Novel KRAS Gene Mutations in Sporadic Colorectal Cancer

Introduction

In this article, we report 7 novel KRAS gene mutations discovered while retrospectively studying the prevalence and pattern of KRAS mutations in cancerous tissue obtained from 56 Saudi sporadic colorectal cancer patients from the Eastern Province.

Methods

Genomic DNA was extracted from formalin-fixed, paraffin-embedded cancerous and noncancerous colorectal tissues. Successful and specific PCR products were then bi-directionally sequenced to detect exon 4 mutations while Mutector II Detection Kits were used for identifying mutations in codons 12, 13 and 61. The functional impact of the novel mutations was assessed using bioinformatics tools and molecular modeling.

Results

KRAS gene mutations were detected in the cancer tissue of 24 cases (42.85%). Of these, 11 had exon 4 mutations (19.64%). They harbored 8 different mutations all of which except two altered the KRAS protein amino acid sequence and all except one were novel as revealed by COSMIC database. The detected novel mutations were found to be somatic. One mutation is predicted to be benign. The remaining mutations are predicted to cause substantial changes in the protein structure. Of these, the Q150X nonsense mutation is the second truncating mutation to be reported in colorectal cancer in the literature.

Conclusions

Our discovery of novel exon 4 KRAS mutations that are, so far, unique to Saudi colorectal cancer patients may be attributed to environmental factors and/or racial/ethnic variations due to genetic differences. Alternatively, it may be related to paucity of clinical studies on mutations other than those in codons 12, 13, 61 and 146. Further KRAS testing on a large number of patients of various ethnicities, particularly beyond the most common hotspot alleles in exons 2 and 3 is needed to assess the prevalence and explore the exact prognostic and predictive significance of the discovered novel mutations as well as their possible role in colorectal carcinogenesis.     

Aberrant Gene Promoter Methylation Associated with Sporadic Multiple Colorectal Cancer

Background

Colorectal cancer (CRC) multiplicity has been mainly related to polyposis and non-polyposis hereditary syndromes. In sporadic CRC, aberrant gene promoter methylation has been shown to play a key role in carcinogenesis, although little is known about its involvement in multiplicity. To assess the effect of methylation in tumor multiplicity in sporadic CRC, hypermethylation of key tumor suppressor genes was evaluated in patients with both multiple and solitary tumors, as a proof-of-concept of an underlying epigenetic defect.

Methodology/Principal Findings

We examined a total of 47 synchronous/metachronous primary CRC from 41 patients, and 41 gender, age (5-year intervals) and tumor location-paired patients with solitary tumors. Exclusion criteria were polyposis syndromes, Lynch syndrome and inflammatory bowel disease. DNA methylation at the promoter region of the MGMT, CDKN2A, SFRP1, TMEFF2, HS3ST2 (3OST2), RASSF1A and GATA4 genes was evaluated by quantitative methylation specific PCR in both tumor and corresponding normal appearing colorectal mucosa samples. Overall, patients with multiple lesions exhibited a higher degree of methylation in tumor samples than those with solitary tumors regarding all evaluated genes. After adjusting for age and gender, binomial logistic regression analysis identified methylation of MGMT2 (OR, 1.48; 95% CI, 1.10 to 1.97; p = 0.008) and RASSF1A (OR, 2.04; 95% CI, 1.01 to 4.13; p = 0.047) as variables independently associated with tumor multiplicity, being the risk related to methylation of any of these two genes 4.57 (95% CI, 1.53 to 13.61; p = 0.006). Moreover, in six patients in whom both tumors were available, we found a correlation in the methylation levels of MGMT2 (r = 0.64, p = 0.17), SFRP1 (r = 0.83, 0.06), HPP1 (r = 0.64, p = 0.17), 3OST2 (r = 0.83, p = 0.06) and GATA4 (r = 0.6, p = 0.24). Methylation in normal appearing colorectal mucosa from patients with multiple and solitary CRC showed no relevant difference in any evaluated gene.

Conclusions

These results provide a proof-of-concept that gene promoter methylation is associated with tumor multiplicity. This underlying epigenetic defect may have noteworthy implications in the prevention of patients with sporadic CRC.     

