Department of Gynaecology and Obstetrics, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China.
Department of Pathology, Molecular Diagnostics Laboratory, University of Michigan, Ann Arbor, MI 48109, USA.
Oncol Rep. 2019 Feb;41(2):917-927. doi: 10.3892/or.2018.6888. Epub 2018 Nov 27.
Metastasis is the most common cause of death in ovarian cancer patients but remains largely untreated. Epithelial‑mesenchymal transition (EMT) is critical for the conversion of early‑stage ovarian tumors into metastatic malignancies. Thus, investigating the signaling pathways promoting EMT may identify potential targets for the treatment of metastatic ovarian cancer. Lysine demethylase 2A (KDM2A), also known as FBXL11 and JHDM1A, is a histone H3 lysine 36 (H3K36) demethylase that regulates EMT and the metastasis of ovarian cancer. However, the function and underlying mechanisms of EMT suppression in ovarian cancer have not been thoroughly elucidated to date. In the present study, we used Gene Expression Omnibus (GEO) databases to determine that KDM2A is significantly upregulated in human ovarian cancers. KDM2A expression was assessed by immunohistochemistry of epithelial ovarian cancer (EOC) borderline ovarian tumors and normal ovary tissues. Seven fresh EOC tissues and 3 fresh normal ovary tissues were collected for western blot analysis. Kaplan‑Meier survival curves were constructed to identify genes related to EOC prognosis from the TCGA data portal. Stable KDM2A‑knockdown cell lines were established to study the biological functions and underlying mechanisms of KDM2A in EMT in vitro. GEO database analysis revealed that KDM2A was highly upregulated in EOC tissues; this analysis was accompanied by immunochemistry and western blot analysis using samples of human tissues. High expression of KDM2A was associated with poor survival in EOC patients. KDM2A knockdown promoted apoptosis and suppressed the proliferation, migration and invasion of tumor cells in vitro. EMT and the PI3K/AKT/mTOR signaling pathway were suppressed in KDM2A‑silenced cells. Inactivation of the PI3K/AKT/mTOR signaling pathway in A2780 cells induced EMT inhibition. Our data revealed that KDM2A functions as a tumor oncogene, and the downregulation of KDM2A expression regulates EMT and EOC progression, providing a valuable prognostic marker and potential target for the treatment of EOC patients.
转移是卵巢癌患者死亡的最常见原因,但目前仍缺乏有效的治疗方法。上皮-间充质转化(EMT)对于将早期卵巢肿瘤转化为转移性恶性肿瘤至关重要。因此,研究促进 EMT 的信号通路可能为治疗转移性卵巢癌找到潜在的靶点。赖氨酸去甲基酶 2A(KDM2A),也称为 FBXL11 和 JHDM1A,是一种组蛋白 H3 赖氨酸 36(H3K36)去甲基酶,可调节 EMT 和卵巢癌的转移。然而,迄今为止,EMT 抑制在卵巢癌中的作用及其潜在机制尚未得到充分阐明。在本研究中,我们使用基因表达综合数据库(GEO)确定 KDM2A 在人类卵巢癌中显著上调。通过免疫组化分析上皮性卵巢癌(EOC)交界性卵巢肿瘤和正常卵巢组织评估 KDM2A 的表达。收集了 7 例新鲜的 EOC 组织和 3 例新鲜的正常卵巢组织进行 Western blot 分析。通过 TCGA 数据门户构建 Kaplan-Meier 生存曲线,确定与 EOC 预后相关的基因。建立稳定的 KDM2A 敲低细胞系,以研究 KDM2A 在 EMT 中的生物学功能和潜在机制。GEO 数据库分析显示,KDM2A 在 EOC 组织中高度上调;该分析伴随免疫组化和 Western blot 分析,使用了人类组织样本。KDM2A 高表达与 EOC 患者生存不良相关。KDM2A 敲低促进了细胞凋亡,并抑制了肿瘤细胞的增殖、迁移和侵袭。在沉默 KDM2A 的细胞中抑制了 EMT 和 PI3K/AKT/mTOR 信号通路。在 A2780 细胞中抑制 PI3K/AKT/mTOR 信号通路诱导 EMT 抑制。我们的数据表明,KDM2A 作为一种肿瘤癌基因发挥作用,下调 KDM2A 表达可调节 EMT 和 EOC 进展,为 EOC 患者提供了有价值的预后标志物和潜在的治疗靶点。
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