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Connective tissue growth factor and β-catenin constitute an autocrine loop for activation in rat sarcomatoid
Li Jiang1, Yoriko Yamashita, Shan-Hwu Chew
1Department of Pathology and Biological Responses, Nagoya University Graduate School of Medicine, Japan.
Abstract:
Due to the formerly widespread use of asbestos, malignant mesothelioma (MM) is increasingly frequent worldwide. MM is classified into epithelioid (EM), sarcomatoid (SM), and biphasic subtypes. SM is less common than EM but is recognized as the most aggressive type of MM, and these patients have a poor prognosis. To identify genes responsible for the aggressiveness of SM, we induced EM and SM in rats, using asbestos, and compared their transcriptomes. Based on the results, we focused on connective tissue growth factor (Ctgf), whose expression was significantly increased in SM compared with EM; EM itself exhibited an increased expression of Ctgf compared with normal mesothelium. Particularly in SM, Ctgf was a major regulator of MM proliferation and invasion through activation of the β-catenin-TCF-LEF signalling pathway, which is autocrine and formed a positive feedback loop via LRP6 as a receptor for secreted Ctgf. High Ctgf expression also played a role in the epithelial-mesenchymal transition in MM. Furthermore, Ctgf is a novel serum biomarker for both early diagnosis and determining the MM prognosis in rats. These data link Ctgf to SM through the LRP6-GSK3β-β-catenin-TCF-Ctgf autocrine axis and suggest Ctgf as a therapeutic target.
Insights
Connective tissue growth factor (Ctgf) drives aggressive sarcomatoid malignant mesothelioma (MM) by promoting proliferation and invasion. Ctgf is a potential biomarker and therapeutic target for this aggressive cancer.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Malignant mesothelioma (MM) is a serious cancer linked to asbestos exposure.
- Sarcomatoid MM (SM) is the most aggressive subtype with a poor prognosis.
- Understanding the molecular drivers of SM is crucial for developing new treatments.
Purpose of the Study:
- To identify genes contributing to the aggressiveness of sarcomatoid malignant mesothelioma (SM).
- To investigate the role of connective tissue growth factor (Ctgf) in SM progression.
- To explore Ctgf as a potential diagnostic and prognostic biomarker for MM.
Main Methods:
- Induction of epithelioid (EM) and sarcomatoid (SM) MM in rats using asbestos.
- Comparative transcriptome analysis between EM and SM subtypes.
- Investigation of the Ctgf signaling pathway, including the β-catenin-TCF-LEF pathway and LRP6 receptor.
Main Results:
- Ctgf expression was significantly elevated in SM compared to EM and normal mesothelium.
- Ctgf drives SM proliferation and invasion via an autocrine β-catenin-TCF-LEF signaling loop.
- High Ctgf expression correlated with epithelial-mesenchymal transition and serves as a serum biomarker in rats.
Conclusions:
- Ctgf is a key regulator of aggressive sarcomatoid malignant mesothelioma.
- The Ctgf-LRP6-GSK3β-β-catenin-TCF-Ctgf axis drives SM progression.
- Ctgf represents a promising therapeutic target and diagnostic/prognostic biomarker for MM.
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