Non-Eosinophilic Nasal Polyps Shows Increased Epithelial Proliferation and Localized Disease Pattern in the Early Stage

BackgroundNon-eosinophilic nasal polyps (NPs) show less inflammatory changes and are less commonly associated with lower airway inflammatory disorders such as asthma, compared with eosinophilic NPs. However, the development of non-eosinophilic NPs which is a predominant subtype in Asian population still remains unclear.MethodsA total of 81 patients (45 with non-eosinophilic NPs and 36 with eosinophilic NPs) were enrolled. Clinical information and computed tomography (CT), endoscopic, and histological findings were investigated. Tissue samples were analyzed for total IgE levels and for mRNA expression levels of interleukin (IL)-4, IL–5, IL–13, interferon (IFN)-γ, tumor necrosis factor (TNF)-α, IL-17A, IL–22, IL-23p19, transforming growth factor (TGF)-β1, TGF-β2, TGF-β3, and periostin. Immunostaining assessment of Ki–67 as a proliferation marker was performed.ResultsWe found that epithelial in-growing patterns such as pseudocysts were more frequently observed in histological and endoscopic evaluations of non-eosinophilic NPs, which was linked to increase epithelial staining of Ki–67, a proliferating marker. Eosinophilic NPs were characterized by high infiltration of inflammatory cells, compared with non-eosinophilic NPs. To investigate the developmental course of each subtype, CT was analyzed according to CT scores and subtypes. Non-eosinophilic NPs showed more localized pattern and maxillary sinus involvement, but lesser olfactory involvement in early stage whereas eosinophilic NPs were characterized by diffuse ethmoidal and olfactory involvement. In addition, high ethmoidal/maxillary (E/M) CT scores, indicating ethmoidal dominant involvement, were one of surrogate markers for eosinophilic NP. E/M CT scores was positively correlated with levels of T_H2 inflammatory markers, including IL–4, IL–5, periostin mRNA expression and total IgE levels in NPs, whereas levels of the T_H1 cytokine, IFN- γ were inversely correlated. Moreover, if the combinatorial algorithm meet the three of the four markers, including IL–5 (<2.379), periostin (<3.889), IFN-γ (>0.316), and E/M ratio (<2.167), non-eosinophilic CRSwNP are diagnosed with a sensitivity of 84.4% and a specificity of 84.8%.ConclusionHistologic, immunologic and clinical data suggest that non-eosinophilic NPs showed enhanced epithelial alteration and more localized maxillary involvement. Combination of cutoff value on IL–5, periostin, IFN-γ, and E/M scores may be one of surrogate markers for non-eosinophil NP subtype.     

Mechanisms Underlying Cancer Growth and Apoptosis by DEK Overexpression in Colorectal Cancer

Our previous study indicated that DEK protein was overexpressed in colorectal carcinoma (CRC) compared with the normal colorectal mucosa. DEK was also significantly correlated with the prognostic characteristics of patients with CRC, demonstrating that DEK played an important role in CRC progression. In this work, we evaluate the effects of DEK on biological behaviors in CRC and explore the related molecular mechanisms. The results showed that DEK was overexpressed in human CRC tissues, and was correlated with the Ki-67 index and the apoptotic index. DEK depletion by RNAi in SW-620 and HCT116 cells significantly decreased cell proliferation, but increased cell apoptosis. Upregulation of DEK was involved in the p53/MDM, Bcl-2 family, and caspase pathways. Our study demonstrates that DEK promotes the growth of CRC, and could be a therapeutic target in CRC.     

散发性大肠癌血清多肽肿瘤标志物的高通量筛选

目的:以常规体检者和明确诊断的大肠癌患者为研究对象,对其血清进行多肽谱分析,统计分析获得大肠癌特异血清多肽峰,为大肠癌的分子诊断提供理论依据,提高大肠癌的早期诊断水平。方法:1)收集研究对象外周非抗凝血并记录其人口学特征,将非抗凝血进行离心分离血清并保存;2)用Dynabeads RPC18磁珠分离提取血清蛋白质,Bruker UltraFlex TOF/TOF采集信号并用分析软件Clinprot tools 2.2(Bruker)分析筛选出大肠癌血清显著差异峰;3)用SPSS13.0分析大肠癌患者和健康人多肽峰的差异,进行Logistic回归分析差异多肽对形成大肠癌的影响。结果:本次研究共获得111名健康人和94名大肠癌患者的血清多肽峰信息,其中109名健康人和91名大肠癌患者同时具有性别、年龄等人口学信息。筛选出差异多肽峰105个,其中76个多肽在大肠癌患者和健康人间的分布差异有统计学意义(P0.05)。运用Logistic回归分析,进入回归方程(P0.05)的有:年龄,质荷比(m/z)分别为1061.10、1213.09、1607.32、1867.02、1897.95、2011.67和5078.81的七种多肽。结论:液体蛋白芯片飞行时间质谱系统可高效、精确地筛查血清多肽。大肠癌患者与健康人的血清多肽存在差异,筛选得到的质荷比(m/z)分别为1061.10、1213.09、1607.32、1867.02、1897.95、2011.67和5078.81的七种多肽可能作为早期诊断大肠癌的潜在肿瘤标志物。     

