High PGD2 receptor 2 levels are associated with poor prognosis in colorectal cancer patients and induce VEGF expression in colon cancer cells and migration in a zebrafish xenograft model

Br J Cancer. 2022 Mar;126(4):586-597. doi: 10.1038/s41416-021-01595-4. Epub 2021 Nov 8.

Abstract

Background: Despite intense research, the prognosis for patients with advanced colorectal cancer (CRC) remains poor. The prostaglandin D2 receptors DP1 and DP2 are explored here as potential therapeutic targets for advanced CRC.

Methods: A CRC cohort was analysed to determine whether DP1 and DP2 receptor expression correlates with patient survival. Four colon cancer cell lines and a zebrafish metastasis model were used to explore how DP1/DP2 receptor expression correlates with CRC progression.

Results: Analysis of the clinical CRC cohort revealed high DP2 expression in tumour tissue, whereas DP1 expression was low. High DP2 expression negatively correlated with overall survival. Other pathological indicators, such as TNM stage and metastasis, positively correlated with DP2 but not DP1 expression. In accordance, the in vitro results showed high DP2 expression in four CC-cell lines, but only one expressed DP1. DP2 stimulation resulted in increased proliferation, p-ERK1/2 and VEGF expression/secretion. DP2-stimulated cells exhibited increased migration in the zebrafish metastasis model.

Conclusion: Our results support DP2 receptor expression and signalling as a therapeutic target in CRC progression based on its expression in CRC tissue correlating with poor patient survival and that it triggers proliferation, p-ERK1/2 and VEGF expression and release and increased metastatic activity in CC-cells.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Caco-2 Cells
  • Cell Line, Tumor
  • Cell Movement
  • Colorectal Neoplasms / genetics
  • Colorectal Neoplasms / metabolism
  • Colorectal Neoplasms / pathology*
  • Disease Progression
  • Female
  • Gene Expression Regulation, Neoplastic
  • HCT116 Cells
  • HT29 Cells
  • Humans
  • Male
  • Neoplasm Metastasis
  • Neoplasm Staging
  • Neoplasm Transplantation
  • Receptors, Immunologic / genetics*
  • Receptors, Immunologic / metabolism*
  • Receptors, Prostaglandin / genetics*
  • Receptors, Prostaglandin / metabolism*
  • Survival Analysis
  • Up-Regulation*
  • Vascular Endothelial Growth Factor A / metabolism*
  • Zebrafish

Substances

  • Receptors, Immunologic
  • Receptors, Prostaglandin
  • VEGFA protein, human
  • Vascular Endothelial Growth Factor A
  • prostanoid D receptor 1, human
  • prostaglandin D2 receptor