Abstract

Dysregulation of long noncoding RNA (lncRNA) is implicated in the initiation and progression of various tumors, including endometrial cancer (EC). However, the mechanism of lncRNAs in EC tumorigenesis and progression remains largely unexplored. In this work, we identified a novel lncRNA DC-STAMP domain-containing 1-antisense 1 (DCST1-AS1), which is highly upregulated and correlated with poor survival in EC patients. Overexpression of DCST1-AS1 significantly enhanced EC cell proliferation, colony formation, migration, and invasion in vitro and promoted tumor growth of EC in vivo. Mechanistically, DCST1-AS1 mediated EC progression by inducing the expression of homeobox B5 (HOXB5) and cell adhesion molecule 1 (CADM1), via acting as a competing endogenous RNA for microRNA-665 (miR-665) and microRNA-873-5p (miR-873-5p), respectively. In addition, we found that the expression of miR-665 and miR-873-5p was significantly downregulated, while HOXB5 and CADM1 expression levels were increased in EC tissues. Taken together, our findings support the important role of DCST1-AS1 in EC progression, and DCST1-AS1 may be used as a prognostic biomarker as well as a potential therapeutic target for EC.

Highlights

  • Endometrial cancer (EC) is the most common malignant gynecological cancer in women [1, 2]

  • The results revealed that the expression of DCST1-AS1 was not related to the age and gender of the patients, but higher expression of DCST1-AS1 was significantly associated with larger tumor size, advanced TNM stage, and lymph node metastasis (Table 2)

  • LncRNAs are considered as critical epigenetic regulators, and the aberrant expression of Long noncoding RNAs (lncRNAs) contributes to cancer progression [28, 29]

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Summary

Introduction

Endometrial cancer (EC) is the most common malignant gynecological cancer in women [1, 2]. Most women diagnosed with EC have the early-stage disease and show favorable outcomes [3, 4]. There is a subset of ECs in which metastasis and recurrences do occur [3, 4]. Clinical outcomes worsen considerably for women diagnosed with clinically aggressive disease [5].

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