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Updated: Jan 20, 2026

Culture of Bladder Cancer Organoids as Precision Medicine Tools
Published on: December 28, 2021
QKI-6 inhibits bladder cancer malignant behaviours through down-regulating E2F3 and NF-κB signalling
Fei Shi1, Zheng Deng1, Zheng Zhou2
1Department of Urology, School of Medicine, Shanghai General Hospital, Shanghai Jiao Tong University, Shanghai, China.
Abstract:
Quaking homolog (QKI) is a member of the RNA-binding signal transduction and activator of proteins family. Previous studies showed that QKI possesses the tumour suppressor activity in human cancers by interacting with the 3'-untraslated region (3'-UTR) of various gene transcripts via the STAR domain. This study first assessed the association of QKI-6 expression with clinicopathological and survival data from bladder cancer patients and then investigated the underlying molecular mechanisms. Bladder cancer tissues (n = 223) were subjected to immunohistochemistry, and tumour cell lines and nude mice were used for different in vitro and in vivo assays following QKI-6 overexpression or knockdown. QKI-6 down-regulation was associated with advanced tumour TNM stages and poor patient overall survival. QKI-6 overexpression inhibited bladder cancer cell growth and invasion capacity, but induced tumour cell apoptosis and cell cycle arrest. Furthermore, ectopic expression of QKI-6 reduced tumour xenograft growth and expression of proliferation markers, Ki67 and PCNA. However, knockdown of QKI-6 expression had opposite effects in vitro and in vivo. QKI-6 inhibited expression of E2 transcription factor 3 (E2F3) by directly binding to the E2F3 3'-UTR, whereas E2F3 induced QKI-6 transcription by binding to the QKI-6 promoter in negative feedback mechanism. QKI-6 expression also suppressed activity and expression of nuclear factor-κB (NF-κB) signalling proteins in vitro, implying a novel multilevel regulatory network downstream of QKI-6. In conclusion, QKI-6 down-regulation contributes to bladder cancer development and progression.
Insights
Reduced Quaking homolog 6 (QKI-6) expression is linked to advanced bladder cancer and poor survival. QKI-6 suppresses tumour growth, invasion, and promotes apoptosis, indicating its role as a tumour suppressor.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Quaking homolog (QKI) is an RNA-binding protein with known tumor suppressor activity in various cancers.
- QKI interacts with the 3'-untranslated region (3'-UTR) of gene transcripts via its STAR domain.
- The specific role and molecular mechanisms of QKI-6 in bladder cancer remain largely unexplored.
Purpose of the Study:
- To investigate the association between QKI-6 expression and clinicopathological features and survival in bladder cancer patients.
- To elucidate the underlying molecular mechanisms by which QKI-6 influences bladder cancer progression.
- To explore the regulatory network involving QKI-6, E2F3, and NF-κB signaling in bladder cancer.
Main Methods:
- Immunohistochemistry was performed on 223 bladder cancer tissues to assess QKI-6 expression.
- In vitro and in vivo assays using bladder cancer cell lines and nude mice were conducted following QKI-6 overexpression or knockdown.
- Molecular mechanisms were investigated through analysis of gene expression, protein interactions, and signaling pathway activity.
Main Results:
- QKI-6 down-regulation correlated with advanced tumor TNM stages and poorer patient overall survival.
- QKI-6 overexpression inhibited bladder cancer cell proliferation, invasion, and xenograft growth, while inducing apoptosis and cell cycle arrest.
- QKI-6 directly suppressed E2F3 expression by binding to its 3'-UTR, and negatively regulated NF-κB signaling, forming a feedback loop with E2F3.
Conclusions:
- QKI-6 functions as a tumor suppressor in bladder cancer.
- Down-regulation of QKI-6 contributes to the development and progression of bladder cancer.
- QKI-6 exerts its tumor-suppressive effects through inhibition of E2F3 and NF-κB signaling pathways.
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