Abstract

<div>Abstract<p>Non–small cell lung cancer (NSCLC) is a well-known global health concern. <i>TFAP4</i> has been reported to function as an oncogene. This study sought to investigate the molecular mechanism of <i>TFAP4</i> in NSCLC development. Significantly highly-expressed gene <i>IGF2BP1</i> was screened on online databases and its downstream gene <i>TK1</i> was predicted. <i>IGF2BP1</i> promoter sequence was identified. The binding site of <i>TFAP4</i> and <i>IGF2BP1</i> was predicted. The expression correlations among <i>TFAP4</i>, <i>IGF2BP1</i>, and <i>TK1</i> were confirmed. The correlations between TFAP4, IGF2BP1, TK1, and NSCLC prognosis were predicted. NSCLC and paracancerous tissues were collected. The expressions of <i>TFAP4</i>, <i>IGF2BP1</i>, and <i>TK1</i> were detected. NSCLC cell proliferation, migration, invasion, and apoptosis were detected. The binding of TFAP4 to the <i>IGF2BP1</i> promoter was verified. m6A modification of <i>TK1</i> mRNA was detected. The correlation between IGF2BP1 and TK1 was confirmed. A subcutaneous tumor xenograft model was established to validate the effect of TFAP4 <i>in vivo</i>. <i>IGF2BP1</i> was highly expressed in NSCLC tissues and cells. <i>IGF2BP1</i> knockdown repressed NSCLC cell proliferation, migration, and invasion and facilitated apoptosis. Mechanically, TFAP4 transcriptionally activated <i>IGF2BP1</i>. IGF2BP1 stabilized <i>TK1</i> expression via m6A modification and promoted NSCLC cell proliferation, migration, and invasion. <i>In vivo</i> experiments confirmed that <i>TFAP4</i> knockdown suppressed tumor growth by downregulating IGF2BP1/TK1.</p>Implications:<p>Our findings revealed that TFAP4 activated <i>IGF2BP1</i> and facilitated NSCLC progression by stabilizing <i>TK1</i> expression via m6A modification, which offered new insights into the diagnosis and treatment of NSCLC.</p></div>

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