Abstract. Although the Notch pathway has been reported to be activated in colorectal cancer (CRC), limited information is available regarding the expression and role of its ligand, Jagged 2 (JAG2), in CRC. Using immunohistochemistry, the present study demonstrated that JAG2 protein expression may be detected in up to 95% of CRC cases and is 3-fold upregulated in tumor cells compared to surrounding normal tissues. This finding suggests that JAG2 may have a role in the tumorigenicity of CRC. To further investigate the cellular functions of JAG2 expression in CRC, two different small interfering RNAs (siRNAs) were used to downregulate JAG2 expression in CRC cell lines (HCT116, DLD-1 and HT-29). The results indicated that JAG2 knockdown inhibits the motility and invasiveness of CRC cell lines without significantly affecting cell proliferation. These findings implicate JAG2 in promoting aggressiveness of CRC, and lay the foundation for its future development as a therapeutic target for the treatment of CRC.
IntroductionColorectal cancer (CRC) is the third most common cancer in males and the second in females, respectively, with >1.4 million newly diagnosed cases and 693,933 mortalities estimated to have occurred in 2012, accounting for 8.5% of all cancer mortalities, thus making CRC the fourth most common cause of mortality from cancer worldwide (1). Approximately 20% of CRC patients present with metastases at the time of diagnosis, and ~50% of the patients without metastases at presentation exhibit distant metastases within 3 years of diagnosis (2). For patients with unresectable metastatic CRC, prognosis is poor, with a 5-year survival of <10%; however, a marked benefit in median overall survival may be achieved with palliative systemic therapy (3). Significant advances in systemic treatment for metastatic CRC, including targeted therapies, have improved survival; however, even with combination of target agents and chemotherapy, the median survival of CRC patients is only ~29 months (4). A better understanding of the factors that lead to tumor progression and metastasis is urgently required for the development of novel strategies for CRC treatment.The Notch pathway is highly conserved and functions in numerous biological processes, including cell differentiation, proliferation and death (5-7). Mammals have four types of membrane-bound Notch receptors (Notch 1-4) and five types of membrane bound ligands (Jagged 1-2, and Delta-like 1, 3 and 4) (2). Upon ligand binding, Notch receptors undergo proteolytic cleavage to release the Notch intracellular domain, which enters the nucleus and associates with DNA binding proteins to act as a transcriptional factor for the regulation of gene transcription.Notch pathway signaling is activated in several types of cancer, including CRC, T-cell acute lymphoblastic leukemia (T-ALL) (8) and breast cancer (9). Among the Notch ligands, upregulation of JAG2 expression has been shown to be significantly associated with vascular development, metastasis-free and overall survival in breast ...