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author:

Zhang, Hui (Zhang, Hui.) [1] | Ruan, Qiang (Ruan, Qiang.) [2] | Chen, Changjiang (Chen, Changjiang.) [3] | Yu, Hui (Yu, Hui.) [4] | Guan, Shen (Guan, Shen.) [5] | Hu, Dan (Hu, Dan.) [6] | Yang, Chunkang (Yang, Chunkang.) [7] | Lin, Ruirong (Lin, Ruirong.) [8] | Zhuo, Changhua (Zhuo, Changhua.) [9]

Indexed by:

Scopus SCIE

Abstract:

Colorectal cancer is one of the most common malignancies worldwide. Liver metastasis is the major direct cause of colorectal cancer-related deaths. Although radical resection is the most effective treatment for colorectal cancer liver metastasis, several patients are not eligible for surgery. Therefore, there is a need to develop novel treatments based on the understanding of the biological mechanisms underlying liver metastasis in colorectal cancer. This study demonstrated that activin A/ACVR2A inhibits colon cancer cell migration and invasion, as well as suppresses the epithelial-to-mesenchymal transition of mouse colon cancer cells. This finding has been further validated in animal experiments. Mechanistic studies revealed that activin A binds to Smad2 (instead of Smad3) and activates its transcription. Analysis of the paired clinical samples further confirmed that the expression levels of ACVR2A and SMAD2 were the highest in adjacent healthy tissues, followed by primary colon cancer tissues and liver metastasis tissues, suggesting that ACVR2A downregulation may promote colon cancer metastasis. Bioinformatics analysis and clinical studies demonstrated that ACVR2A downregulation was significantly associated with liver metastasis and poor disease-free and progression-free survival of patients with colon cancer. These results suggest that the activin A/ACVR2A axis promotes colon cancer metastasis by selectively activating SMAD2. Thus, targeting ACVR2A is a potential novel therapeutic strategy to prevent colon cancer metastasis.

Keyword:

activin A ACVR2A colon cancer epithelial-to-mesenchymal transition liver metastasis SMAD2

Community:

  • [ 1 ] [Zhang, Hui]Fujian Med Univ, Fujian Canc Hosp, Dept Hepatopancreatobiliary Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 2 ] [Ruan, Qiang]Fuzhou Univ, Coll Chem, Fuzhou, Fujian, Peoples R China
  • [ 3 ] [Chen, Changjiang]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 4 ] [Yu, Hui]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 5 ] [Guan, Shen]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 6 ] [Yang, Chunkang]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 7 ] [Lin, Ruirong]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 8 ] [Zhuo, Changhua]Fujian Med Univ, Fujian Canc Hosp, Dept Gastrointestinal Surg Oncol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 9 ] [Hu, Dan]Fujian Med Univ, Fujian Canc Hosp, Dept Pathol, Clin Oncol Sch, Fuzhou, Fujian, Peoples R China
  • [ 10 ] [Yang, Chunkang]Fujian Key Lab Translat Canc Med, Fuzhou, Fujian, Peoples R China
  • [ 11 ] [Lin, Ruirong]Fujian Key Lab Translat Canc Med, Fuzhou, Fujian, Peoples R China
  • [ 12 ] [Zhuo, Changhua]Fujian Key Lab Translat Canc Med, Fuzhou, Fujian, Peoples R China
  • [ 13 ] [Yang, Chunkang]Fujian Prov Key Lab Tumor Biotherapy, Fuzhou, Fujian, Peoples R China
  • [ 14 ] [Lin, Ruirong]Fujian Prov Key Lab Tumor Biotherapy, Fuzhou, Fujian, Peoples R China
  • [ 15 ] [Zhuo, Changhua]Fujian Prov Key Lab Tumor Biotherapy, Fuzhou, Fujian, Peoples R China
  • [ 16 ] [Lin, Ruirong]Fujian Med Univ, Fujian Canc Hosp, Clin Oncol Sch, Dept Gastrointestinal Surg Oncol, Fuzhou 350014, Fujian, Peoples R China
  • [ 17 ] [Zhuo, Changhua]Fujian Med Univ, Fujian Canc Hosp, Clin Oncol Sch, Dept Gastrointestinal Surg Oncol, Fuzhou 350014, Fujian, Peoples R China

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Source :

MOLECULAR CARCINOGENESIS

ISSN: 0899-1987

Year: 2023

Issue: 10

Volume: 62

Page: 1585-1598

3 . 0

JCR@2023

3 . 0 0 0

JCR@2023

ESI Discipline: CLINICAL MEDICINE;

ESI HC Threshold:25

JCR Journal Grade:2

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count: 2

SCOPUS Cited Count: 2

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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