白色念珠菌对人口腔黏膜上皮角质细胞凋亡和增殖的影响

目的:探索白色念珠菌对人口腔黏膜上皮角质细胞(KB细胞)凋亡和增殖的影响。方法:分别培养孢子型白色念珠菌和菌丝型白色念珠菌,取健康志愿者的颊粘膜制备KB细胞,分别加入孢子型白色念珠菌(孢子组)和菌丝型白色念珠菌(菌丝组),另外取单纯KB细胞作为对照组。对比分析各组细胞凋亡率及各个周期的细胞数,统计分析各组细胞增殖指数(PI)。结果:菌丝组凋亡率显著高于对照组及孢子组(P0.05);菌丝组在G0/G1期的细胞比例均显著低于对照组及孢子组(P0.05);菌丝组在S期和G2/M期的细胞比例均显著高于对照组及孢子组(P0.05);菌丝组的PI显著高于孢子组和对照组(P0.05)。结论:菌丝型白色念珠菌可诱导KB细胞凋亡率的上升及改变KB细胞周期变化,并引起KB细胞的PI升高,对于临床上治疗口腔念珠菌病具有重要的指导意义。     

Faecalibacterium prausnitzii对大肠癌细胞增殖和凋亡的影响

目的:通过观察Faecalibacterium prausnitzii(F.prausnitzii)及其上清体外对大肠癌细胞增殖和凋亡的影响,探讨F.prausnitzii的抗肿瘤作用。方法:将大肠癌Lo Vo细胞培养于96孔板,待细胞贴壁后加入不同浓度的F.prausnitzii(l×107/m L、1×108/m L、1×109/m L)及其上清(1/2、1/5浓度),共同培养24 h或48 h后,以MTT法检测F.prausnitzii及其上清对Lo Vo细胞的增殖抑制作用;将大肠癌Lo Vo细胞培养于6孔板,待细胞贴壁后加入不同浓度的F.prausnitzii及其上清(同前),共同培养48 h后用Annexin V-FITC/PI双染色法对细胞染色后在流式细胞仪上检测F.prausnitzii及其上清对Lo Vo细胞凋亡的影响。结果:MTT结果显示,与对照组相比,不同浓度的F.prausnitzii及其上清对大肠癌Lo Vo细胞具有显著的增殖抑制作用(P0.05),且F.prausnitzii及其上清浓度越大、作用时间越长,其抑制作用越明显(P0.05),具有浓度和时间依赖性。流式细胞结果显示,与对照组相比,不同浓度的F.prausnitzii及其上清均具有诱导大肠癌Lo Vo细胞凋亡的作用,且浓度越大,诱导作用越明显(P0.05),具有浓度依赖性。结论:F.prausnitzii及其上清在体外具有抗肿瘤作用,其机制可能是通过诱导肿瘤细胞凋亡。     

Sporadic Early-Onset Colorectal Cancer Is a Specific Sub-Type of Cancer: A Morphological,Molecular and Genetics Study

