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The novel role of circular RNA ST3GAL6 on blocking
gastric cancer malignant behaviors through
autophagy regulated by the FOXP2/MET/mTOR axis
Penghui Xu
The First Aliated Hospital of Nanjing Medical University
Xing Zhang
The First Aliated Hospital of Nanjing Medical University
Jiacheng Cao
The First Aliated Hospital of Nanjing Medical University
Jing Yang
The First Aliated Hospital of Nanjing Medical University
Zetian Chen
The First Aliated Hospital of Nanjing Medical University
Weizhi Wang
The First Aliated Hospital of Nanjing Medical University
Sen Wang
The First Aliated Hospital of Nanjing Medical University
Lu Zhang
The First Aliated Hospital of Nanjing Medical University
Li Xie
The First Aliated Hospital of Nanjing Medical University
Lang Fang
The First Aliated Hospital of Nanjing Medical University
Yiwen Xia
The First Aliated Hospital of Nanjing Medical University
Zhe Xuan
The First Aliated Hospital of Nanjing Medical University
Jialun Lv
The First Aliated Hospital of Nanjing Medical University
Zekuan Xu ( xuzekuan1@126.com )
Department of General Surgery, The First Aliated Hospital of Nanjing Medical University, Nanjing, 210029.
Jiangsu province, China
Research Article
Keywords: circST3GAL6, FOXP2, transcription factor, gastric cancer, autophagy
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Abstract
Gastric cancer (GC) ranks third in motality among all cancers worldwide. Circular RNAs (circRNAs) play
essential roles in the malignant progression and metastasis of gastric cancer. As a transcription factor, FOXP2
is involved in the progression of many tumours. However, the regulation and association between circRNAs
and FOXP2 remain to be discovered. In our study, CircST3GAL6 was signicantly depressed in GC tissues and
cells. circST3GAL6 overexpression inhibited the proliferation, invasion and metastasis of GC cells in vitro and
in vivo. Importantly, circST3GAL6 overexpression induced apoptosis and promote autophagy in GC cells.
Furthermore, we found that circST3GAL6 sponged miR-300 and subsequently regulated FOXP2. We further
revealed that FOXP2 suppressed the activation of the Met/AKT/mTOR axis, a classic pathway that regulates
autophagy-mediated proliferation and migration. In summary, our findings revealed that circST3GAL6
functions as a tumour suppressor through the miR-300/FOXP2 axis in GC, regulates apoptosis and autophagy
through FOXP2-mediated transcriptional inhibition of the MET axis and may be a biomarker for GC treatment.
Introduction
Gastric cancer (GC) is the third most frequent cause of cancer-related deaths worldwide. According to the
Global Cancer Statistics published in the
American Journal of Clinical Oncology
in 2018, GC ranks fth in
incidence and third in mortality among all cancers. East Asia, including China,has a high incidence of gastric
cancer
1, 2
. Although much progress has been made inimprovingthe quality of life of gastric cancer patients
3-
5
, the overall survival of GC patientshas remainedunsatisfactory in recent years
6
. Therefore, it is valuable to
explore the potential mechanism andidentifypossible clinical therapeutic targets.
As noncoding RNAs, circular RNAs (circRNAs)are formed in a covalently circular closed loop, witha3′ head
binding to 5′ tail ends
7
. CircRNAs have been detected in many organisms andhave becomea hot topic of
research in recent years because oftheirunique stable structure
8, 9
. Furthermore, circRNAs have been reported
to play many important rolesin regulating translation, sponging miRNA and proteins
10-12
. Increasingevidence
hasconrmed that circRNAs function in GC developmentbyspongingmiRNAstoregulatetargeted genes
13
.
For example,thecircular RNA circ-ERBIN promotesthegrowth and metastasis of colorectal cancer by miR-
125a-5p and miR-138-5p/4EBP-1-mediated cap-independent HIF-1α translation
14
. In the present study,we
attempted toelucidatethe molecular mechanisms of thesuppressiverole of circST3GAL6 in gastric cancer.
As a transcription factor,theForkhead box P (FOXP) family comprises FOXP1, FOXP2, FOXP3 and FOXP4.
FOXP proteinsplayessential roles in the regulation of gene transcription related to tumour progression
15
.
Although FOXP3 is awell-knowntranscription factor, FOXP2hasrarelybeeninvestigated
16, 17
. Recent studies
have demonstrated that FOXP2markedly affectscancer progression as a tumour suppressor
18
. For example,
FOXP2 suppressed the transcriptional activity of MET,and FOXP2 overexpression resulted in the
transcriptional repression of MET
19
. However, no relevant study has investigated the association between
circRNAs and FOXP2, and how FOXP2isregulated by circRNAs remains to be solved.
Autophagy is essential to tumour progression,and several studies have indicated that circRNAs are involved
in the regulation of autophagy in cancer
10, 20
.Additionally, theMet/mTOR axis regulates autophagy
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andpromotestumour metastasis
21
.
In our study, we found that circST3GAL6 is downregulated in GC tissues. Furthermore, we demonstrated that
circST3GAL6 suppresses cell proliferation and metastasis by sponging miR-300, affecting FOXP2 expression.
CircST3GAL6 also regulates autophagy-mediated proliferation and migration through the FOXP2/Met/mTOR
axis. In conclusion, circST3GAL6 is expected to be a therapeutic target in the future.
