Cinnamaldehyde Regulates the EMT Process and Drug Resistance of Gastric Cancer Through FSTL3-Mediated Cytoskeletal

Shuhong Zeng1,2,3,4, Yi Yin1,2, Ying Zhang1,2,5

  • 1Affiliated Hospital of Nanjing University of Chinese Medicine, Jiangsu Province Hospital of Chinese Medicine, Nanjing, China.

Insights

Cinnamaldehyde (CA) inhibits gastric cancer (GC) growth and metastasis by downregulating follistatin-like 3 (FSTL3). This study highlights FSTL3 as a potential therapeutic target for GC treatment and overcoming drug resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Cinnamaldehyde (CA) exhibits anti-tumor properties, but its mechanism in gastric cancer (GC) is not fully understood.
  • Investigating CA's role in GC proliferation, migration, epithelial-mesenchymal transition (EMT), and drug resistance is crucial.
  • The potential involvement of follistatin-like 3 (FSTL3) in CA's anti-GC effects requires elucidation.

Purpose of the Study:

  • To determine the effects of Cinnamaldehyde (CA) on gastric cancer (GC) cell proliferation, migration, EMT, and drug resistance.
  • To explore the molecular mechanism underlying CA's anti-tumor activity in GC, focusing on follistatin-like 3 (FSTL3).
  • To evaluate the therapeutic potential of targeting FSTL3 in GC treatment.

Main Methods:

  • In vitro studies involving CA treatment of GC cells to assess proliferation, migration, EMT markers, and FSTL3 expression.
  • In vivo experiments using GC xenograft and liver metastasis models to evaluate CA's anti-tumor and anti-metastatic efficacy.
  • Analysis of FSTL3 expression, cytoskeleton dynamics, EMT-related proteins, and TGF-β/SMAD signaling pathway.

Main Results:

  • Cinnamaldehyde (CA) significantly inhibited GC cell proliferation and migration in vitro.
  • CA treatment downregulated follistatin-like 3 (FSTL3) expression and altered cytoskeleton organization in GC cells.
  • In vivo studies confirmed that CA suppressed tumor growth, invasion, and metastasis by modulating EMT and TGF-β/SMAD signaling via FSTL3.

Conclusions:

  • The anti-tumor effects of Cinnamaldehyde (CA) in gastric cancer (GC) are primarily mediated by the downregulation of follistatin-like 3 (FSTL3).
  • FSTL3 plays a critical role in mediating CA's inhibition of GC cell proliferation, migration, and metastasis.
  • Targeting FSTL3 presents a promising therapeutic strategy for GC treatment and overcoming drug resistance.