Summary
Epidermal growth factor-like domain multiple 6 (EGFL6) is implicated in tumor growth, metastasis and angiogenesis, and its ectopic alteration has been detected in aggressive malignancies. However, the pathophysiologic roles and molecular mechanisms of EGFL6 in gastric cancer (GC) remain to be elucidated. In this study, we investigated EGFL6 expression in GC cell lines and tissues using western blotting and immunohistochemistry. We found that EGFL6 was elevated expression in GC cell lines and tissues. The high expression of EGFL6 significantly was correlated with histological grade, depth of invasion, lymph node involvement, distant metastasis and TNM stage in GC and predicted poorer prognosis, and it could act an independent prognostic factor for GC patients. EGFL6 enhanced the proliferation, migration and invasion of GC cells. In addition, we identified the possible molecular mechanisms of EGFL6-involved epithelial-mesenchymal transition (EMT). EGFL6 regulated EMT process and induced metastasis partly through FAK/PI3K/AKT/mTOR, Notch and MAPK signaling pathways. In conclusion, EGFL6 confers an oncogenic function in GC progression and may be proposed as a potential therapeutic target for GC.
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10637-020-01004-2/MediaObjects/10637_2020_1004_Fig1_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10637-020-01004-2/MediaObjects/10637_2020_1004_Fig2_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10637-020-01004-2/MediaObjects/10637_2020_1004_Fig3_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10637-020-01004-2/MediaObjects/10637_2020_1004_Fig4_HTML.png)
![](http://media.springernature.com/m312/springer-static/image/art%3A10.1007%2Fs10637-020-01004-2/MediaObjects/10637_2020_1004_Fig5_HTML.png)
Similar content being viewed by others
References
Bray F, Ferlay J, Soerjomataram I, Siegel RL, Torre LA, Jemal A (2018) Global cancer statistics 2018: GLOBOCAN estimates of incidence and mortality worldwide for 36 cancers in 185 countries. CA Cancer J Clin 68(6):394–424. https://doi.org/10.3322/caac.21492
Lin MT, Song HJ, Ding XY (2018) Long non-coding RNAs involved in metastasis of gastric cancer. World J Gastroenterol 24(33):3724–3737. https://doi.org/10.3748/wjg.v24.i33.3724
Tanabe S, Ishido K, Higuchi K, Sasaki T, Katada C, Azuma M, Naruke A, Kim M, Koizumi W (2014) Long-term outcomes of endoscopic submucosal dissection for early gastric cancer: a retrospective comparison with conventional endoscopic resection in a single center. Gastric cancer : official journal of the International Gastric Cancer Association and the Japanese Gastric Cancer Association 17(1):130–136. https://doi.org/10.1007/s10120-013-0241-2
Li J, Xu L, Run ZC, Feng W, Liu W, Zhang PJ, Li Z (2018) Multiple cytokine profiling in serum for early detection of gastric cancer. World J Gastroenterol 24(21):2269–2278. https://doi.org/10.3748/wjg.v24.i21.2269
Yamamoto M, Kurokawa Y, Miyazaki Y, Makino T, Takahashi T, Yamasaki M, Nakajima K, Takiguchi S, Mori M, Doki Y (2016) Usefulness of preoperative plasma fibrinogen versus other prognostic markers for predicting gastric Cancer recurrence. World J Surg 40(8):1904–1909. https://doi.org/10.1007/s00268-016-3474-5
