Kuan He,Chao-Zheng Xie,Ya Li,Zhen-Zhou Chen,Shi-Hao Xu,Si-Qi Huang,Jian-Guo Yang,Zheng-Qiang Wei,Xu-Dong Peng

Kuan He,Chao-Zheng Xie,Ya Li,Shi-Hao Xu,Si-Qi Huang,Jian-Guo Yang,Zheng-Qiang Wei,Xu-Dong Peng,Gastrointestinal Surgery,The First Affiliated Hospital of Chongqing Medical University,Chongqing 400000,China

Zhen-Zhou Chen,Gastrointestinal Surgery,The Third Affiliated Hospital of Chongqing Medical University,Chongqing 400000,China

Abstract

BACKGROUND

Dopamine and cyclic adenosine monophosphate (cAMP)-regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32) is a protein that is involved in regulating dopamine and cAMP signaling pathways in the brain.However,recent studies have shown that DARPP-32 is also expressed in other tissues,including colorectal cancer (CRC),where its function is not well understood.

AIM

To explore the effect of DARPP-32 on CRC progression.

METHODS

The expression levels of DARPP-32 were assessed in CRC tissues using both quantitative polymerase chain reaction and immunohistochemistry assays.The proliferative capacity of CRC cell lines was evaluated with Cell Counting Kit-8 and 5-ethynyl-2’-deoxyuridine assays,while apoptosis was measured by flow cytometry.The migratory and invasive potential of CRC cell lines were determined using wound healing and transwell chamber assays.In vivo studies involved monitoring the growth rate of xenograft tumors.Finally,the underlying molecular mechanism of DARPP-32 was investigated through RNA-sequencing and western blot analyses.

RESULTS

DARPP-32 was frequently upregulated in CRC and associated with abnormal clinicopathological features in CRC.Overexpression of DARPP-32 was shown to promote cancer cell proliferation,migration,and invasion and reduce apoptosis.DARPP-32 knockdown resulted in the opposite functional effects.Mechanistically,DARPP-32 may regulate the phosphoinositide 3-kinase (PI3K)/AKT signaling pathway in order to carry out its biological function.

CONCLUSION

DARPP-32 promotes CRC progression via the PI3K/AKT signaling pathway.

Key Words: Colorectal cancer; Dopamine and cyclic adenosine monophosphate-regulated phosphoprotein with an apparent Mr of 32000; Proliferation; Migration; Phosphoinositide 3-kinase; Akt

INTRODUCTION

Colorectal cancer (CRC) is one of the most common malignancies.According to the 2020 Global Oncology Yearbook,new cases of CRC rank third among all cancers[1].Recent years have seen continued advances in the early diagnosis and standardization of CRC.The 5-year survival rate of advanced CRC is less than 20%,and the prognosis is not good[2].A major cause of this poor survival rate is distant metastasis and drug resistance of tumor cells.Therefore,more novel biomarkers and targets need to be discovered for the better diagnosis and treatment of patients with CRC.

During transcription,dopamine and cyclic adenosine monophosphate-regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32),also known as phosphoprotein phosphatase 1 (PP-1) regulatory subunit 1B,was initially discovered as a substrate of dopamine-activated protein kinase A (PKA) in the neostriatum of the brain[3].When the Thr34 residue is phosphorylated as catalyzed by PKA,DARPP-32 acts as an inhibitor of PP-1[4,5].By contrast,when the Thr75 residue is phosphorylated as catalyzed by cyclin-dependent kinase 5,DARPP-32 inhibits PKA and is able to prevent PKA from phosphorylating DARPP-32[6].DARPP-32 has been found in breast[7,8],gastric[9-11] esophageal[12],lung[13],and prostate[14] cancers.DARPP-32 is commonly increased in gastric carcinoma and promotes carcinoma vascular formation and carcinoma growthviaangiopoietin-2 regulation[15].DARPP-32 isoforms are overexpressed to promote “bypass signaling” of the epidermal growth factor receptor (EGFR) in non-small cell lung cancer.The Erb-B2 receptor tyrosine kinase 3 allows tumor cells to evade apoptosis induced by EGFR tyrosine kinase inhibitor monotherapy by potentiating oncogenic Akt[16].Although DARPP-32 may act as an oncoprotein,its expression and molecular mechanisms in CRC cell proliferation and migration remain unclear.

