Abstract

Gastric cancer (GC) is one of the most common cancers worldwide. In the clinical setting, the identification of HER2 overexpression in GC was a significant finding, as trastuzumab, an anti-HER2 drug, provides a survival advantage to HER2-positive GC patients. In HER2-postive GC, the dysregulation of PI3K/AKT and MAPK/ERK signaling pathways has been reported, and inhibition of these pathways is an important therapeutic strategy. MiR-143 is known to act as a tumor suppressor in several cancers, such as bladder cancer, breast cancer, colorectal cancer, and gastric cancer. In the current study, we developed a novel chemically-modified miR-143 and explored the functions of this synthetic miR-143 (syn-miR-143) in HER2-positive gastric cancer. The expression level of miR-143 was down-regulated in GC cell lines, including HER2-positive GC cell lines, MKN7, and KATO-III. The ectopic expression of miR-143 in those cell lines suppressed cell growth through systemic silencing of KRAS and its effector signaling molecules, AKT and ERK. Furthermore, syn-miR-143 indirectly down-regulated the expression of HER2, an upstream molecule of KRAS, through silencing DEAD/H-box RNA helicase 6 (DDX6), RNA helicase, which enhanced HER2 protein expression at the translational step in HER2-positive GC cells. These findings suggested that syn-miR-143 acted as a tumor suppressor through the impairment of KRAS networks including the DDX6.

Highlights

  • Gastric cancer (GC) is one of the most common causes of cancer-related deaths worldwide, being the third in men and fifth in women

  • Fir2s.t1l.yE, xipnreossridonerLetvoelsaonfamlyiRz-e14t3hWe eerxe pDroewsns-iRoengulleavteedlisnoGfasmtriicRC-1an4c3eriCneltlhLeingesastric cancer cells used in this study, wFiersptlye,rifnoormrdeerdtoqaRnTa-lyPzCeRtheuesxinprgesTsaioqnMleavnelsporfimmieRr-s14a3nidn tphreogbaestsr.icTchanecreerscuellltssussehdoiwn ethdisthat the expresssitoundyle, vweel poefrfmorimRe-1d4q3RwT-aPsCRsigunsiinfigcaTnaqtlMyadnopwrinm-erresgaunldatperdobiens.aTllhoe frethsueltgs asshtorwicedcatnhacterthceell lines tested, ceteoxsmpterepds,ascriooemndplweavrieetldhowiftismthlieRivt-s1e4lle3vinewltaihns esthingenonirfomicrmaanlatlleyeppdiitothhweenllii-aarleltgtisuisslusauteee(dF(iiFgnuigarelul 1roeAf )1t.hAe)g. astric cancer cell lines

  • The ectopic expression of miR-143 in both cell lines significantly reduced the number of viable cells (Figure 2A). These results suggested that miR-143 functioned as a tumor suppressor microRNA (TS-miR) in Human epidermal growth factor receptor 2 (HER2)-positive gastric cancer

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Summary

Introduction

Gastric cancer (GC) is one of the most common causes of cancer-related deaths worldwide, being the third in men and fifth in women. Approximately 720,000 deaths are related to GC annually [1]. Human epidermal growth factor receptor 2 (HER2) is associated with the poor outcome of various cancers, such as advanced gastric cancer and gastroesophageal junction cancer [4]. Trastuzumab is a molecular-targeting drug for HER2; and as the result of the ToGA trial, the addition of trastuzumab to chemotherapy has become the standard treatment for advanced HER2-positive GC patients and is the only anti-HER2 agent approved for treatment of such patients nowadays [6,7]. RSaci.t2in01g8, 1i9n, x HER2-positive gastric cancer, the dysregulation of PI3K/AK2Tofs1i4gnaling pathwamysoliescufrlaerq-tuaregnettliyngindrvuoglvfoerdHiEnRt2h; eanmd easchthaenriessmultooff rtheesiTsotaGnAcetritaol, ttrhaesatdudziutiomnaobf t[r8a]s;tuaznudmianbcreased activitytoofchMemAoPthKe/raEpRy Khassibgencoamline gthpe sattahnwdaarydstrreeastmuletnstifnoriandvvaasnicoend aHnEdR2m-peotsaitsitvaesGisCinpaGtieCnt[s9a]n. Aling pathways operating in HER2-positive gastric cancer, the dysregulation of J.oMpole. rSaci.t2in01g8, 1i9n, x HER2-positive gastric cancer, the dysregulation of PI3K/AK2Tofs1i4gnaling pathwamysoliescufrlaerq-tuaregnettliyngindrvuoglvfoerdHiEnRt2h; eanmd easchthaenriessmultooff rtheesiTsotaGnAcetritaol, ttrhaesatdudziutiomnaobf t[r8a]s;tuaznudmianbcreased activitytoofchMemAoPthKe/raEpRy Khassibgencoamline gthpe sattahnwdaarydstrreeastmuletnstifnoriandvvaasnicoend aHnEdR2m-peotsaitsitvaesGisCinpaGtieCnt[s9a]n. dTihs erefore, the contrhoeloonflyboatnhti-oHfEtRh2esaegepnatthapwparoyvseids fvoerrtyrecartmitiecnatloafssaucshtrpaatteigenytsfonrowdeavdaeylosp[6in,7g]. nRoegvaerldainggenthtse to treat HER2-pgorsoiwtitvhe-reGlaCtecdeslilgsn. aling pathways operating in HER2-positive gastric cancer, the dysregulation of

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