Melanoma associated antigen (MAGE)-A3 promotes cell proliferation and chemotherapeutic drug resistance in gastric cancer

被引:32
作者
Xie, Chen [1 ]
Subhash, Vinod Vijay [1 ,2 ]
Datta, Arpita [3 ]
Liem, Natalia [1 ]
Tan, Shi Hui [1 ]
Yeo, Mei Shi [1 ]
Tan, Woei Loon [1 ]
Koh, Vivien [1 ]
Yan, Fui Leng [1 ]
Wong, Foong Ying [1 ]
Wong, Wai Keong [4 ,5 ]
So, Jimmy [6 ,7 ]
Tan, Iain Beehuat [8 ]
Padmanabhan, Nisha [10 ]
Yap, Celestial T. [3 ,9 ]
Tan, Patrick [10 ]
Goh, Liang Kee [11 ]
Yong, Wei Peng [1 ,2 ]
机构
[1] Natl Univ Singapore Hosp, Dept Haematol Oncol, Level 7,NUHS Tower Block,1E,Kent Ridge Rd, Singapore 119228, Singapore
[2] Natl Univ Singapore, Canc Sci Inst Singapore, Singapore 117548, Singapore
[3] Natl Univ Singapore, Dept Physiol, Singapore 117548, Singapore
[4] Singapore Gen Hosp, Dept Pathol, Singapore, Singapore
[5] Singapore Gen Hosp, Dept Gen Surg, Singapore, Singapore
[6] Natl Univ Hlth Syst, Dept Med, Dept Surg, Singapore, Singapore
[7] Natl Univ Hlth Syst, Dept Pathol, Singapore, Singapore
[8] Natl Canc Ctr Singapore, Dept Med Oncol, Singapore, Singapore
[9] Natl Univ Singapore, Inst Canc, Singapore 117548, Singapore
[10] Duke NUS Grad Med Sch, Dept Canc & Stem Cell Biol, Singapore, Singapore
[11] Duke NUS Grad Med Sch, Ctr Quantitat Med, Singapore, Singapore
关键词
MAGE-A3; Methylation; Proliferation; Apoptosis; Docetaxel; Gastric cancer; MAGE-A; CANCER/TESTIS ANTIGENS; TRANSCRIPTION FACTOR; INDUCED APOPTOSIS; MYELOMA CELLS; GENE FAMILY; EXPRESSION; SURVIVIN; P53; LINES;
D O I
10.1007/s13402-015-0261-5
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Melanoma-associated antigen (MAGE)-A3 is a member of the family of cancer-testis antigens and has been found to be epigenetically regulated and aberrantly expressed in various cancer types. It has also been found that MAGE-A3 expression may correlate with an aggressive clinical course and with chemo-resistance. The objectives of this study were to assess the relationship between MAGE-A3 promoter methylation and expression and (1) gastric cancer patient survival and (2) its functional consequences in gastric cancer-derived cells. Samples from two independent gastric cancer cohorts (including matched non-malignant gastric samples) were included in this study. MAGE-A3 methylation and mRNA expression levels were determined by methylation-specific PCR (MSP) and quantitative real-time PCR (qPCR), respectively. MAGE-A3 expression was knocked down in MKN1 gastric cancer-derived cells using miRNAs. In addition, in vitro cell proliferation, colony formation, apoptosis, cell cycle, drug treatment, immunohistochemistry and Western blot assays were performed. Clinical analysis of 223 primary patient-derived samples (n(tumor) = 161, n(normal) = 62) showed a significant inverse correlation between MAGE-A3 promoter methylation and expression in the cancer samples (R = -0.63, p = 5.99e-19). A lower MAGE-A3 methylation level was found to be associated with a worse patient survival (HR: 1.5, 95 % CI: 1.02-2.37, p = 0.04). In addition, we found that miRNA-mediated knockdown of MAGE-A3 expression in MKN1 cells caused a reduction in its proliferation and colony forming capacities, respectively. Under stress conditions MAGE-A3 was found to regulate the expression of Bax and p21. MAGE-A3 knock down also led to an increase in Puma and Noxa expression, thus contributing to an enhanced docetaxel sensitivity in the gastric cancer-derived cells. From our results we conclude that MAGE-A3 expression is regulated epigenetically by promoter methylation, and that its expression contributes to gastric cell proliferation and drug sensitivity. This study underscores the potential implications of MAGE-A3 as a therapeutic target and prognostic marker in gastric cancer patients.
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收藏
页码:175 / 186
页数:12
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