Abstract

Metastasis is the most common cause of mortality in patients with gastric cancer. Epithelial-to-mesenchymal transition (EMT), which may be stimulated by insulin-like growth factor-I (IGF-I) is involved in the metastasis of numerous tumors; however, the molecular mechanism by which IGF-I may induce tumor cell EMT remains to be elucidated in gastric cancer. The present study aimed to investigate the induction of EMT in BGC-823 gastric cancer cells. It was identified that IGF-I induced EMT by upregulating the levels of ZEB2 transcription factor, and this was dependent on the phosphoinositide 3-kinase (PI3K)/Akt signaling pathway in these cells. In addition, glycogen synthase kinase 3β (GSK-3β), an intracellular downstream effector of PI3K/Akt, sustained the epithelial phenotype by repressing ZEB2 expression and the subsequent inhibition of EMT induced by IGF-I, suggesting the involvement of a potential PI3K/Akt-GSK-3β-ZEB2 signaling pathway in IGF-I-induced EMT in gastric cancer BGC-823 cells. Overall, the results of the present study suggest that IGF-I induced EMT by the activation of a PI3K/Akt-GSK-3β-ZEB2 signaling pathway in gastric cancer BGC-823 cells. Therefore, this study may provide more useful information regarding the mechanism of gastric cancer metastasis.

Highlights

  • Gastric cancer is one of the most common types of cancer worldwide and the predominant cause of cancer‐related mortality in Asian countries annually [1,2]

  • These data demonstrated that insulin‐like growth factor‐I (IGF‐I) could upregulate ZEB2 and induce Epithelial-to-mesenchymal transition (EMT) in BGC‐823 gastric cancer cells

  • Transforming growth factor‐β‐mediated ZEB2 expression has been shown to be involved in the process of EMT and enhancement of invasive ability in several types of epithelial tumor cells [27,28]; whether IGF‐I can upregulate the expression of ZEB2 is yet to be elucidated

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Summary

Introduction

Gastric cancer is one of the most common types of cancer worldwide and the predominant cause of cancer‐related mortality in Asian countries annually [1,2]. The majority of patients are diagnosed with advanced disease, in China [3]. Advanced gastric cancer is characterized by a highly invasive Investigations on the molecular mechanisms of tumor metastasis will provide potential molecular targets and biomarkers for the development of effective therapies for gastric cancer

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