piR-43452 suppresses bladder cancer progression and enhances gemcitabine sensitivity via GTSF1/PIWIL4-mediated LRP1

Yuchen Shi1, Jiazhu Sun1, Kai Yu1

  • 1Department of Urology, the First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

Translational Oncology
|December 4, 2025
PubMed

Insights

Piwi-interacting RNAs (piRNAs) like piR-43452 are downregulated in bladder cancer, acting as tumor suppressors. Restoring piR-43452 may overcome chemoresistance by targeting LRP1.

Area of Science:

  • Oncology
  • Molecular Biology
  • Epigenetics

Background:

  • Piwi-interacting RNAs (piRNAs) are vital for germline genomic integrity but their role in somatic cancers, including bladder cancer (BCa), is not well understood.
  • Dysregulation of non-coding RNAs, including piRNAs, is increasingly implicated in cancer development and progression.

Purpose of the Study:

  • To investigate the role of piRNAs in bladder cancer.
  • To identify specific piRNAs that are downregulated in BCa and assess their functional significance.
  • To elucidate the molecular mechanism by which identified piRNAs suppress tumor growth and overcome chemoresistance.

Main Methods:

  • Bioinformatic analysis to identify differentially expressed piRNAs in bladder cancer.
  • In vitro cell culture assays (proliferation, migration, apoptosis) and in vivo xenograft models to evaluate tumor suppressor functions.
  • RNA immunoprecipitation (RIP) and luciferase reporter assays to confirm direct binding of piR-43452 to LRP1 mRNA.
  • Western blotting and qRT-PCR to assess protein and mRNA levels of LRP1 and other relevant molecules.
  • Assessment of chemosensitivity in vitro and in vivo.

Main Results:

  • piR-43452 was identified as a significantly downregulated piRNA in bladder cancer, with reduced expression correlating with advanced disease (muscle invasion, lymph node metastasis).
  • piR-43452 demonstrated potent tumor suppressor activity by inhibiting BCa cell proliferation, migration, and xenograft tumor growth, while promoting apoptosis.
  • Mechanistically, piR-43452 directly targets the 3'UTR of LRP1 mRNA, recruiting the GTSF1/PIWIL4 complex to enhance LRP1 mRNA cleavage and degradation.
  • Suppression of LRP1 by piR-43452 led to reduced proliferation and restored sensitivity to gemcitabine in resistant BCa cells.

Conclusions:

  • piR-43452 functions as a tumor suppressor in bladder cancer through post-transcriptional regulation of LRP1.
  • The piR-43452/GTSF1/PIWIL4/LRP1 axis represents a novel mechanism for controlling tumor growth and chemoresistance in BCa.
  • Targeting this axis offers a potential therapeutic strategy for gemcitabine-resistant bladder cancer.