This study investigated the role of DARPP-32 in CRC and its associated molecular mechanisms.

MATERIALS AND METHODS

Tissue samples

In total,70 CRC samples and corresponding adjacent matched nonmalignant tissues were collected during surgeries performed at the First Affiliated Hospital of Chongqing Medical University (Chongqing,China).These samples were stored until use at -80 C.Our study was approved by the Ethical Review Committee of the First Affiliated Hospital of Chongqing Medical University.

Cell culture

HT-29,LOVO,HCT116,and SW480 cell lines were provided by the central laboratory of the First Affiliated Hospital of Chongqing Medical University.The cell lines were cultured in high-glucose Dulbecco’s modified Eagle medium (DMEM) (GIBCO,Carlsbad,CA,United States) with 10% fetal bovine serum (Sigma-Aldrich,Taufkirchen,Germany) in 5% CO2.

Immunohistochemistry assay

Shanghai Outdo Biotech Co.,Ltd.(Shanghai,China) provided the tissue microarray (TMAs) that were used for immunohistochemistry (IHC).Briefly,tissue samples were treated with ethylenediamine tetraacetic acid to recover antigens,followed by incubation overnight at 4 C with a 1: 100 dilution of anti-DARPP-32 antibody (sc-271111; Santa Cruz Biotechnology,Dallas,TX,United States).Then secondary antibodies (SA1055; Boster Biological Technology Co.Ltd.,Wuhan,China) were added,and the mixture was incubated at 37 C for 1 h.Finally,the samples were stained and photographed.A scale from 0 to 3 + was used to grade the staining intensity,with 0 denoting no staining,1 denoting faint immunoreactivity,2 denoting moderate immunoreactivity,and 3 denoting strong immunoreactivity.Scores for the percent positive were given as follows: 0 for 0%-5%,1 + for 6%-25%,2 + for 26%-50%,3 + for 51%-75%,and 4 + for 76%-100%.The composite IHC score,which ranges from 0 to 7,is the result of adding the intensity and positivity ratio scores.

Quantitative polymerase chain reaction

Trizol reagent (Invitrogen,Carlsbad,CA,United States) was used to extract the total RNA.Using the PrimeScript? RT Reagent Kit (TaKaRa Bio,Chengdu,China),cDNA was created.TB Green Premix Ex Taq? II (TaKaRa Bio) was used for quantitative PCR (qPCR) according to the manufacturer’s protocol.The reverse transcription primers were: DARPP-32: forward5′-GGGGCACCATCTCAAGT-3′ and reverse5′-GCTCATCCTCCTCCTCTG-3′,and glyceraldehyde 3-phosphate dehydrogenase (GAPDH): forward5′-CTTTGGTATCGTGGAAGGACTC-3′ and reverse5′-GTAGAGGCAGGGATGATGTTCT-3′.DARPP-32 relative expression levels were normalized to those of GAPDH and calculated according to the 2-ΔΔCtmethod[17].

