Abstract:
Objective To investigate the role of Cdc42EP3 in colorectal cancer (CRC) metastasis and its related mechanism.
Methods The pathological wax blocks of 97 CRC patients diagnosed and treated at The Affiliated Huai'an No.1 People's Hospital of Nanjing Medical University from December 2010 to December 2011 were collected retrospectively, and the relevant clinicopathologic data were collected simultaneously. An immunohistochemistry assay was used to assess the expression of the Cdc42EP3 protein in cancer and corresponding normal tissues. Thereafter, statistical methods were used to analyze the differential expression and evaluate correlations between the expression levels, clinicopathologic parameters, and survival outcomes. A loss-of-function assay was performed on CRC cell lines with high Cdc42EP3 messenger RNA expression levels, and changes in cell migration and invasion abilities were detected via Transwell assays. EMT-associated protein levels were further tested using the Western blot assays. Gene chip technology, bioinformatics analysis, and rescue experiments showed that Cdc42EP3 promoted the migration and invasion of CRC cells through STAT1.
Results Cdc42EP3 was highly expressed in CRC tissues compared with the adjacent normal epithelial tissues (P<0.001), and its expression was associated with lymph node metastasis (P=0.011), TNM stage (P=0.008), and a poor patient prognosis (P<0.001). Correspondingly, Cdc42EP3 promoted migration and invasion in vitro (P<0.01). Bioinformatic data suggested that Cdc42EP3 targeted STAT1. Suppression of Cdc42EP3 expression in CRC cell lines increased endogenous STAT1 protein levels. STAT1 overexpression mimicked the tumor suppressive effect of Cdc42EP3 knockdown on CRC cells, while STAT1 knockdown abolished the tumor suppressive effect of Cdc42EP3 knockdown on CRC cells (P<0.05).
Conclusions When combined, our results suggest that Cdc42EP3 expresses highlyin CRC tissues and plays a metastasis-promoting role via STAT1 in CRC cells and, thus, could be a target for preventing metastasis.