Hypoxia-mediated YTHDF2 expression and activation of the mTOR/AKT axis in lung squamous cell carcinoma
Abstract Background N6-methyladenosine (m6A) is a dynamic and reversible internal RNA structure of eukaryotic mRNA. YTH domain family 2 (YTHDF2), an m6A-specific reader YTH domain family, plays fundamental roles in several types of cancer. However, the function of YTHDF2 in lung squamous cell carcinoma (LUSC) remains elusive. Methods Functionally, NCI-H226 and SK-MES-1 cells were exposed to hypoxia to detect the protein levels of hypoxia-inducible factor-1α (HIF-1α), endogenous YTHDF2, and phospho-AKT (Ser473) analyzed by western blotting and then the association of these proteins with LUSC was analyzed with a bioinformatics database. Next, we established stable YTHDF2 upregulation models in NCI-H226 and SK-MES-1 cells to explore the function of YTHDF2 in LUSC cells by performing in vitro and in vivo assays. Finally, we affirmed that YTHDF2 overexpression was involved in activating the mTOR/AKT signaling and inducing the EMT process in LUSC using western blotting. Clinically, immunohistochemical staining revealed the relationship between YTHDF2 expression levels and the clinicopathological characteristics of lung squamous cell carcinoma patients. Results The results showed that hypoxia-mediated YTHDF2, a tumor promoter, promoted cell proliferation and invasion by activating the mTOR/AKT axis and inducing the EMT process in LUSC. Moreover, YTHDF2 was closely associated with pN (pN– 37.0%, pN + 73.9%; P = 0.002) and pTNM stage (pI 50.0%, PII 43.3%, pIIIa 80.6%; P = 0.007), ultimately resulting in poor survival for LUSC patients. Conclusion In brief, the results highlight the critical role of YTHDF2 in both hypoxia exposure and the pathogenesis of LUSC.