Zhou Liuxuanning, Liu Yue, Zhang Yan, Hu Fan, Shen Lu, Hou Shunyu
Department of Obstetrics and Gynecology, The Affiliated Suzhou Hospital of Nanjing Medical University, Gusu School, Nanjing Medical University, Suzhou Municipal Hospital No. 26, Daoqian Street, Suzhou 215002, Jiangsu, China.
State Key Laboratory of Reproductive Medicine and Offspring Health, School of Basic Medical Sciences, Nanjing Medical University Nanjing 211166, Jiangsu, China.
Am J Transl Res. 2025 Apr 15;17(4):3031-3049. doi: 10.62347/GGVE9638. eCollection 2025.
Cervical cancer is a prevalent gynecologic malignancy characterized by high rates of invasion and metastasis. Integrin alpha 5 (ITGA5), a member of the integrin family, has been implicated in tumor progression; however, its regulatory role in cervical cancer remains poorly defined. Bioinformatic analyses revealed elevated ITGA5 expression in cervical cancer, which was further validated in patient tissues by immunohistochemistry (IHC). ITGA5 was either silenced or overexpressed in cervical cancer cell lines, and its effects on proliferation, invasion, and migration were assessed using CCK-8, Transwell, and wound healing assays. The effects of ITGA5 knockdown were evaluated through subcutaneous tumor xenografts in nude mice. Mass spectrometry identified insulin-like growth factor II mRNA binding protein 3 (IMP3) as a potential ITGA5-interacting protein. Their interaction was confirmed using co-immunoprecipitation (CO-IP), western blotting, and RNA immunoprecipitation (RIP). ITGA5 was found to be significantly upregulated in cervical cancer and negatively correlated with patient survival. Functionally, ITGA5 promoted proliferation, invasion, and migration of cervical cancer cells and enhanced tumor growth in vivo. Mechanistically, ITGA5 interacted with IMP3, regulating the recruitment of hexokinase 2 (HK2) mRNA by IMP3. Overexpression of HK2 rescued the inhibitory effects of ITGA5 knockdown on cervical cancer progression. This study presents new findings on the pathogenesis of cervical cancer and identifies a possible therapeutic target.
宫颈癌是一种常见的妇科恶性肿瘤,其特点是侵袭和转移率高。整合素α5(ITGA5)是整合素家族的成员,与肿瘤进展有关;然而,其在宫颈癌中的调节作用仍不清楚。生物信息学分析显示宫颈癌中ITGA5表达升高,这在患者组织中通过免疫组织化学(IHC)进一步得到验证。在宫颈癌细胞系中沉默或过表达ITGA5,并使用CCK-8、Transwell和伤口愈合试验评估其对增殖、侵袭和迁移的影响。通过裸鼠皮下肿瘤异种移植评估ITGA5敲低的效果。质谱分析确定胰岛素样生长因子II mRNA结合蛋白3(IMP3)为潜在的与ITGA5相互作用的蛋白。使用免疫共沉淀(CO-IP)、蛋白质免疫印迹法和RNA免疫沉淀(RIP)证实了它们的相互作用。发现ITGA5在宫颈癌中显著上调,且与患者生存率呈负相关。在功能上,ITGA5促进宫颈癌细胞的增殖、侵袭和迁移,并增强体内肿瘤生长。机制上,ITGA5与IMP3相互作用,调节IMP3对己糖激酶2(HK2)mRNA的募集。HK2的过表达挽救了ITGA5敲低对宫颈癌进展的抑制作用。本研究提出了关于宫颈癌发病机制的新发现,并确定了一个可能的治疗靶点。
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