Abstract. Trefoil factor 1 (TFF1) is a small cysteine-rich secreted protein which is principally expressed in the superficial cells of gastric mucosa. In gastric cancer, TFF1 is downregulated and plays an important role. Gastrokine 1 (GKN1) is a secreted protein with similar expression and biological functions to TFF1. This study aimed to determine the expression and biological functions of TFF1 and the relationships between TFF1 and GKN1 in gastric cancer. RT-PCR and immunohistochemistry were performed to detect TFF1 expression in gastric cancer cell lines and tissues. The transfected and co-transfected AGS cells which stably expressed TFF1 or both TFF1 and GKN1 were generated. Phenotypic changes such as cell viability, apoptosis and cell cycle modulation were assayed in the transfected cells. We found that TFF1 expression was significantly downregulated or lost in gastric cancer cell lines, gastric dysplasia and cancer. Restoration of TFF1 expression in AGS cells suppressed tumor cell viability and arrested AGS cells in the G1-S transition phase after olomoucine treatment. However, TFF1 was unable to induce cell apoptosis. In co-transfected cells, we found that TFF1 and GKN1 did not directly interact at the protein level. GKN1 was unable to cooperate with TFF1 on cell viability suppression, cell apoptosis and differentiation. Together, these results indicate that TFF1 expression is significantly downregulated in gastric cancer. TFF1 inhibited cell proliferation by delaying G1-S phase transition but not by inducing apoptosis. TFF1 may not interact or cooperate with GKN1 at the protein and functional level.
IntroductionGastric cancer is the second most common cause of cancer mortality worldwide (1-3). Although the molecular mechanisms of gastric cancer are still unclear, some molecular changes in the development of tumor were characterized. In recent studies, TFF1 is a spotlight molecule in gastric cancer. TFF1 is a 60-amino acid, highly conserved protein with a clover leaf-like structure formed by cysteine disulphide bonds and belongs to the trefoil factor family (4-6). TFF1 was found abundantly expressed in normal gastric mucosa. As a secreted protein, TFF1 protein was synthesized and secreted by the gastric epithelial cells and expressed in the upper part of the pits. In ulceration or inflammatory diseases, TFF1 induced epithelial restitution after injury and protects the integrity of the epithelial barrier (7-10). TFF1 was also involved in gastric carcinogenesis. In most gastric adenocarcinomas, the expression of TFF1 was downregulated or absent comparing to abundant in normal gastric mucosa (11,12). A previous study found that the TFF1-deficient mice were dysfunctional and showed severe hyperplasia and dysplasia, and all homozygous mutant mice developed antropyloric adenoma (13). Moreover, TFF1 demonstrated inhibition of cell growth and arrest of cell difference in gastric cancer (14,15). Thus, TFF1 is hypothesized as a tumor suppressor in gastric cancer. TFF1 was also involved in other human cancers such a...