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Updated: Nov 2, 2025

Gene Regulation and Targeted Therapy in Gastric Cancer Peritoneal Metastasis: Radiological Findings from Dual Energy CT and PET/CT
Published on: January 22, 2018
Ghrelin Regulates Cyclooxygenase-2 Expression and Promotes Gastric Cancer Cell Progression
Huanqing Li1, Xiaohong Zhang1, Li Feng1
1Endoscopy Center, Minhang District Central Hospital of Fudan University, Shanghai, China.
Aim:
To research the molecular mechanism of ghrelin in apoptosis, migratory, and invasion of gastric cancer (GC) cells.
Methods:
After GC AGS cells were handled with ghrelin (10-8 M), cyclooxygenase-2 inhibitor NS398 (100 μM), and Akt inhibitor perifosine (10uM), the rates of apoptosis were detected by TUNEL assay and flow cytometry assay. We assessed the expressions of PI3K, p-Akt, and COX-2 proteins by making use of Western blot analysis. The cell migratory and invasion were detected by using wound-healing and transwell analysis.
Results:
The migratory and invasion were increased in ghrelin-treated cells, while the rates of apoptosis were decreased. GC AGS cells treated with ghrelin showed an increase in protein expression of p-Akt, PI3K, and COX-2. After cells were treated with Akt inhibitor perifosine, the protein expression of p-Akt, PI3K, and COX-2 and the cell migratory, invasion, and apoptosis were partly recovered. After cells were treated with cyclooxygenase-2 inhibitor NS398, the protein expression of COX-2 and the cell migratory and invasion were decreased, while the rates of apoptosis were increased.
Conclusion:
Ghrelin regulates cell migration, invasion, and apoptosis in GC cells through targeting PI3K/Akt/COX-2. Ghrelin increases the expression of COX-2 in GC cells by targeting PI3K/Akt. Ghrelin is suggested to be one of the molecular targets in GC.
Insights
Ghrelin promotes gastric cancer cell migration and invasion while inhibiting apoptosis by targeting the PI3K/Akt/COX-2 pathway. This research identifies ghrelin as a potential molecular target for gastric cancer treatment.
Area of Science:
- Molecular Biology
- Cancer Research
- Cell Signaling
Background:
- Gastric cancer (GC) remains a significant global health challenge.
- Understanding the molecular mechanisms driving GC progression is crucial for developing effective therapies.
Purpose of the Study:
- To elucidate the molecular mechanisms by which ghrelin influences apoptosis, migration, and invasion in gastric cancer cells.
- To investigate the role of the PI3K/Akt/COX-2 pathway in ghrelin-mediated GC cell behavior.
Main Methods:
- Gastric cancer AGS cells were treated with ghrelin, a cyclooxygenase-2 inhibitor (NS398), and an Akt inhibitor (perifosine).
- Apoptosis was assessed using TUNEL and flow cytometry assays.
- Protein expression of PI3K, p-Akt, and COX-2 was analyzed via Western blot.
- Cell migration and invasion were evaluated using wound-healing and Transwell assays.
Main Results:
- Ghrelin treatment increased cell migration and invasion while decreasing apoptosis rates in GC cells.
- Ghrelin elevated the protein expression of p-Akt, PI3K, and COX-2.
- Inhibition of Akt or COX-2 partially reversed ghrelin's effects on protein expression and cell behavior.
Conclusions:
- Ghrelin regulates gastric cancer cell migration, invasion, and apoptosis by targeting the PI3K/Akt/COX-2 signaling pathway.
- Ghrelin upregulates COX-2 expression in GC cells via PI3K/Akt signaling.
- Ghrelin presents a potential molecular target for therapeutic intervention in gastric cancer.
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