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Formin-like 2 promotes angiogenesis and metastasis of colorectal cancer by regulating the EGFL6/CKAP4/ERK axis
Authors:Guoyang He  Wei Li  Wenli Zhao  Hui Men  Qingqing Chen  Jinlong Hu  Jingyu Zhang  Huifang Zhu  Wenxin Wang  Meijing Deng  Zishan Xu  Gaoxiang Wang  Lin Zhou  Xinlai Qian  Li Liang
Institution:1. Department of Pathology, Xinxiang Medical University, Xinxiang, China;2. School of Forensic Medicine, Xinxiang Medical University, Xinxiang, China;3. Department of Pathology, Haikou Affiliated Hospital of Central South University Xiangya School of Medicine, Haikou, China

Department of Pathology, Southern Medical University, Guangzhou, China;4. Department of Pathology, Sun Yat-sen University Cancer Center, Guangzhou, China

State Key Laboratory of Oncology in South China, Collaborative Innovation Center for Cancer Medicine, Sun Yat-sen University Cancer Center, Guangzhou, China;5. Department of Colorectal and Anal Surgery, First Affiliated Hospital of Xinxiang Medical University, Xinxiang, China;6. Department of Breast and Thyroid Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China;7. Department of Pathology, Xinxiang Medical University, Xinxiang, China

Department of Pathology, Third Affiliated Hospital of Xinxiang Medical University, Xinxiang, China;8. Department of Pathology, Southern Medical University, Guangzhou, China

Abstract:Increasing evidence indicates that angiogenesis plays a pivotal role in tumor progression. Formin-like 2 (FMNL2) is well-known for promoting metastasis; however, the molecular mechanisms by which FMNL2 promotes angiogenesis in colorectal cancer (CRC) remain unclear. Here, we found that FMNL2 promotes angiogenesis and metastasis of CRC in vitro and in vivo. The GDB/FH3 domain of FMNL2 directly interacts with epidermal growth factor-like protein 6 (EGFL6). Formin-like 2 promotes EGFL6 paracrine signaling by exosomes to regulate angiogenesis in CRC. Cytoskeleton associated protein 4 (CKAP4) is a downstream target of EGFL6 and is involved in CRC angiogenesis. Epidermal growth factor-like protein 6 binds to the N-terminus of CKAP4 to promote the migration of HUVECs by activating the ERK/MMP pathway. These findings suggest that FMNL2 promotes the migration of HUVECs and enhances angiogenesis and tumorigenesis in CRC by regulating the EGFL6/CKAP4/ERK axis. Therefore, the EGFL6/CKAP4/ERK axis could be a candidate therapeutic target for CRC treatment.
Keywords:angiogenesis  CKAP4  colorectal cancer  EGFL6  FMNL2
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