Department of Medical Science, Chungnam National University College of Medicine, Daejeon 35015, Korea.
Department of Otolaryngology-Head and Neck Surgery, Chungnam National University College of Medicine, Daejeon 35015, Korea.
Int J Mol Sci. 2021 Oct 15;22(20):11151. doi: 10.3390/ijms222011151.
Growth and differentiation factor 15 (GDF15), a divergent member of the transforming growth factor-β (TGF-β) superfamily, has been reported to be overexpressed in different kinds of cancer types. However, the function and mechanism of GDF15 in head and neck cancer (HNC) remains unclear. The Cancer Genome Atlas (TCGA) data show that the expression of GDF15 is significantly associated with tumor AJCC stage, lymph vascular invasion and tumor grade in HNC. In this study, we confirmed that knockdown of GDF15 attenuated: cell proliferation, migration and invasion via regulation of EMT through a canonical pathway; SMAD2/3 and noncanonical pathways; PI3K/AKT and MEK/ERK in HNC cell lines. Furthermore, we found that early growth response 1 (EGR1) was a transcription factor of GDF15. Interestingly, we also demonstrated that GDF15 could regulate the expression of EGR1, which meant a positive feedback loop occurred between these two factors. Moreover, combined inhibition of both GDF15 and EGR1 in a HNC mouse xenograft model showed significantly decreased tumor volume compared to inhibition of EGR1 or GDF15 alone. Our study showed that the GDF15-EGR1 signaling axis may be a good target in HNC patients.
生长分化因子 15(GDF15)是转化生长因子-β(TGF-β)超家族的一个分支成员,已被报道在多种癌症类型中过表达。然而,GDF15 在头颈部癌症(HNC)中的功能和机制仍不清楚。癌症基因组图谱(TCGA)数据表明,GDF15 的表达与 HNC 中的肿瘤 AJCC 分期、淋巴血管侵犯和肿瘤分级显著相关。在这项研究中,我们证实了 GDF15 的敲低通过调节 EMT 通过经典途径;SMAD2/3 和非经典途径;PI3K/AKT 和 MEK/ERK 减弱了 HNC 细胞系中的细胞增殖、迁移和侵袭。此外,我们发现早期生长反应 1(EGR1)是 GDF15 的转录因子。有趣的是,我们还表明 GDF15 可以调节 EGR1 的表达,这意味着这两个因素之间存在正反馈回路。此外,在 HNC 小鼠异种移植模型中联合抑制 GDF15 和 EGR1 与单独抑制 EGR1 或 GDF15 相比,肿瘤体积明显减小。我们的研究表明,GDF15-EGR1 信号轴可能是 HNC 患者的一个良好靶点。