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Epithelial cell adhesion molecule (EpCAM) is associated with prostate cancer metastasis and chemo/radioresistance via the PI3K/Akt/mTOR signaling pathway
Authors:Jie Ni  Paul Cozzi  Jingli Hao  Julia Beretov  Lei Chang  Wei Duan  Sarah Shigdar  Warick Delprado  Peter Graham  Joseph Bucci  John Kearsley  Yong Li
Institution:1. Cancer Care Centre and Prostate Cancer Institute, St George Hospital, Kogarah, NSW 2217, Australia;2. St George Clinical School, University of New South Wales (UNSW), Kensington, NSW 2052, Australia;3. Department of Surgery, St George Hospital, Kogarah, NSW 2217, Australia;4. SEALS, Anatomical Pathology, St George Hospital, Gray St Kogarah, NSW 2217, Australia;5. School of Medicine, Deakin University, Waurn Ponds, VIC 3217, Australia;6. Douglass Hanly Moir Pathology, Macquarie Park, NSW 2113, Australia
Abstract:Prostate cancer (CaP) is the second leading malignancy in men. The role of epithelial cell adhesion molecule (EpCAM), also known as CD326, in CaP progression and therapeutic resistance is still uncertain. Here, we aimed to investigate the roles of EpCAM in CaP metastasis and chemo/radioresistance. Expression of EpCAM in CaP cell lines and human CaP tissues was assessed using immunofluorescence and immunohistochemistry, respectively. EpCAM was knocked down (KD) in PC-3, DU145 and LNCaP-C4-2B cells using small interfering RNA (siRNA), and KD results were confirmed by confocal microscope, Western blotting and quantitative real time polymerase chain reaction (qRT-PCR). Cell growth was evaluated by proliferation and colony formation assays. The invasive potential was assessed using a matrigel chamber assay. Tumorigenesis potential was measured by a sphere formation assay. Chemo-/radiosensitivity were measured using a colony formation assay. Over-expression of EpCAM was found in primary CaP tissues and lymph node metastases including cancer cells and surrounding stromal cells. KD of EpCAM suppressed CaP proliferation and invasive ability, reduced sphere formation, enhanced chemo-/radiosensitivity, and down-regulated E-cadherin, p-Akt, p-mTOR, p-4EBP1 and p-S6K expression in CaP cells. Our findings suggest that EpCAM plays an important role in CaP proliferation, invasion, metastasis and chemo-/radioresistance associated with the activation of the PI3K/Akt/mTOR signaling pathway and is a novel therapeutic target to sensitize CaP cells to chemo-/radiotherapy.
Keywords:EpCAM (CD326)  Prostate cancer  Metastasis  Chemoresistance  Radioresistance  PI3K/Akt/mTOR  BPH"}  {"#name":"keyword"  "$":{"id":"kw0040"}  "$$":[{"#name":"text"  "_":"benign prostate hyperplasia  BSA"}  {"#name":"keyword"  "$":{"id":"kw0050"}  "$$":[{"#name":"text"  "_":"bovine serum albumin  CaP"}  {"#name":"keyword"  "$":{"id":"kw0060"}  "$$":[{"#name":"text"  "_":"prostate cancer  CPTC"}  {"#name":"keyword"  "$":{"id":"kw0070"}  "$$":[{"#name":"text"  "_":"circulating prostate tumor cells  CRPC"}  {"#name":"keyword"  "$":{"id":"kw0080"}  "$$":[{"#name":"text"  "_":"castration-resistant