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Updated: Aug 11, 2026

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Drastic down-regulation of Krüppel-like factor 4 expression is critical in human gastric cancer development and
Daoyan Wei1, Weida Gong, Masashi Kanai
1Department of Gastrointestinal Medical Oncology, University of Texas M.D. Anderson Cancer Center, Houston, Texas 77030, USA.
Abstract:
Krüppel-like factor 4 (KLF4) is highly expressed in epithelial tissues such as the gut and skin. However, the role of KLF4 in human gastric cancer development and progression is unknown. Here we show that KLF4 protein expression was decreased or lost in primary tumors and, in particular, lymph node metastases when compared with that in normal gastric mucosa. Moreover, loss of KLF4 expression in the primary tumors was significantly associated with poor survival, and also an independent prognostic marker in a multivariate analysis. Consistently, most human gastric cancer cell lines exhibited loss of or a substantial decrease in KLF4 expression at both RNA and protein levels. Enforced restoration of KLF4 expression resulted in marked cell growth inhibition in vitro and significantly attenuated tumor growth and total abrogation of metastasis in an orthotopic animal model of gastric cancer. Mechanism studies indicated that promoter hypermethylation and hemizygous deletion contributed to the down-regulation of KLF4 expression and the induction of apoptosis contributed to the antitumor activity of KLF4. Collectively, our data provide first clinical and casual evidence and potential mechanism that the alteration of KLF4 expression plays a critical role in gastric cancer development and progression.
Insights
Krüppel-like factor 4 (KLF4) loss is linked to poor outcomes in gastric cancer. Restoring KLF4 inhibits tumor growth and metastasis, suggesting its potential as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Krüppel-like factor 4 (KLF4) is crucial in epithelial tissues.
- Its role in human gastric cancer (GC) remains unclear.
Purpose of the Study:
- Investigate KLF4's role in GC development and progression.
- Determine KLF4's prognostic significance in GC patients.
Main Methods:
- Analyzed KLF4 protein expression in primary tumors and lymph node metastases.
- Correlated KLF4 expression with patient survival using multivariate analysis.
- Assessed KLF4's functional impact by restoring its expression in GC cell lines and an animal model.
Main Results:
- KLF4 expression was significantly decreased or lost in GC tumors and metastases compared to normal mucosa.
- Loss of KLF4 correlated with poor survival and was an independent prognostic marker.
- Restoring KLF4 inhibited GC cell growth, tumor growth, and metastasis in vivo.
- Down-regulation was linked to promoter hypermethylation and hemizygous deletion; antitumor activity involved apoptosis induction.
Conclusions:
- KLF4 plays a critical role in GC development and progression.
- KLF4 alterations are associated with poor prognosis.
- KLF4 warrants further investigation as a potential therapeutic target for gastric cancer.
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