Abstract

ObjectiveMetastasis is one of the key causes of high mortality in lung cancer. Aberrant DNA methylation is a common event in metastatic lung cancer. We aimed to identify new epigenetic regulation of metastasis-associated genes and characterize their effects on lung cancer progression.MethodsWe screened genes associated with non-small cell lung cancer (NSCLC) metastasis by integrating datasets from the Gene Expression Omnibus (GEO) database. We obtained epigenetic-regulated candidate genes by analyzing the expression profile of demethylation genes. By overlapping analysis, epigenetically modulated metastasis-associated genes were obtained. Kaplan-Meier plotter (KM plotter) was utilized to assess the overall survival (OS) of stomatin in lung cancer. Immunohistochemistry (IHC) was conducted to determine the association between stomatin and metastasis-associated clinical indicators. Both in vitro and in vivo assays were performed to investigate the potential role of stomatin in metastasis. The regulation mechanisms of transforming growth factor β1 (TGFβ1) on stomatin were determined by Sequenom MassARRAY quantitative methylation and western blot assays. ResultsA series of bioinformatic analyses revealed stomatin as the metastasis-associated gene regulated by DNA methylation. The KM plotter analysis showed a positive association between stomatin and the OS of lung cancer. IHC analysis indicated that the decreased stomatin expression is linked with advanced TNM stage. Loss- and gain-of-function experiments displayed that stomatin could inhibit the migration and invasion of NSCLC cells. Furthermore, TGFβ1 repressed stomatin expression during epithelial-to-mesenchymal transition (EMT). The negative correlation between stomatin and TGFβ1 was also validated in advanced stage III lung tumor samples. The underlying mechanism by which TGFβ1 inhibits stomatin is due in part to DNA methylation.ConclusionsOur results suggest that stomatin may be a target for epigenetic regulation and can be used to prevent metastatic diseases.

Highlights

  • Lung cancer is the most common cause of cancer-related deaths worldwide [1]

  • Our study provides the direct evidence that stomatin plays a critical role in non-small cell lung cancer (NSCLC) metastasis, especially during transforming growth factor β1 (TGFβ1)-induced epithelial-to-mesenchymal transition (EMT), indicating that stomatin is a potential therapeutic target for preventing NSCLC metastasis

  • The analysis showed that 2,172 genes were differentially expressed in noninvasive vs. invasive lung adenocarcinoma (LUAD) (GSE27716, Figure 1A, B, |logFC|>0.4, adj.P.value0.8, adj.P.value

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Summary

Introduction

Lung cancer is the most common cause of cancer-related deaths worldwide [1]. The number of patients diagnosed with lung cancer is 2.1 million, with 1.8 million deaths [2,3]. Chinese Journal of Cancer Research, Vol 31, No 6 December 2019 and personalized therapy (precision medicine), the overall survival (OS) rate of lung cancer patients remains poor (5year survival rate

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