THBS4/Integrin α2 axis mediates BM-MSCs promote angiogenesis of gastric cancer associated with chronic Helicobacter pylori infection
Abstract BackgroundBM-MSCs contribute to Helicobacter pylori (H. pylori)-induced gastric cancer, but its mechanism is still unclear. The aim of our study is to investigate the specific role and mechanism of BM-MSCs in H. pylori-induced gastric cancer.Main methodsMice were received total bone marrow transplantations and then infected with H. pylori. BM-MSCs were extracted and transplanted to gastric serosal layer of mice infected with H. pylori chronically. Hematoxylin and eosin staining, immunohistochemistry staining and immunofluorescence were performed to detect the tumor growth and angiogenesis in mice stomach tissues. Chicken chorioallantoic membrane assay, xenograft tumor model, and Human umbilical vein endothelial cells tube formation assay were used for in vivo and in vitro angiogenesis study. THBS4 was screened out from RNA-SEQ Analysis with gastric tissues of BM-MSCs transplantation into H. pylori infected mice.ResultsBM-MSCs can migrate to the site of chronic mucosal injury and promote tumor angiogenesis associated with chronic H. pylori infection. Migration of BM-MSCs to the site of chronic mucosal injury induced the up-regulation of THBS4, which was evident also in human gastric cancer, and correlated with more blood vessel formation and worse outcome. THBS4/Integrin α2 axis exhibited promoting angiogenesis by facilitating PI3K/AKT pathway in endothelial cells.ConclusionsOur results discover that BM-MSCs have a new pro-angiogenic effect in chronic H. pylori infection microenvironment, primarily through THBS4/Integrin α2 axis, which activated PI3K/AKT pathway in endothelial cells and eventually induced formation of new tumor vessels.