NKX2-1-mediated p53 expression modulates lung adenocarcinoma progression via modulating IKK?/NF-?B activation.
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ABSTRACT: NKX2-1 plays a dual role in lung adenocarcinoma progression, but the underling mechanism is not fully understood. In the present study, we provide evidence that NKX2-1 directly regulates p53 transcription, and in turn, NKX2-1 elevates the mutant p53/NF-Y complex to up-regulate IKK? transcription in p53-mutant cells, but NKX2-1-mediated wild-type p53 down-regulates IKK? transcription via decreased Sp1 binding to IKK? promoter in p53-WT cells. The IKK?-mediated p65 nuclear localization and epithelial-to-mesenchymal transition (EMT) modulated by the NKX2-1/p53 axis is responsible for soft-agar growth, invasion, and xenograft tumour formation. Among patients, high-IKK? mRNA tumours had higher prevalence in p53-mutant or nuclear p65 tumours than their counterparts, but not related with NKX2-1 mRNA expression. However, when tumours were divided into p53-WT and p53-mutant subgroups, NKX2-1 mRNA expression was negatively correlated with IKK? mRNA in p53-WT subgroup, but positively related with IKK? mRNA expression in p53-mutant subgroup. Kaplan-Meier and Cox regression analysis indicated that high NKX2-1 mRNA tumours exhibited poorer overall survival and relapse free survival than low NKX2-1 mRNA tumours in p53-WT subgroup, but the opposite was observed in p53-mutant subgroup. Therefore, we suggest that NKX2-1 as a tumour suppressor or a tumour promoter in lung adenocarcinoma progression is dependent on p53 status.
SUBMITTER: Chen PM
PROVIDER: S-EPMC4546466 | biostudies-literature | 2015 Jun
REPOSITORIES: biostudies-literature
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