PMID- 34372882 OWN - NLM STAT- MEDLINE DCOM- 20210819 LR - 20220531 IS - 1479-5876 (Electronic) IS - 1479-5876 (Linking) VI - 19 IP - 1 DP - 2021 Aug 9 TI - ELK4 promotes the development of gastric cancer by inducing M2 polarization of macrophages through regulation of the KDM5A-PJA2-KSR1 axis. PG - 342 LID - 10.1186/s12967-021-02915-1 [doi] LID - 342 AB - BACKGROUND: We tried to elaborate the molecular mechanism of ETS-like transcription factor 4 (ELK4) affecting gastric cancer (GC) progression through M2 polarization of macrophages mediated by lysine-specific demethylase 5A (KDM5A)-Praja2 (PJA2)-kinase suppressor of ras 1 (KSR1) axis. METHODS: GC expression dataset was obtained from GEO database, and the downstream regulatory mechanism of ELK4 was predicted. Tumor-associated macrophages (TAMs) were isolated from GC tissues. The interaction among ELK4, KDM5A, PJA2 and KSR1 was analyzed by dual luciferase reporter gene, ChIP and Co-IP assays. The stability of KSR1 protein was detected by cycloheximide (CHX) treatment. After TAMs were co-cultured with HGC-27 cells, HGC-27 cell biological processes were assessed through gain- and loss-of function assays. Tumorigenicity was detected by tumorigenicity test in nude mice. RESULTS: In GC and TAMs, ELK4, KDM5A and KSR1 were highly expressed, while PJA2 was lowly expressed. M2 polarization of macrophages promoted the development of GC. ELK4 activated KDM5A by transcription and promoted macrophage M2 polarization. KDM5A inhibited the expression of PJA2 by removing H3K4me3 of PJA2 promoter, which promoted M2 polarization of macrophages. PJA2 reduced KSR1 by ubiquitination. ELK4 promoted the proliferative, migrative and invasive potentials of GC cells as well as the growth of GC xenografts by regulating KSR1. CONCLUSION: ELK4 may reduce the PJA2-dependent inhibition of KSR1 by transcriptional activation of KDM5A to promote M2 polarization of macrophages, thus promoting the development of GC. CI - (c) 2021. The Author(s). FAU - Zheng, Lei AU - Zheng L AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. FAU - Xu, Hongmei AU - Xu H AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. FAU - Di, Ya AU - Di Y AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. FAU - Chen, Lanlan AU - Chen L AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. FAU - Liu, Jiao AU - Liu J AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. FAU - Kang, Liying AU - Kang L AD - Department of Oncology, Tianjin Wuqing District People's Hospital, Tianjin, 301700, People's Republic of China. FAU - Gao, Liming AU - Gao L AD - Department of Oncology, The First Hospital of Qinhuangdao, No. 258, Wenhua Road, Qinhuangdao, 066000, Hebei Province, People's Republic of China. Tshgaoliming@126.com. LA - eng PT - Journal Article DEP - 20210809 PL - England TA - J Transl Med JT - Journal of translational medicine JID - 101190741 RN - 0 (ELK4 protein, human) RN - 146481-62-1 (ets-Domain Protein Elk-4) RN - EC 1.14.11.- (KDM5A protein, human) RN - EC 1.14.11.27 (Retinoblastoma-Binding Protein 2) RN - EC 2.3.2.27 (PJA2 protein, human) RN - EC 2.3.2.27 (PJA2 protein, mouse) RN - EC 2.3.2.27 (Ubiquitin-Protein Ligases) SB - IM MH - Animals MH - Cell Line, Tumor MH - Humans MH - Macrophage Activation MH - Macrophages MH - Mice MH - Mice, Nude MH - Retinoblastoma-Binding Protein 2 MH - *Stomach Neoplasms/genetics MH - Transcriptional Activation MH - Ubiquitin-Protein Ligases MH - ets-Domain Protein Elk-4 PMC - PMC8353876 OTO - NOTNLM OT - ELK4 OT - Gastric cancer OT - KDM5A OT - KSR1 OT - Macrophages OT - Methylation OT - PJA2 OT - Transcription OT - Ubiquitination COIS- The authors declare that they have no competing interests. EDAT- 2021/08/11 06:00 MHDA- 2021/08/20 06:00 PMCR- 2021/08/09 CRDT- 2021/08/10 05:36 PHST- 2021/01/02 00:00 [received] PHST- 2021/05/27 00:00 [accepted] PHST- 2021/08/10 05:36 [entrez] PHST- 2021/08/11 06:00 [pubmed] PHST- 2021/08/20 06:00 [medline] PHST- 2021/08/09 00:00 [pmc-release] AID - 10.1186/s12967-021-02915-1 [pii] AID - 2915 [pii] AID - 10.1186/s12967-021-02915-1 [doi] PST - epublish SO - J Transl Med. 2021 Aug 9;19(1):342. doi: 10.1186/s12967-021-02915-1.