Singh B, Carpenter G, Coffey RJ (2016) EGF receptor ligands: recent advances. F1000Research 5. Doi:https://doi.org/10.12688/f1000research.9025.1
Yeung G, Mulero JJ, Berntsen RP, Loeb DB, Drmanac R, Ford JE (1999) Cloning of a novel epidermal growth factor repeat containing gene EGFL6: expressed in tumor and fetal tissues. Genomics 62(2):304–307. https://doi.org/10.1006/geno.1999.6011
Bai S, Ingram P, Chen YC, Deng N, Pearson A, Niknafs YS, O'Hayer P, Wang Y, Zhang ZY, Boscolo E, Bischoff J, Yoon E, Buckanovich RJ (2016) EGFL6 regulates the asymmetric division, maintenance, and metastasis of ALDH+ ovarian Cancer cells. Cancer Res 76(21):6396–6409. https://doi.org/10.1158/0008-5472.CAN-16-0225
Lee SH, Jeong EG, Soung YH, Lee JW, Yoo NJ, Lee SH (2008) Absence of GNAS and EGFL6 mutations in common human cancers. Pathology 40(1):95–97. https://doi.org/10.1080/00313020701716375
Sanderson MP, Dempsey PJ, Dunbar AJ (2006) Control of ErbB signaling through metalloprotease mediated ectodomain shedding of EGF-like factors. Growth Factors 24(2):121–136. https://doi.org/10.1080/08977190600634373
Chang CC, Sung WW, Hsu HT, Yeh CM, Lee CH, Chen YL, Liu TC, Yeh KT (2018) Validation of EGFL6 expression as a prognostic marker in patients with lung adenocarcinoma in Taiwan: a retrospective study. BMJ Open 8(6):e021385. https://doi.org/10.1136/bmjopen-2017-021385
Chuang CY, Chen MK, Hsieh MJ, Yeh CM, Lin CW, Yang WE, Yang SF, Chou YE (2017) High level of plasma EGFL6 is associated with Clinicopathological characteristics in patients with Oral squamous cell carcinoma. Int J Med Sci 14(5):419–424. https://doi.org/10.7150/ijms.18555
Zhang QW, Zhang XT, Tang CT, Lin XL, Ge ZZ, Li XB (2019) EGFL6 promotes cell proliferation in colorectal cancer via regulation of the WNT/beta-catenin pathway. Mol Carcinog 58(6):967–979. https://doi.org/10.1002/mc.22985
Zhu Z, Ni H, You B, Shi S, Shan Y, Bao L, Duan B, You Y (2018) Elevated EGFL6 modulates cell metastasis and growth via AKT pathway in nasopharyngeal carcinoma. Cancer medicine 7(12):6281–6289. https://doi.org/10.1002/cam4.1883
An J, Du Y, Fan X, Wang Y, Ivan C, Zhang XG, Sood AK, An Z, Zhang N (2019) EGFL6 promotes breast cancer by simultaneously enhancing cancer cell metastasis and stimulating tumor angiogenesis. Oncogene 38(12):2123–2134. https://doi.org/10.1038/s41388-018-0565-9
Noh K, Mangala LS, Han HD, Zhang N, Pradeep S, Wu SY, Ma S, Mora E, Rupaimoole R, Jiang D, Wen Y, Shahzad MMK, Lyons Y, Cho M, Hu W, Nagaraja AS, Haemmerle M, Mak CSL, Chen X, Gharpure KM, Deng H, **ong W, Kingsley CV, Liu J, Jennings N, Birrer MJ, Bouchard RR, Lopez-Berestein G, Coleman RL, An Z, Sood AK (2017) Differential effects of EGFL6 on tumor versus wound angiogenesis. Cell Rep 21(10):2785–2795. https://doi.org/10.1016/j.celrep.2017.11.020
Oberauer R, Rist W, Lenter MC, Hamilton BS, Neubauer H (2010) EGFL6 is increasingly expressed in human obesity and promotes proliferation of adipose tissue-derived stromal vascular cells. Mol Cell Biochem 343(1–2):257–269. https://doi.org/10.1007/s11010-010-0521-7