Sporadic early onset colorectal carcinoma (EOCRC) which has by definition no identified hereditary predisposition is a growing problem that remains poorly understood. Molecular analysis could improve identification of distinct sub-types of colorectal cancers (CRC) with therapeutic implications and thus can help establish that sporadic EOCRC is a distinct entity. From 954 patients resected for CRC at our institution, 98 patients were selected. Patients aged 45–60 years were excluded to help define “young” and “old” groups. Thirty-nine cases of sporadic EOCRC (patients≤45 years with microsatellite stable tumors) were compared to both microsatellite stable tumors from older patients (36 cases, patients>60 years) and to groups of patients with microsatellite instability. Each group was tested for TP53, KRAS, BRAF, PIK3CA mutations and the presence of a methylator phenotype. Gene expression profiles were also used for pathway analysis. Compared to microsatellite stable CRC from old patients, sporadic EOCRC were characterized by distal location, frequent synchronous metastases and infrequent synchronous adenomas but did not have specific morphological characteristics. A familial history of CRC was more common in sporadic EOCRC patients despite a lack of identified hereditary conditions (p = 0.013). Genetic studies also showed the absence of BRAF mutations (p = 0.022) and the methylator phenotype (p = 0.005) in sporadic EOCRC compared to older patients. Gene expression analysis implicated key pathways such as Wnt/beta catenin, MAP Kinase, growth factor signaling (EGFR, HGF, PDGF) and the TNFR1 pathway in sporadic EOCRC. Wnt/beta catenin signaling activation was confirmed by aberrant nuclear beta catenin immunostaining (p = 0.01). This study strongly suggests that sporadic EOCRC is a distinct clinico-molecular entity presenting as a distal and aggressive disease associated with chromosome instability. Furthermore, several signaling pathways including the TNFR1 pathway have been identified as potential biomarkers for both the diagnosis and treatment of this disease.     

Ku70乙酰化介导TSA诱导的结肠癌细胞凋亡

目的:探讨组蛋白去乙酰化酶抑制剂(HDI)trichostatin A(TSA)对Ku70的乙酰化及其在TSA诱导结肠癌细胞凋亡中的作用。方法:以TSA处理结肠癌细胞HCT116和HT29细胞,采用免疫沉淀结合Western blot检测TSA对Ku70乙酰化的作用,流式细胞术检测TSA诱导的细胞凋亡,Western blot检测凋亡相关蛋白Bax和细胞色素c(cytochrom c)的转位和表达。结果:TSA可引起结肠癌HCT116和HT29细胞Ku70乙酰化,并与凋亡密切相关,与对照组相比,HCT116凋亡率(P=0.007)和HT29细胞凋亡率(P=0.005)均显著增高,免疫共沉淀检测到TSA处理细胞后,Bax和Ku70之间的相互作用减弱,表明TSA引起的乙酰化促进Bax从Bax-Ku70复合物中释放,Western blot结果显示TSA促进Bax由胞浆向线粒体转位,同时促进cytochrom c由线粒体向胞浆转位。结论:Ku70乙酰化作用介导了TSA诱导的结肠癌细胞凋亡。     

HMGA2通过激活Wnt信号通路促进结直肠癌细胞增殖

目的:HMGA2(high-mobility group AT-hook 2)一个染色质蛋白,被报道在多种癌症中都发挥重要作用。本文研究染色体蛋白HMGA2对Wnt信号传递的影响,及对结直肠癌细胞增殖的影响。方法:本文通过q RT-PCR和免疫印迹法检测HMGA2在结直肠癌样本中m RNA和蛋白水平。用荧光素酶报告基因系统研究HMGA2对Wnt信号通路的作用。用细胞增殖实验检测HMGA2对结直肠癌细胞增殖的作用。结果:在我们检测的大部分结直肠癌样本里,HMGA2表达水平升高;HMGA2蛋白可上调Wnt信号通路荧光素酶报告基因TOPflash-luciferase的表达,并呈现剂量依赖的形式。降低HMGA2表达可抑制由Wnt3a、Dvl(Dishevelled)、Li Cl以及βcatenin(S37A)引起的TOPflash-luciferase报告基因表达上调作用。此外,SW480中过量表达HMGA2可以促进细胞增殖。结论:HMGA2在结直肠癌中表达升高,HMGA2在结直肠癌中通过增强Wnt信号来促进结直肠癌细胞的增殖。     

