Purpose: Investigate the role of regulator of chromosome condensation 2 (RCC2) on lung adenocarcinoma (LUAD) metastasis.Experimental Design: Clinical specimens were used to assess the impact of RCC2 on LUAD metastasis. Mouse models, cytobiology, and molecular biology assays were performed to elucidate the function and underlying mechanisms of RCC2 in LUAD.Results: RCC2 expression was frequently increased in LUADs (88/122, 72.13%). It was confirmed by analysis of a larger cohort of TCGA RNA-seq data containing 488 LUADs and 58 normal lung tissues (P < 0.001). Importantly, increased level of RCC2 was significantly associated with T status of tumor (P = 0.002), lymph node metastasis (P = 0.004), and advanced clinical stage (P = 0.001). Patients with LUAD with higher expression of RCC2 had shorter overall survival. Cox regression analysis demonstrated that RCC2 was an independent poorer prognostic factor for patients with LUAD. Moreover, forced expression of RCC2 promoted intrapulmonary metastasis in vivo and significantly enhanced LUAD cell migration, invasion, and proliferation in vitro Further study found that RCC2 induced epithelial-mesenchymal transition (EMT) and also stimulated the expression of MMP-2 and MMP-9. In addition, RCC2 was able to activate JNK, while inhibition of JNK suppressed the effect of RCC2 on LUAD cell migration, invasion, EMT, and the expression of MMP-2 and MMP-9.Conclusions: RCC2 plays a pivotal role in LUAD metastasis by inducing EMT via activation of MAPK-JNK signaling. Clin Cancer Res; 23(18); 5598-610. ©2017 AACR.

译文

目的: 探讨染色体浓缩调节因子2 (RCC2) 在肺腺癌 (LUAD) 转移中的作用。实验设计: 临床标本用于评估RCC2对LUAD转移的影响。进行小鼠模型、细胞生物学和分子生物学试验以阐明RCC2在LUAD中的功能和潜在机制。结果: RCC2表达在LUAD中经常增加 (88/122,72.13%)。通过对包含488个LUADs和58个正常肺组织的TCGA RNA-seq数据的较大队列的分析证实了这一点 (P <0.001)。重要的是,RCC2水平的升高与肿瘤的T状态 (P = 0.002),淋巴结转移 (P = 0.004) 和晚期临床分期 (P = 0.001) 显着相关。具有较高RCC2表达的LUAD患者的总生存期较短。Cox回归分析表明,RCC2是LUAD患者的独立较差预后因素。此外,RCC2的强制表达促进了体内肺内转移,并显着增强了LUAD细胞的迁移,侵袭和增殖。进一步研究发现,RCC2诱导了上皮-间质转化 (EMT),也刺激了MMP-2和MMP-9的表达。此外,RCC2能够激活JNK,而JNK的抑制抑制了RCC2对LUAD细胞迁移、侵袭、EMT以及MMP-2和MMP-9.Conclusions表达的影响: RCC2通过MAPK-JNK信号的激活诱导EMT在LUAD转移中起关键作用。临床癌症研究; 23(18); 5598-610。©2017 AACR.

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