circFOXK2 inhibits vascular permeability and angiogenesis in advanced lung adenocarcinoma via the miR-1275/CLDN1 axis

Wenjian Cen1, Lijuan Ren2, Lihong Zhang3

  • 1Department of Molecular Diagnostics, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University Cancer Center, Guangzhou, China.

Insights

Reduced circFOXK2 expression in lung adenocarcinoma (LUAD) promotes angiogenesis via miR-1275 and CLDN1. Restoring circFOXK2 with bevacizumab shows therapeutic promise.

Area of Science:

  • Oncology
  • Molecular Biology
  • Vascular Biology

Background:

  • CircRNAs regulate angiogenesis, but their function in advanced lung adenocarcinoma (LUAD) is not well understood.
  • Angiogenesis is critical for tumor growth and metastasis in LUAD.

Purpose of the Study:

  • To investigate the role of circFOXK2 in LUAD angiogenesis.
  • To elucidate the molecular mechanisms by which circFOXK2 influences angiogenesis.
  • To explore the therapeutic potential of targeting the circFOXK2/miR-1275/CLDN1 axis in LUAD.

Main Methods:

  • Analysis of circFOXK2 expression in LUAD tissues and correlation with clinical outcomes.
  • In vitro and in vivo experiments to study the effects of circFOXK2, miR-1275, and CLDN1 on endothelial cells and angiogenesis.
  • Exosome isolation and characterization.
  • Combination therapy studies with circFOXK2 and bevacizumab.

Main Results:

  • circFOXK2 expression was significantly decreased in advanced LUAD with high angiogenic activity, correlating with poor prognosis.
  • Reduced circFOXK2 led to increased miR-1275 in tumor-derived exosomes, which were internalized by endothelial cells.
  • miR-1275 overexpression silenced CLDN1 in endothelial cells, increasing vascular permeability and promoting angiogenesis.
  • Combination of circFOXK2 overexpression and bevacizumab demonstrated a synergistic anti-angiogenic effect.

Conclusions:

  • The circFOXK2/miR-1275/CLDN1 axis is a key regulator of vascular permeability and angiogenesis in advanced LUAD.
  • This axis represents a promising therapeutic target for LUAD treatment.
  • Restoring circFOXK2 function, potentially in combination with anti-angiogenic drugs like bevacizumab, offers a novel therapeutic strategy.

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