Transduction with lentiviral vectors and small interfering RNA (siRNA) transfection

Lentiviruses encoding DARPP-32 and control lentivirus were purchased from HanBio Biotechnology Co.Ltd.(Shanghai,China).Lentivirus was added to cells (2 × 105) that had been grown in 6-well plates and incubated for 24 h.The medium was switched after 24 h.After 72 h,cells were examined by fluorescence microscopy using the TE2000-U microscope (Nikon,Tokyo,Japan) and the images were photographed.Puromycin (2 μg/mL; HanBio Biotechnology Co.,Ltd.) was used to select the transduced cells for 1 wk and used in subsequent experiments.Synthesis of siRNAs targeting DARPP-32 was carried out by RiboBio (Guangzhou,China).The primers were sequenced using three different siRNAs as follows: DARPP-32 siRNA1,5′-GGUGCUAGGUAGAAAGUUAGG-3′ (sense) and5′-UAACUUUCUACCUAGCACCUC-3′ (antisense); DARPP-32 siRNA2,5′-GAUAGUACUAGCAAGUAUACU-3′ (sense) and5′-UAUACUUGCUAGUACUAUCUU-3′ (antisense); DARPP-32 siRNA3,5′-AGAUAUGUAUCUUAUAUAAAC-3′ (sense) and5′-UUAUAUAAGAUACAUAUCUUG-3′ (antisense).The working concentration of siRNA was 20 nM.HT-29 and LOVO cells were transfected for 48 h with siRNAs using Ribo FECT? CP Reagent (RiboBio,Guangdong,China) in accordance with the manufacturer’s guidelines.

Ethynyl-2′-deoxyuridine incorporation assay

Cell viability was assessed with the ethynyl-2′-deoxyuridine (EdU) proliferation assay[18].Briefly,100 μL of 50 μM EdU was added to each well for 2 h.Then the cells were stained with Apollo staining solution after being fixed in 4% formaldehyde in phosphate-buffered saline (PBS) for 30 min at room temperature.DNA was stained with Hoechst 33342 for 30 min.Samples were examined using the LSM 700 confocal microscope (Carl Zeiss,Jena,Germany).

Cell Counting Kit-8 assay

A total of 2000 cells per well of 96-well plates of transfected cells were plated,and the cells were cultured at 37 C in 5% CO2for 0,24,48,and 72 h.Then Cell Counting Kit-8 (CCK-8) reagent was added to each well and incubated for an additional 1 h.Finally,the absorbance was measured at 450 nm with a microplate reader (Bio-Rad Laboratories,Hercules,CA,United States).

Apoptosis

Cellular apoptosis assays were performed by flow cytometry using the Annexin V-FITC Apoptosis Detection Kit (Beyotime,Beijing,China) in accordance with the manufacturer’s procedures.A flow cytometer (BD Biosciences,Franklin Lakes,NJ,United States) was used to analyze the cells.

Wound healing assay

In 6-well plates,transfected cells were grown to a confluence of about 75%-85%.To create wounds,the surface of a monolayer was scraped off with a sterile 10-μL pipette tip.PBS was used to gently wash the cells,and DMEM containing 1% serum was used to continue the culture.Lastly,the migration distance was photographed at 0 h and 48 h.

Transwell chamber assay

Transwell chambers (8 μm pore size) were used to assess cellular invasion.Complete medium (500 μL) was present in the bottom chamber.In the upper compartment,cells (5 × 104) were seeded in 200 μL serum-free medium.For 48 h,the cells were incubated and then swabbed from the surface of the filter exposed to the upper chamber.Invasive cells on the opposite side of the filter were preserved with 4% formaldehyde and dyed with 0.1% crystalline purple and quantified by optical microscopy.For each insert,five random fields per filter were counted.The cells were positioned on the upper surface of the matrigel matrix-coated (BD Biosciences) transwell chamber.Cells were processed as previously described.

RNA sequencing analysis

RNA was extracted from SW480 cells with overexpression of DARPP-32 for RNA sequencing (RNA-seq) analysis.Total RNA isolation was carried out using the TRIzol reagent (Invitrogen Life Technologies),after which the concentration of the product was determined with the NanoDrop spectrophotometer (Thermo Fisher Scientific,Waltham,MA,United States).Then miRNA libraries were generated and sequenced on the NovaSeq 6000 platform (Illumina,San Diego,CA,United States) by Shanghai Personal Biotechnology Co.Ltd.(Shanghai,China).We used the R language ggplot2 package to draw volcano plots of differentially expressed genes,pheatmap package of R language for two-way clustering analysis of unions and samples of all comparison groups,and SangerBox website for Gene Ontology enrichment analysis and Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway analysis of differential gene expression.