Wang X, Gong Y, Wang D, **e Q, Zheng M, Zhou Y, Li Q, Yang Z, Tang H, Li Y, Hu R, Chen X, Mao Y (2012) Analysis of gene expression profiling in meningioma: deregulated signaling pathways associated with meningioma and EGFL6 overexpression in benign meningioma tissue and serum. PLoS One 7(12):e52707. https://doi.org/10.1371/journal.pone.0052707
Chim SM, Qin A, Tickner J, Pavlos N, Davey T, Wang H, Guo Y, Zheng MH, Xu J (2011) EGFL6 promotes endothelial cell migration and angiogenesis through the activation of extracellular signal-regulated kinase. J Biol Chem 286(25):22035–22046. https://doi.org/10.1074/jbc.M110.187633
Pastushenko I, Blanpain C (2019) EMT transition states during tumor progression and metastasis. Trends Cell Biol 29(3):212–226. https://doi.org/10.1016/j.tcb.2018.12.001
Wang Y, Lin Z, Sun L, Fan S, Huang Z, Zhang D, Yang Z, Li J, Chen W (2014) Akt/Ezrin Tyr353/NF-kappaB pathway regulates EGF-induced EMT and metastasis in tongue squamous cell carcinoma. Br J Cancer 110(3):695–705. https://doi.org/10.1038/bjc.2013.770
Sheng W, Chen C, Dong M, Wang G, Zhou J, Song H, Li Y, Zhang J, Ding S (2017) Calreticulin promotes EGF-induced EMT in pancreatic cancer cells via integrin/EGFR-ERK/MAPK signaling pathway. Cell Death Dis 8(10):e3147. https://doi.org/10.1038/cddis.2017.547
Wang XH, He X, ** HY, Liang JX, Li N (2018) Effect of hypoxia on the Twist1 in EMT of cervical cancer cells. European review for medical and pharmacological sciences 22(20):6633–6639. https://doi.org/10.26355/eurrev_201810_16138
Zhang YC, Huo FC, Wei LL, Gong CC, Pan YJ, Mou J, Pei DS (2017) PAK5-mediated phosphorylation and nuclear translocation of NF-kappaB-p65 promotes breast cancer cell proliferation in vitro and in vivo. Journal of experimental & clinical cancer research : CR 36(1):146. https://doi.org/10.1186/s13046-017-0610-5
Tang Z, Li C, Kang B, Gao G, Li C, Zhang Z (2017) GEPIA: a web server for cancer and normal gene expression profiling and interactive analyses. Nucleic Acids Res 45(W1):W98–W102. https://doi.org/10.1093/nar/gkx247
Huo FC, Pan YJ, Li TT, Mou J, Pei DS (2019) PAK5 promotes the migration and invasion of cervical cancer cells by phosphorylating SATB1. Cell Death Differ 26(6):994–1006. https://doi.org/10.1038/s41418-018-0178-4
Nieto MA, Huang RY, Jackson RA, Thiery JP (2016) Emt: 2016. Cell 166(1):21–45. https://doi.org/10.1016/j.cell.2016.06.028
Luo J, Yao JF, Deng XF, Zheng XD, Jia M, Wang YQ, Huang Y, Zhu JH (2018) 14, 15-EET induces breast cancer cell EMT and cisplatin resistance by up-regulating integrin alphavbeta3 and activating FAK/PI3K/AKT signaling. Journal of experimental & clinical cancer research : CR 37(1):23. https://doi.org/10.1186/s13046-018-0694-6
Cheng Y, Pan Y, Pan Y, Wang O (2019) MNX1-AS1 is a functional oncogene that induces EMT and activates the AKT/mTOR pathway and MNX1 in breast cancer. Cancer Manag Res 11:803–812. https://doi.org/10.2147/CMAR.S188007
Wang Y, Zhong Y, Hou T, Liao J, Zhang C, Sun C, Wang G (2019) PM2.5 induces EMT and promotes CSC properties by activating notch pathway in vivo and vitro. Ecotoxicol Environ Saf 178:159–167. https://doi.org/10.1016/j.ecoenv.2019.03.086
