YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance

Abstract Objective Gastric cancer (GC) stands as a prevalent and deadly global malignancy. Despite its role as a preoperative neoadjuvant therapy, Apatinib’s effectiveness is curtailed among GC patients exhibiting elevated YY1 expression. YY1’s connection to adverse prognosis, drug resistance, and G...

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Main Authors: Zi-Han Geng, Jun-Xian Du, Yue-Da Chen, Pei-Yao Fu, Ping-Hong Zhou, Wen-Zheng Qin, Yi-Hong Luo
Format: Article
Language:English
Published: BMC 2024-02-01
Series:Cancer Cell International
Subjects:
Online Access:https://doi.org/10.1186/s12935-024-03262-z
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author Zi-Han Geng
Jun-Xian Du
Yue-Da Chen
Pei-Yao Fu
Ping-Hong Zhou
Wen-Zheng Qin
Yi-Hong Luo
author_facet Zi-Han Geng
Jun-Xian Du
Yue-Da Chen
Pei-Yao Fu
Ping-Hong Zhou
Wen-Zheng Qin
Yi-Hong Luo
author_sort Zi-Han Geng
collection DOAJ
description Abstract Objective Gastric cancer (GC) stands as a prevalent and deadly global malignancy. Despite its role as a preoperative neoadjuvant therapy, Apatinib’s effectiveness is curtailed among GC patients exhibiting elevated YY1 expression. YY1’s connection to adverse prognosis, drug resistance, and GC metastasis is established, yet the precise underlying mechanisms remain elusive. This study aims to unravel potential pathogenic pathways attributed to YY1. Design Utilizing bioinformatics analysis, we conducted differentially expressed genes, functional annotation, and pathway enrichment analyses, and further validation through cellular and animal experiments. Results Higher YY1 expression correlated with diminished postoperative progression-free survival (PFS) and disease-specific survival (DSS) rates in TCGA analysis, identifying YY1 as an independent DSS indicator in gastric cancer (GC) patients. Notably, YY1 exhibited significantly elevated expression in tumor tissues compared to adjacent normal tissues. Bioinformatics analysis revealed noteworthy differentially expressed genes (DEGs), transcriptional targets, factors, and co-expressed genes associated with YY1. LASSO Cox analysis unveiled Transferrin as a prospective pivotal protein regulated by YY1, with heightened expression linked to adverse DSS and PFS outcomes. YY1’s role in governing the p53 signaling pathway and ferroptosis in GC cells was further elucidated. Moreover, YY1 overexpression dampened immune cell infiltration within GC tumors. Additionally, YY1 overexpression hindered GC cell ferroptosis and mediated Apatinib resistance via the p53 pathway. Remarkably, IFN-a demonstrated efficacy in reversing Apatinib resistance and immune suppression in GC tissues. Conclusions Our findings underscore the pivotal role of YY1 in driving GC progression and influencing prognosis, thus pinpointing it as a promising therapeutic target to enhance patient outcomes.
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spelling doaj.art-5b8712f27b094bb2b6cbeee325e644ee2024-03-05T20:25:39ZengBMCCancer Cell International1475-28672024-02-0124111210.1186/s12935-024-03262-zYY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistanceZi-Han Geng0Jun-Xian Du1Yue-Da Chen2Pei-Yao Fu3Ping-Hong Zhou4Wen-Zheng Qin5Yi-Hong Luo6Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan UniversityDepartment of General Surgery, Zhongshan Hospital, Fudan UniversityDepartment of General Surgery, Zhongshan Hospital, Fudan University (Xiamen Branch)Endoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan UniversityEndoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan UniversityEndoscopy Center and Endoscopy Research Institute, Zhongshan Hospital, Fudan UniversityDepartment of General Surgery, Zhongshan Hospital, Fudan UniversityAbstract Objective Gastric cancer (GC) stands as a prevalent and deadly global malignancy. Despite its role as a preoperative neoadjuvant therapy, Apatinib’s effectiveness is curtailed among GC patients exhibiting elevated YY1 expression. YY1’s connection to adverse prognosis, drug resistance, and GC metastasis is established, yet the precise underlying mechanisms remain elusive. This study aims to unravel potential pathogenic pathways attributed to YY1. Design Utilizing bioinformatics analysis, we conducted differentially expressed genes, functional annotation, and pathway enrichment analyses, and further validation through cellular and animal experiments. Results Higher YY1 expression correlated with diminished postoperative progression-free survival (PFS) and disease-specific survival (DSS) rates in TCGA analysis, identifying YY1 as an independent DSS indicator in gastric cancer (GC) patients. Notably, YY1 exhibited significantly elevated expression in tumor tissues compared to adjacent normal tissues. Bioinformatics analysis revealed noteworthy differentially expressed genes (DEGs), transcriptional targets, factors, and co-expressed genes associated with YY1. LASSO Cox analysis unveiled Transferrin as a prospective pivotal protein regulated by YY1, with heightened expression linked to adverse DSS and PFS outcomes. YY1’s role in governing the p53 signaling pathway and ferroptosis in GC cells was further elucidated. Moreover, YY1 overexpression dampened immune cell infiltration within GC tumors. Additionally, YY1 overexpression hindered GC cell ferroptosis and mediated Apatinib resistance via the p53 pathway. Remarkably, IFN-a demonstrated efficacy in reversing Apatinib resistance and immune suppression in GC tissues. Conclusions Our findings underscore the pivotal role of YY1 in driving GC progression and influencing prognosis, thus pinpointing it as a promising therapeutic target to enhance patient outcomes.https://doi.org/10.1186/s12935-024-03262-zGastric cancerYY1FerroptosisApatinibp53
spellingShingle Zi-Han Geng
Jun-Xian Du
Yue-Da Chen
Pei-Yao Fu
Ping-Hong Zhou
Wen-Zheng Qin
Yi-Hong Luo
YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
Cancer Cell International
Gastric cancer
YY1
Ferroptosis
Apatinib
p53
title YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
title_full YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
title_fullStr YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
title_full_unstemmed YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
title_short YY1: a key regulator inhibits gastric cancer ferroptosis and mediating apatinib-resistance
title_sort yy1 a key regulator inhibits gastric cancer ferroptosis and mediating apatinib resistance
topic Gastric cancer
YY1
Ferroptosis
Apatinib
p53
url https://doi.org/10.1186/s12935-024-03262-z
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