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author:

Zhuang, H. (Zhuang, H..) [1] | Chen, Y. (Chen, Y..) [2] | Huang, S. (Huang, S..) [3]

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Abstract:

Background: Distant metastasis of colorectal cancer (CRC) significantly impacts patient prognosis. Cuproptosis is a new form of copper ion-dependent cell death. However, whether cuproptosis-related genes (CRGs) play a role in the metastatic potential of CRC remains unclear. This study focuses on CRGs-ACAD8 to explore its role and mechanism in metastatic CRC (mCRC). Methods: Clinical sample data from TCGA, GEO, and Fujian Provincial Hospital patients were integrated to analyze ACAD8 expression and its association with the diagnosis and prognosis of CRC. Small interfering RNA, immunohistochemistry, colony formation, wound-healing assays and so on were used to evaluate the biological functions of ACAD8. Bioinformatics was applied to investigate its relationships with immune infiltration, chemotherapy sensitivity, and signaling pathways. Results: ACAD8 expression was significantly reduced in mCRC and demonstrated excellent diagnostic performance. Patients with high ACAD8 expression had significantly better survival. ACAD8 was closely associated with immune cell infiltration, and enhanced chemotherapy sensitivity. Pathway enrichment analysis suggested that ACAD8 might inhibit the metastasis of CRC by regulating pathways such as response to metal ions and tight junction organization. Finally, experiments confirmed a positive correlation between copper levels and ACAD8 mRNA expression, with CuCl2 upregulating ACAD8 expression. Knockdown of ACAD8 induced cuproptosis. CuCl2 inhibited the proliferation, stemness, and migratory abilities of CRC cells, while si ACAD8 attenuated these effects. Moreover, CuCl2 enhanced the sensitivity of CRC cells to oxaliplatin and 5-fluorouracil, whereas si ACAD8 diminished this chemosensitizing effect. Conclusion: As a novel tumor suppressor, low expression of CRGs-ACAD8 is associated with the metastasis of CRC. ACAD8 holds potential diagnostic and prognostic value and may contribute to the precise treatment of CRC by regulating immune infiltration and chemotherapy sensitivity. Copyright © 2025 Zhuang, Chen and Huang.

Keyword:

ACAD8 colorectal cancer cuproptosis distant metastasis immunotherapy

Community:

  • [ 1 ] [Zhuang H.]Department of Gastroenterology, The Second Affiliated Hospital of Fujian Medical University, Fujian, Quanzhou, China
  • [ 2 ] [Chen Y.]Fujian Medical University, Fujian, Fuzhou, China
  • [ 3 ] [Chen Y.]Fujian Provincial Hospital, Fuzhou University Affiliated Provincial Hospital, School of Medicine, Fuzhou University, Fujian, Fuzhou, China
  • [ 4 ] [Huang S.]Department of Gastroenterology, The Second Affiliated Hospital of Fujian Medical University, Fujian, Quanzhou, China

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Source :

Frontiers in Immunology

ISSN: 1664-3224

Year: 2025

Volume: 16

5 . 7 0 0

JCR@2023

CAS Journal Grade:2

Cited Count:

WoS CC Cited Count:

SCOPUS Cited Count:

ESI Highly Cited Papers on the List: 0 Unfold All

WanFang Cited Count:

Chinese Cited Count:

30 Days PV: 1

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