Western blot analysis

We used RIPA lysis buffer (Beyotime Biotech,Shanghai,China) to extract the cells and used the bicinchoninic acid kits (Beyotime Biotech) to detect the expression levels.The protein was separated on 10% sodium dodecyl sulfate-polyacrylamide gel electrophoresis.After separation,the protein was electrotransferred to a polyvinylidene difluoride membrane,and then blocked in 5% bovine serum albumin solution for 1 h.Then the membranes were incubated with primary antibodies (1:1000 dilutions) against DARPP-32 (ab40801; Abcam,Cambridge,United Kingdom),AKT (T55561S; Abmart,Shanghai,China),phosphorylated AKT (p-AKT,T40067S; Abmart),phosphoinositide 3-kinase (PI3K,ab191606; Abcam),p-PI3K (T40065S; Abmart),GAPDH (10494-1-AP; Proteintech,Wuhan,China),and β-tubulin (10094-1-AP; Proteintech).After an overnight incubation at 4 ℃,the membranes were incubated with secondary antibodies for 2 h at room temperature.Fusion software (Vilber Lourmat,Collégien,France) was used for densitometry analysis.GAPDH served as the loading control.

In vivo experiments

The Animal Care Committee of Chongqing Medical University approved the animal experiments,which were carried out in accordance with the ethics Committee of Chongqing Medical University guidelines and regulations for animal welfare.Hunan SJA Laboratory Animal Co.Ltd.(Hunan,China) provided the female BALB/c naked mice (5 wk old).1 × 107cells were injected subcutaneously into the shoulders of mice (n=five per group).Tumor growth was monitored every 3 d for 4 wk.To determine the tumor volumes,the formula v (mm3)=a × b × c/2 was used,where a is length,b is width,and c is height.IHC tests were performed using tumor samples.

Statistical analysis

All statistical data analyses were performed with GraphPad Prism 9.0 (GraphPad Software,La Jolla,CA,United States) and the statistical program for social sciences 19.0 software (SPSS,Chicago,IL,United States).The mean ± SD of three different experiments were used to represent all statistical data.Survival curves were generated using the Kaplan-Meier method and compared using the log-rank test.The distribution differences of the variables were analyzed using Pearson’sχ2test was used to evaluate how well the experimental and control groups could be distinguished from one another.P< 0.05 was considered statistically significant.

RESULTS

Expression and clinical relevance of DARPP-32 in CRC

Data on DARPP-32 expression from the Genotype-Tissue Expression and Cancer Genome Atlas Datasets were collected and analyzed using the Gene Expression Profiling Interactive Analysis Platform.The results revealed the significant overexpression of DARPP-32 in tumor samples compared to adjacent normal tissue samples from patients with CRC (Figure 1A).Next,we employed qPCR to measure the DARPP-32 mRNA expression in 70 fresh CRC tissues and matched nearby normal tissues.Comparing neighboring noncancerous tissues to CRC tissues,DARPP-32 mRNA expression in the latter was significantly higher (P< 0.05),consistent with the findings described in Figure 1B.The study of the associations between DARPP-32 expression and clinicopathological traits demonstrated that DARPP-32 upregulation was positively correlated with metastasis to lymph nodes (Table 1,patient clinical pathological data can be presented in Supplementary Table 1).TMA was used to investigate the relationship between DARPP-32 and CRC patient survival.Comparing the CRC group to the adjacent non-neoplastic group,DARPP-32 protein level was overexpressed (Figure 1C and D).By contrast,high DARPP-32 expression had no obvious relationship with tumor stage (Figure 1E).Although there was no significant difference in statistics,it can be seen from the Figure 1F that the prognosis of patients with high DARPP-32 expression was worse.In addition,DARPP-32 mRNA and protein expression in four human CRC cell lines (HCT116,SW480,HT29,and LOVO) and healthy colon mucosal epithelial cells from NCM460 were assessed using western blotting and RT-PCR.All four CRC cell lines had increased levels of DARPP-32 mRNA and protein expression than NCM460 cells (Figure 1G-I).These data suggest that DARPP-32 expression is markedly high in CRC.

