FOXA2 suppresses gallbladder carcinoma cell migration, invasion, and epithelial-mesenchymal transition by targeting

Lingju Hong1,2,3,4, Mingyuan Chen1,2,3,4, Maotuan Huang1,2,3,4

  • 1Department of Hepatobiliary Surgery and Fujian Institute of Hepatobiliary Surgery, Fujian Medical University Union Hospital, Fujian Medical University, Fuzhou, China.

Environmental Toxicology
|September 4, 2023
PubMed
Abstract

Insights

Foxhead box A2 (FOXA2) is underexpressed in gallbladder cancer (GBC), suppressing metastasis. Upregulating FOXA2 may inhibit GBC cell invasion and EMT, offering a potential therapeutic strategy for this malignancy.

Area of Science:

  • Oncology
  • Gastroenterology
  • Molecular Biology

Background:

  • Gallbladder cancer (GBC) is a highly malignant gastrointestinal tumor with limited effective therapies.
  • Foxhead box A2 (FOXA2), a known tumor suppressor, exhibits reduced expression in various human cancers, including GBC.
  • Understanding FOXA2's role in GBC metastasis and its regulatory mechanisms is crucial for developing new treatments.

Purpose of the Study:

  • To investigate FOXA2 expression levels in GBC tissues.
  • To determine the correlation between FOXA2 expression and GBC clinicopathological features, metastasis, and patient prognosis.
  • To elucidate the molecular mechanisms by which FOXA2 regulates epithelial-mesenchymal transition (EMT) and metastasis in GBC.

Main Methods:

  • Immunohistochemistry (IHC) to detect FOXA2 expression in GBC tissues.
  • In vitro and in vivo assays (scratch, Transwell, RT-PCR, Western blot, animal experiments) to assess FOXA2's impact on GBC cell migration, invasion, and EMT.
  • mRNA sequencing, dual-luciferase reporter assays, and chromatin immunoprecipitation to identify and validate FOXA2's downstream targets and regulatory mechanisms.

Main Results:

  • FOXA2 expression was significantly lower in GBC tissues and inversely correlated with advanced tumor stage, lymph node metastasis, and poor prognosis.
  • FOXA2 suppressed GBC cell migration, invasion, and EMT in both in vitro and in vivo models.
  • FOXA2 was found to enhance the expression of serine protein kinase inhibitor B5 (SERPINB5), thereby inhibiting GBC metastasis and EMT.

Conclusions:

  • FOXA2 directly binds to the SERPINB5 promoter, upregulating its transcription.
  • This FOXA2-SERPINB5 interaction effectively modulates GBC cell migration, invasion, and EMT.
  • Targeting the FOXA2-SERPINB5 pathway presents a promising therapeutic strategy for combating gallbladder cancer.

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