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Author Spotlight: Genetic Profiling for Fluorouracil Response in Gastric Cancer
Published on: May 10, 2024
Regenerating Family Member 4 (Reg4) Enhances 5-Fluorouracil Resistance of Gastric Cancer Through Activating
Jiaoyue Jin1, Hang Lv2, Junzhou Wu1
1Cancer Research Institute, Zhejiang Cancer Hospital and Key Laboratory Diagnosis and Treatment Technology on Thoracic Oncology of Zhejiang Province, Hangzhou, Zhejiang, China (mainland).
Abstract:
BACKGROUND Reg4, a member of the Reg multigene family, is highly upregulated in many gastrointestinal cancers including gastric cancer (GC). The enhanced expression of Reg4 is associated with the resistance of GC to 5-fluorouracil (5-FU), while the underlying mechanism is not clear. The aim of the present study was to explore the resistant mechanism underlying 5-FU resistance. MATERIAL AND METHODS Reg4 expression was assessed by Western blot analysis for SGC-7901, BGC-823, AGS, MKN28, and MKN45. Synthetic short single strand RNA oligonucleotides and Flag-Reg4 plasmid were used to investigate the biological function of Reg4 in vitro. The cell viability assay was performed by MTT. Flow cytometry was carried out to measure the apoptosis caused by 5-FU. Reverse-transcriptase quantitative polymerase chain reaction (RT-qPCR) was used to examine the expression of 5-FU metabolism related enzymes. The effect of Reg4 on intracellular signaling was evaluated by Western blot. RESULTS Western blot analysis of 5 GC cells showed that Reg4 was low or null in SGC-7901 and BGC-823, while high in AGS, MKN28, and MKN45. Over-expression of flag-Reg4 in SGC-7901 led to an increase in cell viability and lower apoptosis with 5-FU treatment. In contrast, siRNA knockdown of Reg4 enhanced 5-FU induced apoptosis. However, over-expression or knockdown of Reg4 had no significant influence on the expression of 5-FU metabolic enzymes. Further investigation revealed that Reg4 could activate Erk1/2-Bim-caspase3 cascade. CONCLUSIONS Reg4 inhibited apoptosis through regulating MAPK/Erk/Bim signaling pathway and thereby enhanced the resistance of GC to 5-FU.
Insights
Reg4 protein enhances gastric cancer resistance to 5-fluorouracil (5-FU) by inhibiting apoptosis. This occurs through the MAPK/Erk/Bim signaling pathway, not by affecting 5-FU metabolism.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Reg4, a Reg multigene family member, is upregulated in gastrointestinal cancers, including gastric cancer (GC).
- Enhanced Reg4 expression correlates with 5-fluorouracil (5-FU) resistance in GC, but the mechanism remains unclear.
Purpose of the Study:
- To elucidate the mechanism by which Reg4 confers resistance to 5-FU in gastric cancer.
- To investigate the role of Reg4 in regulating apoptosis and cellular signaling pathways in response to 5-FU treatment.
Main Methods:
- Assessed Reg4 expression in five GC cell lines using Western blot.
- Manipulated Reg4 expression via plasmid transfection and siRNA knockdown in vitro.
- Evaluated cell viability (MTT assay) and apoptosis (flow cytometry) following 5-FU treatment.
- Examined 5-FU metabolic enzyme expression (RT-qPCR) and intracellular signaling pathways (Western blot).
Main Results:
- Reg4 expression varied across GC cell lines, being high in AGS, MKN28, and MKN45, and low/null in SGC-7901 and BGC-823.
- Reg4 overexpression increased cell viability and reduced 5-FU-induced apoptosis, while Reg4 knockdown enhanced apoptosis.
- Reg4 did not significantly alter the expression of 5-FU metabolic enzymes.
- Reg4 activation of the Erk1/2-Bim-caspase3 cascade was identified as a key mechanism.
Conclusions:
- Reg4 confers 5-FU resistance in gastric cancer by inhibiting apoptosis.
- The mechanism involves the regulation of the MAPK/Erk/Bim signaling pathway.
- Reg4 represents a potential therapeutic target for overcoming 5-FU resistance in GC.
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