Abstract

Ovarian cancer is the leading cause of gynecologic cancer-related deaths. Emerging research has revealed a close relationship between circular RNAs (circRNAs) and ovarian cancer development, metastasis, and prognosis. The objective of our research was to further explore the relationship between circASH2L and ovarian cancer. Quantitative real-time polymerase chain reaction was used to detect the differential expression of circRNAs between normal ovaries and ovarian cancer tissues. The impact of circASH2L on the proliferation, invasion, and tumorigenicity of ovarian cancer cells was evaluated using gain- and loss-of-function experiments. The molecular mechanisms of circASH2L function were investigated using bioinformatics analysis, RNA fluorescence in situ hybridization, western blots, and dual-luciferase reporter assays. The results showed that circASH2L was remarkably upregulated in ovarian cancer. The invasion and growth of ovarian cancer cells were suppressed by circASH2L knockdown in vitro, and downregulation of circASH2L restrained both angiogenesis and lymphangiogenesis of tumor xenografts in vivo. Furthermore, circASH2L was mostly distributed in the cytoplasm, where it competes with vascular endothelial growth factor A (VEGFA) for binding to miR-665. These findings indicate that circASH2L has an oncogenic function in ovarian cancer. In conclusion, circASH2L plays a critical role in regulating ovarian cancer cell tumorigenesis, angiogenesis, and lymphangiogenesis through the miR-665/VEGFA axis and, therefore, is a possible candidate target for ovarian cancer treatment.

Highlights

  • MATERIALS AND METHODSOvarian carcinoma is the sixth most commonly diagnosed cancer among women in the world, as well as the second most frequent gynecologic malignancy and the most fatal tumor of the human female reproductive system (Szajnik et al, 2016; Zhan et al, 2018)

  • We found that circASH2L competes with vascular endothelial growth factor A (VEGFA) for binding to miR-665 to play an oncogenic role in ovarian cancer

  • We determined the expression of the eight star Circular RNA (circRNA) in ovarian cancer and found that circASH2L was the only one expressed differently in our samples (Figure 1A)

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Summary

Introduction

MATERIALS AND METHODSOvarian carcinoma is the sixth most commonly diagnosed cancer among women in the world, as well as the second most frequent gynecologic malignancy and the most fatal tumor of the human female reproductive system (Szajnik et al, 2016; Zhan et al, 2018). Over 75% of affected women are diagnosed at advanced stages of the disease (Zhang L. et al, 2019). Less than one third of late-stage patients survive 5 years after diagnosis (Bonnefond et al, 2015; Ricci et al, 2016). Circular RNA (circRNA) is a type of endogenous RNA that forms a covalently closed continuous loop structure without a 5 -cap or a 3 -poly A tail (Wang et al, 2019c; Wei et al, 2020). CircRNAs may be good biological markers for diagnosis and prognosis of disease, and possibly successful therapeutic targets (Zhuang et al, 2017; Fu et al, 2018; Ye et al, 2019)

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