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ABSTRACT: Background and aim
We previously identified forkhead box (FOX) O4 mRNA as a predictor in gastric cancer (GC). However, the underlying mechanism has yet to be elucidated. We aimed to illustrate the mechanism by which FOXO4 regulated glycolysis under hypoxia in GC.Methods
FOXO4 protein expression was investigated by immunohistochemical staining of 252 GC and their normal adjacent tissues. We restored or silenced FOXO4 expression in GC cell lines to explore the underlying mechanisms.Results
FOXO4 was downregulated in GC. Loss of FOXO4 expression was validated in univariate and multivariate survival analysis as an independent prognostic predictor for overall survival (P < 0.05) and disease-free survival (P<0.05). Restored FOXO4 expression significantly impaired the glycolysis rate in GC cells, while silencing FOXO4 expression enhanced glycolysis rate. FOXO4 expression was inversely associated with maximum standardized uptake value in mice models and patient samples. Mechanistically, FOXO4 bound to the glycolytic enzyme lactate dehydrogenase (LDH)A promoter and inactivated its activity in a dose-dependent manner (P < 0.05). Finally, we determined that FOXO4 was a transcriptional target of hypoxia-inducible factor (HIF) -1?, which is central in response to hypoxia.Conclusions
Our data suggested that FOXO4 plays a key role in the regulation of glycolysis in GC, and disrupting the HIF-1?-FOXO4-LDHA axis might be a promising therapeutic strategy for GC.
SUBMITTER: Wang XH
PROVIDER: S-EPMC7809603 | biostudies-literature | 2021 Jan
REPOSITORIES: biostudies-literature
Wang Xiao-Hong XH Jiang Zhong-Hua ZH Yang Hong-Mei HM Zhang Yu Y Xu Li-Hua LH
Clinical and translational medicine 20210101 1
<h4>Background and aim</h4>We previously identified forkhead box (FOX) O4 mRNA as a predictor in gastric cancer (GC). However, the underlying mechanism has yet to be elucidated. We aimed to illustrate the mechanism by which FOXO4 regulated glycolysis under hypoxia in GC.<h4>Methods</h4>FOXO4 protein expression was investigated by immunohistochemical staining of 252 GC and their normal adjacent tissues. We restored or silenced FOXO4 expression in GC cell lines to explore the underlying mechanisms ...[more]