Abstract
Ovarian cancer (OC) causes more deaths than any other gynecological cancer. Many cellular pathways have been elucidated to be associated with OC development and progression. Specifically, the insulin-like growth factor 1 receptor/insulin receptor substrate 1 (IGF1R/IRS1) pathway participates in OC development. Moreover, accumulating evidence has shown that microRNA deregulation contributes to tumor initiation and progression. Here, our study aimed to investigate the molecular functions and regulatory mechanisms of miR-150, specifically, in OC. We found that the expression of miR-150-5p/3p and their precursor, mir-150, was downregulated in OC tissues; lower mir-150 levels were associated with poor OC patient outcomes. Ectopic mir-150 expression inhibited OC cell growth and metastasis in vitro and in vivo. Furthermore, both IRS1 and IGF1R were confirmed as direct targets of miR-150-5p/3p, and the miR-150-IGF1R/IRS1 axis exerted antitumor effects via the PI3K/AKT/mTOR pathway. Forkhead box protein 3 (FoxP3) positively regulated the expression of miR-150-5p/3p by binding to the mir-150 promoter. In turn, the PI3K/AKT/mTOR pathway downregulated FoxP3 and miR-150-5p/3p. Taken together, these findings indicate that a complex FoxP3-miR-150-IGF1R/IRS1-PI3K/AKT/mTOR feedback loop regulates OC pathogenesis, providing a novel mechanism for miR-150 as a tumor suppressor miRNA in OC.
Highlights
Ovarian cancer (OC) is reported to be the most lethal gynecological cancer[1,2]
We found that a complex Forkhead box protein 3 (FoxP3)-miR-150-IGF1R/IRS1-phosphatidylinositol 3-kinase (PI3K)/AKT/ mTOR feedback loop was associated with OC pathogenesis, which suppressed OC cell growth and metastasis
We found that the mRNA and protein levels of FoxP3 were significantly enhanced in OC cells when treated with either the PI3K inhibitor (LY294002) or mTOR inhibitor (Fig. 7A, B)
Summary
Approximately 295,400 cases of OC and 184,800 OC-related deaths were reported in 2018, presenting a case-to-fatality ratio nearly twice that of breast cancer[3]. Due to asymptomatic early stages and limited proper screening for precancerous lesions, many OC cases remain undetected until the Abnormal regulation of cell-signal-transduction pathways play a key role in cancer. Among the dysregulated downstream signaling of the IGF1R/IRS1 pathway, the PI3K/AKT/mTOR cascade has been identified as frequently altered in OC, mediating key Official journal of the Cell Death Differentiation Association. Zhang et al Cell Death and Disease (2021)12:275 mechanisms underlying its growth and progression[11,12]. This pathway is considered as one of the most important signaling pathways for therapeutic intervention in OC12,13
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