Abstract
Background: Cardia adenocarcinoma (CA) is a subtype of gastric cancer with a high rate of local and distal recurrence and few targeted therapies. Structural maintenance of chromosome protein 4 (SMC4) is involved in the occurrence and progression of numerous malignancies, but its role and mechanism in CA are unknown.Methods: Through the Western Blot and qRT-PCR, the level of SMC4 expression was determined in CA. SMC4 knockout cells were then generated by stable transduction of BGC-823 and SGC-7901 cells. Cell proliferation was evaluated by MTT and clone formation test, Scratch and transwell tests were used to investigate cell migration as well as invasion, while through the flow cytometry, we examined the cell apoptosis and progression of the cell cycle. The regulatory effects of the epithelial-mesenchymal transition (EMT) and the PI3K/AKT pathway were investigated using Western Blot.Results: This study showed overexpression of SMC4 in various CA cells. SMC4 knockout significantly caused the inhibition of proliferation, migration, and invasion of BGC-823 and SGC-7901, and stimulate the process of apoptosis and cell cycle arrest in the G0/G1 phase. In addition, down-regulation of SMC4 resulted in decreased expression of Bcl-2, Cyclin D1, CDK4, CDK6, N-cadherin and Vimentin, with an increased level of proteins i.e Bax, caspase3, Cleaved-caspase3, P21, and E-cadherin. SMC4 knockout also reduced the phosphorylated protein levels of AKT, PI3K, and mTOR, while keeping their total protein levels constant.Conclusion: Downregulation of SMC4 can inhibit the biological progression of CA, suggesting that SMC4 could be a potential therapeutic target for the disease.