Figure 1 Expression and clinical relevance of dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 in colorectal cancer.A: Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000(DARPP-32) mRNA level in primary human colorectal cancer (CRC) tumors (n=376) and normal tissues (n=667) were analyzed from the Gene Expression Profiling Interactive Analysis Database; B: DARPP-32 expression was validated in 70 pairs of CRC patient samples by polymerase chain reaction; C-E: Representative images and quantification of DARPP-32 staining in 94 CRC tissues and 86 normal tissues (red scale bars,200 μm; black scale bars,50 μm); F: Overall survival curves for CRC patients expressing DARPP-32 according to Kaplan-Meier curves; G-I: DARPP-32’s mRNA and protein levels in cell lines (NCM460,HCT116,SW480,HT-29,LOVO).aP < 0.05; bP < 0.01; cP < 0.001.

Table 1 Relationship between dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 expression level and clinical pathological parameters of colorectal cancer

DARPP-32 promotes CRC proliferation in vitro and in vivo

To learn more about how DARPP-32 helps colon cancer cells proliferate,DARPP-32 was overexpressed in HCT116 and SW480 cells by lentivirus transfection and silenced in HT-29 and LOVO cells using two separate siRNA duplexes.Overexpression of DARPP-32 was verified by western blotting (Figure 2A and B).DARPP-32 overexpression increased the proliferation of HCT116 and SW480 cells in EdU proliferation and CCK-8 assays (Figure 2C-G).By contrast,HT29 and LOVO cells transfected with siDARPP-32 (DARPP-32 siRNA) reduced the rates of cell proliferation (Figure 2E-K).The following phase involved using naked mice to examine how DARPP-32 affected tumor formation.Tumor formation was observed in naked mice injected with HCT116 negative control (NC) cells andHCT116-DARPP-32 cells.HCT116-DARPP-32 cells had a significantly larger mean tumor volume than those induced by the NC (Figure 3A and B).Compared to the control group,the IHC study results showed that HCT116-DARPP-32 enhanced Ki67 protein expression (Figure 3C).All of these findings suggest that DARPP-32 promotes CRC cell growth.

Figure 2 Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 promotes colorectal cancer proliferation in vitro.A and B: Detecting the expression level of dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32) by western blot analysis in HCT116/SW480 stable cell lines overexpressing DARPP-32 and in HT-29/LOVO cell lines with DARPP-32 knockdown; C-G: DARPP-32 overexpression promoted the growth of HCT116 and SW480 cells by ethynyl-2′-deoxyuridine (EdU) and Cell Counting Kit-8(CCK-8) (black scale bars,100 μm); H-K: Representative images of the proliferative capabilities of cells in HT-29 and LOVO cells with small interfering RNA (siRNA)knockdown of DARPP-32 detected by EdU and CCK-8 (black scale bars,100 μm).aP < 0.05; bP < 0.01; cP < 0.001; dP < 0.0001.GAPDH: Glyceraldehyde-3-phosphate dehydrogenase; NC: Negative control.

Figure 3 Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 promotes colorectal cancer proliferation in vivo.A: Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32)-overexpressing HCT116 cells were subcutaneously implanted into the shoulders of naked mice (n=5) to assess proliferative potential; B: After injection,carcinoma volumes were measured in the negative control (NC) group and DARPP-32 group; C: DARPP-32 and Ki67 immune staining were performed on tumor tissues from the NC and DARPP-32 groups by immunohistochemistry (blue scale bars,100 μm; black scale bars,50 μm).aP < 0.05; cP < 0.001.