二甲双胍联合阿霉素应用对人乳腺癌细胞增殖和凋亡的影响

目的：观察二甲双胍联合阿霉素应用对人乳腺癌细胞MDA-MB-231增殖和凋亡的影响。方法：MTT法分别检测二甲双胍、阿霉素和二甲双胍联合阿霉素对MDA-MB-231细胞生长的抑制作用;平板克隆实验检测二甲双胍联合阿霉素对MDA-MB-231细胞克隆形成能力的影响;流式细胞仪检测二甲双胍联合阿霉素对MDA-MB-231细胞凋亡的影响。结果：二甲双胍和阿霉素分别对MDA-MB-231细胞生长有抑制作用,二甲双胍联合阿霉素应用对MDA-MB-231细胞生长的抑制作用更加显著,并且随着药物浓度的增加而增加;二甲双胍联合阿霉素应用与单药相比能够明显降低MDA-MB-231细胞克隆形成率,并且促进细胞凋亡。结论：二甲双胍联合阿霉素应用与单药相比能够显著抑制人乳腺癌细胞MDA-MB-231细胞的增值,促进其凋亡,可见两药联用对肿瘤细胞的杀伤具有协同性。     

miR-1204表达对非小细胞肺癌细胞增殖凋亡、上皮间质转化和MAPKs信号通路的影响

摘要 目的：探究微小RNA-1204（miR-1204）表达对非小细胞肺癌细胞增殖凋亡、上皮间质转化（EMT）和丝裂原活化蛋白激酶（MAPKs）信号通路的影响。方法：将人非小细胞肺癌细胞A549随机分为miR-1204组（转染miR-1204mimic质粒）、NC组（转染空载质粒）和对照组（仅加转染试剂）。采用四甲基偶氮唑盐（MTT）法检测细胞增殖情况,采用流式细胞仪检测细胞凋亡情况,采用实时荧光定量聚合酶链式反应（RT-qPCR）检测细胞E-钙黏蛋白（E-cad）、N-钙黏蛋白（N-cad）和波形蛋白（Vim）mRNA的表达水平。采用RT-qPCR和蛋白免疫印迹（WB）法检测细胞p-P38、P38、p-ERK、ERK、p-JNK、JNK mRNA和蛋白的表达水平。结果：培养12、24、48 h,miR-1204组细胞增殖抑制率均高于对照组和NC组同期（P＜0.05）,对照组与NC组同期的细胞增殖抑制率比较差异无统计学意义（P＞0.05）。但三组细胞随着培养时间延长,细胞增殖抑制率均增加,两两时间点组内比较均有差异（P＜0.05）。miR-1204组细胞凋亡率高于对照组和NC组（P＜0.05）。miR-1204组E-cad mRNA的表达水平高于对照组和NC组（P＜0.05）,N-cad、Vim mRNA的表达水平低于对照组和NC组（P＜0.05）。miR-1204组p-P38、p-ERK、p-JNK mRNA和蛋白的表达水平均低于对照组和NC组（P＜0.05）。结论：上调miR-1204的表达可以抑制非小细胞肺癌细胞的增殖,促进其凋亡,还可以抑制其EMT,该作用可能是通过抑制MAPKs信号通路实现的。     

UBE2T基因对结直肠细胞增殖和凋亡的影响

目的:探讨人类泛素结合酶E2T(Ubiquitin-conjugating enzyme E2T,UBE2T)基因对结肠细胞增殖和凋亡的影响。方法:体外培养人正常结直肠粘膜细胞FHC,采用将UBE2T基因慢病毒质粒转染至FHC细胞48 h后,通过MTT法检测细胞增殖情况,western blotting检测细胞中增殖相关蛋白UBE2T蛋白、Ki67、促凋亡蛋白Bax和抗凋亡蛋白Bcl-2的表达,流式细胞术检测细胞凋亡率。结果:与转染空质粒的FHC细胞相比,UBE2T基因慢病毒质粒转染FHC细胞48 h后,细胞增殖能力显著上调(P0.05),UBE2T蛋白明显增加,Ki67的表达明显增加(P0.05),细胞凋亡率显著降低(P0.05),且Bax的表达明显下调而Bcl-2的表达上调(P0.05)。结论:UBE2T基因能够促进正常结肠粘膜细胞的增殖,并抑制其凋亡。     

Promoter Hypermethylation-Related Reduced Somatostatin Production Promotes Uncontrolled Cell Proliferation in Colorectal Cancer

