The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization

ABSTRACT Background Lymphatic metastasis in gastric cancer (GC) profoundly influences its prognosis, but the precise mechanism remains elusive. In this study, we identified the long noncoding RNA MIR181A2HG as being upregulated in GC and associated with LNs metastasis and prognosis. Methods The expr...

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Main Authors: Weijie Zang, Yongpu Yang, Junjie Chen, Qinsheng Mao, Wanjiang Xue, Yilin Hu
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70600
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author Weijie Zang
Yongpu Yang
Junjie Chen
Qinsheng Mao
Wanjiang Xue
Yilin Hu
author_facet Weijie Zang
Yongpu Yang
Junjie Chen
Qinsheng Mao
Wanjiang Xue
Yilin Hu
author_sort Weijie Zang
collection DOAJ
description ABSTRACT Background Lymphatic metastasis in gastric cancer (GC) profoundly influences its prognosis, but the precise mechanism remains elusive. In this study, we identified the long noncoding RNA MIR181A2HG as being upregulated in GC and associated with LNs metastasis and prognosis. Methods The expression of MIR181A2HG in GC was identified through bioinformatics screening analysis and qRT‐PCR validation. Both in vitro and in vivo functional studies revealed that MIR181A2HG facilitates lymphangiogenesis and lymphatic metastasis. Techniques such as immunofluorescence, immunohistochemistry, qRT‐PCR, ELISA, CHIP, RNA‐pulldown, luciferase reporter assay, and Co‐IP were employed to investigate the mechanism of MIR181A2HG in LNs metastasis of GC. Results MIR181A2HG overexpressed in GC signifies an unfavorable prognosis and drives M2 polarization of TAMs enhancing lymphangiogenesis. Mechanistically, MIR181A2HG/miR‐5680 axis as a novel ceRNA regulatory axis to upregulate versican (VCAN). On one hand, VCAN interacts with CD44 receptors on the surface of TAMs through paracrine secretion, promoting M2 macrophage polarization and subsequently enhancing the secretion of VEGF‐C, ultimately facilitating lymphangiogenesis. On the other hand, VCAN binds to CD44 receptors on the surface of GC cells through autocrine secretion, activating the Hippo pathway and upregulating SP1, thereby promoting the transcription of MIR181A2HG and establishing a feedback loop driving lymphatic metastasis. Conclusion This study highlights the pivotal role of MIR181A2HG in GC progression and LNs metastasis. MIR181A2HG‐based targeted therapy would represent a novel strategy for GC.
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spelling doaj-art-e756266542754a1ca41b5a67230f3ef92025-01-24T08:46:07ZengWileyCancer Medicine2045-76342025-01-01142n/an/a10.1002/cam4.70600The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage PolarizationWeijie Zang0Yongpu Yang1Junjie Chen2Qinsheng Mao3Wanjiang Xue4Yilin Hu5Department of Gastrointestinal Surgery Affiliated Hospital and Medical School of Nantong University Nantong ChinaDepartment of General Surgery The First Affiliated Hospital, Army Medical University Chongqing ChinaResearch Center of Clinical Medicine Affiliated Hospital of Nantong University Nantong ChinaDepartment of Gastrointestinal Surgery Affiliated Hospital and Medical School of Nantong University Nantong ChinaDepartment of Gastrointestinal Surgery Affiliated Hospital and Medical School of Nantong University Nantong ChinaDepartment of Gastrointestinal Surgery Affiliated Hospital and Medical School of Nantong University Nantong ChinaABSTRACT Background Lymphatic metastasis in gastric cancer (GC) profoundly influences its prognosis, but the precise mechanism remains elusive. In this study, we identified the long noncoding RNA MIR181A2HG as being upregulated in GC and associated with LNs metastasis and prognosis. Methods The expression of MIR181A2HG in GC was identified through bioinformatics screening analysis and qRT‐PCR validation. Both in vitro and in vivo functional studies revealed that MIR181A2HG facilitates lymphangiogenesis and lymphatic metastasis. Techniques such as immunofluorescence, immunohistochemistry, qRT‐PCR, ELISA, CHIP, RNA‐pulldown, luciferase reporter assay, and Co‐IP were employed to investigate the mechanism of MIR181A2HG in LNs metastasis of GC. Results MIR181A2HG overexpressed in GC signifies an unfavorable prognosis and drives M2 polarization of TAMs enhancing lymphangiogenesis. Mechanistically, MIR181A2HG/miR‐5680 axis as a novel ceRNA regulatory axis to upregulate versican (VCAN). On one hand, VCAN interacts with CD44 receptors on the surface of TAMs through paracrine secretion, promoting M2 macrophage polarization and subsequently enhancing the secretion of VEGF‐C, ultimately facilitating lymphangiogenesis. On the other hand, VCAN binds to CD44 receptors on the surface of GC cells through autocrine secretion, activating the Hippo pathway and upregulating SP1, thereby promoting the transcription of MIR181A2HG and establishing a feedback loop driving lymphatic metastasis. Conclusion This study highlights the pivotal role of MIR181A2HG in GC progression and LNs metastasis. MIR181A2HG‐based targeted therapy would represent a novel strategy for GC.https://doi.org/10.1002/cam4.70600CD44gastric cancerlymphatic metastasismacrophageMIR181A2HGmiR‐5680
spellingShingle Weijie Zang
Yongpu Yang
Junjie Chen
Qinsheng Mao
Wanjiang Xue
Yilin Hu
The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
Cancer Medicine
CD44
gastric cancer
lymphatic metastasis
macrophage
MIR181A2HG
miR‐5680
title The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
title_full The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
title_fullStr The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
title_full_unstemmed The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
title_short The MIR181A2HG/miR‐5680/VCAN‐CD44 Axis Regulates Gastric Cancer Lymph Node Metastasis by Promoting M2 Macrophage Polarization
title_sort mir181a2hg mir 5680 vcan cd44 axis regulates gastric cancer lymph node metastasis by promoting m2 macrophage polarization
topic CD44
gastric cancer
lymphatic metastasis
macrophage
MIR181A2HG
miR‐5680
url https://doi.org/10.1002/cam4.70600
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