PMID- 31564971 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220410 IS - 1179-1322 (Print) IS - 1179-1322 (Electronic) IS - 1179-1322 (Linking) VI - 11 DP - 2019 TI - ERRalpha is an aggressive factor in lung adenocarcinoma indicating poor prognostic outcomes. PG - 8111-8123 LID - 10.2147/CMAR.S204732 [doi] AB - PURPOSE: Lung cancer is one of the most life-threatening cancer worldwide with poor prognosis attributed to the lack of early diagnosis and proper therapy. The estrogen-related receptor alpha (ERRalpha) is a multifunctional protein not limited to bind ligands and has been reported to be associated with numerous cancers. This study aimed to investigate the potential role of ERRalpha in lung cancer and to provide a novel perspective for lung cancer early diagnosis, targeted therapy, and prognosis assessment. METHODS: The correlation between ERRalpha mRNA expression and survival time of the online clinical data about lung cancer was analyzed by using Kaplan-Meier (KM) plotter. A mouse model of lung adenocarcinoma (LUAD) was constructed to detect the expression level of ERRalpha in tumor tissues. ERRalpha-knockdown LUAD cells were generated and the impacts of ERRalpha on cell proliferation, invasion, and metastasis were further analyzed. Cancerous and paracancerous tissues were collected to semi-quantitative the levels of ERRalpha in LUAD clinical samples (n=88), combined with clinical information for prognostic analysis. RESULTS: The KM plotter analysis suggested that ERRalpha is correlated with poor prognosis in LUAD (n=720) rather than in lung squamous cell carcinoma (LSCC) (n=524). ERRalpha is also upregulated in tumor tissues obtained from LUAD model mice. Quantitative analysis suggested an abnormal elevation of ERRalpha in LUAD cells rather than in LSCC cells. The results demonstrated that downregulation of ERRalpha impairs proliferation, invasion and migration abilities (P<0.01). The prognostic analysis showed that the overexpressed ERRalpha in LUAD was positively correlated with low survival rates (HR=1.597). The results indicate that the death risk of ERRalpha high expression is 1.597 times higher than ERRalpha low level in LUAD patients. CONCLUSION: In summary, our findings suggest that ERRalpha is a potential aggressive factor of LUAD which implies poor prognosis. CI - (c) 2019 Li et al. FAU - Li, Ping AU - Li P AD - Biobank, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, Shenzhen 518035, People's Republic of China. AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. AD - Department of Toxicology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518035, People's Republic of China. FAU - Wang, Jian AU - Wang J AD - Department of Thoracic Surgery, The Shenzhen People's Hospital, Shenzhen 518020, People's Republic of China. FAU - Wu, Desheng AU - Wu D AD - Department of Toxicology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518035, People's Republic of China. FAU - Ren, Xiaohu AU - Ren X AD - Department of Toxicology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518035, People's Republic of China. FAU - Wu, Wen AU - Wu W AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. AD - Department of Toxicology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518035, People's Republic of China. FAU - Zuo, Ran AU - Zuo R AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. FAU - Zeng, Qingbo AU - Zeng Q AD - Department of Toxicology, Shenzhen Center for Disease Control and Prevention, Shenzhen 518035, People's Republic of China. FAU - Wang, Bingyu AU - Wang B AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. FAU - He, Xi AU - He X AD - Biobank, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, Shenzhen 518035, People's Republic of China. FAU - Yuan, Jianhui AU - Yuan J AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. AD - Department of Occupational Health, Shenzhen Nanshan District Center for Disease Control and Prevention, Shenzhen 518054, People's Republic of China. FAU - Xie, Ni AU - Xie N AD - Biobank, Shenzhen Second People's Hospital, First Affiliated Hospital of Shenzhen University, Shenzhen 518035, People's Republic of China. AD - Department of Medicine, University of South China, Hengyang 421001, People's Republic of China. LA - eng PT - Journal Article DEP - 20190902 PL - New Zealand TA - Cancer Manag Res JT - Cancer management and research JID - 101512700 PMC - PMC6730612 OTO - NOTNLM OT - ERRalpha OT - estrogen-related receptor alpha OT - lung adenocarcinoma OT - metastasis OT - migration OT - poor prognosis OT - proliferation COIS- The authors report no conflicts of interest in this work. EDAT- 2019/10/01 06:00 MHDA- 2019/10/01 06:01 PMCR- 2019/09/02 CRDT- 2019/10/01 06:00 PHST- 2019/02/10 00:00 [received] PHST- 2019/07/28 00:00 [accepted] PHST- 2019/10/01 06:00 [entrez] PHST- 2019/10/01 06:00 [pubmed] PHST- 2019/10/01 06:01 [medline] PHST- 2019/09/02 00:00 [pmc-release] AID - 204732 [pii] AID - 10.2147/CMAR.S204732 [doi] PST - epublish SO - Cancer Manag Res. 2019 Sep 2;11:8111-8123. doi: 10.2147/CMAR.S204732. eCollection 2019.