Abstract
BackgroundRT is considered insensitive to GIST,However, recently, the effective clinical practice of RT in GIST has been reported,The purpose of this study was to clarify the synergistic effect of RT combined with IM on GIST and the potential molecular mechanism.MethodsThe expression of DNA repair genes related to IR in 100 patients with GIST and their matched tissues was studied by IHC.The relationship between them and clinicopathological characteristics and risk of GIST was analyzed.The effects of IR combined with IM on the proliferation, clonogenesis, invasion and migration, cell cycle and apoptosis of GIST-882 cell were examined by cell count, CCK-8, plate cloning, scratch and transwell, and flow cytometry.Combined with KEGG database signal pathway analysis, qPCR and westernblot were used to study the potential molecular mechanism of coordinated inhibition of IM combined with IR on GIST-882 cell.ResultsThe expression of DNA repair protein related to IR injury in GIST was significantly higher than that in matched adjacent tissues, and the high expression of Rad51 was related to the high risk of GIST (P < 0.05).The interaction between IR and IM was strong by factorial design analysis (P < 0.05). The combined index of choutalalay analysis also proved the above conclusion.Compared with the single effect, the combined effect significantly enhanced the ability of clone formation, migration and invasion, and the inhibition of apoptosis of GIST-882 cells.In cell cycle study,IM mainly leads to direct apoptosis, while IR leads to cell cycle arrest in S and G2 / M phases.In the study of molecular mechanism, it was found that IR damage can feedback stimulate the high expression of DNA repair protein in cells, while im may enhance IR sensitivity by inhibiting the expression of radiation damage related DNA repair protein Rad51 in p53 signaling pathway.ConclusionsIM combined with IR can synergistically inhibit the proliferation, apoptosis, clonogenesis, invasion, migration and cell cycle of GIST cells. The mechanism of synergism may be through IM to inhibit p53, a signal pathway of radiation damage repair.