BackgroundSomatostatin (SST) has anti-proliferative and pro-apoptotic effects. Our aims were to analyze and compare the SST expression during normal aging and colorectal carcinogenesis at mRNA and protein levels. Furthermore, we tested the methylation status of SST in biopsy samples, and the cell growth inhibitory effect of the SST analogue octreotide in human colorectal adenocarcinoma cell line.MethodsColonic samples were collected from healthy children (n1 = 6), healthy adults (n2 = 41) and colorectal cancer patients (CRCs) (n₃ = 34) for SST mRNA expression analysis, using HGU133 Plus2.0 microarrays. Results were validated both on original (n₁ = 6; n₂ = 6; n₃ = 6) and independent samples ((n₁ = 6; n₂ = 6; n₃ = 6) by real-time PCR. SST expressing cells were detected by immunohistochemistry on colonic biopsy samples (n₁ = 14; n₂ = 20; n₃ = 23). The effect of octreotide on cell growth was tested on Caco-2 cell line. SST methylation percentage in biopsy samples (n₁ = 5; n₂ = 5; n₃ = 9) was defined using methylation-sensitive restriction enzyme digestion.ResultsIn case of normal aging SST mRNA expression did not alter, but decreased in cancer (p<0.05). The ratio of SST immunoreactive cells was significantly higher in children (0.70%±0.79%) compared to CRC (0%±0%) (p<0.05). Octreotide significantly increased the proportion of apoptotic Caco-2 cells. SST showed significantly higher methylation level in tumor samples (30.2%±11.6%) compared to healthy young individuals (3.5%±1.9%) (p<0.05).ConclusionsIn cancerous colonic mucosa the reduced SST production may contribute to the uncontrolled cell proliferation. Our observation that in colon cancer cells octreotide significantly enhanced cell death and attenuated cell proliferation suggests that SST may act as a regulator of epithelial cell kinetics. The inhibition of SST expression in CRC can be epigenetically regulated by promoter hypermethylation.     

Circ_0007031 Silencing Inhibits Cell Proliferation and Induces Cell Apoptosis via Downregulating MELK at a miR-485-3p-Dependent Way in Colorectal Cancer

Biochemical Genetics - Colorectal cancer (CRC) is a malignant cancer with an increasing incidence. Circular RNA (circRNA) is recently found to participate in the regulation of CRC progression....     

去铁酮对宫颈癌HeLa细胞增殖和凋亡的影响

去铁酮可诱导p53的表达和引发肿瘤细胞凋亡。RRM2B基因在铁螯合剂抑制肿瘤细胞生长中同样起重要作用,且其表达受p53调节。为了探讨去铁酮对宫颈癌细胞的影响,以及p53和RRM2B基因二者的关系,通过MTT法检测不同浓度及不同时间去铁酮处理对HeLa细胞活性的影响,采用流式细胞仪检测细胞凋亡水平。同时,利用Western-blot和荧光定量PCR技术分别在蛋白和mRNA水平检测p53和RRM2B表达变化,并进一步利用p53抑制剂检测p53对RRM2B表达的影响。结果表明,HeLa细胞活性随着去铁酮作用浓度及作用时间的增加而下降,在500μmol/L去铁酮处理48h后出现明显凋亡。进一步研究发现,去铁酮可显著上调p53表达水平(P0.05),而p53可显著下调RRM2B表达水平(P0.05)。综上所述,去铁酮可通过p53下调RRM2B表达水平而参与抑制宫颈癌细胞增殖。     

无花果果浆对肿瘤细胞增殖抑制和诱导凋亡作用

为了探讨无花果果浆(Fig fruit latex,FFL)对人肿瘤细胞的生长抑制作用及其机制,用无花果果浆处理体外培养的人肿瘤细胞,细胞增殖试验(MTT法)、克隆形成试验研究FFL对人肿瘤细胞的增殖抑制作用,Brdu掺人试验、吖啶橙/溴乙啶(AO/EB)染色、流式细胞术检测FFL对肿瘤细胞DNA合成、凋亡和细胞周期的影响.结果,用FFL处理后,肿瘤细胞增殖活性降低(P＜0.05),克隆形成下降(P＜0.05),Brdu标记指数降低(P＜0.05),吖啶橙染色凋亡细胞增多(P＜0.05);细胞周期分布改变,凋亡指数升高(P＜0.01),G0/G1期细胞数增加(P＜0.01),S期细胞数减少(P＜0.01),在一定剂量内对正常细胞无明显影响.试验结果提示,FFL对所试肿瘤细胞的增殖有显著地抑制作用,其作用机理可能与抑制肿瘤细胞DNA合成,诱导肿瘤细胞凋亡及细胞周期阻滞有关.