PMID- 35025009 OWN - NLM STAT- MEDLINE DCOM- 20220316 LR - 20220531 IS - 2211-3436 (Electronic) IS - 2211-3428 (Linking) VI - 45 IP - 1 DP - 2022 Feb TI - Integrin alpha6 overexpression promotes lymphangiogenesis and lymphatic metastasis via activating the NF-kappaB signaling pathway in lung adenocarcinoma. PG - 57-67 LID - 10.1007/s13402-021-00648-3 [doi] AB - OBJECTIVE: It has been reported that tumor-associated lymphangiogenesis plays an important role in lymph node metastasis and contributes to the poor survival of lung adenocarcinoma (LUAD) patients. As yet, however, the molecular mechanism underlying LUAD-associated lymphangiogenesis has remained elusive. METHODS: Immunohistochemistry (IHC) was used to determine the expression of integrin subunit alpha 6 (ITGA6) and the lymphatic vessel endothelial hyaluronan receptor 1 (Lyve1) in clinicopathologically characterized LUAD specimens. The effect of ITGA6 overexpression on lymphangiogenesis and lymphatic metastasis was examined by tube formation, scratch wound-healing, and cell migration assays in vitro and a popliteal lymph node metastasis model in vivo. Mechanistically, overexpression of ITGA6 and activation of NF-kappaB signaling were examined by real-time PCR, ubiquitination and dual-luciferase reporter assays. Finally, high ITGA6 expression in LUAD tissue samples was related to copy number variation (CNV) using the TCGA database. RESULTS: We found that ITGA6 overexpression correlated with microlymphatic vessel density in LUAD specimens (p < 0.01). Importantly, by using a popliteal lymph node metastasis model, we found that ITGA6 upregulation significantly enhanced lymphangiogenesis and lymphatic metastasis in vivo (p < 0.05). In addition, we found that ITGA6 overexpression enhanced the capability of A549 and H1299 LUAD cells to induce tube formation and migration in human lymphatic endothelial cells (HLECs). Mechanistically, we found that ITGA6 sustained NF-kappaB activity via binding and promoting K63 polyubiquitination of TNF receptor-associated factor 2 (TRAF2). Finally, CNV analysis revealed ITGA6 amplification of 27.5% in the LUAD tissue samples in the TCGA database. CONCLUSIONS: Taken together, our results uncover a plausible role for ITGA6 in mediating lymphangiogenesis and lymphatic metastasis and may provide a basis for targeting ITGA6 to treat LUAD lymphatic metastasis. CI - (c) 2021. Springer Nature Switzerland AG. FAU - Ren, Sijia AU - Ren S AUID- ORCID: 0000-0003-1978-8769 AD - Taizhou Hospital, Zhejiang University, Taizhou, 317000, China. FAU - Wang, Jing AU - Wang J AD - Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China. FAU - Xu, Anyi AU - Xu A AD - Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China. FAU - Bao, Jiaqian AU - Bao J AD - Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Taizhou, China. FAU - Cho, William C AU - Cho WC AD - Department of Clinical Oncology, Queen Elizabeth Hospital, Kowloon, Hong Kong, China. FAU - Zhu, Jinrong AU - Zhu J AD - Guangdong Province Key Laboratory for Biotechnology Drug Candidates, School of Life Sciences and Biopharmaceutics, Guangdong Pharmaceutical University, Guangzhou, China. zhujinrong@gdpu.edu.cn. FAU - Shen, Jianfei AU - Shen J AD - Taizhou Hospital, Zhejiang University, Taizhou, 317000, China. jianfei051@163.com. LA - eng GR - 82002400/national outstanding youth science fund project of national natural science foundation of china/ PT - Journal Article DEP - 20220113 PL - Netherlands TA - Cell Oncol (Dordr) JT - Cellular oncology (Dordrecht) JID - 101552938 RN - 0 (Integrin alpha6) RN - 0 (NF-kappa B) RN - 0 (Vascular Endothelial Growth Factor C) SB - IM MH - *Adenocarcinoma of Lung/genetics/metabolism MH - Cell Line, Tumor MH - DNA Copy Number Variations MH - Endothelial Cells/metabolism MH - Humans MH - Integrin alpha6/metabolism/pharmacology MH - *Lung Neoplasms/pathology MH - Lymphangiogenesis MH - Lymphatic Metastasis MH - NF-kappa B/metabolism MH - Signal Transduction MH - Vascular Endothelial Growth Factor C/genetics/metabolism/pharmacology OTO - NOTNLM OT - Integrin alpha6 (ITGA6) OT - Lung adenocarcinoma OT - Lymphagiogenesis OT - Lymphatic metastasis OT - NF-kappaB pathway EDAT- 2022/01/14 06:00 MHDA- 2022/03/17 06:00 CRDT- 2022/01/13 12:56 PHST- 2021/10/25 00:00 [accepted] PHST- 2022/01/14 06:00 [pubmed] PHST- 2022/03/17 06:00 [medline] PHST- 2022/01/13 12:56 [entrez] AID - 10.1007/s13402-021-00648-3 [pii] AID - 10.1007/s13402-021-00648-3 [doi] PST - ppublish SO - Cell Oncol (Dordr). 2022 Feb;45(1):57-67. doi: 10.1007/s13402-021-00648-3. Epub 2022 Jan 13.