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Updated: Jun 12, 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
Dual-modified antisense oligonucleotides targeting oncogenic protocadherin to treat gastric cancer
Mitsuro Kanda1, Yuuya Kasahara2, Dai Shimizu3
1Department of Gastroenterological Surgery, Nagoya University Graduate School of Medicine, Nagoya, Japan. m-kanda@med.nagoya-u.ac.jp.
Background:
The objective of this study was to develop an innovative treatment strategy utilizing antisense oligonucleotides (ASOs) that target the gene encoding protocadherin alpha 11 (PCDHA11) and to elucidate the role of PCDHA11 in gastric cancer cells.
Methods:
We designed and screened 54 amido-bridged nucleic acid (AmNA)-modified ASOs, selecting them based on PCDHA11-knockdown efficacy, in vitro and in vivo activity, and off-target effects. We assessed the impact of AmNA-modified anti-PCDHA11 ASOs on cellular functions and signaling pathways, and investigated the effects of Pcdha11 deficiency in mice.
Results:
AmNA-modified anti-PCDHA11 ASOs significantly reduced the proliferation of gastric cancer cells and other solid tumors, whereas overexpression of PCDHA11 enhanced cell proliferation. The selected ASOs inhibited cellular functions related to the metastatic potential of gastric cancer cells, including migration, invasiveness, spheroid formation, and cancer stemness. Our findings revealed that AmNA-modified anti-PCDHA11 ASOs disrupted the AKT/mTOR, Wnt/β-catenin, and JAK/STAT signaling pathways. In mouse models of peritoneal metastasis (gastric and pancreatic cancer), systemic metastasis, and established subcutaneous tumors, administration of AmNA-modified anti-PCDHA11 ASOs inhibited tumor growth. ASO treatment induced reversible, dose- and sequence-dependent liver damage. Pcdha11-deficient mice demonstrated normal reproductive, organ, and motor functions.
Conclusions:
AmNA-modified anti-PCDHA11 ASOs offer a promising therapeutic strategy for the treatment of gastric cancer and other solid malignancies.
Insights
Novel antisense oligonucleotides targeting protocadherin alpha 11 (PCDHA11) effectively inhibit gastric cancer cell proliferation and metastasis. This PCDHA11-targeting strategy shows promise for treating gastric cancer and other solid tumors.
Area of Science:
- Oncology
- Molecular Biology
- Drug Development
Background:
- Gastric cancer presents a significant global health challenge.
- Protocadherin alpha 11 (PCDHA11) has been implicated in cancer cell proliferation.
- Targeting specific genes offers a potential therapeutic avenue.
Purpose of the Study:
- To develop and evaluate antisense oligonucleotides (ASOs) targeting PCDHA11 for gastric cancer treatment.
- To investigate the role of PCDHA11 in gastric cancer progression.
- To assess the efficacy and safety of novel amido-bridged nucleic acid (AmNA)-modified ASOs.
Main Methods:
- Designed and screened 54 AmNA-modified ASOs for PCDHA11 knockdown.
- Assessed ASO impact on gastric cancer cell functions and signaling pathways (AKT/mTOR, Wnt/β-catenin, JAK/STAT).
- Evaluated ASO efficacy in mouse models of gastric cancer metastasis and tumor growth.
Main Results:
- AmNA-modified anti-PCDHA11 ASOs significantly reduced gastric cancer cell proliferation and metastasis.
- PCDHA11 overexpression was linked to enhanced cell proliferation.
- ASO treatment inhibited tumor growth in vivo but caused reversible liver damage.
Conclusions:
- AmNA-modified anti-PCDHA11 ASOs represent a promising therapeutic strategy for gastric cancer.
- This approach may also be effective against other solid malignancies.
- Further research is warranted to optimize ASO therapy and mitigate side effects.
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