DARPP-32 reduces apoptosis of CRC cells

To determine whether DARPP-32 impacts the apoptosis of CRC cell lines,flow cytometry was used.The DARPP-32-overexpression groups decreased the proportion of apoptotic cells compared to the control group (Figure 4A and B).By contrast,siDARPP-32-transfected HT29 and LOVO cells displayed a substantial increase in apoptotic cells (Figure 4C and D).Together,these data suggest that DARPP-32 decreases CRC apoptosis.

Figure 4 Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 reduces apoptosis in colorectal cancer cells.A and B: The apoptotic capabilities of cells in HCT116 and SW480 cells with dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32) overexpression detected by analysis of cellular apoptosis; C and D: The apoptotic capabilities of cells in HT-29 and LOVO cells with DARPP-32 knockdown small interfering RNA (siRNA) detected by analysis of cell apoptosis.aP < 0.05; bP < 0.01.NC: Negative control.

DARPP-32 promotes CRC cell invasion and migration

We overexpressed DARPP-32 in HCT116 and SW480 cells and silenced it in HT29 and LOVO cells using two distinct siRNA duplexes to investigate the role of DARPP-32 in the invasion and migration of CRCs.Transwell cell invasion assays and wound healing cell migration assays were employed to evaluate cell invasion and migration.Compared to their equivalent NC,HCT116 and SW480 DARPP-32-overexpressing cells demonstrated a considerable increase in invasion and migration (Figure 5A-D).By contrast,siDARPP-32 transfected HT29 and LOVO cells significantly inhibited invasion and migration (Figure 5E-H).These findings indicate the possibility that DARPP-32 influences the proliferation,apoptosis,and migration of cells in CRC tumors,ultimately promoting their malignant development.

Figure 5 Dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 promotes colorectal cancer cell invasion and migration.A and B: By using the wound healing assay,dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32) overexpression improved the ability of HCT116 and SW480 cells to migrate; C and D: By using a wound healing experiment,DARPP-32 knockdown reduced the ability of HT-29 and LOVO cells to migrate; E and F: Images illustrating the capacity for cell migration and invasion in HCT116 and SW480 cells where DARPP-32 overexpression was found in the transwell assay; G and H: Images illustrating the capacity for cell migration and invasion in HT-29 and LOVO cells where DARPP-32 knockdown was found in the transwell assay (black scale bars,100 μm).aP < 0.05; bP < 0.01; cP < 0.001.NC:Negative control.

Effect of DARPP-32 on progression is partially dependent on the PI3K/AKT signaling pathway

RNA-seq was performed to study the potential mechanism of DARPP-32 in the progression of CRC,and the results were analyzed.The identification of 17048 differentially expressed genes in SW480 cells overexpressing DARPP-32 by RNA-seq revealed that 440 genes were downregulated and 947 genes were upregulated (Figure 6A and B).The PI3K-AKT signaling pathway was enriched in SW480 cells overexpressing DARPP-32,according to KEGG enrichment analysis (Figure 6C and D).Therefore,we investigated if DARPP-32 primarily contributes to cell survivalviaregulation of PI3K/AKT signaling.As shown in Figure 6E,p-PI3K and p-AKT (S473) protein levels were upregulated in DARPP-32-overexpressing cells but downregulated when DARPP-32 was silenced (Supplementary Figure 1).Additionally,the western blot analysis showed that the expression of p-AKT was decreased after treating HCT116 and SW480 cell lines with 20 μM LY294002 in the presence of overexpressed DARPP-32 (Supplementary Figure 2).Taken together,these data highlight that DARPP-32 can influence the PI3K/AKT signaling pathway,which could facilitate CRC cell proliferation and migration.

