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The decrease of mineralcorticoid receptor drives angiogenic pathways in colorectal cancer.

Laura Tiberio1, Riccardo Nascimbeni, Vincenzo Villanacci

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Area of Science:

  • Oncology
  • Molecular Biology
  • Pathology

Background:

  • Angiogenesis is vital for tumor growth and progression.
  • Reduced mineralocorticoid receptor (MR) expression is observed in several cancers, including colorectal cancer (CRC), and linked to poorer outcomes.
  • Decreased MR expression in CRC may contribute to angiogenesis and reduced patient survival.

Purpose of the Study:

  • To investigate the correlation between MR expression, tumor microvascular density, and patient survival in colorectal cancer.
  • To determine the role of MR in regulating angiogenesis in an in vitro CRC model.

Main Methods:

  • Analysis of tumor MR expression, microvascular density, and survival data in a cohort of CRC patients.
  • In vitro study using HCT116 colon cancer cells engineered to re-express MR.
  • Assessment of VEGFA and VEGF receptor 2/KDR mRNA levels following MR activation with aldosterone or natural serum steroids.

Main Results:

  • In CRC patients, lower MR expression correlated with higher microvascular density and poorer survival.
  • In engineered HCT116 cells, MR activation significantly inhibited VEGFA and VEGF receptor 2/KDR mRNA expression.
  • MR activation suppressed both dysregulated and hypoxia-induced VEGFA mRNA expression.

Conclusions:

  • Decreased MR expression in colorectal cancer is associated with increased angiogenesis and reduced patient survival.
  • MR activation can inhibit angiogenesis in CRC by downregulating VEGFA and its receptor KDR.
  • Targeting MR may represent a therapeutic strategy to reduce angiogenesis and improve outcomes in colorectal cancer.