Abstract

BackgroundReg IV is a member of the regenerating gene family and has been demonstrated to be overexpressed in gastric cancer. However, the functional mechanism of Reg IV in gastric cancer is still unclear.MethodsExpression of Reg IV and SOX9 were investigated by immunohistochemistry (IHC) and real-time PCR, and the correlation between the expression of Reg IV and SOX9 was analyzed in gastric cancer tissues. Reg IV expression vectors and a siRNA of Reg IV and SOX9 were transfected into human gastric cancer cells and the protein and mRNA levels of Reg IV and SOX9 were investigated by western blot and real-time PCR. The invasion and migration ability of gastric cancer cells with overexpressed Reg IV and with gene silence of Reg IV and SOX9 were examined by transwell chambers and wound healing assay.ResultsThe Reg IV and SOX9 protein expression levels were both significantly higher in gastric cancer tissues compared with adjacent tissues (p = 0.022, p = 0.003). Reg IV protein expression significantly correlated with tumor invasion depth (p < 0.001), but had no significant correlations with age, clinical stage or lymph node metastasis. SOX9 protein expression also had no significant correlations with age, clinical stage, tumor invasion depth or lymph node metastasis. Reg IV transcript expression demonstrated a significant correlation with invasion depth and lymph node metastasis (p = 0.005, p < 0.001) and no significant correlations with age, clinical stage, tumor tissue differentiation or tumor size. SOX9 transcript expression demonstrated a significant correlation with invasion depth and tumor tissue differentiation (p = 0.044, p = 0.007) and no significant correlations with age, clinical stage or tumor size. The Reg IV expression showed a positive correlation with the SOX9 expression (p < 0.000, p = 0.008). Overexpression of Reg IV could upregulate SOX9 expression and promote invasiveness and migration of tumor cells, and silencing of Reg IV could downregulate SOX9 and inhibit invasiveness and migration of tumor cells in MKN-45 and AGS cells. On the other hand, silencing of SOX9 could upregulate Reg IV protein expression.ConclusionsOur study demonstrated that Reg IV positively regulates the expression of SOX9 and is involved in tumor cell invasion and migration in gastric cancer.

Highlights

  • Reg Regenerating islet gene family member 4 (IV) is a member of the regenerating gene family and has been demonstrated to be overexpressed in gastric cancer

  • We revealed that Reg IV and SRY related highmobility group box 9 (SOX9) were both overexpressed in human gastric cancer tissues, and the Reg IV transcript and protein expression demonstrated a positive correlation with the SOX9 transcript and protein expression

  • No significant correlations were found between Reg IV protein expression and age, gender, tumor size, tissue differentiation, clinical stage, or lymph node metastasis

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Summary

Introduction

Reg IV is a member of the regenerating gene family and has been demonstrated to be overexpressed in gastric cancer. Reg IV increased invasion capacities and inhibited cell apoptosis by activating the EGFR/Akt/AP-1 signaling pathway in colon cancer [16]. SOX9 (SRY related high-mobility group box 9), a transcriptional regulator that is essential to chondrogenesis and the formation of the male gonad [20, 21], has been found to activate Akt expression in pancreatic ductal adenocarcinoma [22]. Another previous study demonstrated that EGFR induced SOX9 through ERK1/2 signaling to support epithelial migration and wound repair in urothelial neoplasms [23]. The functional mechanisms for the effects of Reg IV and SOX9 in human gastric cancer remain unknown

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