prostate cancer  CSC"}  {"#name":"keyword"  "$":{"id":"kw0090"}  "$$":[{"#name":"text"  "_":"cancer stem cell  CTC"}  {"#name":"keyword"  "$":{"id":"kw0100"}  "$$":[{"#name":"text"  "_":"circulating tumor cell  DAB"}  {"#name":"keyword"  "$":{"id":"kw0110"}  "$$":[{"#name":"text"  "_":"3  3′ diaminobenzidine  DOX"}  {"#name":"keyword"  "$":{"id":"kw0120"}  "$$":[{"#name":"text"  "_":"doxorubicin  DTX"}  {"#name":"keyword"  "$":{"id":"kw0130"}  "$$":[{"#name":"text"  "_":"docetaxel  ECL"}  {"#name":"keyword"  "$":{"id":"kw0140"}  "$$":[{"#name":"text"  "_":"enhanced chemiluminescence  EMT"}  {"#name":"keyword"  "$":{"id":"kw0150"}  "$$":[{"#name":"text"  "_":"epithelial–mesenchymal transition  EpCAM"}  {"#name":"keyword"  "$":{"id":"kw0160"}  "$$":[{"#name":"text"  "_":"epithelial cell adhesion molecule  FBS"}  {"#name":"keyword"  "$":{"id":"kw0170"}  "$$":[{"#name":"text"  "_":"fetal bovine serum  HGPIN"}  {"#name":"keyword"  "$":{"id":"kw0180"}  "$$":[{"#name":"text"  "_":"high-grade prostatic intraepithelial neoplasia  HRP"}  {"#name":"keyword"  "$":{"id":"kw0190"}  "$$":[{"#name":"text"  "_":"horseradish peroxide  i  c  "}  {"#name":"keyword"  "$":{"id":"kw0200"}  "$$":[{"#name":"text"  "_":"intracardiac  KD"}  {"#name":"keyword"  "$":{"id":"kw0210"}  "$$":[{"#name":"text"  "_":"knock down  MAb"}  {"#name":"keyword"  "$":{"id":"kw0220"}  "$$":[{"#name":"text"  "_":"monoclonal antibody  MMRD"}  {"#name":"keyword"  "$":{"id":"kw0230"}  "$$":[{"#name":"text"  "_":"mismatch repair deficient  MTT"}  {"#name":"keyword"  "$":{"id":"kw0240"}  "$$":[{"#name":"text"  "_":"3-(4  5-dimethylthiazol-2-yl)-2  5-diphenyltetrazolium bromide  o/n"}  {"#name":"keyword"  "$":{"id":"kw0250"}  "$$":[{"#name":"text"  "_":"overnight  PI"}  {"#name":"keyword"  "$":{"id":"kw0260"}  "$$":[{"#name":"text"  "_":"propidium iodide  PSA"}  {"#name":"keyword"  "$":{"id":"kw0270"}  "$$":[{"#name":"text"  "_":"prostate specific antigen  PTX"}  {"#name":"keyword"  "$":{"id":"kw0280"}  "$$":[{"#name":"text"  "_":"paclitaxel  PVDF"}  {"#name":"keyword"  "$":{"id":"kw0290"}  "$$":[{"#name":"text"  "_":"polyvinylidene difluoride  qRT-PCR"}  {"#name":"keyword"  "$":{"id":"kw0300"}  "$$":[{"#name":"text"  "_":"quantitative real time polymerase chain reaction  RP"}  {"#name":"keyword"  "$":{"id":"kw0310"}  "$$":[{"#name":"text"  "_":"radical prostatectomy  RT"}  {"#name":"keyword"  "$":{"id":"kw0320"}  "$$":[{"#name":"text"  "_":"room temperature  s  c  "}  {"#name":"keyword"  "$":{"id":"kw0330"}  "$$":[{"#name":"text"  "_":"subcutaneous  scr"}  {"#name":"keyword"  "$":{"id":"kw0340"}  "$$":[{"#name":"text"  "_":"scrambled  SD"}  {"#name":"keyword"  "$":{"id":"kw0350"}  "$$":[{"#name":"text"  "_":"standard deviation  siRNA"}  {"#name":"keyword"  "$":{"id":"kw0360"}  "$$":[{"#name":"text"  "_":"small interfering RNA  TBS"}  {"#name":"keyword"  "$":{"id":"kw0370"}  "$$":[{"#name":"text"  "_":"Tris-buffered saline  TMA"}  {"#name":"keyword"  "$":{"id":"kw0380"}  "$$":[{"#name":"text"  "_":"tissue microarray
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