SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia

Abstract Background Intestinal metaplasia (IM) is a premalignant lesion associated with gastric cancer. Both animal and clinical studies have revealed that bile acid reflux and subsequent chronic inflammation are key causal factors of IM. Previous studies indicated that SOX2, the key transcription f...

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Main Authors: Ting Yuan, Zhen Ni, Chuan Han, Yali Min, Nina Sun, Caifang Liu, Miao Shi, Wenquan Lu, Na Wang, Feng Du, Qiong Wu, Ning Xie, Yongquan Shi
Format: Article
Language:English
Published: BMC 2019-01-01
Series:Cancer Cell International
Subjects:
Online Access:http://link.springer.com/article/10.1186/s12935-019-0739-8
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author Ting Yuan
Zhen Ni
Chuan Han
Yali Min
Nina Sun
Caifang Liu
Miao Shi
Wenquan Lu
Na Wang
Feng Du
Qiong Wu
Ning Xie
Yongquan Shi
author_facet Ting Yuan
Zhen Ni
Chuan Han
Yali Min
Nina Sun
Caifang Liu
Miao Shi
Wenquan Lu
Na Wang
Feng Du
Qiong Wu
Ning Xie
Yongquan Shi
author_sort Ting Yuan
collection DOAJ
description Abstract Background Intestinal metaplasia (IM) is a premalignant lesion associated with gastric cancer. Both animal and clinical studies have revealed that bile acid reflux and subsequent chronic inflammation are key causal factors of IM. Previous studies indicated that SOX2, the key transcription factor in gastric differentiation, was downregulated during IM development while CDX2, the pivotal intestine-specific transcription factor was upregulated significantly. However, it remains unclear whether the downregulation of SOX2 promotes gastric IM emergence or is merely a concomitant phenomenon. In addition, the underlying mechanisms of SOX2 downregulation during IM development are unclear. Methods Gastric cell lines were treated with deoxycholic acid (DCA) in a dose-dependent manner. The expression of CDX2 and miR-21 in gastric tissue microarray were detected by immunohistochemistry and in situ hybridization. Coimmunoprecipitation and immunofluorescence were performed to ascertain the interaction of SOX2 and CDX2. Luciferase reporter assays were used to detect the transcriptional activity of CDX2, and confirm miR-21 binding to SOX2 3′-UTR. The protein level of SOX2, CDX2 and downstream IM-specific genes were investigated using western blotting. mRNA level of miR-21, SOX2, CDX2 and downstream IM-specific genes were detected by qRT-PCR. Results Bile acid treatment could suppress SOX2 expression and simultaneously induce expression of CDX2 in gastric cell lines. Furthermore, we demonstrated that SOX2 overexpression could significantly inhibit bile acid- and exogenous CDX2-induced IM-specific gene expression, including KLF4, cadherin 17 and HNF4α expression. In contrast, SOX2 knockdown had the opposite effect. A dual-luciferase reporter assay demonstrated that SOX2 overexpression could significantly suppress CDX2 transcriptional activity in HEK293T cells. CDX2 and SOX2 could form protein complexes in the nucleus. In addition, bile acid induced the expression of miR-21. The inhibition of SOX2 in bile acid-treated gastric cell lines was rescued by miR-21 knockdown. Conclusions These findings suggested that SOX2 can interfere with the transcriptional activity of CDX2 in bile acid-induced IM and that miR-21 might play a key role in this process, which shed new lights in the prevention of gastric cancer.
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spelling doaj.art-100d0320fdb84563ae4203cbf54213162022-12-21T18:57:18ZengBMCCancer Cell International1475-28672019-01-0119111310.1186/s12935-019-0739-8SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasiaTing Yuan0Zhen Ni1Chuan Han2Yali Min3Nina Sun4Caifang Liu5Miao Shi6Wenquan Lu7Na Wang8Feng Du9Qiong Wu10Ning Xie11Yongquan Shi12State key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityDepartment of Gastroenterology, The Second Affiliated Hospital of Xi’an Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityDepartment of Gastroenterology, Second Affiliated Hospital of Xi’an Jiaotong UniversityState key Laboratory of Cancer Biology, National Clinical Research Center for Digestive Diseases and Xijing Hospital of Digestive Diseases, Fourth Military Medical UniversityAbstract Background Intestinal metaplasia (IM) is a premalignant lesion associated with gastric cancer. Both animal and clinical studies have revealed that bile acid reflux and subsequent chronic inflammation are key causal factors of IM. Previous studies indicated that SOX2, the key transcription factor in gastric differentiation, was downregulated during IM development while CDX2, the pivotal intestine-specific transcription factor was upregulated significantly. However, it remains unclear whether the downregulation of SOX2 promotes gastric IM emergence or is merely a concomitant phenomenon. In addition, the underlying mechanisms of SOX2 downregulation during IM development are unclear. Methods Gastric cell lines were treated with deoxycholic acid (DCA) in a dose-dependent manner. The expression of CDX2 and miR-21 in gastric tissue microarray were detected by immunohistochemistry and in situ hybridization. Coimmunoprecipitation and immunofluorescence were performed to ascertain the interaction of SOX2 and CDX2. Luciferase reporter assays were used to detect the transcriptional activity of CDX2, and confirm miR-21 binding to SOX2 3′-UTR. The protein level of SOX2, CDX2 and downstream IM-specific genes were investigated using western blotting. mRNA level of miR-21, SOX2, CDX2 and downstream IM-specific genes were detected by qRT-PCR. Results Bile acid treatment could suppress SOX2 expression and simultaneously induce expression of CDX2 in gastric cell lines. Furthermore, we demonstrated that SOX2 overexpression could significantly inhibit bile acid- and exogenous CDX2-induced IM-specific gene expression, including KLF4, cadherin 17 and HNF4α expression. In contrast, SOX2 knockdown had the opposite effect. A dual-luciferase reporter assay demonstrated that SOX2 overexpression could significantly suppress CDX2 transcriptional activity in HEK293T cells. CDX2 and SOX2 could form protein complexes in the nucleus. In addition, bile acid induced the expression of miR-21. The inhibition of SOX2 in bile acid-treated gastric cell lines was rescued by miR-21 knockdown. Conclusions These findings suggested that SOX2 can interfere with the transcriptional activity of CDX2 in bile acid-induced IM and that miR-21 might play a key role in this process, which shed new lights in the prevention of gastric cancer.http://link.springer.com/article/10.1186/s12935-019-0739-8Bile acidCDX2Intestinal metaplasiamiR-21SOX2
spellingShingle Ting Yuan
Zhen Ni
Chuan Han
Yali Min
Nina Sun
Caifang Liu
Miao Shi
Wenquan Lu
Na Wang
Feng Du
Qiong Wu
Ning Xie
Yongquan Shi
SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
Cancer Cell International
Bile acid
CDX2
Intestinal metaplasia
miR-21
SOX2
title SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
title_full SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
title_fullStr SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
title_full_unstemmed SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
title_short SOX2 interferes with the function of CDX2 in bile acid-induced gastric intestinal metaplasia
title_sort sox2 interferes with the function of cdx2 in bile acid induced gastric intestinal metaplasia
topic Bile acid
CDX2
Intestinal metaplasia
miR-21
SOX2
url http://link.springer.com/article/10.1186/s12935-019-0739-8
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