Abstract

Esophageal squamous cell carcinoma (ESCC) ranks as one of the most deadly cancers worldwide due to its aggressive progression and poor treatment response. The long non-coding RNA (lncRNA)-microRNA (miRNA)-messenger RNA (mRNA) axis has been highlighted as a potency biomarker for enhancing the radiosensitivity of ESCC. Hence, we investigated the functional mechanism of the lncRNA DIO3OS/miR-130b/PAX9 axis in the radioresistance of ESCC cells. In cell experiments, we altered the miR-130b expression in ESCC cells using mimic or inhibitor to examine its effects on ESCC cell activities in response to 4 Gy irradiation, as well testing the involvement of lncRNA DIO3OS and the transcription factor gene PAX9. Tumor xenograft experiments were then conducted to observe the effect of miR-130b, lncRNA DIO3OS, and PAX9 on the radiosensitivity of ESCC cells in vivo. miR-130b was found to be highly expressed in ESCC. Downregulated miR-130b inhibited proliferation, invasion, and resistance to apoptosis in ESCC cells. LncRNA DIO3OS and PAX9 were downregulated in ESCC. The lncRNA DIO3OS could upregulate PAX9 by binding to miR-130b, which ultimately promoted the radiosensitivity of ESCC in vitro and in vivo. Taken together, lncRNA DIO3OS upregulates the expression of PAX9 by binding to miR-130b, ultimately promoting the radiosensitivity of ESCC.

Highlights

  • Esophageal squamous cell carcinoma (ESCC) ranks as one of the most fatal cancers worldwide for its aggression and unsatisfactory survival rate

  • The preliminary microarray analysis performed in the present study identified the binding of miR–130b to differentially expressed long noncoding RNA DIO3OS and paired box 9 (PAX9) gene, which led to a hypothesis of the involvement of the DIO3OS/miR–130b/PAX9 axis in the radiosensitivity of ESCC

  • reverse transcription quantitative polymerase chain reaction (RT-qPCR) was subsequently applied to detect the expression of miR–130b in ESCC cell lines (EC109, TE–1, KYSE70, KYSE270, and KYSE30) and human normal esophageal epithelial cells (HEEC) (Fig. 1C)

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Summary

Introduction

Esophageal squamous cell carcinoma (ESCC) ranks as one of the most fatal cancers worldwide for its aggression and unsatisfactory survival rate. Esophageal squamous cell carcinoma (ESCC) is a malignancy characterized by a high rate of morbidity and mortality largely due to the delayed diagnosis in high-grade stages, which has been reported to account for approximately 90% of all the EC cases on an annual basis globally [2]. In Chinese population, EC ranks as the fourth most prevalent malignancy and the fourth leading cause of cancer-related fatality, resulting in approximately 100 per 100,000 cases diagnosed annually [4]. The advancements in surgical methods and other treatment regimens improve prognosis of ESCC patients, ESCC still remains one of the most lethal cancers with a devastating 5-year survival rate in the advanced stage of less than 15% [8]. In order to increase overall survival and prevent radioresistance, novel therapies tailored with the aid of molecular biomarkers of ESCC are urgently required

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