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Upregulated NTF4 in colorectal cancer promotes tumor development via regulating autophagy
Zhou Yang1, Yusheng Chen1, Xiyi Wei2
1Department of General Surgery, Shanghai Pudong Hospital, Fudan University Pudong Medical Center, Shanghai 201399, P.R. China.
Abstract:
Autophagy plays a key role in colorectal cancer (CRC) development and reduces the sensitivity of CRC cells to treatment. The present study reported a novel tumor‑suppressive role for autophagy, which was demonstrated to be regulated through the novel oncogene neurotrophin‑4 (NTF4). NTF4 was significantly overexpressed in tumor tissue compared with non‑tumor mucosa, and the upregulation of NTF4 in CRC was associated with poor overall survival and advanced TNM stage. The genetic knockdown of NTF4 using short hairpin RNA in CRC cells prevented epithelial‑to‑mesenchymal transition and activated autophagy; this was regulated through the interaction between autophagy‑associated gene 5 (Atg5) and the mitogen‑activated protein kinase pathway. In addition, the knockdown of NTF4 inhibited cell invasion, migration, proliferation and colony formation, and promoted cell cycle arrest. Treatment of the cells with the autophagy inhibitor chloroquine (CQ) rescued these functions and promoted cell invasion, migration, proliferation and colony formation. Finally, the knockdown of NTF4 inhibited the growth of subcutaneous xenografts in Balb/c‑nu mice. In conclusion, these findings suggested that NTF4 may be a diagnostic marker associated with the overall survival and progression of patients with CRC. NTF4 was found to promote tumorigenesis and CRC development through autophagy regulation.
Insights
Neurotrophin-4 (NTF4) promotes colorectal cancer (CRC) development by suppressing autophagy. Inhibiting NTF4 activates autophagy, hindering tumor growth and improving survival, suggesting NTF4 as a potential CRC biomarker.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Autophagy is crucial in colorectal cancer (CRC) progression and treatment resistance.
- The role of autophagy in CRC is complex, with studies reporting both pro- and anti-tumorigenic functions.
- Neurotrophin-4 (NTF4) has emerged as a novel oncogene implicated in cancer development.
Purpose of the Study:
- To investigate the role of neurotrophin-4 (NTF4) in colorectal cancer (CRC) pathogenesis.
- To elucidate the regulatory mechanism of NTF4 in CRC, focusing on its interaction with autophagy.
- To evaluate the therapeutic potential of targeting NTF4 in CRC treatment.
Main Methods:
- Quantitative analysis of NTF4 expression in CRC tumor tissues versus non-tumor mucosa.
- Genetic knockdown of NTF4 using short hairpin RNA (shRNA) in CRC cell lines.
- Assessment of epithelial-to-mesenchymal transition (EMT), autophagy markers (Atg5), and cell signaling pathways (MAPK).
- In vitro assays for cell invasion, migration, proliferation, colony formation, and cell cycle analysis.
- In vivo studies using subcutaneous xenografts in Balb/c-nu mice.
- Pharmacological inhibition of autophagy using chloroquine (CQ).
Main Results:
- NTF4 was significantly overexpressed in CRC tissues and correlated with poor prognosis and advanced TNM stage.
- NTF4 knockdown in CRC cells suppressed EMT, activated autophagy via Atg5 and MAPK pathways, and inhibited cell invasion, migration, proliferation, and colony formation.
- NTF4 knockdown also induced cell cycle arrest and reduced tumor growth in xenograft models.
- Autophagy inhibition with CQ reversed the anti-tumor effects of NTF4 knockdown, restoring invasive and proliferative capabilities.
- NTF4 promotes tumorigenesis and CRC development through the regulation of autophagy.
Conclusions:
- NTF4 acts as an oncogene in CRC, promoting tumor development and progression by suppressing autophagy.
- Targeting NTF4 could be a potential therapeutic strategy for CRC.
- NTF4 may serve as a valuable diagnostic and prognostic biomarker for CRC patients.
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