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Activin A promotes cell proliferation, invasion and migration and predicts poor prognosis in patients with colorectal cancer.


ABSTRACT: Activin A is a member of the transforming growth factor‑β superfamily of cytokines and displays various pathophysiological activities, including regulation of muscle catabolism and atrophy. Activin A expression is upregulated in several human cancer types and in certain pathologies, its expression is associated with poor prognosis. In the present study, activin A expression was assessed in colorectal cancer (CRC) tissue specimens from 157 patients with primary CRC and the relationship between activin A levels and clinicopathological characteristics, including skeletal muscle mass, and prognosis, was determined. Furthermore, the effects of knockdown of endogenous or exposure to exogenous activin A on the malignant behavior of human CRC cell lines were investigated in vitro. The results indicated that activin A mRNA was significantly upregulated in CRC tumor tissues compared with normal intestinal epithelium. High activin A expression was significantly associated with shorter cancer‑specific survival (P=0.047) and overall survival (P=0.014). According to a multivariate analysis, tumor activin A levels were an independent prognostic factor for overall survival (P=0.001). However, activin A mRNA levels were not associated with the skeletal muscle index. The in vitro experiments demonstrated that exposure to exogenous activin A increased the proliferation, invasion and migration of CRC cell lines, whereas knockdown of endogenous activin A had the opposite effects. In conclusion, activin A is an autocrine and paracrine regulator of CRC cell proliferation and high tumor expression of activin A is associated with poor prognosis in patients with CRC.

SUBMITTER: Daitoku N 

PROVIDER: S-EPMC9073419 | biostudies-literature | 2022 Jun

REPOSITORIES: biostudies-literature

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Activin A promotes cell proliferation, invasion and migration and predicts poor prognosis in patients with colorectal cancer.

Daitoku Nobuya N   Miyamoto Yuji Y   Hiyoshi Yukiharu Y   Tokunaga Ryuma R   Sakamoto Yuki Y   Sawayama Hiroshi H   Ishimoto Takatsugu T   Baba Yoshifumi Y   Yoshida Naoya N   Baba Hideo H  

Oncology reports 20220421 6


Activin A is a member of the transforming growth factor‑β superfamily of cytokines and displays various pathophysiological activities, including regulation of muscle catabolism and atrophy. Activin A expression is upregulated in several human cancer types and in certain pathologies, its expression is associated with poor prognosis. In the present study, activin A expression was assessed in colorectal cancer (CRC) tissue specimens from 157 patients with primary CRC and the relationship between ac  ...[more]

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