机构:[1]Hebei Med Univ, Hosp 2, Dept Gen Surg, Shijiazhuang 050000, Peoples R China[2]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Clin Res Ctr Canc, State Key Lab Mol Oncol,Canc Hosp, Beijing 100021, Peoples R China[3]Hebei Med Univ, Hosp 2, Hebei Key Lab Etiol Tracing & Individualized Diag, Shijiazhuang 050000, Peoples R China[4]Chinese Acad Med Sci & Peking Union Med Coll, Natl Clin Res Ctr Canc, Natl Canc Ctr, Dept Colorectal Surg,Canc Hosp, Beijing 100021, Peoples R China[5]Hebei Med Univ, Hosp 4, Dept Gen Surg 2, Shijiazhuang 050011, Peoples R China河北医科大学第四医院[6]Hebei Med Univ, Hosp 3, Dept Gen Surg, Shijiazhuang 050051, Peoples R China[7]Hebei Med Univ, Hosp 4, Res Ctr, Shijiazhuang 050011, Peoples R China河北医科大学第四医院
Approximately 60% of colorectal cancer (CRC) patients exhibit TP53 mutations, which are strongly associated with tumor progression, chemotherapy resistance, and an unfavorable prognosis. However, targeting p53 has historically been challenging, and currently, there are no approved p53-based therapeutics for clinical use worldwide. In this study, we discovered that ubiquitin carboxyl terminal hydrolase L3 (UCHL3) plays a crucial role in high-level glycolysis, enhanced stem-like properties, and 5-fluorouracil (5-FU) chemoresistance in TP53-mutant CRC by exerting its deubiquitinating enzyme activity to stabilize a-enolase (ENO1) protein. Notably, we identified a newly Food and Drug Administration (FDA)-approved drug, pacritinib, that potently suppresses UCHL3 expression by blocking the janus kinase 2 (JAK2)-signal transducer and activator of transcription 3 (STAT3) pathway in TP53-mutant CRC. Furthermore, Pacritinib was demonstrated to effectively inhibit glycolysis and improve the sensitivity to 5-FU chemotherapy in TP53-mutant CRC. Our findings suggest that targeting the JAK2-STAT3-UCHL3-ENO1 axis is a promising strategy to suppress glycolysis and enhance the efficacy of 5-FU chemotherapy in TP53-mutant CRC. Pacritinib shows potential for clinical application in the treatment of TP53-mutant CRC. <feminine ordinal indicator> 2025 The Authors. Published by Elsevier B.V. on behalf of Chinese Pharmaceutical Association and Institute of Materia Medica, Chinese Academy of Medical Sciences. This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
基金:
National Key Research and Development Program of China [2022YFC3401000]; National Natural Science Foundation of China [82173332, 82272909]; Chinese Academy of Medical Sciences Innovation Fund for Medical Sciences [2023-I2M-2-004]; Hebei Province Natural Innovation Group Program [H2022206355]; Hebei Province Central Guide Local Science and Technology Special Project [236Z7757G]
第一作者机构:[1]Hebei Med Univ, Hosp 2, Dept Gen Surg, Shijiazhuang 050000, Peoples R China[2]Chinese Acad Med Sci & Peking Union Med Coll, Natl Canc Ctr, Natl Clin Res Ctr Canc, State Key Lab Mol Oncol,Canc Hosp, Beijing 100021, Peoples R China[3]Hebei Med Univ, Hosp 2, Hebei Key Lab Etiol Tracing & Individualized Diag, Shijiazhuang 050000, Peoples R China
共同第一作者:
通讯作者:
通讯机构:[1]Hebei Med Univ, Hosp 2, Dept Gen Surg, Shijiazhuang 050000, Peoples R China[3]Hebei Med Univ, Hosp 2, Hebei Key Lab Etiol Tracing & Individualized Diag, Shijiazhuang 050000, Peoples R China[5]Hebei Med Univ, Hosp 4, Dept Gen Surg 2, Shijiazhuang 050011, Peoples R China
推荐引用方式(GB/T 7714):
Xin Haisong,Zhao Zitong,Guo Shichao,et al.Targeting the JAK2-STAT3-UCHL3-ENO1 axis suppresses glycolysis and enhances the sensitivity to 5-FU chemotherapy in TP53-mutant colorectal cancer[J].ACTA PHARMACEUTICA SINICA B.2025,15(5):2529-2544.doi:10.1016/j.apsb.2025.03.041.
APA:
Xin, Haisong,Zhao, Zitong,Guo, Shichao,Tian, Ruoxi,Ma, Liying...&Wang, Guiying.(2025).Targeting the JAK2-STAT3-UCHL3-ENO1 axis suppresses glycolysis and enhances the sensitivity to 5-FU chemotherapy in TP53-mutant colorectal cancer.ACTA PHARMACEUTICA SINICA B,15,(5)
MLA:
Xin, Haisong,et al."Targeting the JAK2-STAT3-UCHL3-ENO1 axis suppresses glycolysis and enhances the sensitivity to 5-FU chemotherapy in TP53-mutant colorectal cancer".ACTA PHARMACEUTICA SINICA B 15..5(2025):2529-2544