Du Shangkun, Li Ping, Liu Yabin, Cai Bindan, Li Gang, Wang Wenbin, Yan Rui, Zheng Xiangkui, Bai Tianliang
Department of Gastrointestinal Surgery, Affiliated Hospital of Hebei University, 212 Yuhua East Road, Baoding, 071000, Hebei Province, China.
Department of General Surgery, Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei Province, China.
Mol Cell Biochem. 2025 Jun 11. doi: 10.1007/s11010-025-05322-y.
Forkhead box M1 (FOXM1) exhibits elevated level in various tumors and is linked with tumor immune escape. The role of FOXM1 in gastric cancer (GC) progression and immune escape remains poorly understood. FOXM1 and programmed death-ligand 1 (PD-L1) levels were determined through qRT-PCR and Western blot. Co-immunoprecipitation confirmed the interaction between FOXM1 and PD-L1. The malignant biological properties of GC cells were assessed by MTT, EdU staining, scratch-wound assay, transwell and flow cytometry. CD8 + T cells were separated and co-cultured with GC cells, and the proliferation and apoptosis of CD8 + T cells were detected through CFSE staining, flow cytometry and LDH kit. CD8 + T cytokine contents were measured using ELISA kits. Western blot detected CD8 + T cell activation markers and Notch signaling pathway-related proteins levels. A nude mouse subcutaneous graft tumor model was constructed, Ki-67 positivity and CD8 + T cell infiltration were detected by immunohistochemistry and flow cytometry. FOXM1 and PD-L1 were highly expressed in GC. Overexpression of FOXM1 increased migrating and infiltrating cell counts and GC cell viability, and declined the killing impact of CD8 + T cells. After knockdown of FOXM1, all of the above indicators were significantly reversed. After co-cultured with GC cells overexpressing FOXM1, CD8 + T cells exhibited a declined in CFSE positivity percentage, cytotoxicity, cytokines and activation markers levels, and an increase in apoptosis. FOXM1 up-regulated PD-L1 expression by activating the Notch signaling pathway, and both silencing PD-L1 and Notch inhibitor attenuated the impact of overexpression of FOXM1. Knockdown of FOXM1 reduced Ki67 positivity in GC tumors and promoted CD8 + T cell infiltration. FOXM1 up-regulates PD-L1 level by activating Notch signaling pathway, thus hinders CD8 + T cell activation and promotes immune escape in GC cells. This study provides a theoretical basis for the development of GC-targeted therapeutic targets as well as immunotherapy, which is beneficial to the clinical diagnosis and treatment of GC.
叉头框M1(FOXM1)在多种肿瘤中表达水平升高,并与肿瘤免疫逃逸相关。FOXM1在胃癌(GC)进展和免疫逃逸中的作用仍知之甚少。通过qRT-PCR和蛋白质免疫印迹法测定FOXM1和程序性死亡配体1(PD-L1)的水平。免疫共沉淀证实了FOXM1与PD-L1之间的相互作用。通过MTT、EdU染色、划痕试验、Transwell和流式细胞术评估GC细胞的恶性生物学特性。分离CD8 + T细胞并与GC细胞共培养,通过CFSE染色、流式细胞术和LDH试剂盒检测CD8 + T细胞的增殖和凋亡。使用ELISA试剂盒测量CD8 + T细胞因子含量。蛋白质免疫印迹法检测CD8 + T细胞活化标志物和Notch信号通路相关蛋白的水平。构建裸鼠皮下移植瘤模型,通过免疫组织化学和流式细胞术检测Ki-67阳性率和CD8 + T细胞浸润情况。FOXM1和PD-L1在GC中高表达。FOXM1的过表达增加了迁移和浸润细胞数量以及GC细胞活力,并降低了CD8 + T细胞的杀伤作用。敲低FOXM1后,上述所有指标均显著逆转。与过表达FOXM1的GC细胞共培养后,CD8 + T细胞的CFSE阳性百分比、细胞毒性、细胞因子和活化标志物水平降低,凋亡增加。FOXM1通过激活Notch信号通路上调PD-L1表达,沉默PD-L1和Notch抑制剂均减弱了FOXM1过表达的影响。敲低FOXM1可降低GC肿瘤中的Ki67阳性率并促进CD8 + T细胞浸润。FOXM1通过激活Notch信号通路上调PD-L1水平,从而阻碍CD8 + T细胞活化并促进GC细胞的免疫逃逸。本研究为开发GC靶向治疗靶点以及免疫治疗提供了理论依据,有利于GC的临床诊断和治疗。
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