Figure 6 Effect of dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 on progression is partially dependent on the phosphoinositide 3-kinase/AKT signaling pathway.A: Our group examined the differences in mRNA expression between the normal control and dopamine and cyclic adenosine monophosphate regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32)groups using RNA sequencing (RNA-seq) analysis; B: Heat map of a DARPP-32 downstream target assessed by RNA-seq analysis.Red indicates upregulation of the corresponding gene and green indicates downregulation; C: Bubbly graph of Gene Ontology enrichment terms; D: Analysis of the DARPP-32 level Kyoto Encyclopedia of Genes and Genomes data; E: Western blot analysis of DARPP-32,AKT,p-AKT,phosphoinositide 3-kinase (PI3K) and phosphorylated PI3K proteins in DARPP-32-overexpressing cells or DARPP-32 small interfering RNA (siRNA)-infected cells.Glyceraldehyde-3-phosphate dehydrogenase (GAPDH) served as a loading control.NC: Negative control.

DISCUSSION

Recent decades have seen advances in the clinical management of CRC.Despite these accomplishments,the prognosis of CRC remains unsatisfactory[1].More effective treatment targets are urgently needed,and their impact on CRC advancement needs to be clarified.DARPP-32 overexpression has been correlated with numerous tumors,in particular gastric,breast,and prostate cancers,pointing to its potential role in carcinogenesis by inducing proliferation,invasion,and survival[19].DARPP-32 is highly expressed in CRC[20],but its specific mechanism is not clear.Here,we provide evidence that DARPP-32 is overexpressed in CRC tissue,and that high levels of DARPP-32 correlate with lymphatic metastasis.High expression of DARPP-32 also decreased apoptosis while promoting CRC cell motility,invasion,and proliferation.As a result of DARPP-32 silencing,CRC tumor cells are less likely to proliferate and migrate while undergoing apoptosis,which could prevent the emergence of malignant phenotypes.

We conducted enrichment analysis of KEGG data to investigate the probable mechanism of DARPP-32 in CRC.DARPP-32 overexpression resulted in significant enrichment of PI3K/AKT signaling.The PI3K/AKT signal transduction pathway is abnormally active in a number of tumorigenic processes and plays a significant role in carcinogenesis and development[21-24].AKT is one of the most highly hyperactive kinases in human malignancies.Alterations and genetic defects in all three AKT isoforms have been discovered in numerous types of cancers[25,26].The hallmarks of cancer cell proliferation,metabolism,survival,invasiveness,and angiogenesis are modulated by AKT.Tyrosine kinases and somatic mutations in particular signaling pathway components are now the most frequent causes of PI3K-AKT activation in human malignancies[27-30].Phosphatidylinositol 4,5-bisphosphate is transformed into phosphatidylinositol (3,4,5)-trisphosphate (PIP3) by the lipid kinase PI3K[31,32].PIP3 is an essential second messenger required for AKT to translocate to the plasma membrane,where it is phosphorylated and activated by phosphoinositide-dependent kinase-1 and phosphoinositide-dependent kinase-2[33,34].The present results indicate that overexpression of DARPP-32 upregulates the protein expression of p-PI3K and p-AKT,pointing to a potential function for DARPP-32 in increasing CRC progressionviaPI3K/AKT signaling.However,one limitation of this study is that it did not investigate the prooncogenic effects of DARPP-32 on normal colonic cell lines.Further research is needed to determine the precise mechanisms by which DARPP-32 controls CRC processesviathe PI3K/AKT signaling pathway.

CONCLUSION

In CRC,DARPP-32 expression is unusually high.DARPP-32 is also necessary for the migration,apoptosis,and proliferation of CRC cells.These observations provide evidence that DARPP-32 promotes the progression of CRCviaPI3K/AKT.This may provide a theoretical foundation for basic research in CRC.

ARTICLE HIGHLIGHTS

Research background

Colorectal cancer (CRC) is one of the most prevalent and deadly types of cancer worldwide.Despite advances in treatment options,the molecular mechanisms underlying CRC development and progression are not fully understood.Recently,dopamine and cyclic adenosine monophosphate (cAMP)-regulated phosphoprotein with an apparent Mr of 32000 (DARPP-32) has emerged as a potential player in CRC.DARPP-32 is known for its involvement in dopamine and cAMP signaling pathways in the brain,but its role in CRC remains largely unexplored.Understanding the function and molecular mechanisms of DARPP-32 in CRC could provide valuable insights into the pathogenesis of this disease and potentially uncover new therapeutic targets.