Materials And Methods
Tissue specimens/Tissue samples
All GC tissues and adjacent normal stomach mucosa tissues in this study were obtained from patients who
had received radical gastrectomy at the Department of Gastrointestinal Surgery, the First Aliated Hospital of
Nanjing Medical University. All the specimens were collected and snap-frozen in liquid nitrogen immediately
after surgical resection. TNM stage wasbasedon the TNM classication system (American Joint Committee
on Cancer classification, AJCC, 7
th
edition).
Cell culture and treatment
The human GC cell lines BGC-823, SGC-7901, MGC-803, and MKN-45 andnormalGES-1 stomach mucosa
epithelium cells were cultured inRPMI 1640(Wisent, Shanghai, China) supplemented with 10% foetal bovine
serum (FBS) (Wisent, Biocenter, China) and 1% pencillin-streptomycin. HGC-27 cells were cultured inRPMI
1640(Wisent, Shanghai, China) supplemented with 20% FBS (Wisent, Biocenter, China) and 1% penicillin-
streptomycin. All the cells were incubated in a humidied atmosphere of 5% CO
2
at 37 °C.
RNA-seq analysis
TotalRNA wasisolated from GC tissues and cells usingTRIzolreagent (Invitrogen). Next, complementary DNA
(cDNA) was reverse transcribed using PrimeScript RT Reagent (RR036A; TaKaRa, Japan). Quantitative real-
time polymerase chain reaction (qRT-PCR) was performed using the SYBR™ GREEN PCR Master Mix kit
(4913914001; Roche, Shanghai, China). Therelative expressionof RNAwasnormalizedto theendogenous
controlglyceraldehyde3‐phosphate dehydrogenase (GAPDH) and U6. RIBOBIO Biotech (Guangzhou, China)
provided all the specic primers for circRNAs. The PCR primer sequences of miRNAs and mRNAs were
synthesized by Realgene (Nanjing, China) and are listed in Additional le 1: Table S1.
RNase R treatment
The total RNA of GC cell lines was mixed with 3 U/mg of RNase R for 20 min at 37 °C. qRT-PCR was applied to
detect the stable expression of circST3GAL6 and ST3GAL6 mRNA.
Actinomycin D assay
Cells were seeded at 5×10
4
cells per well in a 24-well plate overnight and then treated with 2 mg/L of
actinomycin D (Sigma-Aldrich, USA). Total RNA was harvested at the indicated time points (4 h, 8 h, 12 h, 24
h),and qRT-PCR was performed to analyse the stability of the circRNA and mRNA.
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Oligonucleotide transfection
The human gastric cell lines BGC-823 and SGC-7901 were seeded in a 6-well plate and incubated at 37 °C
inahumidied 5% CO
2
atmosphere overnight. siRNA, miRNA mimics and inhibitors (GenePharma, Shanghai,
China) were transfectedwithLipofectamine 3000 (Thermo Fisher, Scientic, Waltham, MA, USA) according to
the manufacturer’s protocol.
Plasmid construction and stable transfection
CircST3GAL6 cDNA was synthesized and cloned into the pcDNA3.1 vector (GenePharma, Shanghai, China).
Cells were transfected with plasmids according to the manufacturer’sprotocol.
Western blotting
Totalprotein from tissues and cells was extracted using RIPA lysis buffer (P0013B; Beyotime Biotechnology,
China) containing PMSF. The protein concentration was determined using the Bradford method. Equal
amounts of protein samples were resolved and separated by 10% SDS-PAGE usinganelectrophoresis
apparatus (Bio-Rad, America) and transferred onto polyvinylidene diuoride (PVDF) membranes. Next, the
membranes were blocked by incubating with QuickBlock (P0252;BeyotimeBiotechnology,China) for20
minutes. Next, the membranes were treated with primary antibody, using GAPDH as an internal reference, at
4°C overnight. Finally, the membranes were washedandthen incubated with secondary antibody for2 hat
room temperature. The blots were then visualized by enhanced chemiluminescence detection.
CCK-8 assay
WeplatedBGC-823 and SGC-7901 cells in 96-well plates at ten thousand cells per well, and then added 10 μl
of CCK-8 solution (Dojindo Laboratories, Kumamoto, Japan) to each well every other day according to the
manufacturer's protocols. After that, the cells were cultured for 2 hours at 37°C.Twohours later, we recorded
the absorbance of the cells at 450 nm using a microplate reader (BioTek, Winooski, VT, USA).
Colony formation assay
BGC-832 and SGC-7901 cells were seeded in different six-well plates. Each well was inoculated with 1000
cells, and then the six-well plates were cultured in an incubator containing 5% CO
2
for 2 weeks.Twoweeks
later, the cell proliferation state was observed after staining the cells.
Transwell assay
First, we inoculated specic cells on the upper side of theTranswellcompartments(Millipore, Billerica, MA,
USA) and added200 μlserum-free RPMI-1640 at the same time. Next, we added600μlof complete medium to
the lower side of theTranswellcompartments. Afterincubationfor 24 hours in an incubator containing 5%
CO
2
, we rinsed the cells with PBS and then removed the cells that did not pass through the membrane with a
cotton swab. Finally, we xed and stained the cells with 75% alcohol and crystal violet.
Flow cytometric analysis