in cell viability, cell cycle, and apoptosis in CRC, respectively. Therefore, our findings indicate that RECQL4 may be involved in the molecular network of TRIM58 in regulating the growth of CRC cells via the PI3K/AKT signaling pathway. Our findings demonstrate, for the first time, that TRIM58/RECQL4 pathway activation might be an effective strategy for CRC treatment.

Conclusion

In conclusion, this research investigated the potential role of TRIM58 in cell viability, cell cycle, and apoptosis in CRC and demonstrated the relationship between TRIM58 and RECQL4. Our findings not only enhance the understanding of TRIM58 but also highlight a potential role of the TRIM58/RECQL4 pathway in the context of CRC.

Acknowledgements

Not applicable.

Declarations

The study was approved by the Ethics Committee of North Hospital of Yancheng Third People's Hospital. Signed written informed consents were obtained from the patients and/or guardians.
Not applicable.

Competing interests

The authors declare no competing interests.
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Metadaten
Titel
TRIM58 functions as a tumor suppressor in colorectal cancer by promoting RECQL4 ubiquitination to inhibit the AKT signaling pathway
verfasst von
Naizhi Sun
Jiacheng Shen
Yuhua Shi
Biao Liu
Shengguo Gao
Yichuan Chen
Jinwei Sun
Publikationsdatum
01.12.2023
Verlag
BioMed Central
Erschienen in
World Journal of Surgical Oncology / Ausgabe 1/2023
Elektronische ISSN: 1477-7819
DOI
https://doi.org/10.1186/s12957-023-03124-4

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Darf man die Behandlung eines Neonazis ablehnen?

08.05.2024 Gesellschaft Nachrichten

In einer Leseranfrage in der Zeitschrift Journal of the American Academy of Dermatology möchte ein anonymer Dermatologe bzw. eine anonyme Dermatologin wissen, ob er oder sie einen Patienten behandeln muss, der eine rassistische Tätowierung trägt.

Deutlich weniger Infektionen: Wundprotektoren schützen!

08.05.2024 Postoperative Wundinfektion Nachrichten

Der Einsatz von Wundprotektoren bei offenen Eingriffen am unteren Gastrointestinaltrakt schützt vor Infektionen im Op.-Gebiet – und dient darüber hinaus der besseren Sicht. Das bestätigt mit großer Robustheit eine randomisierte Studie im Fachblatt JAMA Surgery.

Chirurginnen und Chirurgen sind stark suizidgefährdet

07.05.2024 Suizid Nachrichten

Der belastende Arbeitsalltag wirkt sich negativ auf die psychische Gesundheit der Angehörigen ärztlicher Berufsgruppen aus. Chirurginnen und Chirurgen bilden da keine Ausnahme, im Gegenteil.

Update Chirurgie

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S3-Leitlinie „Diagnostik und Therapie des Karpaltunnelsyndroms“

Karpaltunnelsyndrom BDC Leitlinien Webinare
CME: 2 Punkte

Das Karpaltunnelsyndrom ist die häufigste Kompressionsneuropathie peripherer Nerven. Obwohl die Anamnese mit dem nächtlichen Einschlafen der Hand (Brachialgia parästhetica nocturna) sehr typisch ist, ist eine klinisch-neurologische Untersuchung und Elektroneurografie in manchen Fällen auch eine Neurosonografie erforderlich. Im Anfangsstadium sind konservative Maßnahmen (Handgelenksschiene, Ergotherapie) empfehlenswert. Bei nicht Ansprechen der konservativen Therapie oder Auftreten von neurologischen Ausfällen ist eine Dekompression des N. medianus am Karpaltunnel indiziert.

Prof. Dr. med. Gregor Antoniadis
Berufsverband der Deutschen Chirurgie e.V.

S2e-Leitlinie „Distale Radiusfraktur“

Radiusfraktur BDC Leitlinien Webinare
CME: 2 Punkte

Das Webinar beschäftigt sich mit Fragen und Antworten zu Diagnostik und Klassifikation sowie Möglichkeiten des Ausschlusses von Zusatzverletzungen. Die Referenten erläutern, welche Frakturen konservativ behandelt werden können und wie. Das Webinar beantwortet die Frage nach aktuellen operativen Therapiekonzepten: Welcher Zugang, welches Osteosynthesematerial? Auf was muss bei der Nachbehandlung der distalen Radiusfraktur geachtet werden?

PD Dr. med. Oliver Pieske
Dr. med. Benjamin Meyknecht
Berufsverband der Deutschen Chirurgie e.V.

S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“

Appendizitis BDC Leitlinien Webinare
CME: 2 Punkte

Inhalte des Webinars zur S1-Leitlinie „Empfehlungen zur Therapie der akuten Appendizitis bei Erwachsenen“ sind die Darstellung des Projektes und des Erstellungswegs zur S1-Leitlinie, die Erläuterung der klinischen Relevanz der Klassifikation EAES 2015, die wissenschaftliche Begründung der wichtigsten Empfehlungen und die Darstellung stadiengerechter Therapieoptionen.

Dr. med. Mihailo Andric
Berufsverband der Deutschen Chirurgie e.V.