Hu X, Zhai Y, Kong P, Cui H, Yan T, Yang J, Qian Y, Ma Y, Wang F, Li H, Cheng C, Zhang L, Jia Z, Li Y, Yang B, Xu E, Wang J, Yang J, Bi Y, Chang L, Wang Y, Zhang Y, Song B, Li G, Shi R, Liu J, Zhang M, Cheng X, Cui Y (2017) FAT1 prevents epithelial mesenchymal transition (EMT) via MAPK/ERK signaling pathway in esophageal squamous cell cancer. Cancer Lett 397:83–93. https://doi.org/10.1016/j.canlet.2017.03.033
Zhang PF, Li KS, Shen YH, Gao PT, Dong ZR, Cai JB, Zhang C, Huang XY, Tian MX, Hu ZQ, Gao DM, Fan J, Ke AW, Shi GM (2016) Galectin-1 induces hepatocellular carcinoma EMT and sorafenib resistance by activating FAK/PI3K/AKT signaling. Cell Death Dis 7:e2201. https://doi.org/10.1038/cddis.2015.324
Zhou Q, Yu B, Anderson C, Huang ZP, Hanus J, Zhang W, Han Y, Bhattacharjee PS, Srinivasan S, Zhang K, Wang DZ, Wang S (2019) LncEGFL7OS regulates human angiogenesis by interacting with MAX at the EGFL7/miR-126 locus. eLife 8. https://doi.org/10.7554/eLife.40470
Usuba R, Pauty J, Soncin F, Matsunaga YT (2019) EGFL7 regulates sprouting angiogenesis and endothelial integrity in a human blood vessel model. Biomaterials 197:305–316. https://doi.org/10.1016/j.biomaterials.2019.01.022
Brabletz T, Kalluri R, Nieto MA, Weinberg RA (2018) EMT in cancer. Nat Rev Cancer 18(2):128–134. https://doi.org/10.1038/nrc.2017.118
Wang Y, Zhou BP (2011) Epithelial-mesenchymal transition in breast cancer progression and metastasis. Chinese journal of cancer 30(9):603–611. https://doi.org/10.5732/cjc.011.10226
Wang H, Lian Z, Lerch MM, Chen Z, **e W, Ullrich A (1996) Characterization of PCP-2, a novel receptor protein tyrosine phosphatase of the MAM domain family. Oncogene 12(12):2555–2562
Xu S, Ge J, Zhang Z, Zhou W (2017) MiR-129 inhibits cell proliferation and metastasis by targeting ETS1 via PI3K/AKT/mTOR pathway in prostate cancer. Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie 96:634-641. doi:https://doi.org/10.1016/j.biopha.2017.10.037
Osada A, Kiyozumi D, Tsutsui K, Ono Y, Weber CN, Sugimoto N, Imai T, Okada A, Sekiguchi K (2005) Expression of MAEG, a novel basement membrane protein, in mouse hair follicle morphogenesis. Exp Cell Res 303(1):148–159. https://doi.org/10.1016/j.yexcr.2004.04.053
Author information
Authors and Affiliations
Corresponding authors
Ethics declarations
Conflict of interest
All authors declare that they have no conflicts of interest.
Ethical approval
Experiments involved in GC tissues was approved by the Medical Ethics Committee of the Affiliated Hospital of Xuzhou Medical University. Animal experiments were performed in accordance with the Institutional Animal Care and Use Committee of Xuzhou Medical University.
Informed consent
Informed consent was obtained from all individual participants included in the study.
Additional information
Publisher’s note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Huo, FC., Zhu, WT., Liu, X. et al. Epidermal growth factor-like domain multiple 6 (EGFL6) promotes the migration and invasion of gastric cancer cells by inducing epithelial-mesenchymal transition. Invest New Drugs 39, 304–316 (2021). https://doi.org/10.1007/s10637-020-01004-2
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10637-020-01004-2