FOXD3 在结直肠癌中经常发生甲基化,作为一种肿瘤抑制因子,在 ER 应激下通过 p53 诱导肿瘤细胞凋亡。

FOXD3, frequently methylated in colorectal cancer, acts as a tumor suppressor and induces tumor cell apoptosis under ER stress via p53.

机构信息

Department of General Surgery and Key Laboratory of Endoscopic Technique Research of Zhejiang Province, Sir Run Run Shaw Hospital, Zhejiang University, Hangzhou, China.

Department of Hepatobiliary Surgery, the First Affiliated Hospital of Bengbu Medical College, Bengbu, China.

出版信息

Carcinogenesis. 2020 Sep 24;41(9):1253-1262. doi: 10.1093/carcin/bgz198.

Abstract

Forkhead box D3 (FOXD3), an important member of the forkhead box transcription factor family, has many biological functions. However, the role and signaling pathways of FOXD3 in colorectal cancer (CRC) are still unclear. We examined FOXD3 expression and methylation in normal colon mucosa, CRC cell lines and primary tumors by reverse transcription-polymerase chain reaction, methylation-specific PCR and bisulfite genomic sequencing. We also evaluated its tumor-suppressive function by examining its modulation of apoptosis under endoplasmic reticulum (ER) stress in CRC cells. The FOXD3 target signal pathway was identified by western blotting, immunofluorescence and chromatin immunoprecipitation. We found that FOXD3 was frequently methylated and silenced in CRC cell lines and was downregulated in CRC tissues compared with paired adjacent non-tumor tissues. Meanwhile, low FOXD3 protein expression was significantly correlated with poor histopathological grading, lymph node metastasis and poor prognosis of patients, indicating its potential as a tumor marker that may be of potential value as a therapeutic target for CRC. Moreover, restoration of FOXD3 expression inhibited the proliferation and migration of tumor cells. FOXD3 also increased mitochondrial apoptosis through the unfolded protein response under ER stress. Furthermore, we found that FOXD3 could bind directly to the promoter of p53 and enhance its expression. Knockdown of p53 impaired the effect of apoptosis induced by FOXD3. In conclusion, we showed for the first time that FOXD3, which is frequently methylated in CRC, acted as a tumor suppressor inducing tumor cell apoptosis under ER stress via p53.

摘要

叉头框转录因子 D3(FOXD3)是叉头框转录因子家族的重要成员,具有多种生物学功能。然而,FOXD3 在结直肠癌(CRC)中的作用和信号通路尚不清楚。我们通过逆转录-聚合酶链反应、甲基化特异性 PCR 和亚硫酸氢盐基因组测序检测了正常结肠黏膜、CRC 细胞系和原发肿瘤中 FOXD3 的表达和甲基化。我们还通过检测 FOXD3 在 CRC 细胞内质网(ER)应激下对细胞凋亡的调控,评估了其肿瘤抑制功能。通过 Western blot、免疫荧光和染色质免疫沉淀鉴定了 FOXD3 的靶信号通路。我们发现,FOXD3 在 CRC 细胞系中经常发生甲基化和沉默,在 CRC 组织中与配对的相邻非肿瘤组织相比下调。同时,FOXD3 蛋白表达水平较低与患者较差的组织病理学分级、淋巴结转移和预后不良显著相关,表明其作为肿瘤标志物具有潜在价值,可能成为 CRC 的治疗靶点。此外,恢复 FOXD3 表达抑制了肿瘤细胞的增殖和迁移。FOXD3 还通过内质网应激下未折叠蛋白反应增加线粒体凋亡。此外,我们发现 FOXD3 可以直接与 p53 的启动子结合,增强其表达。p53 的敲低削弱了 FOXD3 诱导的细胞凋亡作用。总之,我们首次表明,FOXD3 在 CRC 中经常甲基化,通过 p53 在内质网应激下诱导肿瘤细胞凋亡发挥肿瘤抑制作用。

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