Research motivation

CRC is a significant health concern,and understanding the underlying molecular mechanisms driving its progression is crucial for developing effective treatments.The role of DARPP-32,a protein involved in dopamine and cAMP signaling,in CRC remains poorly understood.Investigating the function of DARPP-32 in CRC could reveal its potential as a therapeutic target and shed light on novel pathways involved in tumor development and progression.

Research objectives

We aimed to enhance our understanding of the involvement of DARPP-32 in CRC progression and potentially identify novel therapeutic targets for the treatment of this disease.

Research methods

Since the effect of DARPP-32 on colorectal neoplasia is unknown,this study combined bioinformatics analysis,quantitative polymerase chain reaction,western blotting,tissue microarrays,and a variety ofinvitroandinvivofunctional tests to investigate this effect.

Research results

We found that DARPP-32 was frequently upregulated in CRC and associated with abnormal clinicopathological features in CRC.Overexpression of DARPP-32 was shown to promote cancer progression.DARPP-32 knockdown resulted in the opposite functional effect.Mechanistically,DARPP-32 may regulate the phosphoinositide 3-kinase (PI3K)/AKT signaling pathway to carry out its biological function.

Research conclusions

The collective results demonstrate that DARPP-32 promotes CRC progressionviathe PI3K/AKT signaling pathway.

Research perspectives

Further investigation is needed to reveal the precise molecular mechanisms through which DARPP-32 regulates the PI3K/AKT signaling pathway in CRC.Identifying the specific downstream targets and upstream regulators of DARPP-32 will provide a deeper understanding of its role in cancer progression.

ACKNOWLEDGEMENTS

We would like to express our gratitude to Professor Chen LX from the experimental research center of the First Affiliated Hospital of Chongqing Medical University for providing the experimental platform.

FOOTNOTES

Author contributions:He K conceived and designed the study; He K,Xie CZ,and Li Y performed the experimental tasks; He K and Chen ZZ collected the data; He K,Xu SH,Huang SQ,and Yang JG analyzed and interpreted the data; He K and Peng XD drafted the article; Wei ZQ and Peng XD critically revised the article; All authors have read and approved the final manuscript.

Supported byChongqing Key Diseases Research and Application Demonstration Program,No.2019ZX003; General Project of Chongqing Nature Science Foundation,No.cstc2021jcyj-msxmX0283.

Institutional review board statement:The study was reviewed and approved by the Ethics Committee of the First Affiliated Hospital of Chongqing Medical University.

Institutional animal care and use committee statement:All animal experiments conformed to the internationally accepted principles for the care and use of laboratory animals (Chongqing Medical University; Protocol No.IACUC-CQMU-2022-0019,Committee on Management and Use of Laboratory Animals of Chongqing Medical University,Chongqing,China).

Informed consent statement:All study participants or their legal guardian provided informed written consent about personal and medical data collection prior to study enrolment.

Conflict-of-interest statement:The authors have no conflicts of interest to declare.

Data sharing statement:No additional data are available.

ARRIVE guidelines statement:The authors have read the ARRIVE guidelines,and the manuscript was prepared and revised according to the ARRIVE guidelines.

Open-Access:This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers.It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license,which permits others to distribute,remix,adapt,build upon this work non-commercially,and license their derivative works on different terms,provided the original work is properly cited and the use is non-commercial.See: https://creativecommons.org/Licenses/by-nc/4.0/

Country/Territory of origin: China

ORCID number: Xu-Dong Peng 0000-0002-3151-9601.

S-Editor: Qu XL

L-Editor: Filipodia

P-Editor: Zhang XD