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分子胶RPT04402恢复PP2A AαB56αC三聚体形成,用于高级别子宫内膜癌

Restoration of PP2A AαB56αC trimer formation by RPT04402 molecular glue in high-grade uterine cancer

PubMed · CNS/大子刊/四大医学刊(生殖相关) · Sci Transl Med 大子刊 IF 15.8 · 文献 · 2026-10-14
Peris I, Haanen TJ, Day A, Hu J, Callahan C, Hodges-Onishi G, Zawacki KP, Tran B, Harold A, Dowdican A 等 33 人
DOI 10.1126/scitranslmed.ady4852 · PMID 42873895 · 原文链接 ↗ · Scholar
综合 68.0 模型 60.0 · deepseek/deepseek-flash · 强度 low 已入选 期刊加权 +8 子宫内膜与植入 伦理、法规与指南
新颖 85严谨 80影响 40领域相关 22转化 35

摘要

高级别子宫内膜癌发病率与死亡率上升,PPP2R1A热点突变(Pro179、Ser256)是侵袭性亚型的驱动因素;该突变破坏抑癌性B56/B55调节亚基与Aα支架亚基结合。作者基于Aα/B56α/C界面口袋设计小分子库,筛选出分子胶RPT04402,可促进B56α与AαP179R、AαS256F突变支架形成异源三聚体。在小鼠中,RPT04402单药使多种突变细胞系及患者来源异种移植瘤退缩并延长中位生存;敲除B56α后该活性消失。提示PP2A分子胶是靶向PPP2R1A突变子宫内膜癌的首创(first-in-class)候选疗法。

原文摘要

The incidence and mortality of high-grade endometrial cancers are increasing, and heterozygous hotspot mutations in PPP2R1A are drivers of the most aggressive forms of uterine cancer. PPP2R1A encodes the Aα scaffolding subunit of the heterotrimeric phosphatase PP2A. These recurrent mutations, specifically at the Pro179 and Ser256 residues, disrupt the binding of tumor-suppressive substrate-directing B56 and B55 subunits to the PP2A scaffolding subunit while maintaining binding to other regulatory subunits. Here, we identified a series of molecular glues that correct PP2A trimer formation in the context of the P179R (Pro179→Arg) and S256F (Ser256→Phe) mutants. A small-molecule library was designed to fit into the pocket at the binding interface of the Aα/B56α/C heterotrimer. The lead molecule, RPT04402, promoted B56α heterotrimerization to the AαP179R and AαS256F mutant scaffolds. In mice, RPT04402 treatment drove tumor regressions and extended median survival in multiple independent mutant cell lines and patient-derived xenografts, proving a robust single-agent activity. This activity was abrogated upon knockout of B56α. Combined, these data demonstrate that PP2A molecular glues are a promising first-in-class therapy that might benefit patients with PPP2R1A mutant uterine cancer by targeting a driver of this aggressive disease.

推荐理由:机制与化学干预策略新颖(分子胶纠正突变所致的磷酸酶三聚体缺陷),体内与PDX验证较为完整;但研究对象为子宫内膜癌治疗,与生殖医学、辅助生殖及胚胎多组学的直接关联有限,主要价值在于子宫内膜病理生物学与靶向治疗背景阅读。

关键词:PPP2R1A · PP2A分子胶 · 子宫内膜癌 · B56α · 蛋白磷酸酶2A · 靶向治疗

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所属事件:分子胶RPT04402恢复PP2A AαB56αC三聚体形成,用于高级别子宫内膜癌 热度 0.0 · 0 个来源

条目 #425 · 入库 2026-11-08 11:44 · JSON · Journal Article