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The characterization of an intestine-like genomic signature maintained during Barrett's-associated adenocarcinogenesis reveals an NR5A2-mediated promotion of cancer cell survival.
Duggan, Shane P ; Behan, Fiona M ; Kirca, Murat ; Zaheer, Abdul ; McGarrigle, Sarah A ; Reynolds, John V ; Vaz, Gisela M F ; Senge, Mathias O ; Kelleher, Dermot
Duggan, Shane P
Behan, Fiona M
Kirca, Murat
Zaheer, Abdul
McGarrigle, Sarah A
Reynolds, John V
Vaz, Gisela M F
Senge, Mathias O
Kelleher, Dermot
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Date
2016-09-02
Date Submitted
Keywords
OESOPHAGEAL CANCER
GENETICS
GENETICS
Other Subjects
INTESTINAL DISORDER
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Start Date
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Principal Investigators
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Abstract
Barrett's oesophagus (BO), an intestinal-type metaplasia (IM), typically arising in conjunction with gastro-oesophageal reflux disease, is a prominent risk factor for the development of oesophageal adenocarcinoma (OAC). The molecular similarities between IM and normal intestinal tissues are ill-defined. Consequently, the contribution of intestine-enriched factors expressed within BO to oncogenesis is unclear. Herein, using transcriptomics we define the intestine-enriched genes expressed in meta-profiles of BO and OAC. Interestingly, 77% of the genes differentially expressed in a meta-profile of BO were similarly expressed in intestinal tissues. Furthermore, 85% of this intestine-like signature was maintained upon transition to OAC. Gene networking analysis of transcription factors within this signature revealed a network centred upon NR5A2, GATA6 and FOXA2, whose over-expression was determined in a cohort of BO and OAC patients. Simulated acid reflux was observed to induce the expression of both NR5A2 and GATA6. Using siRNA-mediated silencing and an NR5A2 antagonist we demonstrate that NR5A2-mediated cancer cell survival is facilitated through augmentation of GATA6 and anti-apoptotic factor BCL-XL levels. Abrogation of NR5A2-GATA6 expression in conjunction with BCL-XL co-silencing resulted in synergistically increased sensitivity to chemotherapeutics and photo-dynamic therapeutics. These findings characterize the intestine-like signature associated with IM which may have important consequences to adenocarcinogenesis.
Language
en
ISSN
2045-2322
eISSN
ISBN
DOI
10.1038/srep32638
PMID
27586588
27586588
27586588
