Abstract
BackgroundBreast cancer anti-estrogen resistance 4 (BCAR4) is closely associated with colorectal cancer (CRC) initiation and propagation. However, the mechanisms underlying BCAR4 function in colon cancer remains largely unknown. In this study, we hypothesized that BCAR4 could regulate colon cancer stem/initiating cells (CSC) function and further facilitates the colon cancer progression.MethodsqRT-PCR was used to examine the expression of BCAR4 and various CSC markers. FACS, acetaldehyde dehydrogenase (ALDH) activity and western blot assays were applicable to test the expression of CSC markers. CCK8, tumorsphere formation and transwell assays were adopted to examine the capacity of CRC cells proliferation, self-renewal and migration. Pull down assay was used to test the interaction between BCAR4 and miR-665. Luciferase reporter assay was used to examine the interaction of miR-665 and activators of transcription (STAT3). In vivo tumor xenograft study was used to verify the malignancy of CRC cells with inhibition of BCAR4.ResultsBreast cancer anti-estrogen resistance 4 was highly expressed in both CRC cells and stem/initiating cells. In addition, overexpression of BCAR4 facilitated the maintenance of ALDH positive cells (a type of cancer stem/initiating cells) stemness and promoted ALDH+ cells proliferation and migration. Inhibition of BCAR4 restricted ALDH+ cells proliferation and migration. We further proved that miR-665 was the target of BCAR4 and subsequently activated signal transducers and STAT3 signaling which is an important pathway in cancer stem cells self-renewal.ConclusionsBreast cancer anti-estrogen resistance 4 promotes the CRC cells stemness through targeting to miR-665/STAT3 signaling and identification of the BCAR4 in CRC stem cells provides a new insight into CRC diagnosis, treatment, prognosis and next-step translational investigations.
Highlights
Breast cancer anti-estrogen resistance 4 (BCAR4) is closely associated with colorectal cancer (CRC) initiation and propagation
MiR-665 was demonstrated to be the target of BCAR4 and subsequently activated activators of transcription (STAT3) signaling which is an important pathway in cancer stem cells self-renewal
BCAR4 was significantly up‐regulated in the A LDH+ colorectal cancer stem cells (CSCs) Previous studies reported that BCAR4 was highly expressed in colon cancers, the detailed mechanisms of BCAR4 functioned in colorectal cancer cells remains unclear
Summary
Breast cancer anti-estrogen resistance 4 (BCAR4) is closely associated with colorectal cancer (CRC) initiation and propagation. We hypothesized that BCAR4 could regulate colon cancer stem/initiating cells (CSC) function and further facilitates the colon cancer progression. Colorectal cancer (CRC), is commonly originated from normal colon epithelial cell. Non-specific immunoregulators, such as Bacillus Calmette–Guérin (BCG) and levamisole were initially used in CRC treatments [6]. Passive (antibodies or immune cells) and active (vaccination) specific immunotherapy was applicable for CRC and showed limited efficiency [7]. Unlike the bulk of adult stem cells, CSCs are considered to initiate tumor growth and cause the recurrence of cancer after chemotherapy and/or radiation therapy [9]
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