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circVAPA-rich small extracellular vesicles derived from gastric cancer promote neural invasion by inhibiting SLIT2
Yiwen Xia1, Tianlu Jiang1, Ying Li1
1Gastric Cancer Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, Jiangsu Province, China.
Cancer Letters
|May 7, 2024
Summary
Small extracellular vesicles (sEVs) mediate gastric cancer neural invasion (GC-NI). CircRNAs within sEVs, specifically sEV-circVAPA, promote GC-NI by downregulating SLIT2 expression, offering new diagnostic and therapeutic targets for patients.
Area of Science:
- Oncology
- Cell Biology
- Molecular Biology
Background:
- Gastric cancer (GC) is a prevalent malignancy with poor prognosis often linked to neural invasion (NI).
- Small extracellular vesicles (sEVs) are crucial mediators of intercellular communication, but their role in GC-NI is unknown.
- Understanding GC-NI mechanisms is vital for developing effective treatments.
Purpose of the Study:
- To investigate the role of sEVs in mediating gastric cancer neural invasion (GC-NI).
- To identify specific molecules within sEVs involved in GC-NI.
- To elucidate the molecular mechanisms by which sEVs promote GC-NI.
Main Methods:
- Inhibition of sEV release to assess its effect on GC-NI potential.
- Investigating the role of Muscarinic receptor M3 in sEV-neuronal cell interaction.
- Serum high-throughput sEV-circRNA sequencing and analysis of clinical samples.
- In vitro and in vivo experiments to evaluate the pro-NI effects of sEV-circVAPA.
- Mechanistic studies involving miR-548p, TGIF2, eIF4G1, and SLIT2 expression.
Main Results:
- Inhibiting sEV release reduced the NI potential of GC cells.
- GC-derived sEVs are preferentially absorbed by neuronal cells via Muscarinic receptor M3.
- sEV-circVAPA was enriched in the serum of NI-positive GC patients.
- sEV-circVAPA significantly promoted GC-NI in vitro and in vivo.
- sEV-circVAPA downregulates SLIT2 expression by targeting the miR-548p/TGIF2 pathway and inhibiting SLIT2 translation via eIF4G1.
Conclusions:
- This study reveals a novel mechanism of GC-derived sEVs preferential absorption by neurons.
- GC-derived sEV-circVAPA plays a critical role in promoting GC-NI.
- sEV-circRNAs represent potential biomarkers for diagnosing NI-positive GC.
- Targeting sEV-circRNA pathways offers a promising therapeutic strategy for GC-NI.

