Helicobacter pylori promotes epithelial-mesenchymal transition in gastric cancer by downregulating programmed cell death protein 4 (PDCD4)

PLoS One. 2014 Aug 21;9(8):e105306. doi: 10.1371/journal.pone.0105306. eCollection 2014.

Abstract

Helicobacter pylori, a Gram-negative, microaerophilic bacterium found in the stomach, is assumed to be associated with carcinogenesis, invasion and metastasis in digestive diseases. Cytotoxin-associated gene A (CagA) is an oncogenic protein of H. pylori that is encoded by a Cag pathogenicity island related to the development of gastric cancer. The epithelial-mesenchymal transition (EMT) is the main biological event in invasion or metastasis of epithelial cells. H. pylori may promote EMT in human gastric cancer cell lines, but the specific mechanisms are still obscure. We explored the underlying molecular mechanism of EMT induced by H. pylori CagA in gastric cancer. In our article, we detected gastric cancer specimens and adjacent non-cancerous specimens by immunohistochemistry and found increased expression of the EMT-related regulatory protein TWIST1 and the mesenchymal marker vimentin in cancer tissues, while programmed cell death factor 4 (PDCD4) and the epithelial marker E-cadherin expression decreased in cancer specimens. These changes were associated with degree of tissue malignancy. In addition, PDCD4 and TWIST1 levels were related. In gastric cancer cells cocultured with CagA expression plasmid, CagA activated TWIST1 and vimentin expression, and inhibited E-cadherin expression by downregulating PDCD4. CagA also promoted mobility of gastric cancer cells by regulating PDCD4. Thus, H. pylori CagA induced EMT in gastric cancer cells, which reveals a new signaling pathway of EMT in gastric cancer cell lines.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Aged
  • Antigens, Bacterial / metabolism
  • Apoptosis Regulatory Proteins / genetics
  • Apoptosis Regulatory Proteins / metabolism*
  • Bacterial Proteins / metabolism
  • Cadherins / genetics
  • Cadherins / metabolism
  • Cell Line, Tumor
  • Cell Movement / genetics
  • Epithelial-Mesenchymal Transition*
  • Female
  • Gene Expression
  • Helicobacter pylori* / metabolism
  • Humans
  • Immunohistochemistry
  • Male
  • Middle Aged
  • Models, Biological
  • Neoplasm Grading
  • Nuclear Proteins / genetics
  • Nuclear Proteins / metabolism
  • RNA-Binding Proteins / genetics
  • RNA-Binding Proteins / metabolism*
  • Signal Transduction
  • Stomach Neoplasms / etiology*
  • Stomach Neoplasms / metabolism
  • Stomach Neoplasms / pathology*
  • Twist-Related Protein 1 / genetics
  • Twist-Related Protein 1 / metabolism
  • Vimentin / genetics
  • Vimentin / metabolism

Substances

  • Antigens, Bacterial
  • Apoptosis Regulatory Proteins
  • Bacterial Proteins
  • Cadherins
  • Nuclear Proteins
  • PDCD4 protein, human
  • RNA-Binding Proteins
  • TWIST1 protein, human
  • Twist-Related Protein 1
  • Vimentin
  • cagA protein, Helicobacter pylori

Grants and funding

This work was supported by the National Basic Research Program of China (no. 973 Program 2012CB911202), the National Natural Science Foundation of China (nos: 81171536, 81371781, 81272654, 81372680 and 81170514), the Medical Science and Technology Development Program of Shandong (no. 2013WS0209) and the Independent Innovation Foundation of Shandong University (no. 2012TS106). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.